Feeling Persistent Fatigue from last 2 months - #26086

Did you had any H/o fever?? Have you repeated CBC before?? Have you done peripheral smear? How much WBC count?? And HB? N Wats your age ??

Don’t worry Suraj, Start taking1.Ashwagandha choorna 1tsf with lukewarm milk twice in a day 2.Giloyghanvati 1-0-1 And daily start eating chayawanprashavleh with cow milk… Follow up after 45 days…

Hello dear,

Feeling constant tiredness and finding even simple walking exhausting this is your body telling you it’s running low on reserves. And your low platelet count (103) from today’s CBC confirms that your Rakta dhatu (blood tissue) is depleted, which directly leads to fatigue, breathlessness, low immunity, dull skin, and even hair fall in some cases.

Ayurvedically, this condition is known as Rakta kshaya or Oja kshaya where your blood quality and vitality (ojas) are reduced. If not corrected now, it can start affecting your immunity, sleep, digestion, and even mood. The platelet drop could be due to recent viral illness, nutritional deficiency (especially Iron, B12, Folate), or internal inflammation.

Internal Ayurvedic Medicines (for 6 weeks minimum)

Punarnavadi Mandoor – 1 tablet twice daily after meals Draksharishta – 20 ml + 20 ml warm water after lunch and dinner Kumaryasava – 15 ml + 15 ml water twice daily after food Amalaki Rasayana – 1 tsp at bedtime with warm water Ashwagandha Churna – ½ tsp with warm milk at night

External Care

Daily self-abhyanga (oil massage) with Bala Taila or Narayana Taila – especially legs, arms, spine Warm water bath after that 15 minutes morning sunlight daily

Diet Plan Must Eat:

Soaked black raisins (7) + 1 date + 5 almonds every morning Beetroot, pomegranate, apples, figs Moong dal khichdi with ghee Cow milk with turmeric or dates Green moong sprouts (lightly cooked)

Avoid:

Curd, sour food, fried food, stale food Cold water, iced drinks Skipping meals or late-night eating

Lifestyle Tips Sleep before 10.30 pm, don’t overstimulate with screen at night Deep breathing (Anulom Vilom) for 10 mins morning and evening No heavy workouts – do gentle stretching, slow walks only

Investigations to Do Immediately Serum Ferritin Vitamin B12 Folate CRP Reticulocyte Count LDH Peripheral Smear (for platelet morphology) Dengue / Typhoid serology if any past fever episode

You can and will recover your strength — but first, you must rebuild your blood and core vitality. Ayurveda helps you do that gently but deeply, without suppressing anything. Listen to your body, follow the path step by step, and the energy will return.

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

HELLO SURAJ,

You’re feeling tired all the Time, even without doing much work- this is called persistent fatigue.

Along with this, your platelet count is low(103, normal is 150-410). platelets are small parts of your blood that help with clotting(stopping bleeding). When your platelets are low, it can lead to -tiredness -easy bruising or bleeding -feeling weak after even small effort -sometimes, low immunity

In Ayurveda, this can be related to “Rakta dhatu kshaya”(depletion of blood tissue), “ojakshaya” (loss of energy/ immunity) and Agni Mandya (weak digestion and metabolism)

LOW PLATELET COUNT CAN RESULT FROM MANY CAUSES -viral infections(dengue, EBV, hepatitis etc) -autoimmune conditions - bone marrow suppression - vitamin b12 or folate deficiency -chronic liver or spleen issues - certain medications

-REPEAT CBC WITH PERIPHERAL SMEAR -LIVER FUNCTION TEST - VITAMIN B12, FOLATE LEVELS - ULTRASOUND ABDOMEN-for liver/spleen enlargement -ESR/CRP

TREATMENT GOAL -increase platelet count -restores energy -improve digestion - rebuild blood - support liver and spleen

INTERNALLY START TAKING

1) GUDUCHI SATVA= 500mg twice daily with water after meals =immunity booster, supports platelet production

2) PUNARNAVA MANDUR= 2 tabs twice daily after meals with lukewarm water = improves liver, kidney function, fights fatigue

3) ASHWAGANDHA CHURNA= 1 tsp with warm milk at bedtime = builds strength, reduces fatigue, rejuvinates

4) DRAKSHARISHTA= 15ml + 15ml water twice daily after meals =improves energy, digestion, builds blood

5) PAPAYA LEAF EXTRACT= 1 capsule twice daily =clinically shown to raise platelet count in viral thrombocytopenia

6) CHYAWANPRASHA= 1 tsp daily on empty stomach in morning =rejuvinates all tissues, improves immunity

DIET FOR LOW PLATELET AND FATIGUE

The key is to eat food that is -easy to digest -rich in iron, vitamin c, and natural nutrients -builds rakta dhatu and Ojas

INCLUDE -pomegrante, beetroot, carrots - dates, raisins, figs=soaked overnight - cow’s milk with turmeric or ashwagandha - Drumsticks, green leafy vegetables= well cooked -whole grains= rice, wheat, and millets -cow’s ghee- 1 tsp daily -seasonal fruits like papaya, mango, apple, orange -buttermilk with rock salt and roasted cumin

AVOID -junk food, fried food, processed food - sour and spicy food in excess - cold drinks, iced water - curd at night -excess tea/coffee

