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I am suffering from iron deficiency from 1 year
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General Medicine
Question #24184
9 hours ago
63

I am suffering from iron deficiency from 1 year - #24184

Rashmi Ranjan

Hi sir/madam I am suffering from iron deficiency since 1 year... After blood donation.... I am suffering from this problem when I am eating iron tablet it's okay but when I leave my hemoglobin level start to decrease on daily basis or weekly basis based on reports....but when I take Orin tablets my serrum albumin and serrum protein in blood increases significantly... Not in the urine.... So what should I do... To fullill my iron storage in the body and free from taking iron tablets on daily basis

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Doctors’ responses

For it you should take more iron rich vegetables like spianch, beetroot etc. And take Navayas lauh 1 tab twice a day Punarnava mandoor 1 tab twice a day Praval pushti 1 tab twice a day Ashokarishta 15 ml with equal amount of water after food

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Hello If your haemoglobin is dropping when you’re stopping iron tablets Then your body likely is not storing or observing iron, well, so to improve naturally, you can start on Punarnavadi mandura- Tab liv 52 -one tablet each twice daily after food Drakshadi aristha -4 teaspoon with equal quantity of water twice daily after food Eat iron rich foods like soaked, black, rising dates, spinach, ragi, beetroot, pomegranate Include vitamin C rich foods like Amla lemon with meals to improve absorption Avoid tea, coffee If the issue continuous even after following the above, then get peripheral near done along with LFT

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Most important is Hydration. Stay hydrated with water or juices. No tea and coffee. Also do LFT as you have raised Sr. Albumin & Sr. Protein. Start cooking in cast iron or earthen vessels. This is a remidy for natural increase in Hb levels. It will take 4-6 months but very effective remidy. Eat Peanuts, Jaggery, Rajgira ladoo, Rajgira Barfi, Finger millet (ragi) You need to do deworming. Syp. Vidangariashta 3 tsp twice a day before food for 21days. else you can go for allopathy tablet TAB. BANDY PLUS 1 tab at night and than 1 more tab at night 3 days after the first dose. Then start: Tab. Mandurvarak 1 tab twice a day with 2 tsp AMLA JUICE + half cup water Tab Liv 52 DS 1 tab twice a day before food. If you take these medicines after deworming you will get better results

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Regarding dropping of hemoglobin on stopping iron suppliment intake, 1.repeat blood tests(CBC, serum ferritin, iron studies) 2.Identify any ongoing blood loss(especially related to menstrual cycle, hemorrhoids/piles) 3.Rectify diet and absorption issues Meanwhile start with 1.vasaguduchayadi kashyam 15ml kashayam+45ml lukewarm water two times before food 2.T. punarnava mandooram 1-0-1 after food 3.Draksharishtam 30ml twice after food 4.Dadimadi ghritham 10g early morning on empty stomach Include more of iron rich food in diet like green leafy vegetables, spinach, beetroot, beans, dates, ragi, pomegranate. Non vegeteraians can include fish, organ meat, eggs. Try to add half a lemon juice in the dishes for a speedy absorption of iron. Avoid strenuous exeecises. instead practise yoga and pranayama Drink adquate amount of water. 2.punarnava mandooram

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Hello Rashmi I can understand your concern regarding iron deficiency and we are here to help you out!! Your concern 1. Your iron in blood is on lower side 2. After taking allopathy medication for some time it is improved and after stopping it again starts to decreasing 3. After taking orin tablets your sr albumin and sr protein in blood increases See according to ayurveda improving your blood should be through proper specific diet As not only you but taking supplements lifetime is not feasible. We first understand your causes for low iron Follwing are the most common causes of iron deficiency 1. Inadequate iron intake 2. Chronic blood loss through menstrual bleeding ( if you have heavy flow) 3. Malabsorption of iron as seen in IBS 4. Long tern use of painkiller My advice to you is to take medication for 120 days and continue the specific diet which i will advice... And then slowly we will stop your medicatoin continuining the diet INTERNAL MEDICATION 1. Ayasthriti 30ml-0-30ml after food 2. Punarnava mandoor 2-0-2 after food 3. Dadimadi ghrita 1 tsp at bed time follwed by warm water This is the minimum medication you can continue for 120 days I am specifying 120 days as new rbc are formed in 120 days so to see any significant changes we have to wait till 120 days Diet for iron deficiency anemia Diet should be focused on three aspect 1. Iron increasing food 2. Improving iron absorption 3. Food items to avoid 1. Iron increasing food #Spinach #Amaranth #fenugreek leaves #moringa leaves #lentils, chickpeas, soyabean, kidney beans #pumpkin seeds #whole grains #tofu If nonveg eater #red meat #chicken #liver #fish - tuna 2. Improving iron absorption #citrus food like orange, amla #tomotoes, guava, bell peppers #brocolli, strawberry 3. Food items to avoid #tea or coffee #calcium rich food #high fiber raw bran #curd # reheated food, fried items Hope you found this helpful!! Wish you a good health Regards Dr Snehal Vidhate BAMS, MD ( sch)

