HELLO SHABNAM,
You’re describing a combination of bradycardia(slow pulse: 52-58 bpm), severe acid reflux, shortness of breadth, lightheadedness, and pre syncope(feeling like you’re going to faint) . you’re also taking Nextito and Petrol since may of last year.
1) BRADYCARDIA(pulse 52-58) -may be normal in some healthy individual -but in your case, since you also have lightheadedness and near fainting, it may indicated s problem with heart conduction or low blood pressure
2) SHORTNESS OF BREATH AND REFLUX - GERD can cause chest tightness and breathing difficulty -but combined with medications like clonazepam and escitalopram, these symptoms can be worsened
3) MEDICATION SIDE EFFECTS -CLONAZEPAM= can cause sedation, dizziness, bradycardia -ESCITALOPRAM= can cause fatigue, lightheadedness, and GI issues -you may experiencing side effects or even drug induced bradycardia
In Ayurveda, your symptoms can be seen as an imbalance in vata and pitta doshas, especially affecting Annavaha srotas and pranavaha srotas
LIKELY DIAGNOSIS -amla pitta(hyperacidity) -vata pitta dushti -hridaya vyatha/shirashoola
GENERAL AYURVEDIC RECOMMENDATIONS
DIET AND LIFESTYLE -eat warm, freshly cooked, non spicy, non acidic foods - avoid tea/coffee, fried, fermented, and sour foods-like pickles, curd - small, frequent meals. avoid lying down immediately after eating -early dinner before 7:30 pm - gentle walk after meals
HERBAL REMEDIES
MORNING(EMPTY STOMACH)) -1 tsp avipattikkar churna with warm water-> reduces acid reflux, nausea, bloating
AFTER BREAKFAST -1 brahmi vati tablet = calms nerves, reduces anxiety, supports mental clarity
AFTERLUNCH 1 sutshekhar ras tablet = soothes acidity, improves digestion, helps with breathlessness
BEFORE BED -1/2 tsp Ashwagandha churna in warm milk = improves sleep, reduces fatigue, supports heart rate
YOGIC AND LIFESTYLE SUPPORT
BREATHING -anulom vilom= balances vata-pitta, improves oxygenation -bhramari pranayam= calms mind, supports parasympathetic nervous system - sheetali/sheetakari= useful in hyperacidity and emotional stress
YOGA -setu bandhasana= strengthens heart and improves ciruclation -supta baddha konasana= calms digestion, and mind - viparita karani= good for blood flow and dizziness -avoid high-intensity yoga until heart rate issues are ruled out
EAT - warm, bland ,easy to digest food= khichdi, rice, moong dal, ghee -cumin coriander fennel infused water -pomegrante, ripe banana, amla juice
AVOID -spicy, oily, sour foods -fermented foods, caffeine, carbonated drinks - eating late at night or skipping meals
TRY for 4 weeks, then reassess
THANK YOU
DR. HEMANSHU MEHTA
Suggested to consult a Cardiologist since you are having Acid reflux with shortness of breath and low pulse rate. Meanwhile you can have ,
1. Drakshadi kwatham tab 2-0-2 before food 2.Shankabhasma capsule 2-0-2 after food 3.Dhanwantharam gulika 2-2-2 after food with warm water /jeeraka water (chew then swallow)
Avoid triggering foods such as oily, spicy and junk foods While sleeping,try to lie in left side with head elevated Drink adequate water Have proper sleep on time
Cardiologist said everything is fine
Then nothing to worry ,start the medication as I prescribed here. Practice Breathing exercises like PRANAYAMA regularly
#Saraswatarishta 10 ml with equal water after meals (2× daily) #Ashwagandha Tablets 1 tablet at night with warm milk. #Brahmi Vati or Smritisagar Ras 1 tablet daily Strengthens memory. (Nasya) 2 drops in each nostril at bedtime.
Lifestyle & Diet Tips
✔️ Do This ❌ Avoid This
Drink warm cow’s milk + turmeric at bedtime Loud music, prolonged headphone use Practice Bhramari Pranayama daily for 5 minutes Tea, coffee, carbonated cold drinks Eat dinner before 8:30 pm, sleep by 10:00 pm Mobile/laptop screen exposure after 9 pm Apply warm ghee in navel and behind ears at night Skipping meals, irregular eating
First of all what is your age?? Have you taken ECG/2 d echo?? If not it’s better to take these things first
Yes sir ecg echo pft trop I and probnp all are normal according to cardiologist. There were some changes in ecg, so cardiologist suggested trop I and probnp and these are normal
It maybe due to GERD
Rx. 1.Alserex tab 1 tab twice a day 2.Avipattikar powder 1/2 tsf with leukworm water 3.Punarnava mandoor 1 tab twice a day
HELLO SHABNAM,
YOUR SYMPTOMS -Low pulse rate= 52-58 beats per minute(bradycardia) - severe acid reflux and shortness of breath - lightheadedness, especially on standing= possible orthostatic hypotension. Medications:- -NEXITO(escitalopram- an SSRI for anxiety/depression) -PETRIL(clonazepam- a benzodiazepine, calming agent)
POSSIBLE CAUSES OF YOUR SYMPTOMS
1) BRADYCARDIA -normal in some healthy individuals like athletes - can occur due to medications like clonazepam or SSRIs. - can also be due to electrolyte imbalance, thyroid issues, or vagal overstimulation-often related to anxiety and reflux
2) ACID REFLUX WITH SHORTNESS OF BREATH -severe GERD can press on the diaphragm, causing breathing issues -also anxiety, panic attacks, or vagal nerve stimulation(caused by Felix) can mimic shortness of breath.
