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My small intestine not distributing nutrients
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General Medicine
Question #25349
131 days ago
256

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.
130 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 an Ayurvedic physician with around 7 yrs clinical experience, though honestly—feels like I’ve lived double that in patient hours. I studied from a govt. medical college (reputed one) where I got deep into classical Ayurvedic texts n clinical logic. I treat everything from chronic stuff like arthritis, IBS, eczema... to more sudden conditions that just pop up outta nowhere. I try to approach each case by digging into the *why*, not just the *what*. I mean—anyone can treat pain, but if you don’t catch the doshic imbalance or metabolic root, it just comes bak right? I use Nadi Pariksha a lot, but also other classical signs to map prakriti-vikruti, dhatu status n agni condition... you know the drill. I like making people *understand* their own health too. Doesn’t make sense to hand meds without giving them tools to prevent a relapse. My Panchakarma training’s been a core part of my work. I do Abhyanga, Swedana, Basti etc regularly—not just detox but also as restorative therapy. Actually seen cases where patients came in exhausted, foggy... and post-Shodhana, they're just lit up. That part never gets old. Also I always tie diet & lifestyle changes into treatment. It’s non-negotiable for me, bcs long-term balance needs daily changes, not just clinic visits. I like using classical formulations but I stay practical too—if someone's not ready for full-scale protocol, I try building smaller habits. I believe healing’s not just abt treating symptoms—it’s abt helping the body reset, then stay there. I’m constantly refining what I do, trying to blend timeless Ayurvedic theory with real-time practical needs of today’s patients. Doesn’t always go perfect lol, but most times we see real shifts. That’s what keeps me going.
5
121 reviews
Dr. Ayush Bansal
I am an Ayurveda doctor with about 1 yr of hands on clinical practice, still learning everyday from patients and the science itself. My journey started as a VOPD doctor with Hiims Hospital under Jeena Sikho Lifecare Ltd. For 6 months I was into virtual consultations, understanding cases online, preparing treatment protocols and doing follow ups to track progress. That phase trained me well in quick patient assesment and also in explaining Ayurveda in a way that fit with modern expectations. I dealt with many chronic and acute cases during that time.. things like gastric issues, joint pain, stress related complaints, skin problems. The remote setting forced me to sharpen my diagnostic skill and rely more on careful history taking, prakriti analysis, and lifestyle understanding. After that, I moved to a Resident Doctor role at Chauhan Ayurved and Panchkarma Hospital, Udaipur. This was very different.. more practical, hands on, and really grounded me in classical Panchakarma. I was actively part of planning and performing therapies like Vamana, Virechana, Basti, Abhyanga, Shirodhara, and other detox and rejuvenation procedures. Many patients came with long standing spine issues, metabolic disorders, skin complaints, or hormonal imbalance and I got to see how tailored Panchakarma protocols and lifestyle advice together can bring changes that medicines alone couldn’t. Working closely with senior consultants gave me better clarity on safety, step by step planning and how to balance classical texts with practical hospital settings. Now, whether in OPD consultations or Panchkarma wards, I try to meet patients with empathy and patience. I focus on root cause correction, using herbs, diet, daily routine guidance, and therapy whenever needed. My belief is that Ayurveda should be accessible and authentic, not complicated or intimidating. My aim is simple—help people move towards long term wellness, not just temporary relief. I see health as balance of body, mind and routine.. and I want my practice to guide patients gently into that space.
5
165 reviews
Dr. Anupriya
I am an Ayurvedic doctor trained at one of the most reputed institutes (yeah, the kind that makes u sweat but also feel proud lol) where I completed my BAMS with 70%—not just numbers but real grind behind it. My focus during & after graduation has always been on treating the patient not just the disease, and honestly that philosophy keeps guiding me even now. I usually see anywhere around 50 to 60 patients a day, sometimes more if there's a health camp or local rush. It’s hectic, but I kinda thrive in that rhythm. What matters to me is not the number but going deep into each case—reading every complaint, understanding symptoms, prakriti, current state, season changes etc. and putting together a treatment that feels “right” for that person, not just for the condition. Like, I don’t do one-size-fits-all plans. I sit down, make case reports (yup, proper handwritten notes sometimes), observe small shifts, modify herbs, suggest diet tweaks, even plan rest patterns when needed. I find that holistic angle super powerful. And patients feel it too—some who come in dull n restless, over weeks show clarity, skin settles, energy kinda gets back... that makes the day worth it tbh. There’s no shortcut to trust, and i get that. Maybe that’s why patients keep referring their siblings or maa-papa too. Not bragging, but when people say things like “you actually listened” or “I felt heard”, it stays in the back of my mind even when I’m dog tired lol. My goal? Just to keep learning, treating honestly and evolving as per what each new case teaches me. Ayurveda isn’t static—it grows with u if u let it. I guess I’m just walking that path, one custom plan at a time.
5
326 reviews
Dr. Narendrakumar V Mishra
I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.
5
1048 reviews

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