YOGA AND LIFESTYLE TO FOLLOW

Wake up by 6Am= aligns with natures rhythm, improves immunity

Drink warm water= flushes out toxins

Oil massage=3-4 times/week= use sesame oil for strength and circulation

Mild sun exposure= boosts vitamin D and energy

Eat fresh, warm meals at regular times= keeps digestion strong

Sleep by 10 pm= deep healing during 10 pm- 2 am

YOGA ASANA(hold each 20-30 sec) -tadasana= improves posture and breathing -vrikshasana= enhances balance and immunity - bhujangasana= boosts digestion and spine energy - Setu Bandhasana= improves blood circulation -suryanamaskar= 6 rounds

PRANAYAM(5-10minutes daily) -anulom vilom= balances energy, removes toxins -bhramari= relieves fatigue and mental stress - nadi sodhana= cleanses energy channels

HOME REMEDIES= VERY EFFECTIVE

1) PAPAYA LEAF JUICE= 2 tsp twice daily fresh juice =support platelet count

2) POMERANATE JUICE= 1 glass daily =builds blood

3) AMLA JUICE OR CHURNA = 1 tsp daily with honey =vitamin c + antioxidants

4) DATES WITH MILK= soak 2-3 dates overnight, have with warm milk =energy and iron support

5) BLACK SESAME SEEDS= 1 tsp soaked chewed daily =builds strength and blood

FOLLOW UP -repeat CBC every 20 - 30 days

This looks like a case of chronic fatigue with possible thrombocytopenia , this will be cured easily follow this consistently

After symptoms relief

start shilajit resin(purified)= 250mg with milk in morning

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

1) Tab. Manasamitra Vati-2 tab.after food 2 times with ghee 2) Ashwagandharishta + Sarsvatarish- After food 2 times with Water

Yoga Therapy Shavasana Pavanamuktasana Pranayama Anuloma-Viloma, Other: Meditaion, Yoga nidra, Om mantra chanting

Diet and Lifestyle Pathya Gentle squeezing of body parts. Drink a glass of cow’s milk before going to bed. Listen to Melodious Music. Drink Warm Milk. Do some physical exercise during the day. Keep Your Bed a Place for Sleep.

Hi Suraj This is Dr Vinayak as considering your problem… Improvement in rasa and rakta dhatu is must for you Rx-Agnitundi vati 1-0-1 before food Narasimha rasayana 1tsp 1hr before breakfast with milk T.arogyavardini vati 1-0-1after food

Persistent fatigue and a low platelet count can indeed be concerning. In Ayurveda, fatigue is often linked to an imbalance in the doshas, particularly Vata dosha, and may also be affected by Agni (digestive fire) issues or improper nourishment of dhatus (tissues).

First, understanding your diet and lifestyle would be essential. Consider incorporating a diet that rejuvenates and calms Vata. Warm, nourishing foods like soups, stews, and porridges can be beneficial. Include ghee in your diet as it helps in nurturing tissues. Avoid cold and dry foods, which can aggravate Vata. Spices like ginger and cumin can enhance digestion and allow better nutrient assimilation.

Rest and sleep play crucial roles in addressing fatigue. Ensure you are getting adequate, sound sleep, ideally going to bed by 10 PM as the body’s natural rhythms support restorative sleep during these hours. Also, moderate activity is encouraged. Gentle yoga or walking in the early morning can help balance energy levels without overexertion.

Ashwagandha is a potent adaptogen in Ayurveda known to enhance energy levels and improve overall vitality. Taking Ashwagandha powder with warm milk, once or twice a day, can be particularly nourishing.

It’s importnt to understand the signs your body is giving. Your low platelet count needs attention from a medical professional beyond lifestyle changes. Don’t delay seeking further medical evaluation to understand the underlying cause and get appropriate treatment. Additionally, keep hydrating well with fluids like warm water or herbal teas, as dehydration can also contribute to fatigue.

Conduct regular monitoring of your blood parameters while discussing with your healthcare provider any significant changes. Aligning modern medical assessments with Ayurvedic principles can offer a holistic approach in managing and understanding your condition better.

Persistent fatigue along with a low platelet count can be indicative of an underlying issue that needs immediate medical attention. The drop in platelet count, known as thrombocytopenia, requires thorough investigation by a qualified healthcare provider to determine the exact cause. It’s essential to address these changes with your primary caregiver or a hematologist to rule out any serious medical conditions.

From a Siddha-Ayurvedic perspective, fatigue might also relate to an imbalance in your doshas, particularly an excess of vata dosha, which governs movement and can cause fatigue when imbalanced. Supporting your agni or digestive fire is also crucial. You can start by consuming warm, nurturing meals that are easy to digest, avoiding heavy, oily, and processed foods that could dampen agni.

Incorporate a routine of adequate rest, ensuring you have regular and consistent sleep schedules. Engage in gentle, restorative activities like yoga or pranayama (breathing exercises) to help balance vata and restore energy levels. Also, consider herbs like Ashwagandha (Withania somnifera) known for its rejuvenating properties, but consult with a trained Ayurvedic practitioner for precise dosage.

Remember, while these measures can aid in reducing fatigue, they should not replace conventional medical evaluations for your blood count issues. Prioritize addressing the immediate medical concerns with your healthcare provider as soon as possible.