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Atopic Dermatitis in infants - How it occurs and Permanent cure
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Allergic Disorders
Question #26093
23 days ago
130

Atopic Dermatitis in infants - How it occurs and Permanent cure - #26093

Rohit

My baby, who is under 1 year old and exclusively breastfed, has been showing signs of Atopic Dermatitis — including red, itchy, dry patches on the cheeks and body. I am trying to understand what exactly causes or triggers this condition in infants who are only consuming breast milk. Could allergens in my diet, such as dairy, eggs, or nuts, be passing through the breast milk and triggering a reaction? What environmental factors should I be cautious of, such as fabrics, temperature, bathing practices, or household products? What are the safest and most effective treatment options for infants at this young age that do not involve long-term steroid use or medications with potential side effects? Are there natural or Ayurvedic remedies proven to help? Is it possible to manage or completely cure Atopic Dermatitis through skin care, breastfeeding modifications, or maternal diet alone? I am also looking for lifelong strategies — what precautions should we take to prevent flare-ups as the baby grows? Could this condition indicate future allergies or asthma? Ultimately, is there any way to achieve a full cure or long-term remission of Atopic Dermatitis without compromising the baby’s skin health and immune development?

Age: 37
Chronic illnesses: Atopic Dermatitis
300 INR (~3.51 USD)
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Doctors’ responses

Apply karanj oil on affected area Avoid wrong combination of food like milk with salty foods/ nonveg food/ citrus fruits,as you are breastfeeding.

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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.
18 days ago
5

HELLO ROHIT,

Atopic dermatitis, also known as eczema, is a chronic inflammatory skin condition that often begins in infancy. It’s understandable that your are looking for safe long term and natural solutions for your baby, especially since he is under 1 year old and exclusively breastfed

WHAT CAUSES ATOPIC DERMATITIS IN INFANTS Atopic dermatitis is multifactorial -a combination of genetic, immune and environmental influences

POSSIBLE TRIGGERS IN AN EXCLUSIVELY BREASTFED INFANTS

1) MATERNAL DIET ALLERGENS -proteins from cow’s milk, eggs, peanuts, soy, or wheat can pass into breast milk and triggers flare ups -consider an elimination diet under nutritional or paediatric supervision

2) GENETIC PREDISPOSITION -family history of eczema, asthma or allergies increases risk

3) IMMATURE SKIN BARRIER -infants have thinner, more sensitive skin with reduced barrier function, making them more vulnerable to irritants and allergens

ENVIRONMENTAL AND LIFESTYLE TRIGGERS TO WATCH

FABRICS= use soft, breathable cotton. Avoid wool, polyester, or tight clothing.

TEMPERATURE= avoid overheating or sudden temperature changes. Use humidifiers in dry weather.

BATHING= use lukewarm water. Keep baths short(5-10 mins). Avoid soaps; use fragrance-free, pH - balanced cleansers

HOUSEHOLD PRODUCTS= switch to fragrance-free, dye- free laundry detergents and cleaning products

DUST, MITES, PETS= maintain dust-free, pet - hair- free rooms if possible. Use HEPA filters

SAFE AND EFFECTIVE TREATMENT OPTIONS

CONVENTIONAL PEDIATRIC DERMATOLOGY CARE

1) MOISTURIZATION(cornerstone treatment) -apply thick, fragrance free emollients multiple times daily -ointments like Vaseline, aquaphor, or prescription barrier creams are effective

2) ANTI INFLAMMATORY CARE - only when necessary -Low potency topical steroids (like 1% hydrocortisone) are safe for sort term use under paediatric guidance -Steroid-sparing agents like calcineurin inhibitors (eg tacrolimus) may be used sparingly in older children but not recommended in infants

3) WET WRAP THERAPY -useful for severe flares= moisture, wrap the area in damp cotton, and then dry cotton to lock moisture in.

