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General Medicine
Question #25977
209 days ago
695

I have Vertigo, headache, nerve weakness, Hypothyroidism,Mandagni,High SGOT SGPT RATIO - #25977

Rashmi Ranjan

I have.. Vertigo, headache, nerve weakness,Hypothyroidism, Mandagni, Tinnitus, High SGOT/SGPT RATIO, low serum urea, due to some liver problem... Pulsite Tinnitus can the following diseases can be cure through Panchakarma..... Please help me I am taking ayurvedic medicinebut not so much relief in vertigo and nerve weakness.. And sluggish and drowsines after eating .. Advice me what should I do.... How much will a panchakarma will cost for 1 month... Please help me out

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Hi Rashmi as you told all your issues are based due to The one problem MANDAGNI (Low /Impaired digestive fire) So for all your issue we have to correct this first

*Please what all those Ayurvedic medicines you are taking currently ?

*Please start below given medicines (Mainly focusing Agni deepana[Digestive fire], And Vata Anulomana]

1.Gandharvahasthadi kwatham tablet 2-0-2 before food 2.Gorochanadi gulika 1-0-1after food 3.Thriphala tab 2-0-2 after food 4.Livokot tab 1-0-1 After food

*You can also do Kashaya vasthi(medicated enema) from nearby Ayurvedic treatment center/14days once [For bodily detoxification and Vata correction ] * Shirodhara [with Ksheerabala] for your vertigo and Tinnitus related discomforts

And for more panchakarma please do visit a nearby Ayurvedic treatment center nearby.

*Do’s 3-4litres of water /day More focus on fruits and vegetables Include Sprouted grains Practice yoga and meditation regularly PRANAYAMA regularly

*Don’ts Tea /coffee Oily too salty sour sweet foods Junk foods Carbonated/soft drinks Maida and its products

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Take tablet Liv-52 -DS 1-0-1 after food with water Avipattikar tablet 1-0-1 after food with water Try these medicines and follow up after 1 month Panchkarma is a therapy. Ayurvedic physician will check and let you know what treatment to be done and accordingly the charges will be charged.

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hello Rashmi ranjan, You’re going through multiple symptoms that seem scattered — vertigo, headache, sluggishness after eating, tinnitus, high SGOT/SGPT, low urea, hypothyroidism — but in Ayurveda, they all connect under one root: Vata and Kapha imbalance along with Mandagni (weak digestion) and Yakrit Dushti (liver dysfunction).

Vertigo and nerve weakness happen due to aggravated Vata dosha in the Majja and Vata channels. Tinnitus (ringing in ears), especially pulsatile, is usually a result of Vyana Vata + Udana Vata imbalance along with Majjavaha srotas dushti. Hypothyroidism and sluggishness point to Kapha dominance and Meda dhatu imbalance. Elevated SGOT/SGPT and low urea show your liver (Yakrit) is under stress — it may not be inflamed severely but is certainly showing signs of dysfunction. Drowsiness after meals reflects Mandagni, which makes your digestion sluggish and affects nutrient absorption. Now coming to your question — Can Panchakarma help? Yes, but it must be customized and done in a proper setting. It can help detoxify the liver, balance Vata-Kapha, improve Agni, and strengthen your nervous system.

Prescription (Shamana + Panchakarma Plan) Internal Medicines (for 2 months minimum):

Saraswatarishta – 15 ml with equal water after meals, twice daily Ashwagandha Avaleha – 1 tsp with warm milk at night Brahmi Vati (with gold if possible) – 1 tab at bedtime Liv 52 DS (Himalaya) – 1 tab twice daily after meals Punarnavadi Mandoora – 1 tab twice daily after food (for liver + urea + metabolism) Sutshekhar Ras – 1 tab twice a day before food (for headache, vertigo, Mandagni) Panchakarma Plan (to be done under MD supervision): Snehapana (internal oleation) with Tiktaka Ghrita or Mahatikta Ghrita – 3–5 days Mridu Virechana (mild purgation) – with Trivrit Lehyam or Avipattikar Churna Nasya karma – with Kshirabala Taila 101 – daily for 7–14 days Shirodhara – with Brahmi Taila or Kshirabala Taila – 5–7 sittings Abhyanga and Bashpa Sweda (oil massage and steam) – daily for 7–10 days Basti – 1 course of Matra Basti (Anuvasana with Balashwagandhadi Taila) for nerve nourishment Cost estimate for Panchakarma (1 month): ₹20,000–₹40,000 depending on the center and city. Choose an authentic Ayurvedic hospital or Panchakarma center with MD Ayurveda supervision. You can approach government Ayurveda colleges too — they offer very affordable packages. Diet: Warm, easily digestible food Avoid curd, fried food, processed food, heavy meals at night Include cow’s ghee, methi, amla, bottle gourd, moong soup Avoid long gaps between meals Take warm water after meals with a pinch of dry ginger Investigations (if not done recently): Thyroid Profile (T3, T4, TSH) Liver Function Test (SGPT, SGOT, ALP, GGT) Serum Vitamin B12 and D3 Lipid Profile USG Abdomen CBC & ESR This is not a condition without hope. You can definitely get better with a gradual detox, strengthening therapies, and consistent Rasayana support. You’ve already taken the first step — now just follow this up calmly and consistently.

