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Weak liver with hot potency ( liver ki garmi)
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Gastrointestinal Disorders
Question #21421
205 days ago
1,093

Weak liver with hot potency ( liver ki garmi) - #21421

Lovenish kumar

I would like to share my health issues for proper guidance and treatment. I have a history of anal fissures and underwent surgery for piles in the past. Since then, my anal area has become extremely sensitive. If I consume warm-natured foods (like spicy, fried, or high-protein foods), or if my stool is hard, the skin around the anal area starts peeling or a fissure reappears. Even slight heat or dryness in the body leads to burning, discomfort, and skin damage in that area. My Liver Function Test (LFT) is normal, but I have signs of liver heat (garmi) and toxin overload. This liver heat seems to worsen my anal sensitivity. I also have a mild residual varicocele on one testicle, with occasional pain and visible dilated veins. There’s no constant pain, but sensitivity increases when liver heat flares up or if I sit for long periods. I’m very sensitive to protein-rich substances, amino acids, or strong supplements. They immediately cause liver heat, pimples, and trigger burning and inflammation in the anal area. I have tried several liver supplements (like Zandu Livital, Butterfly Ayurveda Livofly, Deep Ayurveda Liver Capsules, Baidyanath Liverol, and Krishna’s Liver Juice), but most of them increased heat and discomfort due to their warm nature. Currently, I’m trying to follow a cooling, toxin-reducing diet and lifestyle to heal my liver and reduce sensitivity in the anal and varicocele area. I would appreciate a personalised, natural approach that focuses on detoxification, liver cooling, and long-term healing without strong medicines or supplements that heat up the body. Please guide me accordingly.

Age: 25
300 INR (~3.51 USD)
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Doctors' responses

Avoid spicy, oily and processed food. Regular exercise. Regular use of buttermilk. Increase intake of raw vegetables and fruits. Tab.Guduchi 2-0-2 Tab.Erandbhrushta haritaki 0-0-3 with lukewarm water at bedtime

2734 answered questions
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Avoid spicy food, fermented foods, maida fried, food bekary food, more intake of tea or coffee, avoid green chilli Have more water Have more salad like cucumber, carrot, beetroot Have coconut water daily Have indukanta grita 1 tsp with milk daily Tabe kamaduga rasa 1 tid before food Rohitaka arishta 15 ml bd after food Arogyavardini vati 1tid after food Do foot massage with ksheerabala taila If possible visit the nearby panchakarma centre and take one course of mild Virechana karna…this treatment help to reduce excess heat from the body and it maintain the health of liver this even effective treatment for vericoceal

432 answered questions
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Try panchakarma therapy Do sitz bath twice daily Cooling foods: Increase the intake of cucumbers, melons, coconut, sweet fruits (like apples, pears, grapes), and leafy greens. Avoid hot, spicy, and fried foods Drink plenty of room-temperature or cool water infused with mint or coriander, coconut water Mild, easy-to-digest foods: rice, moong dal, sweet potatoes, steamed vegetables, and herbal teas

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Have you had jaundice history?? All such symptoms at age of 25 means you have had a very bad diet style. You will need to start with mild liver detoxification A. Liver Cooling + Detoxification (without heat)

Avoid “heating” liver supplements and instead use mild, cooling herbs:

Amla powder or juice – natural coolant, antioxidant 1 tsp with water on empty stomach or after meals

Guduchi (Giloy) – liver cleansing, anti-inflammatory, but gentle 1 capsule daily or decoction form (not concentrated extract)

Coconut water with 3 soaked raisins + pinch of fennel powder – liver, bowel, and Pitta balance drink B. Anal Sensitivity & Fissure Care

Ghee-based Triphala at night ¼ tsp Triphala + 1 tsp warm ghee before bed with warm water

Anu tailam or Jatyadi tailam (external use) Apply a few drops with clean finger around anal area after bowel movement

Warm sitz bath with Neem leaves + rock salt 10–15 mins after passing stool Also consult a Panchakarma specialist as virechan shall be give good results.

