Hello Anil ji, Thank you for sharing your concern. Your dull pain in the right side of chest, along with a history of Gout (Vata-Rakta), suggests a possibility of Vata imbalance affecting multiple sites, including musculoskeletal and possibly digestive systems.
The right-side dull chest pain could be due to: ➡️Muscular strain from Vata imbalance ➡️Gastric irritation pressing on the chest wall
ITS BETTER TO TAKE PHYSICIAN CONSULATION (BOTH ALLOPATHY AND AYURVEDIC FOR EXAMINATION) AND ALSO TO RULE OUT OTHER CONDITIONS
✅ TREATMENT PLAN 1️⃣ Internal Medication 1 Mahavat Vidhwans Rasa 1-0-1 after food ( pacifies Vata relieves chest and joint pain) 2.Punarnavadi Guggulu 2-0-2 (Reduces uric acid, helpful in gout) 3 Dashmoolarishta 15 ml + 15 ml water twice daily ( Anti-inflammatory, good for Vata-predominant pain)
Continue for at least 6–8 weeks.
✅LOCAL APPLICATION
Warm oil massage with Mahanarayan Taila on chest area Followed by hot fomentation with a towel
✅ DIET MODIFICATION ✅ Favour: Warm, soft, cooked food Barley, red rice, moong dal, turmeric Garlic, ginger, methi, coriander Ghee with food Coconut water, buttermilk (daytime only)
❌ Avoid:
High uric acid foods: red meat, mushrooms, rajma, urad dal Alcohol, excessive tea/coffee Cold water, sour-curd, citrus at night Junk food, bakery items
✅ Home Remedies
➡️1 tsp castor oil in warm milk at night – 2 times week (mild laxative & anti-inflammatory)
➡️Use Ajwain + Hing + Saunf tea for gas-related chest pain
Anil ji, your chest pain may be a reflection of internal Vata-Rakta imbalance, not necessarily heart or injury related.
Warm Regards Dr Snehal vidhate
Take avipattikar tablet 1-0-1 after food with water Take tablet Liv-52 1-0-1 after food with water Hingvastak churan 1/2tsp twice after food with warm water Follow up after 1 week
Consult your nearest Ayurved Physician.
Hello, Please visit nearby clinic for physical examination: Till then you can take: 1. Mahadhanvantharam gulika 2—0—2 with cumin tea Take care. Kind Regards.
For Muscular Pain
Warm compress on the right chest 2x/day (not hot pad, just warm cloth)
Gentle stretching: Side stretches, arm rotations
Avoid sleeping on the painful side
🍵 For Digestive Relief
Drink jeera-ajwain-saunf tea after meals to reduce gas/bloating
Avoid fried, spicy, high-fat food
Eat small frequent meals; avoid lying down within 1 hour of eating
🌿 Herbal Aid
Avipattikar Churna – 1 tsp in warm water before dinner (helps with acidity + gout)
Giloy (Guduchi) tablet – 1 tab morning + evening (natural anti-inflammatory + supports liver)
🍽️ Diet for Gout + Chest Discomfort
Avoid:
Red meat, organ meats, excess protein
Tomatoes, brinjal, spinach (trigger uric acid in some)
Sugary drinks, alcohol, bakery foods
Too much tea/coffee
##This is just symptomatic relief, get a chk from physician as well.
Till then start taking1.Arjuna tab.1-0-1 2.Shankh vati 1-0-1
HELLO ANIL,
YOUR SYMPTOMS -right sided dull chest pain -no injury or trauma - present for 3-4 days -history of chronic gout in right big toe(3 years) -water intake= approx 2 L/day
POSSIBLE CAUSES
A) NON-CARDIAC CAUSES (more likely)
MUSCLE STRAIN= minor inflammation of intercostal muscles or chest wall even from bad posture or sleep position
REFERRED PAIN FROM LIVER OR GALLBLADDER= since pain is on right, this could be early liver congestion or gallbladder irritation. common in people with gout(metabolic load)
GASTROINTESTINAL (GERD, GAS)= acidity or bloating can refer pain to the chest. Often dull and worse after meals or lying down
PULMONARY= right lower lung infection, pleurisy-dull but usually accompanied by cough, fatigue or breathlessness
COSTOCHONDRITIS= inflammation at the rib-cartilage junction, pain increases with touch or breathing
B) CARDIAC CAUSE (less likely but must be ruled out) although cardiac pain is usually on the left, in rare cases inferior or posterior heart wall issues can cause atypical right-side pain.
