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My small intestine not distributing nutrients
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General Medicine
Question #25349
111 days ago
218

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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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
109 days ago
5

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 a Senior Ayurveda Physician with more than 28 years in this field — and trust me, it still surprises me how much there is to learn every single day. Over these years, I’ve had the chance to treat over 1 lakh patients (probably more by now honestly), both through in-person consults and online. Some come in with a mild cough, others with conditions no one’s been able to figure out for years. Each case brings its own rhythm, and that’s where real Ayurveda begins. I still rely deeply on classical tools — *Nadi Pariksha*, *Roga-Rogi Pariksha*, proper *prakriti-vikriti* mapping — not just ticking symptoms into a list. I don’t believe in ready-made cures or generic charts. Diagnosis needs attention. I look at how the disease behaves *inside* that specific person, which doshas are triggering what, and where the imbalance actually started (hint: it’s usually not where the pain is). Over the years I’ve worked with pretty much all age groups and all kinds of health challenges — from digestive upsets & fevers to chronic, autoimmune, hormonal, metabolic and degenerative disorders. Arthritis, diabetes, PCOD, asthma, thyroid... but also things like unexplained fatigue or joint swelling that comes and goes randomly. Many of my patients had already “tried everything else” before they walked into Ayurveda, and watching their systems respond slowly—but surely—is something I don’t take lightly. My line of treatment usually combines herbal formulations (classical ones, not trendy ones), Panchakarma detox when needed, and realistic dietary and lifestyle corrections. Long-term healing needs long-term clarity — not just short bursts of symptom relief. And honestly, I tell patients that too. I also believe patient education isn’t optional. I explain things. Why we’re doing virechana, why the oil changed mid-protocol, why we pause or shift the meds after a few weeks. I want people to feel involved, not confused. Ayurveda works best when the patient is part of the process, not just receiving instructions. Even now I keep learning — through texts, talks, patient follow-ups, sometimes even mistakes that taught me what not to do. And I’m still committed, still fully into it. Because for me, this isn’t just a job. It’s a lifelong responsibility — to restore balance, protect *ojas*, and help each person live in tune with themselves. That’s the real goal.
5
825 reviews
Dr. Prasad Pentakota
I am Dr. P. Prasad, and I’ve been in this field for 20+ years now, working kinda across the board—General Medicine, Neurology, Dermatology, Cardiology—you name it. Didn’t start out thinking I’d end up spanning that wide, but over time, each area sort of pulled me in deeper. And honestly, I like that mix. It lets me look at a patient not just through one lens but a whole system-wide view... makes more sense when treating something that won’t fit neatly in one category. I’ve handled everything from day-to-day stuff like hypertension, diabetes, or skin infections to more serious neuro and cardiac problems. Some cases are quick—diagnose, treat, done. Others take time, repeated check-ins, figuring out what’s really going on beneath those usual symptoms. And that’s where the detail matters. I’m pretty big on thorough diagnosis and patient education—because half the problem is ppl just not knowing what’s happening inside their own body. What’s changed for me over years isn’t just knowledge, it’s how much I lean on listening. If you miss what someone didn’t say, you might also miss their actual illness. And idk, after seeing it play out so many times, I do believe combining updated medical practice with basic empathy really shifts outcomes. Doesn’t have to be complicated... it just has to be consistent. I keep up with research too—new drugs, diagnostics, cross-specialty updates etc., not because it’s trendy, but cuz it’s necessary. Patients come in better read now than ever. You can’t afford to fall behind. The end goal’s the same tho—help them heal right, not just fast. Ethical practice, evidence-based, and sometimes just being there to explain what’s going on. That’s what I stick to.
5
511 reviews
Dr. Vinayak Kamble
I am about 1 year into my practice journey n honestly that feels both small n big at the same time. When I first started, I wasn’t sure how quickly I could adjust from academic space into real clinical care, but gradually with each patient I learnt something more. My main focus is on pain management—conditions like knee joint pain, sciatica, lumbar back ache, spondylitis, tennis elbow, golfer elbow, frozen shoulder, heel pain etc. I try to combine careful diagnosis with treatments rooted in Ayurveda yet explained in practical way so patients don’t feel lost. Sometimes progress is slow, sometimes quick, but always there is learning in it. During this year I also kept my dedication toward research and evidence-based approach. I worked on presenting ideas and papers in academic forums whenever I got chance, and even managed to publish in journals that value Ayurveda in modern context. That gave me confidence that my small contributions can add to bigger discussions in medical field. In my postgraduate study I had finished Medicine with top score in my batch, which felt rewarding but also left me with responsibility to keep proving that I deserve that position. Honestly, academic achievements are good but real test is when someone walks in pain and goes back with relief, even if just partial at first. Sometimes patients expect instant cure, n that is where I try to keep balance—explaining how pain relief in conditions like frozen shoulder or spondylitis may take staged approach, while also keeping them hopeful. Ayurveda gives a framework but patient trust makes the treatment effective. One year is not a long time but it has been enough to show me the value of consistency, clarity and listening more than talking. My aim is not just treating pain but helping people understand their body better, manage lifestyle triggers, and feel supported in the journey of healing!!
5
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