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My small intestine not distributing nutrients
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General Medicine
Question #25349
89 days ago
197

My small intestine not distributing nutrients - #25349

Olere

My large intestine is slow to digestion process and small intestines not absorbing nutrients.. so my test results showing no nutrients in my body as if I don’t eat. My tummy is very big. I have tried severally to reduce it nothing seems to work.. I am always bloated. My body retains water. At times my feet swells. Fat is accumulated on my upper body even my hands. I’m not able to lose weight.

Age: 61
Chronic illnesses: Osteoarthritis
300 INR (~3.51 USD)
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Doctors’ responses

Hello Olere, Thank you your health concern with such clarity. Based on your symptoms slow large intestine, nutrient malabsorption in the small intestine, constant bloating, abdominal weight gain, water retention, and osteoarthritis at age 61 this is probable due to deep imbalance of Agni (digestive fire), along with Aama (toxic buildup) and Kapha–Vata aggravation. But. Dont wprry we are here to help. You out 😊

** AYURVEDIC PERSPECTIVE** ☑️Slow digestion, bloating ➡️ weak digestive fire i + Aama ( toxins build up ) ☑️No nutrient absorption➡️Weak dhatavagni poor tissue formation ☑️Big tummy, fat on hands ➡️Kapha Meda Vruddhi ☑️Swollen feet Shotha is due to water retention

** AYURVEDIC TREATMEMT**

✅INTERNAL MEDICATIO 1 Triphala Guggulu 2-0-2 after meals (helps to. Clear ama ) 2 Agnitundi Vati 1 tab before breakfast and lunch (Improves digestive fire) 3 Punarnava Mandur 1-0-1 ( reduces water retention) 4 Chitrakadi Vati 1 tab before lunch (Improves absorption) 5 Takaristham 30ml +30 ml water after lunch ( Reduces bloating)

If osteoarthritis is painful: add Yograj Guggulu 2-0-2daily

✅Daily Routine for Digestion Reset This is very helful try to follow… Most of my patient of digestive issues follow this ☑️Morning: 1 glass warm water + 1 tsp dry ginger powder( shunti powder) + ½ lemon juice 5 soaked black raisins (soaked overnight) ☑️Before meals: ¼ tsp ajwain + black salt → chew directly Triggers enzyme release, improves gut function ☑️ After meals: Jeera + Ajwain tea (½ tsp each in 1 cup water) Reduces gas, water retention & helps weight loss

✅DIET MODIFICATION

✅ Include

Moong dal khichdi with ghee (daily for lunch) Bottlegourd, spinach, pumpkin, carrots Amla, pomegranate, apple (mid-morning) Barley soup, vegetable soups Warm water only throughout the day

❌ avoid

Curd, milk, paneer, cheese Raw vegetables, salads Cold drinks, sugary foods Bakery, maida, non-veg (if bloating worsens)

✅ Herbal Water

Boil in 1 liter water: 1 tsp jeera (cumin) ½ tsp dry ginger powder Strain & sip warm through the day Helps drain excess fluid, improves metabolism, and clears Aama

✅ Daily Abhyanga (oil massage) on your osteoarthritis jpint pain with Kottamchukkadi taila or Mahanarayana taila – 15 mins before bath Walk 15–20 minutes daily (slow is okay)

Your intestines are working fine but , they’re overloaded. Just follow the treatment with consistency

Wish you stength and good digestion

Warm Regards Dr. Snehal Vidhate

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Hingwastaka churna - 1/2 tsp with warm water before meals twice daily Chitrakadi vati- To be chewed twice daily Triphala churna - 1 tsp with warm water at night Drink lukewarm water throughout the day Avoid oily fries spicy foods non vegetarian foods

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Hi olere as per you mentioned here your problems lies in your AGNI level(Digestive power ), We have to correct it first .