ADVICE= get a physical exam. basic ECG or chest X-RAY if the pain= worsen or spreads, comes with breathlessness or fatigue, is persistent despite rest.
AYURVEDIC PERSPECTIVE Based on your symptoms and history
URAH SHOOLA(chest pain)= mainly vata + pitta, caused by imbalance in wind and fire in thoracic region.
VATA RAKTA(gout)= vata+ rakta dushti, chronic uric acid accumulation leads to systemic inflammation
AGNIMANDYA/AAMA= digestive fire weakness, results in undigested toxins, spreading to joints, chest
TREATMENT GOAL
1) relieves right sided chest pain 2) manage gout 3) improves digestion and metabolism 4) support liver and gut health 5) prevent recurrence
INTERNALLY START WITH
1) YOGARAJ GUGGULU= 2 tabs twice daily after meals with lukewarm water = reduces joint and musculoskeletal pain
2) DASHMOOLA KASHAYA= 20 ml twice daily with equal water before meals = for pain, vata apcification
3) PUNARNAVADI MANDOOR= 1 tab twice daily after meals =liver detox, blood purifier
4) GUDUCHI SATVA= 1 tsp powder with warm water twice daily in morning and night = strengthens immunity, reduces uric acid
5) KAISHOR GUGGULU= 1 tab twice daily after meals = specific for gout, purifies blood
EXTERNAL THERAPIES
1) MAHANARAYAN TAILA MASSAGE= warm oil massage on chest and shoulder area = relieves muscular vata pain
2) STEAM = steam with hot water =open channels improves circulation
3) TURMERIC PASTE= apply mild paste with warm mustard oil = reduces localised inflammation
DIET TO BE FOLLOWED -warm, freshly cooked food - moong dal, rice, ghee -bottle gourd, ridge gourd, pumpkin - barley, wheat, cumin, ginger, garlic -lukewarm water throughout the day
TAKE 1 TSP TURMERIC + 1 PINCH TRIKATU WITH WARM WATER IN MORNING TO REDUCE INFLAMMATION
AVOID STRRICTLY -cold food, stale food -red meat, seafood. alcohol -spinach, mushroom, rajma(high oxalate /purine) - curd, fermented food, pickles - cold water, soda, packed juices
YOGA AND PRANAYAM
-Anulom Vilom= 5-10 min - bhramari= calms vata -bhujangasana= opens chest, good for digestion - matsyasana= improves thoracic circulation - supta baddha konasana= relaxes chest and abdomen
AVOID- intense backbends or twisting postures during acute pain
* IMMEDIATE TIPS TO REDUCE RIGHT SIDE CHEST PAIN 1) WARM COOMPRESS= apply warm water compress or heating pad to the painful area(15-20 min) 2) GENTLE STRETCHING= mild stretching of the chest wall may help if musculoskeletal 3) AVOID HEAVY MEALS OR ACIDIC FOODS= in case it’s related to GERD 4) STAY UPRIGHT AFTER EATING= prevents acid reflux 5) AVOID ALCOHOL OR HIGH PURINE FOODS= prevents acid reflux
SINCE YOU HAVE CHRONIC GOUT AND NOW EXERIENCE NON-INJURY CHEST PAIN, CONSIDER THIS TEST -ECG/CHEST X-RAY - URIC ACID LEVELS - LIVER FUNCTION TEST - ULTRASOUND ABDOMEN - VITAMIN D/B12 LEVELS
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
hello anil, Thanks for sharing I know chest pain can feel scary, especially when it lingers for a few days. Since it’s on the right side, dull in nature, and not linked to any injury or breathing issues, it’s less likely to be heart-related. In many cases like yours, this kind of pain is often linked to musculoskeletal strain, gastric distension, or even liver congestion which can also be influenced by your Gout history and Pitta–Vata imbalance.
In Ayurveda, long-term Gout (Vatarakta) along with poor digestion and Ama formation can lead to inflammation in joints, liver area, and intercostal muscles. If you’re feeling gassy, bloated, or have been eating irregularly, the right chest discomfort could be coming from distended intestines, gallbladder congestion, or even liver sensitivity, especially if Pitta is aggravated. Gout, too, is connected to faulty metabolism and Rakta dusthi, which often reflects through scattered pains or stiffness.