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1.Guluchyadi kwatham tab 2-2-2 before food 2.Kamadugdha rasa 1-0-1after food 3.Avipathy churnam 1tsp at bedtime with hot water

You can do Kashaya dhara( with cooling kashayas)/ Abhyanga (body massage) ,for that visit near by Ayurvedic treatment center. Include * coconut water, /* barley water In your diet , Improve more fibrous fruits and vegetables ,avoid junk foods and also fermented too

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Try food and medicine for your prakriti…seems like pitta prakriti dominant nature you are so plzz take .RX

Arshkalp vati ACIDOGRIT TAB=1-1 tab empty stomach twice daily

USHIRASAVA CHANDANASAVA=2-2 tsp twice daily it’s cold nature after meal

Dnt take red chilli/tea/maida and junck food

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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
205 days ago
5

You have to consume high fibre foods Avoid oily, spicy, cold food Need to undergo panchkarma therapy for detoxification . It can be done at any good ayurvedic centre Try Aswagandha leham two spoons with warm milk two times a day Sukumar gritha two spoons with warm milk two times a day after meals Hinguwastka churna half spoon with warm water before bed time

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Hello. According to ur history u need to have con ghee, homemade White butter + desi sugar, Soaked black raisins, soaked sabja seeds in ur diet. Syrup Sheetasudha 2 tsp in small glass of water have in Day time. Tab Kamdudha ( Mauktik yukta) 2 tabs 2 times a Day. Have 10 ml Yasti grit at night

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Jatyadi gritam local application on anal region Aloevera juice 15ml twice daily before food with water Pilex tablet 1-0-1 after food with water

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Hi,first of all you have to cut down all spicy foods junk foods, pickles,carbonated drinks ,softs drinks , alcohol etc. You can take corriander water to consume through the day for drinking,consume juices of beetroot and carrot which are good for liver too.check your liver function tests periodically For liver health you can take drakshadi kashayam tablet 2-0-2before food,liv52 1-0-1afterfood,ancare ointment application on anal region,sotzbath on triphalachoorna boiled water luke warm,chandanadi taila application on head and body ,avipathi choornam 2tsp+milk at night,proper sleep will help you

122 answered questions
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Advising Guduchi Choornam boil 1 spoon in 1 L water. Consume as drinking water Also have foods ,light easily digestable avoiod spicy meals… Have more leafy vegetables , includes cooling fruits and veggies… Also Kaphalbathi pratice in yoga will be useful

1)Mahatiktaka ghrta 1 tsp daily morning For 5 days Follow up afterwards

192 answered questions
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Dr. Meenakshi
I am currently working as an Associate Professor and Ayurvedic Consultant at a reputed Ayurvedic medical college in Karnataka. My dual role in academics and clinical practice allows me to stay deeply connected with both the foundational principles of Ayurveda and their real-world application in patient care. With years of experience in teaching and treating patients, I have developed a strong grounding in classical Ayurvedic texts as well as hands-on expertise in managing a wide spectrum of health conditions. In my academic role, I am involved in mentoring undergraduate and postgraduate students, guiding them through theoretical understanding, clinical training, and practical application of Ayurvedic medicine. I actively participate in departmental research, workshops, and case discussions, fostering a learning environment that emphasizes both scientific inquiry and traditional wisdom. As a consultant, I provide holistic Ayurvedic care for chronic lifestyle disorders, musculoskeletal problems, women’s health issues, gastrointestinal diseases, and skin disorders. My treatment plans are deeply personalized, based on a thorough assessment of Prakriti (body constitution) and Vikriti (imbalance), integrating herbal medicine, Panchakarma therapies, dietary advice, and preventive health strategies. I strongly believe in the importance of patient education and preventive care. Whether I am managing a complex condition or offering day-to-day wellness support, my aim is always to treat the root cause and promote long-term healing. I also collaborate with fellow practitioners and students to stay updated with advancements in Ayurvedic research and contribute meaningfully to the field. My commitment lies in offering authentic, evidence-based, and compassionate Ayurvedic care while nurturing the next generation of Ayurveda professionals with the same values.
204 days ago
5

Hello Actual to say your prediction or diagnosis only is wrong… Liver warmness nothing such issue will be if you LFT is Normal…

