Yes, in some cases PPIs can be reduced or gradually stopped, but not immediately and not in everyone, especially when a hiatus hernia is present . PPIs work by reducing acid production, so they control symptoms but don’t fix the root cause. In hiatus hernia, the stomach position and LES valve weakness are mechanical problems—so reflux tends to persist. That’s why: Ayurveda can improve digestion, reduce acidity, strengthen gut function But it cannot “pull back” the hernia physically Even modern medicine agrees: Up to 50% people still have symptoms despite PPIs Alternatives include breathing therapy, lifestyle changes, or surgery in severe hernia cases So the real solution is combination approach, not just replacing one pill with another. avipattikara churna – before meals yashtimadhu (licorice) – soothing effect shatavari – healing + cooling kamadudha rasa – for pitta control Avoid: Tea/coffee, chocolate, fried food Citrus, tomato, spicy food Late-night meals Follow: Small frequent meals Early dinner (before 7–7:30 pm) Warm, light, slightly alkaline diet
Hello For GERD issue u can start with Patolakaturohini kashayam 20 ml twice a day after food Avipattikara churna half teaspoon with warm water twice a day before food These medicines will help u to get rid of pitta issue Avoid all sour, spicy food articles Take more of bitter vegetables like bitter gourd, ash gourd, bottle gourd raddish etc in ur diet Thank you
Hiatus hernia structural problem So you cannot fully replace PPIs, but you can reduce them slowly Take Avipattikar churna 1 tsp after food, 2 times Kamdudha ras 1 tablet 2 times Yashtimadhu powder ½ tsp with milk, 2 times Eat small meals Don’t lie down after food Early dinner Avoid spicy, tea, coffee Don’t stop Nexium suddenly Reduce slowly with doctor advice
GERD with hiatus hernia is a structural as well as functional issue, so the goal is to reduce acid irritation and improve digestion, not just suppress acid completely like PPIs do. It is usually not advisable to suddenly stop PPIs, especially after long-term use. A gradual reduction along with supportive Ayurvedic medicines is a safer approach. Focus on strict routine. Avoid overeating, late meals, and lying down immediately after food. Keep dinner light and at least 2–3 hours before sleep. Avoid spicy, fried, sour foods, caffeine, and carbonated drinks. Elevating the head end while sleeping will also help reduce reflux. Eat in small, frequent meals rather than large portions. Maintaining healthy weight and avoiding tight clothing around the abdomen is important. At home, you can take cold milk in small quantity when there is burning. Jeera and coriander water during the day can help digestion. Avoid very hot and very cold foods. Avipattikar tablets – 1 tablet twice daily before food Kamdudha ras (moti yukta) – 1 tablet twice daily after food Yashtimadhu (licorice) tablet – 1 tablet twice daily These help in reducing acidity, soothing the stomach lining, and balancing Pitta. Start Ayurvedic medicines while continuing your current PPI, then gradually taper the PPI under guidance depending on symptom control. With consistency, many patients are able to reduce dependency, but complete replacement depends on severity of hernia and lifestyle discipline. Regards, Dr Raghuveer (Ayurvedacharya)
Definitely, not only replace ayurveda will give u medicine free life also, In ayurveda GERD is urdhawghat Amlapitta means acid moving in upward direction Best is we have to move it downword direction and remove it through anus region For proper treatment u need one purification therapy for on day(at ur own home) After that start with Tab kamduga mukta 1-1-1 Syrp amlapita mishran 3 tsf thrice a day Tab avipatikar churuna at night These medicines and therapy are more than sufficient
For managing your condition we have to focus on pacifying Pitta dosa and also vata to manage your physical fresher and displacement associated with hernia 1) Alsactil tablet- 1 tablet 30 minute before meal with warm water 2) sukumaram kwath- 15 ml with 45 ml water early morning and evening on empty stomach 3) avipathi churna- 3 gram at bed time with warm water 4) Dhanwantaram gulika- 1 tablet twice daily 5) amruthotharam kashayam- 15 ml mix with 45 ml water before food in morning and night 👇👇👇👇👇👇 Avoid bending forward immediately after eating. Keep your head elevated by 6-8 inches while sleeping using a wedge pillow (do not just use extra head pillows as this can increase abdominal pressure). Avoid tight belts or waistbands that compress the abdomen. Eat small, frequent meals rather than three large ones. Finish your last meal at least 3 hours before bed. Walk 100 steps slowly after meals to ald downward digestion. Sitting in Vajrasana for 5-10 minutes after meals Include (Favor) Old rice, Barley, Wheat, Poha Ash gourd (Petha), Bottle gourd, Bitter gourd, Pumpkin.Pomegranate, Sweet Lime, Banana, Grapes, Amla. Cold Milk (with a pinch of sugar), Buttermilk Coconut water, Fennel-Coriander tea. 👇👇👇 Avoid Maida, New rice, Millet. Onion, Garlic, Raw Ginger, Chili, Eggplant. Citrus (Lemon/Orange), Sour berries, Pineapple. Thick Curd/Yogurt, Cheese, Fermented Butter. Tea, Coffee, Alcohol, Carbonated drinks. As you have been on your PP eyes for 5 years so suddenly do not stop them try to stop them gradually