Hello Thank you for explaining clearly . Your symtoms are interlinked and this is not simple acidity it is Disturbed digestive rthym due to late night lifestyle Your all symptoms indicate Pitta aggrevation at night **VATA imbalance in colon And IRRREGULAR DIGESTIVE FIRE because you sleep late pitta timing 10pm-2am becomes active Body increases digestive fire at wrong time Hunger at 2am Morning loose motion with burning Daytime bloating IMPORTANT POINT You do not feel heart burn becauase Acidity is not always chest burning Sometimes it shows up as Anal burning ACNE Loose stools irritated colon ROOT CAUSE I am specially mentioning your root cause so that you can avoid it as earliest as possible -Late sleeping -Late night snacaking -Fried food Irregular meal timing TREATMENT PLAN FIRST RULE= FIX SLEEP -Sleep before 11 pm -No food after 9pm If hungry between 10-10;30pm- take a warm milk or small soaked raisins within 7-10 days hunger at 2am will reduce MORNING ROUTINE Do not have heavy breakfast instead -Wake up at 7-8 am -Have a warm water with little coriander seeds soaked water - Wait for natural hunger -Have Light breakfast like poha , moong dal chilla , daliya Avoid paratha, fried items in morning FOR BURNING AND LOOSE MOTION After meals 1 tsp ghee in warm rice Buttermilk with roasted jeera TAke KAMDUGHA MUKTA 1 tablet thrice daily before meals FOR BLOATING Have HINGUVASTHAKA churna 1/2 tsp with first bite of breakfast FOR ACNE 1. Sariavasavam 30 ml twice daily after food I have mentioned minimum medicine as your sleep is regularized all will get improved you need to improve your lifestyle first Wishing you a good health Warm Regards Dr Snehal Vidhate

LATE NIGHT SLEEPING IS THE MAIN TRIGGER IN YOUR CASE WHEN YOU ARE AWAKE TILL 1 OR 2 AM THE BODY HEAT AND DIGESTIVE FIRE BECOME IRREGULAR THIS CREATES NIGHT HUNGER BUT DIGESTION AT THAT TIME IS NOT STABLE SO EVEN IF YOU DO NOT EAT THE ACID SECRETION AND HEAT INCREASE INSIDE THE STOMACH IN THE MORNING THIS EXCESS HEAT MOVES DOWNWARD CAUSING ONE EPISODE OF LOOSE MOTION WITH BURNING IN THE ANUS THIS IS CLEARLY A SIGN OF EXCESS INTERNAL HEAT AND IRRITATED INTESTINE BECAUSE OF THIS NIGHT DISTURBANCE YOUR MORNING DIGESTION BECOMES WEAK THAT IS WHY YOU DO NOT FEEL HUNGRY AND WHEN YOU FORCE BREAKFAST YOU FEEL HEAVINESS AND BLOATING THE BLOATING THROUGHOUT THE DAY SHOWS THAT DIGESTIVE FIRE IS IRREGULAR SOMETIMES TOO SHARP AT NIGHT AND WEAK DURING DAYTIME THIS IS ALSO CONTRIBUTING TO YOUR ACNE AS EXCESS HEAT AND IMPROPER DIGESTION REFLECTS ON SKIN FIRST CORRECT SLEEP TIMING THIS IS MOST IMPORTANT TRY TO SLEEP BEFORE 11 PM CONSISTENTLY WITHIN 2 TO 3 WEEKS YOU WILL NOTICE IMPROVEMENT IN THE MORNING ON EMPTY STOMACH TAKE 1 GLASS LUKEWARM WATER WITH 1 TEASPOON GHEE THIS WILL SOOTHE THE INTESTINE AND REDUCE BURNING AFTER 30 MINUTES IF HUNGER IS NOT PRESENT DO NOT FORCE HEAVY BREAKFAST TAKE LIGHT FOOD LIKE THIN RICE PORRIDGE OR MOONG DAL SOUP AVOID FRIED FOOD SPICY FOOD CHUTNEY PICKLES BAKERY ITEMS AND LATE NIGHT SNACKING KEEP DINNER VERY LIGHT AND BEFORE 8 30 PM FOR MEDICINE YOU CAN TAKE AVIPATTIKAR CHURNA HALF TEASPOON WITH LUKEWARM WATER AFTER LUNCH AND DINNER FOR 4 WEEKS THIS WILL REDUCE EXCESS HEAT AND CORRECT BOWEL IRRITATION ALSO TAKE 10 ML ALOE VERA JUICE WITH EQUAL WATER IN THE MORNING FOR 6 WEEKS IF BLOATING IS MORE TAKE HINGWASHTAK CHURNA A SMALL PINCH WITH FIRST BITE OF FOOD DRINK CORIANDER SEED WATER DURING THE DAY TO COOL INTERNAL HEAT WITH PROPER SLEEP LIGHT DINNER AND THESE MEDICINES YOUR LOOSE MOTION BURNING BLOATING AND ACNE WILL GRADUALLY IMPROVE CONTINUE FOR AT LEAST 6 TO 8 WEEKS AND MONITOR RESPONSE

