How to reduce my enlarged spleen - #26224

HELLO PRERNA SHARMA,

YOU ARE DEALING WITH FOUR INTERCONNECTED ISSUES -Splenomegaly(enlarged spleen ) -Thrombocytopenia(low platelets ~ 50,000) -Fatty liver(hepatic steatosis) -Cholelithiasis(Gall bladder stone)

How they’re connected -The liver, spleen, and gallbladder are all interlinked -A sluggish liver can lead to blood purification issues->spleen over works->spleen enlarges and traps platelets -Digestion imbalance creates Ama(toxins)-> stored in fat-> leads to fatty liver and gallstones.

INVOLVED DOSHAS PITTA= aggravated due to faulty liver metabolism, bile issues, and inflammation KAPHA= increased due to fat accumulation and bile stagnation VATA= imbalanced due to improper circulation and organ function

INVOLVED DHATUS RAKTA DHATU= impaired(leading to poor platelet formation and blood purify) MEDA DHATU= excessive (fatty liver) RASA DHATU= weak (digestion and nutrient absorption issues)

INVOLVED SROTAS(body channels) RAKTAVAHA SROTAS- carries blood(impaired in platelet and spleen disorders) MEDOVAHA SROTAS- caries fat(obstructed in fatty liver) ANNAVAHA SROTAS- digestive system(ama formation) PURISHAVAHA SROTAS- colon channel(possible irregular elimination)

TREATMENT GOAL -Detoxify liver and spleen= prevent further damage and restore function -Improve rakta and rasa dhatu= build healthy blood and immunity -Reduce spleen size= through anti-inflammatory and etox medications -Improve platelet production= via rejuvination and blood building medications -Correct fat metabolism= reduce liver fat -Prevent gallstone complications= enhance bile flow and digestion -Balance doshas= especially pitta-kapha dominance -Eliminate ama= clear toxins from gut and blood channels

INTERNAL MEDICATIONS

1) PUNARNAVA MANDUR= 2 tabs twice daily after meals for 3 months =spleen and liver tonic, reduces swelling

2) AROGYAVARDHINI VATI= 1 tab twice daily after meals for 3-4 months =detox liver, gallbladder, correct metabolism

3) KUMAR KALYAN RAS= 1 tab once daily with honey after breakfast for 1 month = strengthen spleen, supports immunity(best one)

4) DRAKSHASAVA= 20 ml with equal water after meals for 3 months =rejuvinates liver and spleen

5) TRIPHALA CHURNA= 1 tsp at bedtime with warm water =detoxifies gut, support bile flow

6) BHUMIAMLA JUICE= 10 ml twice daily for 2-3 months =liver protective, reduces fatty liver

7) GUDUCHI GHAN VATI= 500 mg 1 tab twice daily =immunity and blood purifier

PAPAYA LEAF EXTREACT CAPSULE= 1 cap twice daily for 4 weeks =boosts platelet count naturally OR PLATONE BY DOOTPAPESHWAR = 1 tab twice daily =platelet booster

EXTERNAL THERAPIES(at panchakarma centre) -Virechana= removes excess pitta, clears liver and gallbladder -Basti= Balances Vata, enhances fat metabolism -Abhyanga+Swedana= stimulates lymphatic system and improves organ damage -Raktamokshana= drains toxic blood in cases of extreme rakta dushti

HOME REMEDIES

RAW PAPAYA LEAVES= crush and take 2 tsp juice twice daily it boosts plateletes

AMLA JUICE= 20 ml with warm water in morning it acts as liver tonic, vitamin c

BEETROOT CARROT JUICE= 1 glass daily empty stomach, blood and liver tonic

BOILED GARLIC= 2-3 cloves daily, improves cholesterol and liver enzymes

FENUGREEK SEED WATER= soak 1 tsp overnight drink water in morning, detox and fat metabolism

CORAINDER SEED TEA= 1 tsp seeds boiled in water- drink twice daily, balances pitta and improves digestion

WARM CASTOR OIL (WEEKLY)= 1 tsp in warm water or milk before bed once weekly -mild purgation and liver cleansing