NATURAL AND AYURVEDICAPPROACHES

EVIDENCE- INFORMED AYURVEDIC REMEDIES

TOPICAL -ELADI TAILA OR KUMKUMADI TAILA= cooling and moisturising may soothe inflammation -NEEM OIL OR ALOE VERA GEL= natural anti inflammatory- test a small patch before applying widely

INTERNAL (FOR LACTATING MOTHER ONLY) -triphala, manjistha, and guduchi to purify blood and reduce allergic tendencies

DIETARY ADJUSTMENTS(for mother) -avoid known allergens, especially cow’s milk, spicy and fermented foods -include turmeric, flax seeds, ghee and cooling herbs in the maternal diet

BREASTFEEDING MODIFICATIONS -try an elimination diet for 2-4 weeks- starting with dairy -reintroduce foods one at a time to monitor effects -consider maternal probiotics- some evidence suggests they may help reduce allergic conditions in infants

LIFELONG STRATERGIES TO PREVENT FLARE-UPS

CONSISTENT MOISTURIZATION= maintains barrier function, reducing flare frequency

TRIGGER AVOIDANCE= identify and avoid environmental, dietary, and chemical triggers

EARLY ALLERGEN MANAGEMENT= slow, guided introduction of solids may reduce later allergies

SKIN FRIENDLY HYGIENE= gentle, minimalist skincare routines for life

PROBIOTICS (for baby and mother)= May support immune modulation and gut health

REGULAR DERMATOLOGIC MONITORING= track progression and modify care accordingly

CAN IT INDICATE FUTURE ALLERGIES OR ASTHMA? yes, Atopic dermatitis is often part of the atopic march , which can include -food allergies -asthma-allergic rhinits

Not all children with AD will go on to develop these, but risk is higher. early management and allergen avoidance can reduce severity or delay onset.

IS THERE A PERMENENT CURE? -no guaranteed permanent cure, but many children outgrow or see reduced severity by age 3-5 .

Long-term remission is possible with -consistent skin care -dietary management -trigger avoidance -strengthening immunity - natural and medical approaches

-Atopic Dermatitis is manageable, especially in infancy with early intervention -Avoid over reliance on steroids- focus on barrier care, natural anti-inflammatory support and elimination of triggers -document flares, food exposures, and environmental conditions- a dairy helps in identifying patterns

THANK YOU

DR. HEMANSHU MEHTA

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WH 5oint for local application. You should Follow diet restrictions. Avoid spicy, oily and processed food. Increase intake of raw vegetables and fruits.

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Please consult nearby ayurvedic practitioner for better treatment

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Hello Rohit ,

I truly understand your concern. As a father, it’s deeply upsetting to see your little one struggle, especially when they’re just beginning life and are so dependent on you. You’ve done the right thing by observing closely and asking the right questions and I want to gently assure you that atopic dermatitis in infants is manageable, and in many cases, it improves completely as the baby grows.

Even in an exclusively breastfed baby, certain allergens or inflammatory triggers from the mother’s diet can subtly pass through breast milk. Foods like cow’s milk, eggs, nuts (especially peanuts and cashews), tomatoes, fermented food, and wheat can sometimes contribute to skin flare-ups. These do not cause harm in all babies, but in sensitive ones, they can aggravate underlying imbalances, especially if there’s a strong family history of allergies or asthma.

In Ayurveda, we see this condition as a Pitta-Vata imbalance along with Rasa dhatu dusti meaning the baby’s skin and tissues are sensitive, reactive, and undernourished at a subtle level. The good news is that with simple daily care, conscious maternal diet, and gentle natural remedies, flare-ups can be reduced significantly and your baby’s immunity and skin strength will improve over time.

Here’s what you can follow right now, step-by-step:

External Care (Safe and Non-steroid)

Oil massage: Use Eladi Taila or Kumari Taila mixed with cold-pressed coconut oil. Warm gently and apply softly on affected areas twice daily, especially before a bath. Avoid if skin is red or oozing.

Bath water: Add Triphala decoction or a few Neem leaves to warm bath water. Avoid using soap altogether or use only natural baby ubtan powders.

After bath: If skin is dry, dust lightly with Yashtimadhu + Lodhra powder. Keep the baby well-moisturized.

