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Anxiety, Stress and left hypochandrium pain
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Neurological Disorders
Question #23102
138 days ago
376

Anxiety, Stress and left hypochandrium pain - #23102

V S Nikhil Bharadwaj

I have a history of stress and anxiety had 3 panic attacks from last 1 year and from 10 months I feel left hypochandrium pain that radiates to upper chest and same area back and pain near collarbone and it passes to left hand arm pain all these symptoms come and go and I don't know I feel nervous visited to cardiologist, neurologist, orthopedic, general medicine, and done all heart tests all are normal dont know why this happening to me and please show me any solution

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Doctors’ responses

Take Manasmitra gulikam 1-0-1 after food with water Mentat-DS syrup 2tsp twice daily after food with water Along with medicine you need to - learn Rajyoga meditation and practice daily - Do pranamyam daily lom -vilom bhastrika bhamri 5-10mins. Light massage on scalp twice weekly with Brahmi oil at bedtime. Nasya with Brahmi grith 2 drops in both nostril once daily Apply mahanarayan oil on upper body area before bath

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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.
135 days ago
5

Dear Nikhil

Thank you for sharing your health concern I truly understand how frustrating it can be when the body shows symptoms, but all medical reports come back normal

According to Ayurvedic point of view your symptoms suggest an imbalance in VATA DOSHA Especially Udana vata (nervous system, chest)and prana vata(mind, and emotions), This can create chest tightness, radiating pain, and anxiety like sensation

These are often psychosomatic symptoms were long-standing, anxiety, overthinking, and stress, emotional stress, manifest physically

Ayurvedic treatment

Dashamoola kwath + Medha kwath+

Mixed together, 1 teaspoon in 400 ML water boil until it remains hundred ML filter and drink twice daily on empty stomach Medha vati-1 tablet, twice after food with water Saraswathi aristha- 4 teaspoon with equal quantity of water twice daily after food Triphala churna- 1 teaspoon with warm water at night

Start slow, deep breathing daily for 10 minutes Avoid coffee, tea, excessive screen time, and late night Include warm nourishing foods and reduce cold and dry foods

You are not alone in this, and your body is simply asking for a reset, both mentally and physically with Patient and right support you can come out of this cycle naturally ….

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Dr. Hemanshu Mehta
I’m Dr. Hemanshu, a second-year MD scholar specializing in Shalya Tantra (Ayurvedic Surgery), with a focused interest in para-surgical interventions such as Agnikarma, Viddhakarma, and Kshara Karma. My academic and clinical journey is rooted in classical Ayurvedic surgical wisdom, complemented by a modern understanding of patient care and evidence-based approaches. With hands-on training and experience in managing chronic pain conditions, musculoskeletal disorders, hemorrhoids, fistula, and other ano-rectal conditions, I provide treatments that emphasize both relief and long-term wellness. I am deeply committed to offering individualized treatment plans that align with the patient’s prakriti (constitution), disease progression, and lifestyle factors. I believe healing is not limited to procedures alone; it also requires compassion, communication, and continuity of care. That’s why I ensure each patient receives personalized guidance—from diagnosis and therapy to post-treatment care and preventive strategies. I also incorporate Ayurvedic principles like Ahara (diet), Vihara (lifestyle), and Satvavajaya (mental well-being) to promote complete healing and not just symptomatic relief. Whether it's managing complex surgical cases or advising on conservative Ayurvedic therapies, my goal is to restore balance and improve the quality of life through authentic, safe, and holistic care. As I continue to deepen my clinical knowledge and surgical acumen, I remain dedicated to evolving as a well-rounded Ayurvedic practitioner who integrates traditional practices with modern sensibilities.
134 days ago
5

HELLO V S NIKHIL BHARADWAJ,

likely ayurvedic diagnosis - -chittodvega(anxiety disorder) -vata pitta dushti -annavaha srotas vicar with vyana vata imbalance -mansagata vata or avaranjanya pain pattern-referred pain to chest/arms/shoulder

PROBABLE CAUSES -chronic stress and overthinking -improper digestion leading to gas/pressure -muscular strain-possibly aggravated by anxiety -pranavaha srotas vitiation-breath/nerve pathways blocked

MEDICINES

1)FOR ANXIETY, PANIC AND NERVE STABILITY -Manasamitra vatakam- AVN OR ARYA VAIDYA SALA BRAND- 1 tab twice daily with warm water -Sarpagandha vati(badiyanath)- 1 tab at night for calming vata and mind

2)FOR VATA-PIITA PAIN(left hypochondrium, chest, radiating) -DHANWANTARAM KASHAYA(kottakal)- 15 m with warm water before food twice a day -MAHASUDARSHAN GHANVATI(ZANDU)- if mild ferishor pitta spikes with pain- 1tab twice daily

3)FOR DIGESTION AND GAS INDUCED REFERRED PAIN -HINGWASTAKA CHURNA(baidyanath)- 1 tsp with ghee before meals -AVIPATTIKAR CHURNA(dootapapeshwar)- 1 tsp at night if acidity is present

LIFESTYLE -strict meal timings, light digestible food -avoid fermented, cold items -warm water sips, no cold drinks -daily 15 min bhramari+anulom vilom pranayam -avoid screen before bed and heavy mews/content

thank you

DR.HEMANSHU MEHTA

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Take Alserex tab 1-0-1 Bramhi Vati 1-0-1 Avoid spicy food Practice bhramari pranayama and anulom vilom regularly