Your complaints are due to GIT weakeness you have make your GIT strong…

1) Madiphala rasayana… 10 ml 2 times a day before food

2) shanka vati… 2 tab 2 times a day

3) Triphala churna… 1/2 spoon after food with warm water

Try this for 1 month your complaints starts to reduce 👍

187 answered questions
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Drink adequate water… Avoid oily spicy food, cold drinks, junk food… Eat only Boiled food and green leafy vegetables… Use Chandanasavam 20ml twice daily after food Tab Pylmukti 2tab twice daily… Oint Amroid for external use…

85 answered questions
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START with triphala choorna 1 tsp with warm water at night Chnadanasava + ushirasava 15 ml -0-15 ml with water. Tab shankavatu with moutika 2-0-2 . For local application at anal region use sunarin oint

10 answered questions
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Hello Lovenish kumar

• It Looks Due to Past Improper Diet Sedentary lifestyles Stress ur Digestive and Metabolic Systems are not functioning well which creating more Toxins ( Aam in Ayurveda).Ur All issues like Gastric Anal Fissure Burning Vericocele Inflammation are due to same • Ur GI Tract and Liver Biliary Tract and Blood has Lots of Toxins sensitizing foods medicine etc so anything u take creating heat • For Permenent Cure U need Panchkarma Detoxification+ Ayurvedic Medicine+ Pitta Har Diet Lifestyle Modifications Exercise Distress Treatment • I ADVICE U TO UNDERGO PROPER PANCHAKARMA DETOXIFICATION PROCEDURES IN NEARBY GOOD AYURVEDIC PANCHAKARMA CENTERS • Consider Below medicine After Panchkarma will surely Helpful

# AYURVEDIC TREATMENT

• Aloe Vera Juice 30 ml twice a Day on Empty Stomach with 1 Glass of Normal Water • Tab.Kamdudha Mukta Yukta 2 Tabs twice a Day Before Food Virechan and Raktastambhan will be Helpful • Cap.Amlycure DS 1 Cap twice a Day After Food • Avipattikar Churna 1 ½ Tsf Night After Food Preferably with 1 Glass of Normal Water

# USEFUL HOME REMEDY :-

Coconut Water 1 Glass + Gond Katira 5 Grams + Sanja Seeds 5 Tsf + 1 Glass Normal Water on Empty Stomach Daily Morning 1 Glass

# NORMAL DIET

1 ½ Roti ( Jwar Bajara Ragi) + One Sabji ( Brinjal Lauki etc ) + 1 Green Leafy Vegetable ( Palak/Methi etc ) + 1 Glass Butter Milk+ Green Salad + Streamed Rice + Moong Dal

# DO’S :-

Cooked Steamed Light for Digestion All Green leafy vegetables Salads Sprouts Fruits Dry fruits fibers Plenty Of Water Fluids intake Milk ,Cow Ghee Rest Good Sleep Lifestyle Physical Activities Dhyan Meditation Surya Namaskar Coolant - Coconut Juice Watermelon juice Cucumber Aloe Vera Juices Sabja Gond Katira Eat Frequently Drink Approximately 3 Liters Water Per Day

# DON’TS :-

Restrict Heavy for digestion Excessive Acidic Salty Sour Spicy Fried Oily Junk food Food Non veg Curd Bakery Foods Wheat Maida Udad items Fermented Foods Excess Tea Coffee Stress Anxiety Sedentary Life Style Avoid Rajma Chole

REGARDS

Dr Arun Desai

God Bless You 😊🙏

481 answered questions
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Alright, let’s break this down a bit, shall we? You’re dealing with some real discomfort due to warmth or “garmi” that’s getting on your nerves. This sensitivity you’re experiencing is typically linked to a Pitta imbalance — think of Pitta like fire and water, the hot elements. It’s flaring up in your liver and around the sensitive skin, and yeah, making life kinda annoying with those anal fissures and varicocele sensitivity.

First off, let’s chat about diet. You’re spot on with aiming for cooling foods. Stick to more juicy, sweet, and bitter foods — these help soothe that inner heat. Look for stuff like cucumber, gourds, leafy greens, and sweet fruits (like melons). Stay away from spicy, fried, and heavy proteins since your liver and digestive fireersally said “no way” to these. Give Moong Dal a try — it’s gentle and easy on digestion.