Clothes: Use only 100% cotton. Wash baby’s clothes with plain, fragrance-free soap or mild baby detergent. Always double rinse.

Avoid overheating: Dress lightly and avoid wool or fleece directly on the skin.

Maternal Diet Correction (Since the Baby is Breastfed)

Avoid for at least 3 weeks (reintroduce slowly):

Cow’s milk, paneer, ghee, curd Eggs, peanuts, cashews, walnuts Tomatoes, brinjal, spinach Bakery items, sugar, fried snacks Fermented foods

Include:

Warm meals: moong dal, rice, lauki, pumpkin Dry ginger, fennel, coriander in moderation Soaked almonds, dates, and raisins Turmeric milk (2–3 times/week) Plenty of warm water throughout the day

This helps purify breast milk and reduces inflammatory load on the baby’s system.

Ayurvedic Support (For the Mother)

Sukumaram Kashayam – 15 ml + 45 ml warm water before meals (twice a day) Guduchi Churna – ½ tsp in warm water in the morning Shatavari Churna – ½ tsp with milk at night

These detoxify, balance Pitta, and nourish the mother to improve milk quality gently.

Long-Term Outlook With regular oil care, skin hydration, careful diet, and good digestion, the skin can heal completely. Many babies outgrow atopic dermatitis by toddlerhood especially when the immune system is supported gently now.

Yes, there is a possibility of future allergic issues or asthma in some babies but with preventive Ayurvedic care, that risk can be minimized.

Steroids are rarely needed. If you start natural care early, flare-ups reduce drastically, and your baby’s immune strength can be built beautifully without suppressive treatments.

Investigations (only if needed): Serum IgE CBC CRP Stool test (if digestion issues or colic are present)

You’re doing an incredible job as a father — being attentive, protective, and seeking gentle healing. That in itself is powerful. With a little consistency, love, and natural care, your baby will grow healthier, stronger, and more resilient.

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

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HELLO ROHIT,

Atopic dermatitis , also known as eczema, is a chronic, relapsing inflammatory skin disorder. It is common in infants and often starts before the age of 1. The condition is not caused by infection and is not contagious.

WHY IT HAPPENS EVEN IN EXCLUSIVELY BREASTFED INFANTS? Even though your baby only consumes breast milk, the condition can be triggered by

GENETICS= a strong family history of eczema, asthma, or allergies increases risk

IMMATURE IMMUNE SYSTEM= that infant’s immune system may overreact to minor allergens or skin irritants

MATERNAL DIET= proteins from cow’s milk, egg, nuts, soy etc , consumed by the mother can pass into breast milk and trigger inflammation

ENVIRONMENTAL TRIGGERS= temperature extremes, dust mites, fragrances , soaps, and detergents can damage the baby’s skin barrier

SKIN BARRIER DEFECT= many babies have less natural moisturising factors (like filaggrin), which causes dry, reactive skin.

MOTHERS DIET AND LIFESTYLE CORRECTIONS as she is breast-feeding, her diet directly impacts the baby. Here’s how to adjust it carefully without compromising your or the baby’s nutrition

MATERNAL DIET- WHAT TO EAT: Anti inflammatory, cooling, and pitta balancing foods -moong dal khichdi, vegetables(lauki, tori, pumpkin), rice, ghee, butter milk -herbal teas=fennel,coriander, guduchi, cardamom -fruits= pomegranate, papaya , apple(peeled, cooked), guava

HYDRATION= 2.5-3 Litres of warm water daily

FOODS TO AVOID

ALLERGENS= cow’s milk, eggs, nuts, shellfish, soy(try elimination)

PITTA AGGRAVATING= spicy, sour, fermented, deep fried , pickles, tomatoes, chillies

PROCESSED FOODS= biscuits, instant mix, refined oils, junk food

HEAVY PROTEINS= mutton, fish, excessive panner or cheese

AVOID -smoking, caffeine, alcohol- if any - staying up late(pitta vata imbalance) -high stress - increases cortisol, worsens inflammation