1.Gandharvahasthadi kwatham tablet 2-0-2 before food 2.Krimigna vati 1-0-1after food 3.Thriphala tab 2-0-2 after food

*Please do a blood test of LFT,TSH ,T3 and T4

*Avoid continuous standing/ sitting *Maintain a regular exercises *Have 3-4litres of water/day * Have more Fibre rich food ***Chew your food thoroughly *Have more fruits and vegetables * Avoid processed and junk foods

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hello olere , actually What you’re experiencing sounds like a deep imbalance in Agni (digestive fire) and Samana Vata + Apana Vata, which control digestion and elimination. In simple terms, your digestive fire is weak, especially in the small intestine, so the nutrients from the food aren’t getting absorbed that’s why test reports show deficiency even though you eat. Your large intestine is likely holding onto undigested waste, leading to gas, bloating, and that heavy, water-filled feeling. When this continues for long, the body starts accumulating Ama (toxins), which blocks your channels this is why fat piles up in the upper body and your feet swell (because of Kapha and water retention). The weight doesn’t drop because the metabolism is clogged, not because you’re eating wrong.Your osteoarthritis also links to this as undigested toxins and excess Vata settle in the joints and create stiffness and pain.

INTERNAL MEDICATION:

1. agnitundi vati 2-0-2 Before food with warm water 2. dhanwantram gutika 2-0-2 after food with warm water 3. punarnavadi kashayam 15ml kashayam with 30ml warm water before food ( morning and evening )

ALL THESE MEDICATION FOR 15 DAYS

External treatments :

1. udwartana with kottamchukadi choornam for 7 days 2. Nithya virechana with Gandharvastadhi tail capsule 0-0-1 only in night

continue these medication for specifies days and let me know after that ! after that we can reschedule ur treatment after seeing ur progress to treatments !

1.Take warm, freshly cooked food – avoid raw salads, cold items 2.Sip warm jeera-ajwain water throughout the day 3.Don’t lie down after meals, walk for 10 mins 4.Empty your bowels every morning (even if you need mild Triphala) -Investigations to Track Progress 1.Vitamin B12, Vitamin D, Iron profile, Albumin (to check absorption recovery) 2.USG abdomen (to rule out fluid retention in abdomen) 3.CRP, ESR (to track inflammation in arthritis)

Common Questions You Might Be Wondering Q: Why is my stomach so big if I’m not even eating that much? 👉 Because your digestion is weak and toxins + fluid are getting stored in the gut, not eliminated.

Q: Why can’t I lose weight no matter what I do? 👉 Your metabolism is blocked. Until digestion is corrected and Ama is cleared, weight loss won’t happen.

Q: Is this reversible at 61? 👉 Yes! With the right herbs, warm foods, and regular bowel clearing, your gut can heal and you’ll see visible changes in energy, bloating, and weight.

thank you , regards DR.KARTHIKA

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Take tablet Liv-52 1-0-1 will improve your digestion. Hingvastak churan 1/2 tsp twice daily after food with warm water., will help in removing the bloating gas in stomach. Gokshuradi ghanvati 2-0-0 after food with water will help remove excess water from the body . Triphala juice 10ml twice daily after food with water Drink warm water through out the day. Keep gap of 5 -6 hrs. Between food. Dinner should be light mainly of soups salads vegetable dal. Have early dinner arround 7pm. Follow up after 15 days

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HELLO OLERE,

Your symptoms suggest malabsorption syndrome, possibly due to -chronic inflammation of the intestines -liver gall bladder dysfunction- impacts fat digestion - pancreatic enzyme deficiency - intestinal dysbiosis -possible hypothyroidism or metabolic syndrome due to swelling, weight gain

MALABSORPTION LEADS TO -protein deficiency -> muscle wasting, swelling due to albumin - fat malabsorption-> fat-soluble vitamin deficiency (A,D,E,K) -mineral loss-> fatigue, edema, bone loss

AYURVEDIC VIEW

AGNI(DIGESTIVE FIRE) DYSFUNCTION all healthy begins with proper digestion. In your case -mandagni(weak digestion) is likely primary -result:- incomplete digestion->ama(toxins)-> blocks nutrient absorption

DOSHA IMBALANCE -kapha excess-> heaviness, water retention, bloating, obesity - Vata imbalance in colon -> gas, irregular absorption - pitta may also be mildly involved-depending on inflammation levels

SROTORODHA(BLOCKED CHANNELS) -nutrient channels(rasavaha srotas) are blocked by toxins-> body can’t assimilate food

AYURVEDIC MANAGEMENT

EXTERNAL THERAPIES these therapies help melt fat, remove blockages, and stimulate lymph flow, improving digestion and absorption

