Father is on diuretic how to avoid that - #24710

1.Chandraprabha gulika 1-1-1 before food 2.Tab .Punarnava 1-0-1after food

Keep a check on the heart and creatinine profile. Slowly taper diuretic

Tab. Chandraprabha Vati 2 tabs twice a day.

1.Gokshuradi guggulu (1-0-1 after food with warm water) 2.Gokshura pana ( Take 1 Tsp of choorna and put in water boil and drink for every 30 mins ) 3. punarnavadi ks. 15ml of kashayam in 30 ml of warm water (2times daily, before food) for 15 days and again check for urine routine again and do inform ! __Thank YOU ! kind regards !

How much is EF is ?? Might be ez in heart failure so they have started in diuretics, do not discontinue until unless cardiologist/ nephrologist advise , if you send detailed history/ reports acc as an support we can start in ayurvedic medicine gradually acc to condition we can slowly taper and stop diuretics

Don’t worry Sruthi… First of all please share all the reports of your father…

Hi Sruthi This is Dr Vinayak.by considering your father complaints you should not stop directly morden medicine and start ayurvedic medicine Plz send details history and resent reports of your father

Take gokshuradi ghanvati 2-2-0 after food with water Ashwagandha churan 0-0-1tsp at bedtime with 1/4 th cup. Milk. Avoid high Protein diet or drinks Follow up after 1 month

HELLO SRUTHI,

Managing a patient with cardiovascular disease, post stroke complications(aphasia) and chronic kidney disease(CKD) while on diuretics requires a delicate balance between modern medicine and supportive holistic care like Ayurveda.

Post stent(heart disease)- likely coronary artery disease= hridroga(vata-kapha dominant)

Stroke with Aphasia- ischema stroke= pakshaghata/vata vyadhi

CKD(creatinine 1.7)- mild to moderate kidney dysfunction= mutravaha srotodushti

On Diuretics(weight loss, weakness)- furosemide/ toresemide likkely= loss of Ojas, dehydration, vata increase

AYURVEDA GOAL -Improve heart strength -repair stroke damage, improve speech -reduce water retention naturally - rebuild body mass, improves digestion -support kidneys

FOR HEART HEALTH

1) ARJUNA KSHEERA PAKA- 100ml twice / day = tones heart muscle, reduces BP.

2) HRIDROGA CHINTAMANI RASA- 1 tab once daily in morning =rejuvinates heart balances doshas

3) DASHMOOLA KWATH- 15ml with warm water twice daily = reduces inflammation, supports circulation

FOR STROKE RECOVERY+ APHASIA

- OIL MASSAGE= bala taila daily =reduce s vata, strengthens nerves

-STEAM- after massage =improves circulation to brain and limbs

-NASYA= instill 2 drops of ksheerbala taila in each nostril in morning empty stomach = supports speech, cognition, and clarity

INTERNALY -KALYANAKA GHRITA- 1 tsp with warm milk at bedtime =cognitive rejuvenation

-ASHWAGANDHA CHURNA- 1 tsp with warm milk in morning =nervine, energy, weight gain

DIURETIC AND FLUID BALANCE

1) PUNARNAVA MANDUR- 1 tab twice daily after food =enti edema, anemia support

2) CHANDRAPRABHA VATI- 1 tab twice daily after food = urinary tract tonic

3) GOKSHUR+VARUN DECOCTION- 10ml twice daily before meals =renal function, stone prevention

DIET PRINCIPLES

Do’s - warm, soft,well cooked foods - easily digestible meals - natural diuretic like barley - hydrating but controlled fluids

1) GRAINS -white rice well cooked- easy to digest and nourishing -barley- natural diuretic, helps reduce swelling - little millet, kodo millet -wheat in small amount

2) PULSES/ LEGUMES -green moong dal, massor dal,

AVOID- urad dal, chana dal, rajma= heavy and increases toxins

3) VEGETABLES- well cooked, soft, and mildly spiced - bottle gourd, ridge gourd, pumpkin, tinda, snake gourd, beetroot, carrot

AVOID- brinjal, potatoes, cauliflower, cabbage, tomatoes

4) FRUITS- well ripened, seasonal fruits in small portion -apple, papaya, pomegranate, sapota

