Left hypochandrium pain from 10 Months - #23510

Hello Do not worry as the above mentioned symptoms have been ruled out by cardiologist/neurologist/orthopaedic You can relieve by adopting proper life style with diet Changes and ayurvedic medicines

As your homocysteine levels are bit elevated, it’s important to includelevels vit B12 and folic acid in your diet or continue medicines as advised by above specialist And repeat every six months to keep a track of that Meanwhile, you can start on

Triphala guggulu- One tablet twice daily after food with warm water Arjuna kwatha-1 teaspoon in 300 ML water with hundred ML milk boil until it remains hundred ML filter and drink twice daily on empty stomach Dashamoola aristha-40 teaspoon with equal quantity of water twice daily after Food Do Pranayam yoga meditation Brisk walking Avoid smoking alcohol consumption, if you’re taking Do not do heavy exercises or strenuous activity Any f/h/o cardiovascular disease?? please let me know

Hey Nikhil, along with mentioned internal medication 5.Medhya Rasayana- (Brahmi, Shankhpushpi mix) 1 tsp with water at bedtime Rewires stress circuits in the brain.

## Drafting Dietary Guidelines-

Eat: Warm, cooked foods: rice, moong dal, ghee

Buttermilk with jeera and rock salt

Turmeric + ginger tea (anti-inflammatory)

Soaked almonds, pumpkin seeds, raisins

Avoid: Cold/raw foods, carbonated drinks

Spicy/oily food, especially late-night

Caffeine, smoking, alcohol

4. Stress Relief + Mind-Body Integration

Practice-

Pranayama (Anulom-Vilom + Bhramari) 15 mins daily Balances nervous system, calms panic Yoga also will help.

HELLO V S NIKHIL BHARADWAJ,

It sounds like you’re dealing with persistent discomfort in the left hypochondriac, radiating to the upper chest and arm, along with nerve like symptoms sun as tingling. you’ve already done a thorough investigation with various specialist, including cardiology and neurology, with no serious findings except slightly elevated homocysteine and lipid profile- which is encouraging in one sense but understandably frustrating for ongoing symptoms

In Ayurvedic terms, your condition suggests a multi-doshic imbalance, especially- VATA VYADHI(nervous system disorder) -vyana vata governs circulation and nerve impulses, its disturbance causes radiating pain, tingling, erratic sensations -Apana vata affects the abdominal and lower trunk; involvement may explain discomfort in the hypochondriac.

PITTA AGGRAVATION -burning in the chest, especially localised over the heart/chest, and stress-induced episodes, point to pitta imbalance -emotional stress is a major factor in pitta and vata aggravation

AMA(TOXIN) ACCUMULATION -possibly due to poor digestion, emotional blockages, and metabolic errors, leading to blocked channels -slightly raised Homocysteine and lipids are reflective of AMA+KAPHA involvement

TREATMENT GOAL -Pacify aggravated vata- to relieve nerve tingling , radiating pain, and stress response -Reduce excess pitta- to calm burning sensation, emotional heat and irritation -Eliminate toxins- to clear metabolic waste linked to homocysteine / lipids -Nourish dhatu(tissues)- especially Majja dhatu(nervous tissue) and rasa/rakta dhatu(blood, circulation) -Balance Agni(digestion/metabolism)- to optimise nutrient absorption and detoxification.

INTERNAL MEDICINES PLANNED FOR YOU

1)ASHWAGANDHA CHURNA- 1 tsp with warm milk, twice daily after meals for 3-6 months =strengthens nerves, reduces anxiety, anti-inflammatory

2)BRAHMI GHRITA- 1 tsp in morning with warm water for 3 months =nervine tonic, cognitive support

3)SARASWARISHTA- 15ml with equal water after lunch and dinner for 3-4 months =for sleep issues, nerve calming, anxiety

4)DASHMOOLA KASHAYA- 15ml with equal water before breakfast and dinner for 2-3 months =Deep vata pacifier, relieves chest and muscle pain

5)ARJUNARISHTA- 15ml with equal water after lunch and dinner for 3-4 months =cardiac tonic, lipid regulator, balances pitta-vata