-UDWARTANA= rubbing warm herbal powder KOLAKULATHADI CHURNA agains hair growth to reduce fat, kapha and water retention for 5 times/week

- OIL MASSAGE= daily warm oil massage with dhanwantharam taila daily

-SWEDANA= steam therapy using dashmoola decoction after massage to open Channels and promote sweating

-LEPANA = herbal paste applications for localised reduction of bloating = triphala/trikatu and apply on abdomen

INTERNAL MEDICATIONS

1) HINGWASTAKA CHURNA= 1/2 tsp with warm water after meals for 6-8 weeks =gas, bloating, improves digestive fire

2) TRIKATU CHURNA= 1/4 tsp before meals with warm water for 4-6 weeks

3) CHITRAKADI VATI= 2 tabs 20 min before meals for 4-8 weeks

4) PUNARNAVADI GUGGULU= 2 tabs twice daily after meals for 2-3 months

5) DASHMOOLARISHTA= 15 ml + 45 ml water twice daily before meals for 6-8 weeks

6) AROGYAVARDHINI VATI= 1 tab after meals once daily for 4-6 weeks

7) AMALAKI CHURNA= 1 gm morning on empt stomach for 4-8 weeks

SIMPLE HOME REMEDIES

-AJWAIN+CUMIN WATER= 1 tsp ajwain+ 1 tsp cumin boiled in 1 cup water sip warm water after meals =reduces bloating and gas

-CCF TEA= 1/2 tsp coriander, cumin, fennel each in 2 cups water, boil and reduce to 1 cup twice daily after meals =miproves absorption and metabolism

-LEMON+ DRY GINGER+ ROCK SALT= small pinch in warm water morning on empt stomach =stimulates agni, mild laxative effect

-TRIPHALA CHURNA= 1 tsp with warm water at bedtime =gentle detox and bowel regularly

DIET PLAN the goal to reduce Ama, strengthen agni, and open blocked srotas

-eat light, warm, cooked, easy to digest foods - avoid raw, cold, fermented, heavy, and oily foods -use digestive spices like ginger, black pepper, cumin, ajwain, coriander, turmeric

GRAINS= rice, red rice, millets ragi, bajra,kodo, barley

LENTILS= moong dal, massor dal

VEGETABLES= bottle gourd, ridge gourd, ash gourd, carrots, pumpkin, spinach(cooked) strictly no raw salads

SPICES= ginger, cumin, ajwain, fennel, black pepper, corainder

FRUITS= pomegrante,apple(stewed), papaya, figs

FATS= small amounts of cow ghee(boost digestive fire), sesame oil

LIQUIDS= warm water, ccf tea, ginger tea, ajwain water

FERMENTED DAIRYA= buttermilk with rock salt and cumin

AVOID STRICTLY

-RAW FOODS= salads, smoothies, raw veggies

-HEAVY DAIRY= cheese, cold milk, panner

-Potatoes, tomatoes, brinjal- increase bloating

-REFINED FOODS= white flour, refined oils, sugar

-COLD DRINKS= carbonated beverages , refrigerated water

-WHEAT(IN EXCESS)= heavy and difficult for weak digestion

YOGA AND PRANAYAM to stimulate the digestive system, enhance lymphatic drainage, reduce fat, and balance kapha-vata

-pawanmuktasana= release gas, stimulates intestine -trikonasana= stimulate digestion, reduces belly fat -ardha matsyendrasana= liver and pancreas stimulation -bhujangasana= stretches abdomen , improves digestion -vajrasana= sit after meals to aid digestion

PRANAYAM - Nadi sodhana= nervous system balance - Kapalbhati= boosts metabolism , clears kapha - bhastrika= awakens agni - ujjayi breathing= stimulate thyroid and metabolism

LIEFESTYLE AND DINACHARYA

-wake up before 6 am= best for digestion and kapha control - drink warm water on waking= with lemon - perform tongue scraping+ oil pulling= removes ama from oral cavity - perform daily oil massage -walk after meals= 25 min after food to improve gut motility -avoid daytime naps= triggers kapha accumulation, slows metabolism - avoid eating after 7:30 pm= kapha increases in evening -sleep by 10 pm= promotes metabolism repair at night