Thank you for explaining clearly 🌿 Since this is more than 6 months, this is a chronic digestion rhythm disturbance, not simple acidity. Your pattern is very typical: 🌙 Late sleeping 🌜 Hunger at 2 AM 🌅 Morning loose stool with burning ❌ No hunger in morning 🍽 Heaviness + bloating after breakfast 🔥 Acne 🍟 Worse with fried food Even without heartburn, this is Pitta aggravation + disturbed Agni cycle. 🔎 What Is Happening? Between 11 PM – 3 AM is Pitta time (liver detox + metabolic repair time). When you stay awake: Acid secretion increases False hunger at 2 AM Intestinal irritation in morning → burning loose stool Digestive fire becomes irregular → bloating whole day Chronic gut heat → acne So yes — this is a form of functional acidity, even without chest burning. 🌿 Complete Correction Plan (30 Days) 🌅 Morning (Empty Stomach) 1 glass lukewarm water After 10 minutes: 👉 Avipattikar churna – 1 tsp with lukewarm water (Controls Pitta + regulates stool + reduces burning) If stool very loose: 👉 Reduce to ½ tsp. 🍳 Breakfast Rule ⚠️ Do NOT eat breakfast immediately after waking. Eat only when real hunger appears. If no hunger till 11 AM → take only light food like: Thin moong dal Fruit (papaya) Rice kanji 🍛 After Lunch Jeerakadyarishta – 15 ml + equal water For bloating: Add Hingwashtak churna ½ tsp after meals 🌙 Night (Most Important Medicine) Dinner before 9 PM No screen after 10:30 PM Sleep by 11 PM If 2 AM hunger: 👉 Take 1 cup warm milk with 1 pinch turmeric at 10 PM This prevents night acid surge. 🌿 For Acne (Internal Heat) Mahamanjishthadi kwath – 15 ml twice daily OR Khadirarishta – 15 ml twice daily Avoid: ❌ Fried food ❌ Curd at night ❌ Tea empty stomach ❌ Very spicy food 🧘 Simple Lifestyle Reset ✔ 15 min evening walk ✔ 2–2.5 litre water daily ✔ 1 tsp ghee daily (improves gut lubrication)
Don’t worry Take Pancharista 20ml bd AF Chitrakadhi vati 1tab bd AF Pancharista 20ml bd enough Avoid oily spicy food meat alcohol smoking Take easily digested food and fiber food
HELLO, Your symptoms suggest pitta aggravation with weak digestive fire and mild grahani imbalance LATE NIGHTS-> INCREASE PITTA-> CAUSES -night hunger 2 AM- pitta time -Morning loose motion with burning -no appetite in morning -bloating after meals -acne heat in body Fried foods worsen this because they increase pitta + ama (toxins) AYRUVEDIC MANAGEMENT 1) CORRECT THE ROOT CAUSE- MOST IMPORTANT -sleep before 10:30-11 pm -wake up before 7 am -do not skip night sleep cycle -eat dinner before 8 pm light meal This alone can improve 40-50% symptom DIET ADVICE -warm, freshly cooked meals -moong dal khichdi -lauki, tori, parwal -buttermilk thin, with roasted jeera and pinch rock salt after lunch -soaked black raisins in morning AVOID -fried food -spicy food -tea/coffee empty stomach -fermented and junk food INTERNAL MEDICATIONS 1) AVIPATTIKAR CHURNA= 1 tsp at bedtime with warm water =for pitta and morning burning motion 2) KUTAJ GHAN VATI= 1 tab twice daily before meals =for loose motions tendency and grahani 3) HINGWASTAKA CHURNA= 1/2 tsp with first bite of lunch =for bloating IF SEVERE ACNE 4) MAHAMANJISTHADI KASHAYA= 15ml + 15ml water twice daily after meals Take for 6-8 weeks SIMPLE HOME REMEDIES -1 tsp ghee in warm rice at lunch -coriander seed water boil and drink -aloe vera pulp 20 ml empty stomach 1 month Your may not feel heartburn, but. pitta can disturb intestines without classic acidity symptoms Your case is more of -Pitta dominant grahani with irregular sleep pattern Correct lifestyle + mild medicines = good recovery in 1-2 months DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU

Start with Tablet Liv-52 1-0-1 after food with water Hingvastak churan 1tsp mix with buttermilk and have after lunch. Kamdudharas moti yukta 1-0-1 after food with water Dinner should be light with soup. Sauted or semi cooked vegetables., light dal. Avoid nonveg food at present if you are non-vegetarian.
✓Medicines Kamadhudha Ras (Moti Yukta) – 250–500 mg twice daily with cold water (after breakfast & dinner) Sutshekhar Ras (Sada) – 1 tablet twice daily after meals Avipattikar Churna – 3 gm at bedtime with warm water Kutaj Parpati Vati – 1 tablet twice daily after meals ✓Daily Must-Do Vajrasana – 10 min after every meal (reduces bloating & reflux) Cold fennel (saunf) water sip all day (2–2.5 L) – cools Pitta & soothes gut Dinner strictly before 7 pm (no food after 8 pm) – stops 2 am hunger & morning loose motion Head elevated sleep (2 pillows) ✓Diet Only: thin moong khichdi + little ghee, boiled lauki/pumpkin, pomegranate, coconut water, thin buttermilk + roasted jeera Avoid completely: fried foods, spicy/sour, garlic/onion, tomato, citrus, cold drinks, heavy meals, late snacks Regards Dr Gursimran Jeet Singh MD Panchakarma


