Endocrinological Disorders
Question #18787
11 days ago
30

pbc - #18787

Anonymously

I’ve recently been diagnosed with PBC (Primary Biliary Cirrhosis), and I’m feeling overwhelmed with all the information I’ve been reading. I didn’t even know what PBC was until my doctor told me about it, and now I’m trying to understand more about this condition. From what I understand, PBC is a liver disease where the bile ducts in the liver become damaged, which affects the liver’s ability to function properly. The diagnosis came after I had some blood tests showing elevated liver enzymes. I’ve been feeling fatigued and dealing with itchy skin, which my doctor said can be common with PBC. How does PBC progress, and what should I expect in the coming months or years? Can PBC lead to cirrhosis or liver failure if it’s left untreated, and how can I slow the progression of the disease? I’ve been reading about how PBC is an autoimmune disease, and I’m wondering what causes it. Is there any way to prevent or manage the immune system’s attack on the liver? Could PBC be genetic, or is it mostly triggered by environmental factors? I don’t have a family history of liver disease, so I’m curious why I developed PBC. Since I’ve been experiencing fatigue, I’m also wondering if PBC could be affecting other parts of my body. I’ve heard that PBC can lead to problems like osteoporosis, vitamin deficiencies, and high cholesterol. Could these be linked to my diagnosis, and if so, how can I manage them? What kind of lifestyle changes can I make to help my body cope with PBC and avoid complications? I’ve been prescribed medications to help manage PBC, including ursodeoxycholic acid (UDCA), but I’m not sure how effective it will be. How long does it typically take to see improvements in liver function with UDCA? Are there other medications or supplements I should consider to help manage the symptoms of PBC, such as the itching or fatigue? I’m also curious about the role of diet in managing PBC. Should I make any specific dietary changes to support liver health? I’ve heard that a healthy, balanced diet is important, but are there certain foods that are especially beneficial or harmful for people with PBC? Can avoiding alcohol and reducing salt intake make a significant difference in managing the condition? Lastly, I want to know if PBC can be cured. I’ve heard that while there is no cure, the disease can be managed with the right treatment. Are there any promising new treatments or clinical trials for PBC that I should look into? What steps should I take to monitor my condition and make sure I’m staying on top of my health? If anyone else has been diagnosed with PBC or has experience managing liver disease, I would really appreciate your advice and insights.

Pbc
Primary biliary cirrhosis
Liver disease
Autoimmune disease
Liver function
Fatigue
Udca
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Doctors’ responses

Dr. Ayush Varma
Graduating with an MD in Ayurvedic Medicine from the All India Institute of Medical Sciences (AIIMS) in 2008, he brings over 15 years of expertise in integrative healthcare. Specializing in complex chronic conditions, including autoimmune disorders, metabolic syndromes, and digestive health, he uses a patient-centered approach that focuses on root causes. Certified in Panchakarma Therapy and Rasayana (rejuvenation), he is known for combining traditional Ayurvedic practices with modern diagnostics. Actively involved in research, he has contributed to studies on Ayurveda’s role in managing diabetes, stress, and immunity. A sought-after speaker at wellness conferences, he practices at a reputable Ayurvedic wellness center, dedicated to advancing Ayurveda’s role in holistic health and preventive care.
10 days ago
4.93
I'm sorry to hear about your diagnosis of Primary Biliary Cirrhosis (PBC). Understanding more about this condition can indeed feel overwhelming, but I'll help guide you through your concerns with personalized Ayurvedic insights. PBC is characterized by the gradual destruction of bile ducts, which can lead to bile accumulation in the liver, resulting in damage over time. This condition can indeed lead to cirrhosis and liver failure if not managed properly. In Ayurveda, addressing the root cause of autoimmune disorders involves balancing your doshas. PBC often reflects disturbances in Pitta dosha, due to the heat and inflammation associated with the condition. Incorporate cooling foods and herbs like aloe vera, coriander, and mint to soothe your liver and support detoxification. Focus on consuming a diet rich in whole grains, fresh fruits, and vegetables while avoiding processed foods, excess sugar, and unhealthy fats. Reducing alcohol and salt intake will help minimize liver stress, and consider adding foods rich in omega-3 fatty acids like flaxseeds, walnuts, and fatty fish if you're comfortable with seafood, as they can help lower inflammation. The fatigue and itchy skin you're experiencing can be linked to liver dysfunction. Ensure you're staying hydrated and consider herbal formulations such as Triphala to promote digestive health and enhance nutrient absorption, which can help with vitamin deficiencies. Regular sunlight exposure is crucial for vitamin D synthesis, especially if you are concerned about osteoporosis. Incorporate weight-bearing exercises suited to your energy levels into your routine, as they can bolster bone health. Ursodeoxycholic acid (UDCA) can take a few months to show effects on liver enzymes, and it’s essential to have regular check-ups and lab tests to monitor your liver function. While there are other medications, it is advisable to consult with your physician regarding any supplements, as some may interact with your treatment. While PBC is currently considered to be managed rather than cured, be open to discussing clinical trials with your healthcare provider, as advancements are continuously being researched. Staying proactive about your liver health, including regular medical reviews, can help slow disease progression. You know your body best, so trust your intuition and prioritize a supportive environment—both mentally and physically—as you navigate this journey.
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Question #19269
8 days ago
18