SINCE YOUR CONDITION IS CHRONIC, I RECOMMEND TEST, -nutrient deficiency testing= vitamin D, B12, iron, calcium, zinc, folate - comprehensive stool analysis -rule out hypothyroidism or diabetes

FOR OSTEOARTHRITIS CONTINUE TREATMENT YOU ARE TAKING OR IF YOU WANT AYURVEDIC MANAGEMENT THEN KINDLY INFORM

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THAANK YOU

FEEL FREE TO REACH OUT IN CASE OF ANY DOUBTS OR QUESTIONS

DR. MAITRI ACHARYA

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When examining issues with the intestines and digestion from an Ayurvedic perspective, we often start by considering the state of agni, or digestive fire, and the dosha imbalances present. Based on what you mentioned, it looks like there might be an imbalance of Vata and Kapha doshas. Vata governs movement, and when it’s out of balance, it can disrupt digestion and nutrient absorption. Kapha is associated with heaviness and water retention, which might be why you’re experiencing bloating, swelling, and the accumulation of fat.

First step is to focus on improving your agni to aid digestion and absorption. One practical approach is to incorporate spices like ginger, cumin, coriander, and fennel in your daily diet. These herbs can help stimulate the digestive fire. Sipping on warm ginger tea throughout the day might be beneficial — just boil a piece of fresh ginger in water for 10 minutes and drink.

Next, pay attention to your meal timings. Eating at consistent times every day, preferably the largest meal during lunch when your digestion is strongest, can help regulate Vata. Avoid overloading your digestive system with heavy, oily or cold foods. Opt instead for lighter, warm, and freshly cooked meals.

Hydration is key, but to minimize water retention, try not to drink large amounts of water during meals. Instead, sip warm water or herbal teas. Reducing salt intake can be helpful too.

For lifestyle adjustments, engage in regular, moderate exercises like brisk walking or yoga. This will not only help manage Kapha but can also assist in flushing out stagnation and improving circulation.

If swelling in your feet persists or if there’s no improvement, you should consult a healthcare provider, as it might need more urgent attention. Ayurveda can support, but it’s important to rule out serious conditions with a medical professional. Combining Ayurvedic practices with modern healthcare approaches will give you a comprehensive path to well-being.