BABY’S TREATMENT PLAN we aim to heal the skin barrier, reduce itch and inflammation, prevent secondary infections, and balance the immune system gently

1) SKIN CARE= MOST CRUCIAL

BATHING= 5-10 min lukewarm water. very mild soap(cetaphil baby wash or natural beast paste with turmeric). avoid daily soap use

MOISTURIZE= immediately after bath and apply this 2-3 times daily use fragrance free emollients like -CeraVe baby moisturiser -Musela stelatopia

AVOID= talcum powders, heavily fragranced products, baby wipes with alcohol, synthetic clothes

TOPICCAL AYURVEDA- SAFE FOR BABY USE

1) NALPAMRADI TAILA= for gentle bay massage 2-3 times/week. Avoid during active flare

2) ALOEVERA + YASHTIMADHU CHURNA PASTE= soothing during redness/ itching.

3) CHANDANADI LEPA= anti inflammatory during flare up

4) GUDUCHI DECOCTION(for mother)= acts as an immune modulator and blood purifier. 1 tsp in warm water daily

INTERNAL MEDICATIONS(FOR MOTHER)

-TRIPHALA CHURNA= 1 tsp at night with warm water =improves digestion and detoxification

-GUDUCHI JUICE= reduces inflammation, enhances immunity

-MANJISTHA GHAN VATI= 1 tab twice daily after meals =blood purifier, skin healer

-SHATAVARI + YASHTIMADHU CHURNA= 1 tsp shatavari + 1/2 tsp yashtimadhu with warm milk at night =supports lactation and reduces inflammation

NATURAL REMEDIES FOR BABY

NEEM LEAVES DECOCTION= add 2-3 neem leaves to bath water=2 times/week =anti itching, antimicrobial

GREEN GRAM FLOUR= mix with water and gently apply instead of soap-acts as natural cleanser

ALOE VERA PULP (fresh)- cooling and healing =apply thin layer during flare ups

LIFELONG STRATERGIES AND PREVENTION

0-1 YEAR= strict skin hydration, dietary control for mother, gentle skin care

1-3 YEARS= watch for food reactions during weaning, introduce allergenic food slowly

3-5 YEARS= consider allergy testing if persistent or severe symptoms

ONGOING= avoid synthetic fabrics, stress, harsh soaps, overuse of antibiotics

Long term remission is possible Many children outgrow eczema or see a major reduction in flare ups by age 3-5, especially with early, consistent care

WHAT INCREASES CHANCES OF REMISSION -early intervention -breastfeeding with mindful maternal diet -avoiding excessive medications- especially steroids -natural immune development through gut health, skin barrier maintenance - ayurvedic support(mother+baby) to balance doshas and build immunity

SEEK EXPERTS HELP IF -lesions ooze or crust -flare ups become frequent or wide spread - baby is losing sleep or not feeding well

HOPE THIS MIGHT BE HELPFUL

THANK YOU

GOD BLESS YOUR BABY

DR. MAITRI ACHARYA

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Atopic Dermatitis in infants can be complex involving various factors like genetics, environment, and diet. It’s understandable that you’re concerned about diet as food proteins from dairy, eggs, or nuts can indeed pass into breast milk and potentially cause reactions. Monitoring your diet and observing any changes in your baby’s skin condition is a practical step. Eliminate suspected allergens one by one to see if there’s any improvement.

Environmental factors also play a role — aim for a stable, cool temperature at home and use a humidifier if the air is dry. Ensure clothing is made of soft, breathable fabrics, like cotton, and avoid harsh detergents or scented household products. Be cautious with bathing routines; use lukewarm water and mild, fragrance-free cleansers. Moisturize the baby’s skin immediately after bath while it’s still damp to lock in moisture.

For treatment, Ayurveda looks at underlying dosha imbalances. Atopic Dermatitis is often linked to vata or pitta imbalances. Apply calming and moisturizing remedies like coconut oil or ghee to affected areas. Shatavari and Yashtimadhu internally are known for their soothing properties. Try adding a paste of turmeric and honey to reduce inflammation, though consult an ayurvedic practitioner for personalized advice, especially when it comes to infants.

