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Gastrointestinal Disorders
Question #22577
184 days ago
580

For hep b +ve - #22577

Rajan

I M medical students, get needle injury, and got hbsag +ve, it's chronic now, But antiviral not started yet, all parameter are in normal Ast 25 Alt 30 Hbv dna 264 iu Getting woories, suggest me what should I do bcz in allophaty, no one is suggesting me to start anti viral medicine, I have visited cmc sgpgi pgi,igims, but non of them suggest me to start medicine, is there is any treatment in ayurveda? Help me

Age: 22
Chronic illnesses: Hep b
300 INR (~3.51 USD)
Question is closed

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Doctors' responses

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.
177 days ago
5

Dear Rajan first of all, I want to acknowledge your concern with deep empathy at the age of 22 while pursuing your medical career, it is understandably distress to face a chronic condition like capacities when it was acquired accidentally during your noble journey as a healer, please remember your body has immense healing potential and both modern and Ayurvedic science after path that can support your recovery and strength Let’s explore your situation from the Ayurvedic view in detail and guide you gently forward You mentioned that you had a needle stick injury and wear later diagnosed with HBSAg positive Your viral load is low. Liver. Enzymes are within normal limits, and there is no symptoms. Of liver dysfunction, so for while gastroenterologist might opt for waiting in such low application, non-inflammatory stages, Ayurveda takes a proactive approach in such asymptomatic vyadhi avastha- to protect the liver support humidity, purify the blood, and prevent progression According to Ayurveda, chronic hepatitis B is closely related to a condition we call YAKRIT VIKARA ( disorder of the liver) Typically arising from an imbalance of PITTADOSHA and accumulation of AMA(toxic, and digested waste) in the RAKTA (blood) and mamsa dhatu . The viral component in Ayurveda is considered a microscopic pathogen that thrive in a disturbed internal environment-low digestive fire(agnimandya), weekend immunity(ojokshaya) and pitta- rakta dusthi The chronicity of your case suggest A PITTA-RAKTA dusthi Janya YAKRIT gata krimija vyadhi, where the dishes or no longer in prakop , but still, the route of disease exist silently, therefore, we should aim for rejuvenation therapy, yakrit poshana ( nourishing the liver) agnideepana , rakta Shivani and krimigna chikitsa Ayurvedic treatment approach Agnideepana and ama pachana - To restore digestive fire and remove subtle toxins Triphala churna to be taken 1 teaspoon with warm water at night Shanka vati - to be taken three times daily for 15 days Bhumyamlaki- a classical hepato-protective herb shown to support liver function, and reduce HBV replication can be used as a fresh juice or can be taken in a capsule form if capsule can be taken twice daily after food Kutuki- a deep detoxifying and liver cleansing herb with mild action Kalmegha- potent antiviral and immuno modulatory Arogyavardini vati - a classical Herbo mineral formulation effective for liver detoxification. One tablet can be taken twice daily after food. Giloyghan vati- one tablet to be taken twice daily after food, its strength and the humidity and correct the rakta dusthi Mahamanjistadi aristha - four teaspoon with equal quantity of water twice daily after food acts as a bloodier and supports the liver pathways If possible, try for Panchkarma at nearby Panchkarma Centre, which are more beneficial

Avoid fried, spicy oil, food, alcohol, fermented items, red meat, and packet food Include vegetables like karela lauki turmeric, Amla beetroot, and fresh pomegranate Can drink warm water throughout the day, so it will help you in flashing out the toxins out of the body and improve the agony Avoid mental stress, sleep, deprivation or anger as they aggravate PITTA and weakens OJAS Do gentle yoga daily You are currently in the human tolerant face with low viral activity. Ayurveda can strengthen your humidity resistance. Introduce the chances of viral or long-term complications like fibrosis. Repeat your HBV DNA, LFT and ultrasound every six months If any sign of liver inflammation arise, adjust your treatment accordingly Do not self medicate Finally, I just want to say that do not lose. Hope many young individuals like you lead healthy lives with controlled hepatitis, be by maintaining good lifestyle, regular monitoring, and integrating supportive therapist Ayurveda, when applied properly doesn’t just focus on disease- It revitalises the whole being, you’re not alone in this journey with the right guidance and inner strength, you can stay healthy, strong and fulfilled your dream to serve others as a medical professional May you be blessed with strength, clarity, and healing

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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.
184 days ago
5

Is the needle injury very recent one??