Herbal buddies might include Amla (Indian Gooseberry) or Aloe Vera juice. They’re pretty good at aiding liver detox without heating you right up. Mix a tablespoon of Aloe Vera juice in water, and have it in the morning on an empty stomach. Amla, same thing, either the juice or in a powdered form; it’s effective for cooling and calming againg Pitta.

Now, lifestyle’s your friend here too. Sit back and relax but not sitting just too long, right? Maybe try to stand and take breaks during your day. Chill out on heavy exercises (Pitta doesn’t needs more heat). Breathing exercises like Sheetali Pranayama can effectively help cool down internally, focus on slow deep breaths.

You might also want to consider Triphala at bedtime with warm water — it aids digestion and is gentle, composting your body overnight without ramping up the heat. Keep an eye out on stress too, more stress, more heat. Meditation or calming activities in the whole day, man, they’re gold for grounding irritated Pitta.

Remember, every body’s different, and how something works for you can be different from others. If things get intense or don’t settle down, don’t hesitate, go see your doctor. Smart, right? Ayurveda’s neat, but should go hand in hand with conventional care.

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I am someone who believes Ayurveda isn’t just some old system — it’s alive, and actually still works when you use it the way it's meant to be used. My practice mostly revolves around proper Ayurvedic diagnosis (rogi & roga pariksha types), Panchakarma therapies, and ya also a lot of work with herbal medicine — not just prescribing but sometimes preparing stuff myself when needed. I really like that hands-on part actually, like knowing where the herbs came from and how they're processed... changes everything. One of the things I pay a lot of attention to is how a person's lifestyle is playing into their condition. Food, sleep, bowel habits, even small emotional patterns that people don't even realize are affecting their digestion or immunity — I look at all of it before jumping to treatment. Dietary therapy isn’t just telling people to eat less fried food lol. It’s more about timing, combinations, seasonal influence, and what suits their prakriti. That kind of detail takes time, and sometimes patients don’t get why it matters at first.. but slowly it clicks. Panchakarma — I do it when I feel it's needed. Doesn’t suit everyone all the time, but in the right case, it really clears the stuck layers. But again, it's not magic — people need to prep properly and follow instructions. That's where strong communication matters. I make it a point to explain everything without dumping too much Sanskrit unless they’re curious. I also try to keep things simple, like I don’t want patients feeling intimidated or overwhelmed with 10 things at once. We go step by step — sometimes slow, sometimes quick depending on the case. There’s no “one protocol fits all” in Ayurveda and frankly I get bored doing same thing again and again. Whether it’s a fever that won’t go or long-term fatigue or gut mess — I usually go deep into what's behind it. Surface-level fixes don’t last. I rather take the time than rush into wrong herbs. It’s more work, ya, but makes a diff in long run.
5
35 reviews
Dr. Ayush Bansal
I am an Ayurveda doctor with about 1 yr of hands on clinical practice, still learning everyday from patients and the science itself. My journey started as a VOPD doctor with Hiims Hospital under Jeena Sikho Lifecare Ltd. For 6 months I was into virtual consultations, understanding cases online, preparing treatment protocols and doing follow ups to track progress. That phase trained me well in quick patient assesment and also in explaining Ayurveda in a way that fit with modern expectations. I dealt with many chronic and acute cases during that time.. things like gastric issues, joint pain, stress related complaints, skin problems. The remote setting forced me to sharpen my diagnostic skill and rely more on careful history taking, prakriti analysis, and lifestyle understanding. After that, I moved to a Resident Doctor role at Chauhan Ayurved and Panchkarma Hospital, Udaipur. This was very different.. more practical, hands on, and really grounded me in classical Panchakarma. I was actively part of planning and performing therapies like Vamana, Virechana, Basti, Abhyanga, Shirodhara, and other detox and rejuvenation procedures. Many patients came with long standing spine issues, metabolic disorders, skin complaints, or hormonal imbalance and I got to see how tailored Panchakarma protocols and lifestyle advice together can bring changes that medicines alone couldn’t. Working closely with senior consultants gave me better clarity on safety, step by step planning and how to balance classical texts with practical hospital settings. Now, whether in OPD consultations or Panchkarma wards, I try to meet patients with empathy and patience. I focus on root cause correction, using herbs, diet, daily routine guidance, and therapy whenever needed. My belief is that Ayurveda should be accessible and authentic, not complicated or intimidating. My aim is simple—help people move towards long term wellness, not just temporary relief. I see health as balance of body, mind and routine.. and I want my practice to guide patients gently into that space.