DIET TO BE FOLLOWED -khichadi, green moong dal, boiled rice, saag (greens) -Vegetables= lauki, pumpkin, beetroot, carrot, bitter gourd -Fruits= pomegranate, apple, papaya, watermelon -Spices= cumin, coriander, fennel, turmeric, ginger -Oils= small quantity of cold pressed sesame or coconut oil -Liquids= warm water, herbal teas(coriander-fennel)

AVOID -alcohol, smoking -fried, spicy, oily foods -red meat, processed food -cold foods-ice cream, cold drinks -curd, cheese, panner - esp at night -excess tea,coffee -excess salt and sugar

LIFESTYLE MODIFICATIONS -wake up time= by 6:30 am-follow circadian rhythm -excercise= light walking, yoga- avoid exhaustion -sleep= 7-8 hours, no daytime sleeping -meal timing= eat at same time daily, no late dinners -stress= reduce with pranayam, music, self care -avoid= holding natural urges(urine, gas, stool), overeating

YOGA AND PRANAYAM

ASANA(hold 30-60 seconds each) -Ardha matsyendrasana= improves digestion, liver, spleen -Bhujangasana= activates liver and kidneys -Paschimottanasana= improves metabolism -Dhanurasana= stimulate abdominal organs -Pawanmuktasana=removes gas and improves bowel health

PRANAYAM -anulom vilom= balances doshas and oxygentated blood -bhramari= reduces stress and inflammation -sheetali/sheetkari= calms excess pitta

INVESTIGATION = do these every 2-3 months -CBC- with platelets= to monitor thrombocytopenia - LFT= enzymes, bilirubin, fatty liver -Abdominal ultrasound= spleen size, liver fat, gallstones - to check -peripheral blood smear- for blood cell quality -iron, b12,folate= rule out other cause of low platelets -Autoimmune screening= in case of unresponsive platelet drop

Track platelet count every. 2 weeks

Avoid heavy exercise, sports with injury risk when platelets are low

-You can. reverse these conditions gradually if you follow the treatment sincerely -be consistent with medications, diet, gentle yoga and lifestyle -healing spleen, liver and blood takes 3-6 months

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

HELLO PRERNA,

-LOW PLATELET(50,000) is serious. below 50,000 there Is bleeding risk -chronic splenomegaly suggests your sleep may be overactive , which might be destroying your platelets

-causes include -liver disease(e.g portal hypertension from fatty liver) -infections (e.g TB, Malaria, hepatitis) -hematologic issues(ITP, lymphoma, leukaemia) -autoimmune diseases

you need a full evaluation - CBC, LFT, viral markers, autoimmune work-up and possibly a bone marrow test if not done yet.

In Ayurveda, your case may be classified under -yakritodara-enlarged liver/spleen issues -pleeha vriddhi- splenomegaly -rakta Akshaya- low platelet count -medoroga- fatty liver

These are often rooted in Ama(toxins) accumulation, rakta dhatu vitiation, and pitta-kapha imbalance

AYURVEDIC MANAGEMENT PLAN

1) PANCHAKARMA DETOX -virechana= to cleanse liver and spleen -basti(medicated enema)- for balancing vata and improving platelet production -raktamokshana= sometimes used in pleeha vriddhi

MEDICATIONS

1) PUNARNAVA MANDUR= 2 tabs twice daily after meals for 3 months

2) LIV 52 DS= 2 tabs twice daily after meals for 3 months

3) GILOY SATVA= 500 mg with warm milk in morning empty stomach for 3 months

4) PAPAYA LEAF EXTRACT = 1 tab once daily with water for 21 days

5) KUTKI CHURNA= 1 gm before meals twice daily for 2 months

6) TRIPHALA CHURNA= 1 tsp with arm water at bedtime

7) ROHITAKARISHTA= 15ml + equal water twice daily after meals for 3 months

DIET -AVOID= oily, spicy, fried foods, red meat, alcohol, processed foods -FAVOUR -warm, cooked light meals- mung dal khichdi -steamed veggies- bitter gourd, bottle gourd, ridge gourd -fresh pomegranate, papaya, beetroot, carrot juices -warm water with turmeric -eat slowly and on time

LIFESTYLE -avoid heavy exertion and late nights -gentle yoga= pawanmuktaana, viparitara karani ,ardha matsyendrasana -avoid long fasting or crash diets

REPEAT -CBC -LFT -ultrasound

THANK YOU

DR. HEMANSHU MEHTA