3034 answered questions
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Rajan, your reports show very low viral load and No liver damage or inflammation so far., hence no doctor have suggested you to go for anti virals you are in the immune control or inactive carrier phase. What can you do now is- Stay in Monitoring Phase, Repeat HBV DNA + LFTs every 6 months. Get HBV vaccination done for your family and close contacts Practice safe handling of sharps going forward #Ayurvedic Support medication you can start

a. Bhumi Amla- 500mg capsule twice a day with butter milk, or luke warm water b.triphala churna - 1tsp at night, with warm water. C.Liv 52 DS (Himalaya)- 2 BD with water *Diet & Lifestyle (Extremely Important)- Avoid :all fried food, red meat, alcohol, protein powders.

Eat:Warm food: moong dal, cooked veggies, bottle gourd, beetroot

848 answered questions
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Take Liv-52 HB 1-1-1 for 2 months. Avoid oily fatty, processed foods Do pranamyam lom -vilom, kapalbhati 5-10 mins daily

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Hello Rajan, You’re just 22 and it’s completely valid to feel anxious after learning about needle prick Injury and suffering from hepatitis b and its complications

Understand your current condition You are HBsAG positive , but very low HBV DNA levels and normal liver enzymes. This means you are in inactive carrier phase or immune control phase of Hep B

This is why doctors have not recommended anti viral therapy yet As viral load is low Liver is not inflamed and No liver damage signs and cirrhosis

Antivirals like tenor tenofovir and entecavir is only started when HBA DNA is high, liver enzymes are elevated and signs of liver damage is detected

Regular monitering is needed Go for checkup every 6 months HBV DNA, ALT and liver function test, usg of liver and can also go for fibroscan

Supportive line of ayurvedic treatment like prophylaxis you can start which will help boosting liver immunity, protect liver cells and reduce viral load but NOTHING CAN KILL HBV but ayurvedic prophylaxis can improve immunity and INCREASE LIVER health 1) kalmegh ghan vati- 2 tab twice daily after meals 2) bhumiamalakichurna or kashaya- 1 tap with warm water or 15 ml with warm water twice daily before meals 3)LIV52 DS- 2 tab twice daily after meals 4) arogyavardhini vati - 1 tab thrice daily after meals with water 5) GUDUCHI stava - 500mg with honey every morning empty stomach 6) yakritplihantak churna- 1 tsp daily with warm water at night daily

Diet- Eat warm freshly cooked healthy diet Green leafy vegetables but cooked not RAW form Moong dal, pulses Cow ghee on daily basis Coconut water, pomogranate etc

Avoid strictly - ALCOHOL, addiction of any and tobacco, raw salads , late night meals, irregular food habits and refined sugar and flour

Do gentle yoga- suryanamskar, pavanmuktasana, bhujangasana, ardha matsyendrasana etc Pranayam- anulom vilom , bhramari etc Walk after meals

Focus on improving immunity

Bhumiamalaki has shown strong antiviral effect in research Focus on liver detoxification

Thank you Hope this might be helpful Do follow and see improvement in liver health

2040 answered questions
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Hello Rajan

" NO NEED TO WORRY"

I WILL HELP YOU TO RECOVER WITH UR ISSUES SAFELY COMPLETELY "

" I can understand at very Young age Medico ( 22 yrs )ur concern and anxious regarding Hepatitis B and it’s Manifestation in future"

UR PRESENT STATUS

HBsAg Positive Post Unfortunate Needle Prick injury while handling patients (Chronic now ) LFT Ast 25 Alt 30 Hbv dna 264 iu

UR IN INACTIVE CARRIER PHASE

Normal LFT & Low HBV DNA stable or inactive Carrier Phase of hepatitis B infection or Immune Control Phase with minimal liver inflammation. This situation may not necessarily require immediate treatment, as the low viral load may not be causing significant liver damage.