3) LIGHTHEADEDNESS/ FAINTING - could be from low blood pressure, medications side effects or vagal response. - standing up quickly could trigger orthostatic hypotension.
MEDICAL RECOMMENDATIONS 1) get your pulse and BP monitored over 24 hours 2) Review medications with your doctor - clonazepam can slow heart rate and cause lightheadedness - Escitalopram can worsen reflux 3) ECG and thyroid function test 4) Electrolyte panner-low potassium or magnesium can affect heart rate. 5) Gastroenterology review- severe GERD may need endoscopy or further evaluation
AYURVEDIC DIAGNOSIS -URDHWAGA AMLAPITTA- acid rising upwards, causing chest discomfort, suffocation, nausea, heartburn -vata pitta dushti - associated manasika vyadhi- anxiety(chittodvega), often a component of chronic reflux
TREATMENT PRINCIPLES 1) deepana pachana= normalize digestion and reduce AMA 2) Srotoshodhana= clear metabolic channels 3) Hridaya balya= strengthen the heart and nervous system 4) Mano balya= support mental calmness, reduce anxiety 5) Anulomana= downward flow of vata to rescue reflux
INTERNALLY START WITH
1) AVIPATTIKAR CHURNA- 1 tsp with warm water for 15-30 mins before meals = acid reflux, hyperacidity, sour belching
2) SUTSHEKHAR RAS(GOLD)- 125 mg with honey or ghee twice daily after meals =highly effective for chronic acid reflux, nausea, stress-induced gastritis
3) KAMDUDHA RAS(MUKTA YUKTA)- 250 mg twice daily with cold milk = for burning sensation, acidity, restlessness, and suffocation
4) MANASAMIRA VATAKAM- 1 tab twice daily with water = calms anxiety, improves sleep, balances mood, supports SSRIs.
5) HRIDAYARNAVA RAS- 125 mg twice daily with water = supports cardiac function, relieves bradycardia symptoms due to vata.
6) DRAKSHADI KASHAYA- 30 ml with water after meals = reduces heat in the system, calming , helps suffocation.
YOGA AND PRANAYAM DO DAILY -Anulom-vilom= 5-10 mins -Sheetali/Sheetakari= 5 min- for acidity -Vajrasana after meals- improves digestion -Setubandhasana/Matsyasana- opens diaphragme -Yoga Nidra at night
Avoid forward bending asanas or kapalbhabhati- they may worsen reflux.
DIET PLAN -warm, freshly cooked meals- mung dal, rice, gourds, pumpkin -cow ghee, soaked almonds, coconut water - buttermilk with roasted jeera - tender coconut or lukewarm coriander water - boiled milk with shatavari churna 1 tsp at night
AVOID -fried, sour, spicy , fermented foods- pickle, curd, vinegar -tea/coffee, carbonated drinks - tomatoes, citrus fruits, onion, garlic -late night eating, irregular meals - overeating or skipping meals
WARNINNG AND PRECAUTIONS -do not stop Next or Petril suddenly- you can taper down only under doctor guidance - monitor pulse, BP, and symptoms daily
DO FOLLOW
THANK YOU
HOPE THIS MIGHT BE HELPFUL
DR. MAITRI ACHARYA
Along with these medications, include meditation, yoga,pranayam in your daily routine. You’ll definitely get desired results…
Your symptoms of severe acid reflux, shortness of breath, and lightheadedness could indicate a compromised agni (digestive fire) and imbalance in the doshas, primarily involving pitta and possibly vata. It’s crucial to address this with immediate attention to avoid further complications. For severe cases, it’s vital to follow your medical practitioner’s advice and seek immediate medical evaluation for any life-threatening symptoms.
Meanwhile, from an Ayurvedic perspective, here are some steps you could consider. Firstly, focus on a balancing diet that calms pitta. Incorporate more cooling foods such as cucumbers, melons, and leafy greens. Avoid spicy, fried, and acidic foods that can aggravate acid reflux and pitta dosha.
Start your day with warm water mixed with a teaspoon of honey and a few drops of lime to soothe your digestive system. Try to maintain regular meal timings to stabilize agni. Skipping meals or irregular eating can disturb vata and increase pitta imbalance.
Yoga and pranayama can be helpful; however, avoid strenuous activities. Simple stretching, gentle yoga, and breathing practices like nadi shodhana (alternate nostril breathing) can help balance vata and pitta, calming the mind and reducing feelings of lightheadedness.
In terms of herbs, consider Ayurvedic supplements like amalaki (Indian gooseberry) for its cooling properties and digestive benefits. Aloe vera juice may also provide some relief for your heartburn. Always consult an Ayurvedic practitioner before starting new supplements, especially alongside existing medications like nexito and petril.
Finally, aim for adequate rest, ensuring your sleeping environment is conducive to uninterrupted sleep. Elevate the head of your bed to help manage acid reflux during the night. Prioritizing stress management techniques, like meditation or mindful breathing, might also help calm your mind and reduce reliance on medications. But, always coordinate with your healthcare provider to monitor and adjust your treatment plan safely.