NAMASTE SHRUTI ,
It’s understandable that you want the best care for your father, especially when dealing with complex chronic conditions like heart disease, strokes(with aphasia), and chronic kidney disease… His use of diuretics , weight loss, and creatinine level of 1.7 suggest a delicate balance between managing fluid overload and avoiding further kidney damage or malnutrition.
Diuretic use may cause -electrolyte imbalance -weight loss -dehydration
CKD stage 2-3 suggested by creatinine ~1.7 Post stroke and heart stunting require careful cardiac monitoring Underweight raises concern for malnutrition and weakness
DOSHA IMBALANCE likely vata-kapha imbalance -vata aagravtion= weight loss, dryness, neurological issues -kapha accumulation= fluid retention, heart disease
AYURVEDIC GOAL -reduce toxins - improve digestive/metabolic fire - balance vata to su[[prt nervous system and weight gain -balance rasa and urinary/ kidney channel
INTERNALLY TAKE
MORNING (EMPTY STOMACH) -BRAHMI GHRITA= 5ml with warm water or milk =brain function, nerve repair, speech improvement , vata balance
BEFORE BREAKFAST
-PUNARNAVADI KASHYA= 15ml + 45 ml water =mild diuretic, reduces water retention, supports kidney and heart
AFTER BREAKFAST -ASHWAGANDADI LEHYA= 1 tsp =weight gain, strength, post stroke support, nourishing
-ARJUNARISHTA= 15ml+ 15ml water =cardiac strength, post stent care, improvescirculation
-CHANDRAPRABHA VATI= 1 tab =supports kidneys, urinary function, regulates fluid balance
BEFORE LUNCH(if fatigue and dehydration) -DRAKSHADI KASHAYA= 15ml+ 45 ml water =energy, mild hydration, antioxidant support
BEFOE DINNER -PUNARNAVADI KASHAYA= 15ml+ 45 ml water
AFTER DINNER -ASHWAGANDHA LEHYA -ARJUNARISHTA -CHANDRARABHA VATI
BEDTIME -warm milk+ a pinch of nutmeg and ashwagandha churna =promotes restful sleep, nerve healing, and nourishment
DIET RECOMMENDATIONS nourishing, vata pacifying, kidney friendly diet -warm, soft, easy to digest foods - high quality fats= ghee, sesame oil - mung dal khichdi with cumin, ajwain - cooked veggies like pumpkin, ash gourd, carrots - avoid= ra salads, nightshades, curd at night, processed food, cold water
FOR WEIGHT GAIN -rice gruel with ghee -almond milk soaked peeled almonds -banana with pinch of cardamon and ghee -dates soaked overnight
LIFESTYLE -daily warm oil massage with bala taila - gentle yoga and pranayam -adequate sleep and routine - speech therapy support
REGULAR MONITORING -creatinine and GFR -electrolytes -bp and heart rate -signs and fluid overload -weight and muscle mass
THANK YOU
DR. HEMANSHU MEHTA
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.