WHY ANTIVIRALS NOT GIVEN?

Due to inactive Carrier Phase of hepatitis B infection or Immune Control Phase Antiviral like tenofovir alafenamide, entecavir, lamivudine, and adefovir are not Given to u. IT’S NOT NECESSARY TO GIVE ANTIVIRALS when No signs of Liver damages Scarring when Normal LFT and Low HBv DNA

AYURVEDIC APPROACH TO HEPATITIS B • To Improve Liver Functions • Protect and Recover Liver Cells from Injury • Immunomodulatory Strong defence • Supportive and Prophylaxis Care • Heaptoprotective activites

RESEARCH PROVEN ANTIVIRAL HEAPTOPROTECTIVE IMMUNOMODULATORY HERBS MUST CONSIDER IN HEPATITIS B

Bhumyamalaki, Bhuminba Kalmegh ,Punarnava ,Kutaki ,Daruharidra ,Bhringaraj, Sharpunkha ,Rohitak Giloy ( All these I m suggesting in Below medicines)

100 % EFFECTIVE PROMISING AYURVEDIC MEDICINES

U MUST TRY

• Patanajli Aarogya Swaras Juice ( Neem + Tulasi+ Giloy+ Triphala ALL BEST ANTIVIRALS) 10 ml -0- 10 ml On Empty Stomach with 1 Glass of Normal Water • Tab.Nirocil ( Bhumyamalaki ) BEST ANTIVIRAL) 1 -0- 1 After Food • Tab.Aarogyavardhini Ras ( Dhootapapeshwar Pharma) 60 Tabs 1 -0- 1 After Food • Syrup.Amlucure DS ( Aimil Pharma) 15 ml -0- 15 ml After Food • Tab.Liv 52 HB ( Himalaya Pharma) 1 -0- 1 After Food

INSTRUCTIONS U MUST KNOW

1.Vaccinate Nearby Close ones by Contact Roomates Family members etc 2.Thorough handwashing after potential exposure to blood or body fluids is crucial. 3.Monitor LFT Viral Load HBV DNA USG Fibroscan 6 monthly once to access Liver recovery and complications 4 Avoid Addictions like Smoke Alcohol Tobacco etc

• NORMAL DIET ( Less Oily, Less Spicy Sour Salty, Well Cooked )

* BREAKFAST - Rava Ragi Bajra Oats Items/ Fruits Salads/ Home made Soups

* LUNCH - Roti ( Non Gluten) Jwar/ Bajara/ Ragi + Leafy Vegetable like Palak Methi+ Green Salad Rayta + Any Sabji+ Fresh Butter Milk with Cream + Rice + Dal

* DINNER - Half of Lunch Quantity/ Fruits Salads/ Light Diet

• DO’S - Alkaline Leafy Vegetables Fruits salads sprouts Fibers Milk Ghee Sometimes Anulom vilom Pranayam Walking Mobility Rest Good Sleep Dhyan Meditation Malasan Panvanmuktasan Dhyan Meditation

• DON’T - Acidic Spicy Salty Sour Masala Fast Foods Bakery items Excessive Tea Coffee Carbonated beverages Avoid exercise tea coffee Stress Sedentary lifestyles Excessive Sun Heat Exposure Late Night Sleeps Afternoon Sleep

REGARDS

Dr Arun Desai

God Bless You 😊🙏

If u have any questions u can ask me .I will answer to the level of your satisfaction.U have Text Option here

481 answered questions
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Being a medical student and experiencing this situation can indeed make it tough. I’m glad you have already consulted several medical centers. Regarding Ayurvedic approach, while Ayurveda offers supportive treatments, it’s crucial to prioritize modern medical guidance for any chronic condition that’s infectious, like hepatitis B. In Ayurveda, the focus is on strengthening the liver, enhancing immunity, and managing symptoms.