Let’s support your digestion, reduce inflammation, and balance uric acid while easing this chest pain gently.
Prescription
Avipattikar churna – 1 tsp at bedtime with warm water Punarnavadi Guggulu – 1 tab twice daily after food Liv.52 DS – 1 tab twice daily after food Dashamoola Kwath – 15 ml with equal water twice daily before food Warm ajwain water after meals and light dinner before 8 pm
If you have any doubts, you can contact me. Take care, regards, Dr.Karthika.
Dull pain in the right side of the chest could arise from multiple reasons, ranging from musculoskeletal issues, digestive problems, or even stress. Since you’ve experienced gout and considering its inflammatory nature, possibility of a linkage, while indirect, may not be entirely dismissed. In Ayurveda, conditions like these might be associated with an imbalanced Vata dosha, affecting both your joint health and possibly causing muscle tension or discomfort in the chest area.
Considering your water intake, it’s good that you’re hydrating, as sufficient fluids are crucial, especially for managing gout. For your current chest discomfort, a few actionable Ayurvedic strategies might provide relief:
1. Dietary Adjustments: Limit intake of heavy, oily, and excessively spicy foods. Focus on easily digestible meals like kichadi (rice and mung dal) prepared with mild spices, aiding better digestion and reducing any vata imbalance. Try having meals at regular intervals and avoid overeating at night.
2. Herbal Support: Ginger and tulsi (holy basil) might be helpful given their anti-inflammatory properties. You can prepare a tea with equal parts ginger and tulsi, and consume it twice a day, preferably on an empty stomach, to assist your digestion and relieve any chest congestion that might be contributing to the pain.
3. Abhyanga (Oil Massage): Regularly applying warm sesame oil to your chest and upper back can soothe muscle tension. Perform this massage in circular motions for about 10-15 minutes before a warm shower or bath, ideally in the morning.
4. Breathing Exercises: Practice pranayama, particularly Anulom Vilom (alternate nostril breathing), to enhance oxygen flow and calm the nervous system. Do this daily for 5-10 minutes in a seated position.
However, if chest pain persists or worsens, it’s crucial to seek medical evaluation to rule out any serious underlying issues like cardiac or pulmonary concerns. Gout, particularly, should be monitored as recurrent inflammation might complicate if not managed properly with both Ayurvedic and allopathic approaches as necessary. Always consult your healthcare provider for safety.
HELLO ANIL,
Right- sided chest pain-- especially dull and lasting for a few days-can have various causes, including musculoskeletal issues, gas buildup, liver/gallbladder concerns, or even referred pain from gout- related inflammation. Since you’re not injured and have a history of gout, your metabolic and inflammatory profile may be contributing
Right- sided chest pain with no trauma may related to - vata imbalance(dryness, pain, bloating) - Ama(toxins) accumulation - pitta aggravation affecting the liver/gallbladder area
GOUT is typically due to aggravated vata and rakta(blood)
AYURVEDIC REMEDIES AND LIFESTYLE
1) INTERNAL MEDICATIONS
- KAISHOR GUGGULU= 2 tabs twice daily after food for 8 weeks = detoxifier, blood purifier, anti-inflammatory
-CHANDRAPRABHA VATI= 2 tabs twice daily after food for 6-8 weeks =supports kidney, urinary system, uric acid regulation
-PUNARNAVADI MANDOOR= 1 tab twice daily after food for 4-6 weeks = for fluid retention, swelling, digestion
-TRIPHALA CHURNA= 1 tsp with warm water at bedtime = mild detox, improves digestion, reduces toxins
-CASTOR OIL= external use for chest pain =warm slightly and massage gently over the right chest and upper abdomen area before bedtime daily
DIET -AVOID= high purine foods= red meat, sea food, alcohol -minimize sour, fermented, spicy, and oily foods - favor alkaline, cooling, and detoxifying foods - warm water -moong dal - lauki, ridge goud - steamed vegetables -fresh coriander and turmeric
HOME REMEDIES -warm castor oil massage on the chest- light pressure - apply ajwain+ rock salt in a warm compress on the chest - jeera + saunf tea= improves digestion, reduces gas that can cause referred pain
LIFESTYLE -light stretching and walking -early dinner- before 8 pm - avoid cold water, cold weather exposure
THANK YOU
DR. HEMANSHU MEHTA