5
165 reviews
Dr. Anjali Sehrawat
I am Dr. Anjali Sehrawat. Graduated BAMS from National College of Ayurveda & Hospital, Barwala (Hisar) in 2023—and right now I'm doing my residency, learning a lot everyday under senior clinicians who’ve been in the field way longer than me. It’s kind of intense but also really grounding. Like, it makes you pause before assuming anything about a patient. During my UG and clinical rotations, I got good hands-on exposure... not just in diagnosing through Ayurvedic nidan but also understanding where and when Allopathic tools (like lab reports or acute interventions) help fill the gap. I really believe that if you *actually* want to heal someone, you gotta see the whole picture—Ayurveda gives you that depth, but you also need to know when modern input is useful, right? I’m more interested in chronic & lifestyle disorders—stuff like metabolic imbalances, stress-linked issues, digestive problems that linger and slowly pull energy down. I don’t rush into giving churnas or kashayams just bcz the texts say so... I try to see what fits the patient’s prakriti, daily habits, emotional pattern etc. It’s not textbook-perfect every time, but that’s where the real skill grows I guess. I do a lot of thinking abt cause vs symptom—sometimes it's not the problem you see that actually needs solving first. What I care about most is making sure the treatment is safe, ethical, practical, and honest. No overpromising, no pushing meds that don’t fit. And I’m always reading or discussing sth—old Samhitas or recent journals, depends what the case demands. My goal really is to build a practice where people feel seen & understood, not just “managed.” That's where healing actually begins, right?
5
313 reviews
Dr. Prasad Pentakota
I am Dr. P. Prasad, and I’ve been in this field for 20+ years now, working kinda across the board—General Medicine, Neurology, Dermatology, Cardiology—you name it. Didn’t start out thinking I’d end up spanning that wide, but over time, each area sort of pulled me in deeper. And honestly, I like that mix. It lets me look at a patient not just through one lens but a whole system-wide view... makes more sense when treating something that won’t fit neatly in one category. I’ve handled everything from day-to-day stuff like hypertension, diabetes, or skin infections to more serious neuro and cardiac problems. Some cases are quick—diagnose, treat, done. Others take time, repeated check-ins, figuring out what’s really going on beneath those usual symptoms. And that’s where the detail matters. I’m pretty big on thorough diagnosis and patient education—because half the problem is ppl just not knowing what’s happening inside their own body. What’s changed for me over years isn’t just knowledge, it’s how much I lean on listening. If you miss what someone didn’t say, you might also miss their actual illness. And idk, after seeing it play out so many times, I do believe combining updated medical practice with basic empathy really shifts outcomes. Doesn’t have to be complicated... it just has to be consistent. I keep up with research too—new drugs, diagnostics, cross-specialty updates etc., not because it’s trendy, but cuz it’s necessary. Patients come in better read now than ever. You can’t afford to fall behind. The end goal’s the same tho—help them heal right, not just fast. Ethical practice, evidence-based, and sometimes just being there to explain what’s going on. That’s what I stick to.
5
695 reviews

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Thanks for the advice! I thought it might be the medicine, but it’s good to know when to check back with the doctor. Much appreciated!
Thanks for the advice! I thought it might be the medicine, but it’s good to know when to check back with the doctor. Much appreciated!
Levi
18 hours ago
Thanks a lot for the response! Your advice was direct and made tons of sense. I'm definitely gonna try the online consultation now.
Thanks a lot for the response! Your advice was direct and made tons of sense. I'm definitely gonna try the online consultation now.
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This answer was super helpful! Loved the natural remedies suggested, feeling more confident about managing this now. Thanks a bunch!