If you have any doubts, you can contact me. Take care, Regards, Dr.Karthika

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Hi Rashmi this is Dr vinayaka as considering your problem .U have too much of complaints lets cure which is more bothering you like tinnitus and vertigo etc * before going to kriyakalpa you should go with one sitting of VIRECHANA which helps to proper liver metabolism and thyroid problem * Next go with kriyakalpa like KARNA PURANA AND NASYA for vertigo and tinnitus

RX- orally T ksheerabala 101 1-0-1 after food with warm water T chandraprabha vati 1-0-1 after food T manasa mitra vati 0-0-2 after food

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HELLO RASHMI,

I’m sorry you’re going through so many health issues. Based on what you’ve described- vertigo, nerve weakness, hypothyroidism, sluggish digestion(mandagni), pulsatile tinnitus , high SGOT/SGPT ratio, low serum. urea (suggestive of liver dysfunction), and sluggishness post meals you seem to be experiencing a multi system imbalance, possibly involving

1) VERTIGO, TINNITUS, NERVE WEAKNESS -these are primarily vata vyadhi and conditions, often aggravated by vyana vata and prana vata disturbances, sometimes associated with majja dhatu kshaya (depletion of nervous tissue), and srotorodha (obstruction in channels) -Tinnitus= associated with Udana Vata + vyana vata + pitta in auditory pathway -Vertigo = also connected with deranged vata affecting equilibrium and brain function

2) LIVER DYSFUNCTION ( increased SGOT/SGPT), low urea -indicative of pitta dushti, primarily in the Ranjha pitta sub dosha in the liver accumulation of Ama from mandagni may also congest the liver -associated with improper digestion, absorption, and metabolism

3) HYPOTHYROIDISM -usually kapha-vata predominant, affecting medo dhatu and agni. This leads to sluggish metabolism, fatigue, weight gain, dryness, and coldness

4) MANDAGNI+ DRWOSINESS AFTER EATING -this is due to kapha dominant agnimandya and presence of Ama in GI tract -signifies annavaha srotas dushti

PANCHAKARMA ADVISED = STEP BY STEP

PHASE 1 PREPRATORY THERAPIES ( DAYS 1-7)

1) ABHYANGA-whole body massage with Mahanarayan taila =balancing vata, preparing for detox

2) SWEDANA-steam wiith dashmoola kwath nadi sweda = opens channels, relieves stiffness

3) SNEHAPANA= Tiktaka Ghrita =mobilizes deep-seated toxins, supports liver

PHASE 2= MAIN PANCHAKARMA (DAY 8-20)

1) VIRECHANA= trivrit leha = liver cleansing, pitta clearing

2) BASTI-medicated enema= dashmoola kashaya Nirupa basti, and bala Taila anuvasana basti = vata imbalance, nerve weakness, tinnitus

3) NASYA= 5 drops of shadbindu taila in each nostril = vertigo, tinnitus, prana vata balance

4) SHIRODHARA =ksheerabala taila =vertigo insomnia, stress, tinnitus

5) TAKRADHARA= buttermilk = if pitta heat is high and drowsiness is intense

INTERNAL MEDICATIONS

1) AGNI DEEPANA AND AMA PACHANA(first 15 days) -TRIKATU CHURNA= 1/2 tsp with warm water or buttermilk before lunch and dinner =boosts digestion, cleans toxins, energizes metabolism, reduce post - meal sluggishness

-AROGYAVARDHINI VATI= 1 tab twice daily after meals = liver detox, clears skin, regulates pitta, helps hypothyroidism indirectly

2) NERVE STRENGTHENING + VERTIGO/TINNITUS(ONGOING)

-ASHWAGANDHA CHURNA= 1 tsp with warm milk after meals =nervine tonic, reduces vata, helps hypothyroidism, balances stress and sleep

-SARAWATARISHTA= 10 ml + water twice daily =espeiallyhelpful in mental fog , tinnitus, or memory issues are high

3) THYROID SUPPORT

-KANCHANAR GUGGULU= 2 tabs twice daily after meals

4) TO DETOXIFY GI TRACT

-SHANKHA VATI= 1 tab before meals with warm water

DIET -warm ,moist, and spiced foods - khichdi, vegetables soup, moong dal - steamed vegetables- pumpkin, ash gourd, bottle gourd - buttermilk with roasted cumin and rock salt - ghee 1 tsp/day, helps vata pitta balance - herbal teas= ginger, cumin-coriander- fennel tea

AVOID -cold foods, drinks, curd at night - bakery, fast foods, sour/spicy, oily food - reheated or packaged foods - heavy legumes rajma, chana -caffeine and carbonated drinks