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I am someone who kinda started out in both worlds—Ayurveda and allopathy—and that mix really shaped how I see health today. My clinical journey began with 6 months of hands-on allopathic exposure at District Hospital Sitapur. Honestly, that place was intense. Fast-paced, high patient flow, constant cases of chronic and acute illnesses coming through. That taught me a lot about how to see disease. Not just treat it, but like… notice the patterns, get better at real-time diagnosis, really listen to what the patient isn’t saying out loud sometimes. It gave me this sharper sense of clinical grounding which I think still stays with me. Then I moved more deeply into Ayurveda and spent another 6 months diving into clinical training focused on Panchakarma therapies. Stuff like Abhyanga, Basti, Shirodhara—learned those not just as a list of techniques, but how and when to use 'em, especially for detox and deep healing. Every case felt like a different puzzle. There wasn’t always one right answer, you know? And that’s where I found I loved adapting protocols based on what the person actually needed, not just what the textbook says. Alongside that, I got certified in Garbha Sanskar through structured training. That really pulled me closer to maternal health. Pregnancy support through Ayurveda isn’t just about herbs or massage, it’s like this entire way of guiding a mother-to-be toward nourishing the baby right from conception—emotionally, physically, all of it. That part stuck with me hard. My overall approach? It’s kinda fluid. I believe in balancing natural therapies and evidence-based thinking. Whether it's seasonal imbalance, hormonal issues, Panchakarma detox plans, or just guiding someone on long-term wellness—I like making people feel safe, heard, and actually understood. I’m not into rushing plans or masking symptoms. I’d rather work together with someone to build something sustainable that really suits their body and where they’re at. In a way, I’m still learning every day. But my focus stays the same—use Ayurvedic wisdom practically, compassionately, and in a way that just... makes sense in real life.
5
213 reviews
Dr. Manjula
I am an Ayurveda practitioner who’s honestly kind of obsessed with understanding what really caused someone’s illness—not just what hurts, but why it started in the first place. I work through Prakruti-Vikruti pareeksha, tongue analysis, lifestyle patterns, digestion history—little things most ppl skip over, but Ayurveda doesn’t. I look at the whole system and how it’s interacting with the world around it. Not just, like, “you have acidity, take this churna.” My main focus is on balancing doshas—Vata, Pitta, Kapha—not in a copy-paste way, but in a very personalized, live-and-evolving format. Because sometimes someone looks like a Pitta imbalance but actually it's their aggravated Vata stirring it up... it’s layered. I use herbal medicine, ahar-vihar (diet + daily routine), lifestyle modifications and also just plain conversations with the patient to bring the mind and body back to a rhythm. When that happens—healing starts showing up, gradually but strongly. I work with chronic conditions, gut imbalances, seasonal allergies, emotional stress patterns, even people who just “don’t feel right” anymore but don’t have a name for it. Prevention is also a huge part of what I do—Ayurveda isn’t just for after you fall sick. Helping someone stay aligned, even when nothing feels urgent, is maybe the most powerful part of this science. My entire practice is rooted in classical Ayurvedic texts—Charaka, Sushruta, Ashtanga Hridayam—and I try to stay true to the system, but I also speak to people where they’re at. That means making the treatments doable in real life. No fancy lists of herbs no one can find. No shloka lectures unless someone wants them. Just real healing using real logic and intuition together. I care about precision in diagnosis. I don’t rush that part. I take time. Because one wrong assumption and you’re treating the shadow, not the source. And that’s what I try to avoid. My goal isn’t temporary relief—it’s to teach the body how to not need constant fixing. When someone walks away lighter, clearer, more in tune with their system—that’s the actual win.
5
117 reviews
Dr. Kirankumari Rathod
I am someone who kinda grew into Panchakarma without planning it much at first... just knew I wanted to understand the deeper layers of Ayurveda, not just the surface stuff. I did both my graduation and post-grad from Govt. Ayurveda Medical College & Hospital in Bangalore — honestly that place shaped a lot of how I think about healing, especially long-term healing. After my PG, I started working right away as an Assistant Professor & consultant in the Panchakarma dept at a private Ayurveda college. Teaching kinda made me realise how much we ourselves learn by explaining things to others... and watching patients go through their detox journeys—real raw healing—was where I got hooked. Now, with around 6 years of clinical exp in Panchakarma practice, I'm working as an Associate Professor, still in the same dept., still learning, still teaching. I focus a lot on individualised protocols—Ayurveda isn't one-size-fits-all and honestly, that’s what makes it tricky but also beautiful. Right now I’m also doing my PhD, it’s on female infertility—a topic I feel not just academically drawn to but personally invested in, cause I see how complex and layered it gets for many women. Managing that along with academics and patient care isn’t super easy, I won’t lie, but it kinda fuels each other. The classroom work helps my clinical thinking, and my clinical work makes me question things in research more sharply. There's a lot I still wanna explore—especially in how we explain Panchakarma better to newer patients. Many people still think it's just oil massage or some spa thing but the depth is wayyy beyond that. I guess I keep hoping to make that clarity come through—whether it’s in class or during a consult or even during a quick OPD chat.
5
9 reviews

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Aria
7 hours ago
This advice was super helpful! Felt relieved to get a clear plan to work on my digestion without flaring up my pitta issues. Thanks alot!
This advice was super helpful! Felt relieved to get a clear plan to work on my digestion without flaring up my pitta issues. Thanks alot!
Sofia
7 hours ago
Thank you, this really helped clarify things for me. The advice was thorough and easy to follow. Much appreciated!
Thank you, this really helped clarify things for me. The advice was thorough and easy to follow. Much appreciated!
Avery
7 hours ago
Thanks doc, your advice was really detailed and comforting. Cleared up a lot of doubts I had about using Ayurvedic stuff for my liver troubles. Gonna try those tips!
Thanks doc, your advice was really detailed and comforting. Cleared up a lot of doubts I had about using Ayurvedic stuff for my liver troubles. Gonna try those tips!
David
7 hours ago
Thanks for the detailed advice, Dr. Surya! Super helpful to have clear steps to follow. Really appreciate it!
Thanks for the detailed advice, Dr. Surya! Super helpful to have clear steps to follow. Really appreciate it!