Long-term remission can be fortified by nourishing a strong immune system from early on through a balanced maternal diet and using natural remedies. As your child grows, continue to minimize known allergens, and watch for changes. There may be future leniency with certain food allergies, although eczema can be a precursor to other allergies or asthma in later life.

While there is no guaranteed cure, managing triggers and maintaining skin health can achieve significant relief. Babies often outgrow this condition with proper care, so consistency is key without heavily relying on steroid treatments.

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Atopic Dermatitis in infants can be perplexing. The condition may be rooted in a combination of genetics, immune system responses, and environmental factors. Breast milk is generally protective, but certain allergens, possibly from your diet, might pass through and contribute to symptoms. Consider observing any correlation between the intake of common allergens like dairy, eggs, and nuts with your baby’s flare-ups. Eliminating one suspected allergen at a time, and monitoring for a week or two, might provide insights.

Environmental factors are crucial. Fabrics like wool or synthetic materials might irritate sensitive skin. Opt for soft, breathable cotton clothing washed with mild, fragrance-free detergents. Control room temperature to avoid overheating and excessive sweating, both of which can exacerbate symptoms. Bathing should be with lukewarm water and kept short, followed by pat drying rather than rubbing; moisturizing immediately after is vital for trapping moisture.

Ayurvedic approaches involve cooling and soothing practices, considering the imbalance of Pitta dosha, which drives inflammation. Grow and grind neem leaves to make a paste with turmeric; applying this on red patches can help in soothing inflammation. Calm the skin by using coconut oil, which is naturally antimicrobial and keeps skin moisturized; apply lightly several times daily. Enhance the body’s agni by ensuring your diet supports a strong metabolism—ginger and cumin in moderation can help balance bodily responses.

Although permanent cures are elusive, managing symptoms effectively can lead to long-term remission. Support your child’s immune development with a nourishing environment, incorporating probiotics and omega-3 rich foods when your physician advises introducing solids. Keep a diary of episodes and environmental changes to identify triggers.

Monitoring eczema can help gauge potential future allergies. Stay observant, as some children with eczema develop other immune-related conditions. Atopic Dermatitis can sometimes signal a propensity for conditions like asthma or allergic rhinitis later, thus regular appointments to keep discussions open with healthcare providers is wise.