YOGA AND LIFESTYLE

-Bhramari Pranayam= tinnitus, anxiety, prana-vata balance -Anulom Vilom= strengthens nervous system, thyroid support

-YOGS ASANA= viparita karani, shavasana, balasana= calms CNS, support thyroid, improve balance

-DAILY self oil masage= improves nerves and joint strength

-Sleep by 10 pm =supports liver and hormonal cycle

-WALK 30 mins daily after meals = it aids digestion and metabolism

BEST PANCHAKARMA CENTRES -Arya Vaidya sala kottakal= kerala - vaidyaratnam healing village= coimbatore - SDM ayurveda college = udupi -Patanjani panchakarma centre -Kaivalyadhama, Lonavala

COST APPROXIMATELY

-Panchakarma procedure- 1 month= 20,000- 30,000/-

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Hi Rashmi ,cost of panchakarma treatments varies with location but effective treatments available for tinnitus,heaadache . Please check the status of your liver as elevated liver enzymes Avoid fatty fried creamy items, Drink corriander crushed water kept over night and consume on empty stomach Take drakshadi kashayam 15ml dilute with 45ml Luke warm water before food twice daily Lift tablet 1-1-1after food Aswangadha tab 1-0-1 afterfood Liv 52 1-1-1 afterfood Arogyavardhini vati 1-0-1 afterfood Hinguvachadi gulika 1-0-1 afterfood. Stay hydrated Take carrot beetroot juices vit c rich fruits and vegetables Reduce redmeats,tuberouse foods Thankyou

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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.
208 days ago
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The best option for you is panchakarma therapy Without any doubt you can go for panchakarma therapy

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Addressing the combination of symptoms you’re experiencing—vertigo, headaches, nerve weakness, hypothyroidism, digestive sluggishness (mandagni), as well as liver enzyme issues—requires a focused, multi-faceted Ayurvedic approach. Panchakarma could indeed be beneficial as it aims to detoxify and balance the doshas, particularly if Vata is aggravated, which might contribute to nerve issues, vertigo, and headaches.

First, due to the complex nature of your symptoms and their potential linkage to liver function and Ayurveda’s systemic approach, it would be wise to obtain a detailed Prakriti and Vikriti analysis from a qualified Ayurvedic practitioner. This will determine the precise state of your doshas and dhatus and guide a personalized treatment plan.

For the dietary and lifestyle aspect, focus on a Vata-pacifying diet to mitigate vertigo and nerve-related symptoms. This includes warm, grounding foods like stews, soups, well-cooked grains (preferably rice or quinoa), and oils such as sesame and ghee. Avoid cold, light, dry foods and stimulants like caffeine which can aggravate Vata. Regular meals and moderate exercise like yoga can help stabilize Vata as well.

Incorporating herbs like Ashwagandha can support nerve strength and balance Vata, while Shankhapushpi may aid in soothing headaches. Triphala may be beneficial for liver function and mandagni by enhancing digestion.

About the cost of Panchakarma, it’s important to contact clinics directly as the cost varies significantly based on location, the procedures included, and individual needs. The sessions range anywhere from $1000 to $3000 or more for a comprehensive month-long treatment in some places.

Lastly, closely monitor your symptoms and liver function under the guidance of both a medical physician and your Ayurvedic practitioner, especially since high SGOT/SGPT and low serum urea signify liver concerns. Keep their advice in tandem, ensuring safety and effectiveness in your treatment approach.

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I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.
5
692 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
1101 reviews
Dr. Anjali Sehrawat
I am Dr. Anjali Sehrawat. Graduated BAMS from National College of Ayurveda & Hospital, Barwala (Hisar) in 2023—and right now I'm doing my residency, learning a lot everyday under senior clinicians who’ve been in the field way longer than me. It’s kind of intense but also really grounding. Like, it makes you pause before assuming anything about a patient. During my UG and clinical rotations, I got good hands-on exposure... not just in diagnosing through Ayurvedic nidan but also understanding where and when Allopathic tools (like lab reports or acute interventions) help fill the gap. I really believe that if you *actually* want to heal someone, you gotta see the whole picture—Ayurveda gives you that depth, but you also need to know when modern input is useful, right? I’m more interested in chronic & lifestyle disorders—stuff like metabolic imbalances, stress-linked issues, digestive problems that linger and slowly pull energy down. I don’t rush into giving churnas or kashayams just bcz the texts say so... I try to see what fits the patient’s prakriti, daily habits, emotional pattern etc. It’s not textbook-perfect every time, but that’s where the real skill grows I guess. I do a lot of thinking abt cause vs symptom—sometimes it's not the problem you see that actually needs solving first. What I care about most is making sure the treatment is safe, ethical, practical, and honest. No overpromising, no pushing meds that don’t fit. And I’m always reading or discussing sth—old Samhitas or recent journals, depends what the case demands. My goal really is to build a practice where people feel seen & understood, not just “managed.” That's where healing actually begins, right?
5
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