First, maintaining a strong agni (digestive fire) is key. A light diet full of easy-to-digest foods might help. Rice, moong dal, and steamed vegetables can prevent strain on the digestive system, benefiting liver function. Minimize caffeine, alcohol, and overly processed foods as these can harm liver health.

Ayurvedic herbs like Bhumyamalaki (Phyllanthus niruri) are traditionally used for liver support. You can take powder or capsule form, but it’s essential to consult a qualified Ayurvedic practitioner before starting any herbal regimen, ensuring there’s no interaction with other treatments. Guduchi (Tinospora cordifolia) is another herb valued for boosting immunity and supporting liver health.

Lifestyle suggestions include regular yoga, particularly poses that massage the abdominal area and encourage proper digestion. Pranayama, especially kapalabhati, might help in detoxifying the system, though it’s always good to learn under the guidance of an instructor, if new to it.

For maintaining mental peace and reducing worries, meditation or practices based on Achara Rasayana, the concept of virtuous living, can provide significant benefits. Simple practices like journaling, or spending time in nature should help too.

Ensure regular medical check-ups to monitor liver function and maintain contact with healthcare professionals for more accurate advice regarding antivirals. Combining cautious Ayurvedic support with ongoing medical assessments can provide a comprehensive approach to managing your condition safely.

