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Gastrointestinal Disorders
Question #22577
98 days ago
268

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)
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Doctors’ responses

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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Is the needle injury very recent one??

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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

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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

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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

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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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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
14 reviews

Latest reviews

Savannah
22 minutes ago
Big thanks for the detailed reply! Appreciate the simple advice. Feeling more positive about managing these symptoms now.
Big thanks for the detailed reply! Appreciate the simple advice. Feeling more positive about managing these symptoms now.
Caleb
22 minutes ago
Really grateful for this detailed advice! Helped me understand my issues better and the Ayurvedic tips are easy to follow. Thanks a bunch!
Really grateful for this detailed advice! Helped me understand my issues better and the Ayurvedic tips are easy to follow. Thanks a bunch!
Stella
22 minutes ago
Thanks for the clear advice! It's so helpful to have a straightforward plan to follow, I feel more confident now.
Thanks for the clear advice! It's so helpful to have a straightforward plan to follow, I feel more confident now.
Ryan
22 minutes ago
Thanks for the advice! Really appreicate how clear and straight-to-the-point your answer was. Feeling a bit more confident now.
Thanks for the advice! Really appreicate how clear and straight-to-the-point your answer was. Feeling a bit more confident now.