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Gastrointestinal Disorders
Question #22577
265 days ago
1,050

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
PAID
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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.
258 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.
265 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

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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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I am a BAMS graduate and currently running my own clinic, where I see patients on a regular basis and try to give them honest, practical care. My daily work involves understanding different health concerns, listening properly to what the patient is going through, and then planning treatment in a way that actually fits their routine. I believe treatment should not feel confusing or rushed, and sometimes even small changes make a big difference. Running my own clinic has taught me a lot about responsibility and consistency. Some days are busy, some are slow, but every patient brings a different challenge and learning. I focus mainly on Ayurvedic treatment methods, lifestyle correction and long-term health balance, rather than quick fixes. There are times when progress takes longer, but I stay patient and keep working with the person step by step. I try to keep my approach simple, practical and honest. For me, real success is when a patient feels better in daily life, sleeps better, eats better and slowly regains balance. That is what keeps me going and improving every day.
5
90 reviews
Dr. Gursimran Jeet Singh
I am Dr. Gursimran Jeet Singh, born and raised in Punjab where culture and traditions almost naturally guided me toward Ayurveda. From very early days I felt more drawn to natural ways of healing, and this curiosity finally led me to pursue Bachelor of Ayurvedic Medicine and Surgery (BAMS) at Shri Dhanwantry Ayurvedic College, Chandigarh—an institution known for shaping strong Ayurvedic physicians. During those years I learned not only the classical texts and treatment methods, but also how to look at health through a very practical, human lense. For the past five years I worked in clinical practice, where patients come with wide range of concerns—from chronic digestion troubles to autoimmune illness—and I try to integrate both Ayurveda and modern medical knowledge to give them the most complete care I can. Sometimes western diagnostics help me to understand the stage of disease, while Ayurveda helps me design treatment that address root cause. This bridging approach is not always easy, but I believe it’s necessary for today’s health challanges. Currently I am also pursuing higher studies in Panchakarma therapy. Panchakarma is an area I feel very strongly about—it is not just detox, it is a whole system of cleansing, rejuvenation, rebalancing, and I want to deepen my expertise here. In practice, I combine Panchakarma with lifestyle guidance, diet planning, herbal remedies, yoga and mindfulness practices depending on what a patient actually needs at that moment. No two cases are same, and Ayurveda reminds me daily that healing must be personal. My approach is always focused on root-cause management rather than temporary relief. Diet, herbs, therapeutic oils, meditation routines, and simple daily habits—they all work together when chosen rightly. Sometimes results come slow, sometimes faster, but I try to keep care sustainable and compassionate. Helping someone regain energy, sleep better, or reduce pain, that is the real achievement in my journey. And I continue learning, because Ayurveda is deep, it doesn’t finish with one degree or one training, it grow with every patient and every experiance.My specialties lie in treating a range of chronic and lifestyle-related conditions using Ayurveda’s time-tested principles, tailored to each individual’s unique constitution (Prakriti). I have significant expertise in managing digestive disorders, such as irritable bowel syndrome (IBS), acid reflux, constipation, diabetes, obesity and inflammatory bowel diseases. I also specialize in addressing stress-related and mental health conditions, including anxiety, depression, insomnia, and burnout, which are increasingly common in today’s fast-paced world. By integrating therapies like Shirodhara (oil pouring on the forehead) to calm the nervous system, Abhyanga (herbal oil massages) to balance Vata dosha, and adaptogenic herbs like Ashwagandha and Brahmi, I help patients achieve mental clarity and emotional resilience. In the field of musculoskeletal and joint health, I excel in treating conditions like arthritis (rheumatoid and osteoarthritis), back pain, sciatica, and sports injuries. Using therapies such as Kati Basti (localized oil retention on the lower back) and potent anti-inflammatory herbs like Guggulu and Shallaki, I focus on reducing inflammation, improving joint mobility, and strengthening tissues. My treatments have helped many patients, particularly those seeking non-invasive alternatives, regain mobility and reduce pain through a blend of internal medications and external therapies. Skin disorders are another key area of my practice, where I address conditions like eczema, psoriasis, acne, and pigmentation issues holistically. By focusing on blood purification and balancing Pitta dosha and detoxifying Panchakarma techniques like Raktamokshana (bloodletting). My approach targets dietary and lifestyle triggers, offering sustainable results for clients who previously relied on temporary solutions like topical steroids. My dual expertise in Ayurveda and modern medicine allows me to create integrative treatment plans that are both effective and safe. I am deeply committed to patient education, empowering individuals to embrace Ayurvedic principles for sustainable health. Through this online platform, I am excited to offer virtual consultations, making the profound benefits of Ayurveda accessible to all. Whether you seek relief from a specific condition or aim to enhance overall vitality, I look forward to guiding you on your journey to balance and well-being with compassion and expertise.
5
369 reviews

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Benjamin
13 hours ago
Thanks Doc! Your tips really helped clear things up (literally 😅). The herbal suggestions feel so much better than harsh chemicals. Cheers!
Thanks Doc! Your tips really helped clear things up (literally 😅). The herbal suggestions feel so much better than harsh chemicals. Cheers!
Christian
23 hours ago
Thanks for this advice! It really cleared things up for me. I'll go with the AVP one and try your suggestion. Appreciate it!
Thanks for this advice! It really cleared things up for me. I'll go with the AVP one and try your suggestion. Appreciate it!
Hailey
1 day ago
Thanks for the clear and detailed advice! Really appreciate the step-by-step on using neem oil. I feel more confident managing this now. 😊
Thanks for the clear and detailed advice! Really appreciate the step-by-step on using neem oil. I feel more confident managing this now. 😊
Dylan
1 day ago
Really appreciate the detailed response! The insight on Ayurveda options was super helpful for us. Exactly what we needed to hear, thanks!
Really appreciate the detailed response! The insight on Ayurveda options was super helpful for us. Exactly what we needed to hear, thanks!