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I am working right now as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital in Nalgonda—and yeah, that name’s quite something, but what really keeps me here is the kind of cases we get. My main focus is managing ano-rectal disorders like piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), pilonidal sinus, and rectal polyps. These are often more complex than they look at first, and they get misdiagnosed or overtreated in a lotta places. That’s where our classical tools come in—Ksharasutra therapy, Agnikarma, and a few other para-surgical techniques we follow from the Samhitas...they’ve been lifesavers honestly. My work here pushes me to keep refining surgical precision while also sticking to the Ayurvedic core. I do rely on modern diagnostics when needed, but I won’t replace the value of a well-done Nadi Pariksha or assessing dosha-vikruti in depth. Most of my patients come with pain, fear, and usually after a couple of rounds of either incomplete surgeries or just being fed painkillers n antibiotics. And I totally get that frustration. That’s why I combine surgery with a whole support plan—Ayurvedic meds, diet changes, lifestyle tweaks that actually match their prakriti. Not generic stuff off a handout. Over time, I’ve seen that when people follow the whole protocol, not just the procedure part, the recurrence drops a lot. I’m quite particular about follow-up and wound care too, ‘cause we’re dealing with delicate areas here and ignoring post-op can ruin outcomes. Oh and yeah—I care a lot about educating folks too. I talk to patients in OPD, sometimes give community talks, just to tell people they do have safer options than cutting everything out under GA! I still study Shalya Tantra like it’s a living document. I try to stay updated with whatever credible advancements are happening in Ayurvedic surgery, but I filter what’s fluff and what’s actually useful. At the end of the day, my aim is to offer respectful, outcome-based care that lets patients walk out without shame or fear. That’s really what keeps me grounded in this field.
5
201 reviews
Dr. M.Sushma
I am Dr. Sushma M and yeah, I’ve been in Ayurveda for over 20 yrs now—honestly still learning from it every day. I mostly work with preventive care, diet logic, and prakriti-based guidance. I mean, why wait for full-blown disease when your body’s been whispering for years, right? I’m kinda obsessed with that early correction part—spotting vata-pitta-kapha imbalances before they spiral into something deeper. Most ppl don’t realize how much power food timing, digestion rhythm, & basic routine actually have… until they shift it. Alongside all that classical Ayurveda, I also use energy medicine & color therapy—those subtle layers matter too, esp when someone’s dealing with long-term fatigue or emotional heaviness. These things help reconnect not just the body, but the inner self too. Some ppl are skeptical at first—but when you treat *beyond* the doshas, they feel it. And I don’t force anything… I just kinda match what fits their nature. I usually take time understanding a person’s prakriti—not just from pulse or skin or tongue—but how they react to stress, sleep patterns, their relationship with food. That whole package tells the story. I don’t do textbook treatment lines—I build a plan that adjusts *with* the person, not on top of them. Over the years, watching patients slowly return to their baseline harmony—that's what keeps me in it. I’ve seen folks come in feeling lost in symptoms no one explained… and then walk out weeks later understanding their body better than they ever did. That, to me, is healing. Not chasing symptoms, but restoring rhythm. I believe true care doesn’t look rushed, or mechanical. It listens, observes, tweaks gently. That's the kind of Ayurveda I try to practice—not loud, but deeply rooted.
5
544 reviews
Dr. Manjula
I am an Ayurveda practitioner who’s honestly kind of obsessed with understanding what really caused someone’s illness—not just what hurts, but why it started in the first place. I work through Prakruti-Vikruti pareeksha, tongue analysis, lifestyle patterns, digestion history—little things most ppl skip over, but Ayurveda doesn’t. I look at the whole system and how it’s interacting with the world around it. Not just, like, “you have acidity, take this churna.” My main focus is on balancing doshas—Vata, Pitta, Kapha—not in a copy-paste way, but in a very personalized, live-and-evolving format. Because sometimes someone looks like a Pitta imbalance but actually it's their aggravated Vata stirring it up... it’s layered. I use herbal medicine, ahar-vihar (diet + daily routine), lifestyle modifications and also just plain conversations with the patient to bring the mind and body back to a rhythm. When that happens—healing starts showing up, gradually but strongly. I work with chronic conditions, gut imbalances, seasonal allergies, emotional stress patterns, even people who just “don’t feel right” anymore but don’t have a name for it. Prevention is also a huge part of what I do—Ayurveda isn’t just for after you fall sick. Helping someone stay aligned, even when nothing feels urgent, is maybe the most powerful part of this science. My entire practice is rooted in classical Ayurvedic texts—Charaka, Sushruta, Ashtanga Hridayam—and I try to stay true to the system, but I also speak to people where they’re at. That means making the treatments doable in real life. No fancy lists of herbs no one can find. No shloka lectures unless someone wants them. Just real healing using real logic and intuition together. I care about precision in diagnosis. I don’t rush that part. I take time. Because one wrong assumption and you’re treating the shadow, not the source. And that’s what I try to avoid. My goal isn’t temporary relief—it’s to teach the body how to not need constant fixing. When someone walks away lighter, clearer, more in tune with their system—that’s the actual win.
5
169 reviews
Dr. Shaniba P
I am an Ayurvedic doctor, someone who’s pretty much built her clinical journey around natural healing, balance and yeah—just trying to help ppl feel a bit more whole again. I work mostly with conditions that kinda stay with people... like joint pain that won’t go away, periods all over the place, kids falling sick again n again, or just the kind of stress that messes up digestion n sleep n everything in between. A lot of my practice circles around arthritis, lower back pain, PCOD-ish symptoms, antenatal care, immunity problems in kids, and those quiet mental health imbalances ppl often don't talk much about. My approach isn’t just pulling herbs off a shelf and calling it a day. I spend time with classical diagnosis—checking Prakriti, figuring out doshas, seeing how much of this is physical and how much is coming from daily routine or emotional burnout. And treatments? Usually a mix of traditional Ayurvedic meds, Panchakarma (only if needed!!), changing food habits, tweaking the daily rhythm, and honestly... just slowing down sometimes. I’m also really into helping ppl understand themselves better—like once someone gets how their body is wired, things make more sense. I talk to patients about what actually suits their dosha, what throws them off balance, and how they can stop chasing quick fixes that don’t stick. Education's a big part of it. And yes, I’ve had patients walk in for constant cold and walk out realizing it’s more about weak agni n poor gut routines than just low immunity. Every case’s diff. Some are simple. Some not. But whether it’s a young woman trying to fix her cycles without hormones or a 6-year-old catching colds every week, I try building plans that last—not just short term relief stuff. Healing takes time and needs trust from both sides. End of the day, I try to keep it rooted—classical where it matters but flexible enough to blend with the world we're livin in rn. That balance is tricky, but worth it.
5
120 reviews

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