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Cardio Disorders
Question #25610
86 days ago
251

How to reduce Right side chest pain. - #25610

Anil

I feel right side chest pain last 3 to 4 days back. It's a dull type pain. I am not injured like any type. I take atleast 2ltr. water per day. Last three years, I am suffering from GOUT problem in my big toe on right side leg also.

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Doctors’ responses

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

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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

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Dr. Manjula
I am a dedicated Ayurveda practitioner with a deep-rooted passion for restoring health through traditional Ayurvedic principles. My clinical approach revolves around understanding the unique constitution (Prakruti) and current imbalance (Vikruti) of each individual. I conduct comprehensive consultations that include Prakruti-Vikruti Pareeksha, tongue examination, and other Ayurvedic diagnostic tools to identify the underlying causes of disease, rather than just addressing symptoms. My primary focus is on balancing the doshas—Vata, Pitta, and Kapha—through individualized treatment plans that include herbal medicines, therapeutic diets, and lifestyle modifications. I believe that healing begins with alignment, and I work closely with my patients to bring the body, mind, and spirit into harmony using personalized, constitution-based interventions. Whether managing chronic conditions or guiding preventive health, I aim to empower patients through Ayurvedic wisdom, offering not just relief but a sustainable path to well-being. My practice is rooted in authenticity, guided by classical Ayurvedic texts and a strong commitment to ethical, patient-centered care. I take pride in helping people achieve long-term health outcomes by integrating ancient knowledge with a modern, practical approach. Through continuous learning and close attention to every detail in diagnosis and treatment, I strive to deliver meaningful, natural, and effective results for all my patients.
86 days ago
5

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.

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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.

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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

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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.

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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.

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Is the pain continoues?? Is it radiating?? Is it associated with any symptoms? Is the pain is triggered by any thing?

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Dr. Hemanshu Mehta
I’m Dr. Hemanshu, a second-year MD scholar specializing in Shalya Tantra (Ayurvedic Surgery), with a focused interest in para-surgical interventions such as Agnikarma, Viddhakarma, and Kshara Karma. My academic and clinical journey is rooted in classical Ayurvedic surgical wisdom, complemented by a modern understanding of patient care and evidence-based approaches. With hands-on training and experience in managing chronic pain conditions, musculoskeletal disorders, hemorrhoids, fistula, and other ano-rectal conditions, I provide treatments that emphasize both relief and long-term wellness. I am deeply committed to offering individualized treatment plans that align with the patient’s prakriti (constitution), disease progression, and lifestyle factors. I believe healing is not limited to procedures alone; it also requires compassion, communication, and continuity of care. That’s why I ensure each patient receives personalized guidance—from diagnosis and therapy to post-treatment care and preventive strategies. I also incorporate Ayurvedic principles like Ahara (diet), Vihara (lifestyle), and Satvavajaya (mental well-being) to promote complete healing and not just symptomatic relief. Whether it's managing complex surgical cases or advising on conservative Ayurvedic therapies, my goal is to restore balance and improve the quality of life through authentic, safe, and holistic care. As I continue to deepen my clinical knowledge and surgical acumen, I remain dedicated to evolving as a well-rounded Ayurvedic practitioner who integrates traditional practices with modern sensibilities.
81 days ago
5

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

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I am Dr. Hemanshu—right now a 2nd year MD scholar in Shalya Tantra, which basically means I’m training deep into the surgical side of Ayurveda. Not just cutting and stitching, btw, but the whole spectrum of para-surgical tools like Agnikarma, Viddhakarma, and Kshara Karma... these aren’t just traditional, they’re super precise when done right. I’m not saying I know everything yet (still learning every day honestly), but I do have solid exposure in handling chronic pain issues, muscle-joint disorders, and anorectal conditions like piles, fissures, fistulas—especially where modern treatments fall short or the patient’s tired of going through loops. During clinical rounds, I’ve seen how even simple Kshara application or well-timed Agnikarma can ease stuff like tennis elbow or planter fasciatis, fast. But more than the technique, I feel the key is figuring what matches the patient’s constitution n lifestyle... like one-size-never-fits-all here. I try to go beyond the complaint—looking into their ahar, sleep, stress levels, digestion, and just how they feel in general. That part gets missed often. I honestly believe healing isn’t just a “procedure done” kind of thing. I try not to rush—spend time on pre-procedure prep, post-care advice, what diet might help the tissue rebuild faster, whether they’re mentally up for it too. And no, I don’t ignore pathology reports either—modern diagnostic tools help me stay grounded while applying ancient methods. It’s not this vs that, it’s both, when needed. My aim, tbh, is to become the kind of Ayurvedic surgeon who doesn't just do the work but understands why that karma or technique is needed at that point in time. Every case teaches me something new, and that curiosity keeps me moving.
5
172 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
784 reviews
Dr. Surya Bhagwati
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
712 reviews
Dr. Atul Painuli
I am Vaidya Atul Painuli, currently working as an Ayurvedic Consultant at Patanjali Chikitsalaya, Delhi... been here a while now. My focus from the start—over 10+ yrs in this field—has been to stay true to what Ayurveda *actually* is, not just surface-level remedies or buzzwords. I’ve treated a wide mix of patients, from people battling chronic illnesses to those just looking to fix their lifestyle before it leads to disease (which is v underrated tbh). During these years, I kinda shaped my practice around the idea that one solution never fits all. Whether it’s diabetes, gut disorders, stress-related problems or hormone issues—everything goes back to the root, the *nidana*. I usually go with classic Ayurvedic meds, but I mix it up with Panchakarma, diet tweaks and daily routine correction, depending on the case. Most of the time, ppl don’t even realize how much their habits are feeding into the problem. It’s not just about herbs or massages... though those are important too. At Patanjali Chikitsalaya, I see patients from literally all walks of life—office-goers, elderly, even young kids sometimes. Everyone’s got something diff going on, which keeps me grounded. What I try to do is not just treat the symptoms but help ppl *see* what’s happening in their bodies and minds. Like Ayurveda says—if your digestion, sleep and emotions are off... then eventually health’s gonna wobble. I don’t promise quick results but I do stay with my patients through the process, adjusting things based on how they respond. That part makes a big difference I think. For me, Ayurveda isn’t a “last resort” kinda thing—it’s a system that can prevent 80% of the lifestyle diseases ppl suffer from today, if done right. My goal? Just to keep doing this in a way that feels real, grounded, and actually helps ppl—not overwhelm them with too much jargon or fear. Just practical, clean, honest healing.
5
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Aria
3 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
3 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
3 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
3 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!