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HELLO RASHMI RANJAN, -iron deficiency for 1 year post blood donation -reliance on iron tablets to maintain haemoglobin -discontinuation leads to haemoglobin drop -serum protein and albumin increase during supplementation THIS STRONGLY SUGGESTS -your body is not absorbing or storing iron efficiently -there may be digestive weakness or incomplete assimilation -serum protein increasing->your body is starting to repair under support, but without continued support, it regresses -possibility of Rakta dhatu kshaya(depleted blood tissue) and Mamsa dhatu kshaya(low protein stores ) ACCORDING TO AYURVEDA, -pandu roga(anemia) -due to digestive fire imbalance->leads to malabsorption -weak rasa and rakta dhatu->inability to form healthy blood -possibly Mamsa dhatu weakness->low serum protein, albumin ROOT FACTORS IN YOU IRON NOT BEING STORED- weak agni, and rasadhatu RECURRENCE ON STOPPING MEDS= rakta dhatu depletion, slow dhatu regeneration IMPROVED WITH MEDS= rakta dhatu gets support, but Agni isn't strong enough to maintain SERUM ALBUMIN RISE= better liver and mamsa dhatu function under support 3 STAGE TREATMENT STRATERGY PLANNED FOR YOU PHASE 1- DEEPANA-PACHANA(digestive correction) If your digestion is weak, no matter how much iron you consume, it won't be absorbed or retained 1)TRIKATU CHURNA- 1/4 tsp with honey or warm water before meals twice daily =improves digestion, metabolism, and clears toxins 2)HINGVASTAKA CHURNA- 1/2 tsp with warm water after meals =especially if there is bloating, gas or slow digestion 3)JEERAKADYARISTA- 15 ml with equal water after food =helps digestive strength and nutrient absorption PHASE 1 DURATION= 2-3 WEEKS PHASE 2- RAKTAVARDHAKA(blood formation and iron supplementation) once digestion is optimised , start iron-rich ayurvedic medicines 1) LOHASAVA- 20 ml with equal water after food twice daily =classical iron tonic, improves blood 2)NAVAYASA LAUHA- 250 mg with honey twice daily in morning and night =herbo-mineral iron rich rasayana 3)PUNARNAVA MANDUR- 1 tab twice daily after meals =improves hemoglobin, liver function 4)DHATRI LAUHA- 250 mg twice daily with amla juice or honey =enhances iron absorption, safe long-term for 1st month take LOHASAVA + NAVAYASA LAUHA ONLY then from 2nd month start other two for 1 month so DURATION OF 2ND PHASE= 2 MONTHS PHASE 3- RASAYANA AND LONG TERM RESTORATION DURATION= 2-3 MONTHS this phase is to prevent recurrence and strengthen all tissues- especially rasa, rakta, mamsa 1)CHYAWANPRASHA- 1 tsp daily in morning =general tonic, support blood and immunity 2)ASHWAGANDHA LEHYAM- 1 tsp with warm milk at bedtime =increases strength and energy 3)DRAKSHARISHTA- 20 ml after food twice daily =for fatigue, improves absorption and appetite 4)AMALAKI RASAYANA- 1 tsp daily =amla based support for iron , digestion and immunity DIET RECOMMENDATIONS eat easily digestible iron-rich foods with good Vitamin c sources to enhance absorption -black sesame seeds- roasted and take with jaggery -dates, raisins, figs- soaked overnight -pomegranate, beetroot, spinach, drumstick leaves -gooseberry(amla)- fresh or powder -cows ghee- nourish the tissues and helps absorb fat-soluble nutirents -whole moong, lentils, red rice, jaggery AVOID -tea/coffee after meals- block iron absorption -very heavy , greasy, or processed foods -excess sour/spicy food if there's hyperacidity LIFESTYLE TIPS -avoid daytime sleeping-slows metabolism -practice gentle yoga like -suryanamskar-6 cycles -pranayam- anulom vilom- 5 min -get morning sunlight- helps vitamin d and overall metabolism -manage stress- chronic stress affects nutrient absorption -early light dinner before 8 pm with patience and right support -your body can restore its own iron balance -you can stop relying on daily tablets -you'll feel more energetic, grounded and nourished overall DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU DR. MAITRI ACHARYA

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