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🍀 practice pranayama and breathing exercise

🍀 Practice meditation

🍀 Walking

🍀 Read good books

🍀 Hearing music

🌸 Avoid food which is spicy, masala, sour, junk foods, fast foods, oily

Treatments

🌸 Pada abhyanga ( mild oil massage)

🌸 Brahmi drakshadi kashayam - 15ml with boiled hot water morning and evening before food (empty stomach)

🌸 Kalyanakam ghritam - 10 ml with milk at bed time

🌸 Manasamithram gulika - 0 - 0 - 1 with milk after food

🌸 Siro abhyangam - ( head massage) - Brahmi tailam ( nagarjuna)

🌸 khirabala (101) 5ml with milk in morning after food

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To reduce the stress and anxiety strat doing yoga start with simple Surya namaskar daily Do pranayama atleast 15 mins daily Start chanting your ishta devata mantra daily Take brahmi grita 1tsp with milk Manasamitra vati 1 bd after food Do head massage with himasagara tail on alternate days Do foot massage with mahanarayana taila daily before sleep If possible visit the nearby panchakarma centre and take one course shirodhara or shirobasti

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HELLO V S NIKHIL BHARADWAJ,

based on your description, this seems like a classic case of Psychosomatic manifestation- where chronic stress and anxiety may be presenting as physical symptoms-like pain, tightness and radiating sensation particularly In the left hypochondriac, chest, shoulder and arm. All investigations being normal confirms no structural or cardiac cause, which further support diagnosis.

MODERN VIEW- these are signs of health anxiety and somatisation, where stress affects the nervous system and manifests as real physical discomfort (not imagined). panic attacks also reinforce body vigilance.

AYURVEDIC VIEW- imbalance in vata(prana+udana subtypes) leads to anxiety, chest tightness, palpitations, and shooting pain. -vyana vata imbalance can lead to pain radiating to limbs and areas like the collarbone. -sadhakpitta aggravation - related to emotional processing in the heart and samana vata- in the left hypochondrium may also be involved

1)MEDICINAL SUPPORT -SARASWARISTA+ASHWAGANDHARISTA- 10 ml each with 45 ml water after lunch and dinner= calms anxiety, regulates vata

-MANASITRA VATAKAM- 1 tab at bedtime with warm milk/water= for panic, and sleep

-BRAHMI VATI(GOLD OR PLAIN)- 1 tab morning empty stomach improves memory, clarity, and reduces nervousness

-MAHATVAT VIDHWANSAK RAS- 125 mg twice a day with honey= vata shaman, radiating pain

#DIET RECOMMENDATIONS -warm, easily digestible food -moongdal khichdi, ghee, cooked vegetables AVOID- cold fppd, spicy items, tea/coffee, junk food, late dinners -use ajwain+rock salt in warm water post meals-1 pinch to reduce gut gas

#LIFESTYLE AND YOGA

DAILY MORNING ROUTINE -oil massage with warm sesame oil before bath -nasya- instil 2 drops of Anutaila in each nostril early morning

YOGA/PRANAYAM-30 MIN DAILY -bhramari- for anxiety -anulom vilom - to balance vata -shavasana- after yoga to reset the nervous system

MENTAL AND EMOTIONAL HEALING -counseling and mindfulness based therapy- if available talk therapy helps resolve subconscious fears and body anxiety -JAPA OR CHANTING- daily mantra chanting like om namah shivay or Gayatri mantra - calms the mind and stabilised vata.

HOPE THIS MIGHT BE HELPFULL

DO FOLLOW

THANK YOU

DR. MAITRI ACHARYA

1583 answered questions
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Understanding the symptoms you’ve described, it seems like they might be related to an imbalance in your Vata dosha, which governs movement and activity in Ayurvedic principles. Anxiety and stress often aggravate Vata, leading to physical manifestations like pain. But before anything else, it’s reassuring that you’ve gone through an array of tests with specialists, ruling out immediate serious conditions.

To tackle the root of this with Ayurveda, we ought to focus on calming Vata and balancing your overall system. Here are some steps you might consider:

Daily routine, or dinacharya, is essential. Try waking up early, ideally before 6 AM. Establish a calm morning ritual with meditation or deep breathing. Even just 10-15 minutes it can help set a peaceful tone for the day.

Your diet can play a crucial role in managing symptoms. Lean towards warm, moist, and grounding foods—think cooked vegetables, rice, and soups. Avoid caffeine, cold items, and overly spicy foods as these can aggravate Vata. Incorporating herbs like Ashwagandha might provide a boost too, as it’s known for its grounding and nourishing properties.

Don’t underestimate the power of Abhyanga, or self-oil massage. Using warm sesame oil before your bath can be soothing for your nervous system. Massage gently over your whole body, paying attention to areas of tension.

Yoga could be another useful approach. Focus on gentle poses like forward bends and twists that help to calm the mind and ease tension in the body. Practice Savasana for relaxation, and consider adding Pranayama like Nadi Shodhana (alternate nostril breathing) to balance energies.

Lastly, ensure you get adequate rest. Sleep is the body’s natural way of calming Vata, so aim for 7-8 hours of quality rest each night.

If symptoms persist or escalate, it’s important to consult with a healthcare professional once more; though Ayurveda offers great support, it’s not a substitute for necessary medical intervention.

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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
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