My pulse is between 52 to 58.What I should do? - #24708

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

#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

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.