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Gastrointestinal Disorders
Question #22577
118 days ago
323

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

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.
112 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.
118 days ago
5

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

724 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

1189 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

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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 an Ayurvedic doctor who kinda grew into this path naturally—my roots are in Kerala, and I did my internship at VPSV Ayurveda College in Kottakkal, which honestly was one of the most eye-opening stages of my life. That place isn’t just a college, it’s a deep well of real Ayurveda. The kind that’s lived, not just studied. During my time there, I didn’t just observe—I *practiced*. Diagnosing, treating, understanding the patient beyond their symptoms, all that hands-on stuff that textbooks don’t really teach. It’s where I learned the rhythm of classical Kerala Ayurveda, the art of pulse reading, and how Panchakarma ain’t just about detox but more about deep repair. I work closely with patients—always felt more like a guide than just a doctor tbh. Whether it's about fixing a chronic issue or preventing one from happening, I focus on the full picture. I give a lot of attention to diet (pathya), routine, mental clutter, and stress stuff. Counseling on these isn’t an ‘extra’—I see it as a part of healing. And not the preachy kind either, more like what works *for you*, your lifestyle, your space. Also yeah—I’m a certified Smrithi Meditation Consultant from Kottakkal Ayurveda School of Excellence. This kinda allowed me to mix mindfulness with medicine, which I find super important, especially in today’s distracted world. I integrate meditation where needed—some patients need a virechana, some just need to breathe better before they sleep. There’s no one-size-fits-all and I kinda like that part of my job the most. I don’t claim to know it all, but I listen deeply, treat with care, and stay true to the Ayurvedic principles I was trained in. My role feels less about ‘curing’ and more about nudging people back to their natural balance... it’s not quick or flashy, but it feels right.
5
118 reviews
Dr. Isha Bhardwaj
I am someone who kinda learned early that medicine isn’t just about protocols or pills—like, it’s more about people, right? I did my BAMS with proper grounding in both classical Ayurveda and also the basics of modern med, which honestly helped me see both sides better. During internship, I got to work 6 months at Civil Hospital Sonipat—very clinical, very fast paced—and the other 6 at our own Ayurvedic hospital in the college. That mix showed me how blending traditional and integrative care isn't just theory, it actually works with real patients. After that I joined Kbir Wellness, an Ayurvedic aushdhalaya setup, where I dived into Naadi Pariksha—like really deep. It’s weird how much you can tell from pulse if you just listen right?? Doing regular consultations there sharpened my sense of prakriti, vikriti and how doshas show up subtle first. I used classical Ayurvedic texts to shape treatment plans, but always kept the patient’s routine, mental space and capacity in mind. Also I was part of some health camps around Karnal and Panipat—especially in govt schools and remote areas. That part really stays with me. You get to help ppl who dont usually have access to consistent care, and you start valuing simple awareness more than anything. I kinda think prevention should be a bigger focus in Ayurveda, like we keep talking about root cause but don’t always reach people before it gets worse. My whole method is pretty much built around that—root-cause treatment, yes, but also guiding patients on how to live with their body instead of fighting symptoms all the time. I rely a lot on traditional diagnostics like Naadi, but I mix that with practical therapies they can actually follow. No point in giving hard-to-do regimens if someone’s already overwhelmed. I keep it flexible. Most of my plans include dietary changes, natural formulations, lifestyle corrections and sometimes breathwork, daily rhythms and all that. I’m not here to just “treat illness”—what I really aim for is helping someone feel like they’ve got a handle on their own health again. That shift from just surviving to kinda thriving... that’s what I look for in every case.
5
584 reviews
Dr. Prasad Pentakota
ChatGPT said: 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
351 reviews

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Lucy
4 hours ago
This answer was super clear and super helpful! Finally feel like I have a game plan to tackle these issues. Thanks for the direction!
This answer was super clear and super helpful! Finally feel like I have a game plan to tackle these issues. Thanks for the direction!
Daniel
19 hours ago
Thanks for this insightful response! Appreciate the clarity and practical steps you outlined. Feeling more informed and hopeful now!
Thanks for this insightful response! Appreciate the clarity and practical steps you outlined. Feeling more informed and hopeful now!
David
19 hours ago
Thanks for pointing me in the right direction! I hadn’t thought of consulting an Ayurved gyno. Very helpful advice!
Thanks for pointing me in the right direction! I hadn’t thought of consulting an Ayurved gyno. Very helpful advice!
Anna
19 hours ago
Thanks for the clarity! I appreciate the suggestion to see a specialist in person. Feeling a bit more hopeful now.
Thanks for the clarity! I appreciate the suggestion to see a specialist in person. Feeling a bit more hopeful now.