how to test cortisol levels - #19269

Anonymously

For the past few months, I’ve been feeling constantly exhausted, anxious, and unable to focus. No matter how much I sleep, I wake up feeling drained, and throughout the day, I experience sudden energy crashes. A friend suggested that I might have high cortisol levels and should get tested. Now, I want to understand how to test cortisol levels and whether Ayurveda has a natural approach to balancing cortisol. From what I read, cortisol is the body’s main stress hormone, and it fluctuates throughout the day. It is highest in the morning and lowest at night. I also learned that cortisol can be tested using blood, saliva, or urine samples. But which is the most accurate method? If I want to know whether stress is affecting my body, what is the best way to measure my cortisol levels? Another thing I am curious about is whether Ayurveda has a different way of assessing stress hormone balance. Instead of relying on lab tests, does Ayurveda diagnose high cortisol levels based on symptoms like fatigue, mood swings, and sleep disturbances? If so, what are the common signs of a cortisol imbalance according to Ayurveda? I also read that diet and lifestyle play a huge role in cortisol regulation. I drink a lot of coffee and often skip meals, and I wonder if that could be making my cortisol levels worse. Does Ayurveda recommend specific dietary changes to support adrenal health and lower cortisol naturally? Are there herbs like Ashwagandha or Brahmi that help manage stress without affecting natural hormone balance? Another concern I have is sleep. I often struggle with falling asleep and wake up feeling unrested. If cortisol is supposed to be lower at night, does that mean my levels are out of sync? Does Ayurveda offer treatments, teas, or relaxation techniques that help reset cortisol levels and improve sleep? Since I don’t want to rely on medications or synthetic supplements, I would love to know how Ayurveda approaches stress management and hormonal balance. What are the best Ayurvedic practices, herbs, and daily routines to naturally regulate cortisol without needing frequent tests or medical intervention?

Pbc
Primary biliary cirrhosis
Liver disease
Autoimmune disease
Liver function
Fatigue
Udca
Question is closed

On the Ask Ayurveda service, online consultations with Ayurvedic doctors for General medicine are available for any issue that concerns you. Expert doctors provide consultations around the clock and for free. Ask your question and get an answer right away!

Doctors’ responses

Dr. Ayush Varma
Graduating with an MD in Ayurvedic Medicine from the All India Institute of Medical Sciences (AIIMS) in 2008, he brings over 15 years of expertise in integrative healthcare. Specializing in complex chronic conditions, including autoimmune disorders, metabolic syndromes, and digestive health, he uses a patient-centered approach that focuses on root causes. Certified in Panchakarma Therapy and Rasayana (rejuvenation), he is known for combining traditional Ayurvedic practices with modern diagnostics. Actively involved in research, he has contributed to studies on Ayurveda’s role in managing diabetes, stress, and immunity. A sought-after speaker at wellness conferences, he practices at a reputable Ayurvedic wellness center, dedicated to advancing Ayurveda’s role in holistic health and preventive care.
7 days ago
4.93
Your symptoms of constant exhaustion, anxiety, and inability to focus suggest an imbalance in your bodily systems, potentially related to high cortisol levels. A cortisol test can indeed be done through blood, saliva, or urine, with salivary testing often recognized for its convenience and ability to measure cortisol throughout the day, reflecting fluctuations more closely. However, for a comprehensive view, discussing with a healthcare professional regarding the best approach for your situation would be beneficial. Ayurveda approaches the assessment of stress hormone balance through symptoms rather than laboratory tests. Indicators of high cortisol can include fatigue, anxiety, mood swings, sleep disturbances, and digestive issues. In your case, the symptoms you mentioned align with what Ayurveda identifies as a Vata imbalance, characterized by irregularities in sleep and energy levels. To support adrenal health and balance cortisol naturally, dietary and lifestyle modifications are vital. Given your coffee consumption and irregular meal patterns, these can contribute to heightened cortisol levels. I recommend reducing coffee intake and including nourishing meals that stabilize your blood sugar. Focus on incorporating warm, cooked foods, whole grains like oats and quinoa, healthy fats, and fruits like bananas and avocados to support your overall well-being. Herbs like Ashwagandha and Brahmi are excellent for managing stress while supporting hormonal balance. You could take Ashwagandha as a powder (1 teaspoon) mixed with warm milk or water, ideally in the evening. Brahmi can be taken as a tea or supplement, as it enhances cognitive function and helps with mental clarity. For better sleep, consider adopting calming nighttime routines, such as herbal teas like chamomile or Brahmi tea. Establish a regular sleep schedule, ensuring you wind down at least an hour before bed to allow your body to prepare for rest. Engaging in daily practices like yoga, deep breathing exercises, and meditation can help recalibrate your body's stress response and cortisol levels. Aim for at least 15-30 minutes of gentle yoga or mindfulness meditation daily, focusing on your breath. These integrative practices create a holistic approach to balance and regulate your cortisol levels without needing frequent tests or synthetic interventions. Remember, consistent dedication to these practices will yield the best results over time.
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