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I am someone who kinda started out in both worlds—Ayurveda and allopathy—and that mix really shaped how I see health today. My clinical journey began with 6 months of hands-on allopathic exposure at District Hospital Sitapur. Honestly, that place was intense. Fast-paced, high patient flow, constant cases of chronic and acute illnesses coming through. That taught me a lot about how to see disease. Not just treat it, but like… notice the patterns, get better at real-time diagnosis, really listen to what the patient isn’t saying out loud sometimes. It gave me this sharper sense of clinical grounding which I think still stays with me. Then I moved more deeply into Ayurveda and spent another 6 months diving into clinical training focused on Panchakarma therapies. Stuff like Abhyanga, Basti, Shirodhara—learned those not just as a list of techniques, but how and when to use 'em, especially for detox and deep healing. Every case felt like a different puzzle. There wasn’t always one right answer, you know? And that’s where I found I loved adapting protocols based on what the person actually needed, not just what the textbook says. Alongside that, I got certified in Garbha Sanskar through structured training. That really pulled me closer to maternal health. Pregnancy support through Ayurveda isn’t just about herbs or massage, it’s like this entire way of guiding a mother-to-be toward nourishing the baby right from conception—emotionally, physically, all of it. That part stuck with me hard. My overall approach? It’s kinda fluid. I believe in balancing natural therapies and evidence-based thinking. Whether it's seasonal imbalance, hormonal issues, Panchakarma detox plans, or just guiding someone on long-term wellness—I like making people feel safe, heard, and actually understood. I’m not into rushing plans or masking symptoms. I’d rather work together with someone to build something sustainable that really suits their body and where they’re at. In a way, I’m still learning every day. But my focus stays the same—use Ayurvedic wisdom practically, compassionately, and in a way that just... makes sense in real life.
5
45 reviews
Dr. Ayush Bansal
I am a dedicated Ayurveda practitioner with 1 year of hands-on clinical experience, committed to providing effective and holistic healthcare solutions. I began my professional journey as a VOPD (Virtual Outpatient Department) doctor at Hiims Hospital under Jeena Sikho Lifecare Limited, where I served for 6 months. During this time, I gained valuable experience in patient assessment, diagnosis, and treatment planning while managing a variety of acute and chronic health conditions through Ayurvedic principles. My role involved virtual consultations, customized treatment protocols, and continuous patient follow-ups, allowing me to sharpen my diagnostic and counseling skills in both preventive and curative aspects of Ayurveda. Following this, I worked as a Resident Doctor at Chauhan Ayurved and Panchkarma Hospital, Udaipur, where I further strengthened my clinical expertise. Here, I was actively involved in the management of patients undergoing traditional Panchakarma therapies, Ayurvedic detoxification procedures, and personalized treatment regimens. My responsibilities included in-depth patient consultations, planning and executing Panchakarma therapies, and collaborating closely with senior Ayurvedic consultants to ensure safe and effective patient care. This role enhanced my understanding of classical Ayurvedic therapies, lifestyle modifications, and integrative approaches tailored to individual patient needs. With experience in both OPD and Panchakarma settings, I approach each patient with empathy, attentiveness, and a commitment to delivering authentic Ayurvedic care. My goal is to help patients achieve long-term wellness through natural healing methods rooted in traditional Ayurvedic knowledge.
5
133 reviews
Dr. Narendrakumar V Mishra
I have been practicing as a Consulting Ayurvedic Physician since 1990, with over three decades of clinical experience in treating a wide range of chronic and lifestyle-related health conditions. My core areas of focus include hair disorders, skin diseases, and lifestyle disorders such as diabetes, arthritis, and stress-related imbalances. Over the years, I have developed a patient-centric approach that emphasizes deep-rooted healing through authentic Ayurvedic principles. My treatment philosophy is based on understanding the unique constitution (prakriti) and imbalance (vikriti) of each patient, allowing me to craft individualized care plans using classical formulations, diet corrections, detox therapies (shodhana), and lifestyle modifications. Whether it’s persistent hair fall, recurring skin allergies, or long-term metabolic disorders, I aim to address the root cause rather than just suppress symptoms. In the management of lifestyle disorders like diabetes and arthritis, I integrate Ayurvedic medicines with structured dinacharya (daily routines) and ahar (dietary guidance), focusing on sustainable results and long-term wellness. I also work extensively with stress-related concerns, offering holistic strategies that incorporate mind-body practices, including meditation, herbal support, and counseling rooted in Ayurveda. With a strong foundation in traditional Ayurvedic texts and decades of hands-on experience, I remain committed to providing safe, natural, and effective healthcare solutions. My goal is to guide patients toward a balanced life, free from chronic ailments, through personalized treatment protocols that restore harmony to both body and mind.
5
327 reviews
Dr. Keerthana PV
I am a passionate and responsible Ayurvedic doctor, having completed my internship at the renowned VPSV Ayurveda College, Kottakkal, Kerala. My clinical journey has been shaped by the rich traditions of Kerala Ayurveda, where I gained extensive hands-on experience in diagnosing and treating patients with authentic Ayurvedic therapies. I am dedicated to delivering personalized and holistic healthcare, with a focus on preventive medicine and positive lifestyle modification. I actively counsel my patients on achieving optimal health through balanced diet, daily regimen, stress management, and natural therapies. Additionally, I am a certified Smrithi Meditation Consultant from the Kottakkal Ayurveda School of Excellence, which allows me to integrate meditation and mindfulness techniques into my treatment protocols, promoting mental well-being along with physical health. My approach is rooted in compassion, responsibility, and a commitment to empowering patients on their journey towards complete wellness.
5
88 reviews

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