6)TRIPHALA GUGGULU- 2 tabs after meals, twice daily for 2-3 months =reduces cholesterol, improves digestion and detox

7)YOGENDRA RAS- 1 tab with ghee once daily in morning for 1 month =A rejuvinator especially for nerve and cardiac synergy

EXTERNAL THERAPY -warm oil massage with DHANWANTARAM TAILA -daily or 3-4 times/week =strengthen nerves, relaxes muscles, improves circulation

AYURVEDIC DIET PLAN -GRAINS= light, warm , easy to digest -old rice, wheat, moong dal, barley, oats(well cooked and warm no cold overnight oats)

-VEGETABLES= bottle gourd, ridge gourd, ash gourd, pumpkin, carrots, beets, green beans, cluster beans, zucchini, spinach, methi, drumsticks (all cooked , strictly no raw salad) Cook all vegetables with ghee or sesame oil and mild spices like cumin, coriander, turmeric

-DAIRY- nourishing and grounding Warm cows milk- preferably A2; boil with cardamom or turmeric -Homemade ghee- 1-2 tsp/day(anti-inflammatory) -buttermlik (thin, spiced with jeera)- improves gut health

FRUITS- sweet ripe and of room temperature -ripe bananas, apple(boiled or stewed), papaya, pomegranate, grapes, chikoo -avoid citrus fruits during high pitta phase -raisins soaked overnight(5-7)- excellent for calming heart and mind

-SPICES- mild, digestive, vata-pitta friendly cumin, coriander, fennel , turmeric , ginger(dry), cardamon -small amount of black pepper okay; avoid chilli

-HEALTHY FATS AND OILS cow ghee- brain and nerve nourishing cold pressed sesame oil- grounding especially for cookking small amount of olive oil

-HERBAL TEAS AND DECOCTION -CCF tea-cumin+coriander+fennel -tulsi tea -brahmi tea or brahmi water -ginger water(mild)- if digestion is weak and no burning

AVOID STRICTLY -COLD AND DRY FOODS= vata aggravating cold salads, smoothies, raw veggies leftover refrigerated food dry snacks like chips, popcorn, granola

SPICY,SOUR,OR FRIED FOODS- PITTA AND AMA INDUCING pickles, vinegar, tomato ketchup deep fried snacks, samosa, pakoras green chillies, red chillies powder excess garlic, onion-pitta aggravating in high amounts

COLD BEVERAGES AND DAIRY ice water, soda, soft drinks ice creams, cold milk cold coffee or tea

HEAVY ANIMAL PROTIEN red meat-heats the system and increases ama excessive eggs- 1-2/week is fine if not vegetarian non-fresh seafood

PROCESSED OR SYNTHETIC FOODS biscuits, pastries, artificial sweetners preserved or canned foods instant noodles or packaged meals

STIMULANTS limit tea and coffee-can aggravate vata+pitta no energy drinks or alcohol

MEAL - HOW TO TAKE -eat warm , freshly cooked food- never stale or reheated multiple times -add ghee to meals to support nerve health and improve digestion -don’t eat when stressed or immediately after heavy exercise -eat only until 75% full- do not overheat -allow at least 3 hours between meals for proper digestion

SEASONAL MODIFICATIONS MOONSOON- redcues ama and avoid curd= light khichdi,ginger,black pepper

WINTER- support vata, more ghee= root vegetables, sesame oil massage

SUMMER- calm pitta, hydrate more= buttermilk, coconut water, less spices

LIFESTYLE IMPROVEMENTS -daily warm oil self massage

PRANAYAM- Brahmari, anulom-vilom GENTLE YOGA- vajrasana, balasana, shavasana, suryanamaskar etc

SLEEP- sleep by 10 pm, avoid screens after 9 pm

TREATMENT DURATION

ACUTE PHASE- control pain, improve nerve strength= 4-6 weeks

RESTORATIVE PHASE- rebuild nerve and muscle tone= 3-6 months

PREVENTIVE PHASE- lifestyle, stress, metabolic balance= long term

your diet is your daily medicine in ayurveda. consistency following all above advices will -reduce nerve irritation and radiating pain -Support emotional balance and stress resilience -aid in correcting lipid metabolism naturally

THANK YOU

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

DR. MAITRI ACHARYA