AVOID- banana, citrus fruits, grapes

5) DAIRY- -cow milk warm with ashwagandha - homemade buttermilk- excellent digestion-diluted spiced with jeera, ginger - ghee- 2 tsp daily to strengthen heart and digestion

AVOID- curd/yogurt especially at night, cheese, panner

6) HERBS AND SPICES -fennel, cumin, coriander, turmeric, ginger, - aids digestion - small pinch of black pepper- improves absorption - hing- reduces gas

7) OILS AND FATS -cows ghee -cold pressed sesame oil

AVOID- mustard oil, refined oils or Vanaspati

8) SALT- use rock salt , avoid table salt, pickles, processed snacks

9) SWEETNERS -jaggery - natural nourishing -avoid sugar, artificial sweetners

FOODS TO AVOID STRICTLY -Processed foods= chips, biscuits, bakery items, fast food -high sodium foods= pickles, papads, sauces, canned soups - high potassium foods= coconut water, banana, dry fruits in excess - heavy pulses= chana, rajma, black gram - gas forming veggis= cauliflower, cabbage, onion, brinjal - Sour foods= curd at night, tamarind, vinegar, fermented items -Excess fluids= if edema or low urine output is present - red meat, eggs= heavy to digest, vata aggravating -coffee/tea= avoid to reduce- increase dehydration and vata

SUPPORTING PRACTICES WITH DIET -eat freshly prepared food, warm and mildly spiced. -avoid leftover/reheated meals -eat small, frequent meals -sit in calm, undistracted space to eat -support digestion with- a slice of ginger+ rock salt before meals - jeera water or warm water for sipping between meals

LIFESTYLE -YOGA= gentle pranayam- anulom, vilom, bhramari, light asana -SLEEP= sleep y 10 pm, avoid overstimulation -STRESS= light mantra japa -BATH= warm water only, avoid cold exposure

Ayurveda can support, not replace, cardiology and nephrology care

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

For your father’s situation, it’s crucial to proceed carefully given his medical history. Though Ayurveda offers valuable support, it’s vital that any adjustments complement his current treatment, especially with serious conditions like heart issues and renal function.

Firstly, addressing the use of diuretics: Diuretics are prescribed to manage fluid buildup which can be a major concern in heart conditions. Before making changes here, consult with his healthcare provider to ensure safety. Ayurvedic principles can support this effort through dietary and lifestyle changes, but should not replace essential medications unless advised by a physician.

To support his kidney function and overall health, consider a diet that doesn’t overburden the kidneys but still provides nourishment. Freshly prepared, light, and easily digestible foods are recommended. Opt for foods that are low in sodium to align with kidney health needs. An Ayurvedic suggestion is including Mung dal (split green gram), which is gentle on digestion and balances all three doshas. Also, foods that are astringent, bitter, and mildly sweet may help support his condition. Examples include cooked leafy greens, pumpkin, and carrots.

For weight gain, ensure he gets nutrient-dense foods. Incorporate healthy fats like ghee, which is clearly advocated in Ayurvedic texts for its nourishing qualities. A small amount can be added to his meals each day. Additionally, almond milk made from soaked almonds and warm, can be beneficial.

Aphasia, resulting from the stroke, can benefit from supportive therapies such as speech therapy integrated with Ayurveda’s focus on holistic health. Massaging the head with Brahmi oil might support brain function due to its calming effect on the mind.

As for physical activity, low-impact exercises like gentle yoga or short walks can maintain circulation without strain. Again, any physical activity should only be done under the guidance or approval of a healthcare provider.

In Ayurveda, balancing ‘Agni’ (digestive fire) is essential for weight gain and strength. Encouraging the intake of warming spices like ginger or cinnamon in small amounts can stimulate appetite and digestion. Digestive teas using fennel seeds after meals could also be helpful.

Ensure his hydration is managed adequately but not excessively. Fluid intake should complement his body’s needs, mindful of his kidney and cardiac health.

Prioritize working with both his conventional healthcare provider and a knowledgeable Ayurvedic practitioner. Any significant change, particularly in complex conditions like these, requires multidisciplinary care to ensure safety and effectiveness.