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Gastrointestinal Disorders
Question #26227
214 days ago
1,188

Chronic gut issues, digestion problems - #26227

Amritananda

Chronic symptoms (more than 10 years) # Intestinal gas (smelly fart) # Bloating # Chronic acid reflux # Stomach burning sensation # Mucus in stool and/or sticky stool # Sluggish bowel movement or incomplete evacuation of the stool (may be due to stickiness of stool) # anxiety, irritation, angry outbursts # Nightfall every 1-2 week # Weight loss, fatigue, weakness, low BP * RBC 2-3 in stool * No occult blood in stool * UDF in stool, semi-solid stool * Endoscopy: antral gastritis and mild inflamed mucosa * H pylori +ve $ NO smoking, no alcohol, no tobacco, small amount of non-veg 2-3 times a month, no tea coffee, no cold drinks, no fast food, follow ayurvedic diet and lifestyle 37 yrs male, 5ft 6in, 48 kg, vata -pitta prakruti

Age: 37
Chronic illnesses: no other chronic disease other than digestive issues
PAID
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Doctors' responses

HELLO AMRITANANDA,

You are experiencing multiple digestive problems that have lasted for over 10 years. These includes -gas and bloating -acid reflux, and stomach burning -mucus or stickiness in the stool -incomplete bowel emptying - fatigue, weight loss, and low blood pressure -emotional imbalance like anxiety, anger, irritability -nightfall every 1-2 weeks

INVESTIGATIONS SHOWS -H.pylori positive= a bacteria that irritates the stomach lining -Antral gastritis= inflammation in the stomach -Inflamed mucosa= mild gut lining damage -RBCs in stool(but no blood)= mild irritation in intestines

In Ayurveda, this is seen as a chronic vata-pitta imbalance, mainly affecting the digestive tract and nervous system. This condition is classified under -Agnimandya= weak digestive fire -Grahani dosha= dysfunction of the small intestine-absorption issue -Ama= buildup of undigested toxins -Vata prakopa= irregular bowel movements , dryness, emotional instability -Pitta prakopa= acidity, burning, inflammation -Shukra dhatu kshaya= imbalance of reproductive tissue

This is not just a stomach issue- it’s a whole body imbalance due to chronic disruption of digestion , absorption, and nervous system coordination

TREATMENT GOAL Ayurveda dosent only treat symptoms- it aims to correct the root cause. The treatment goals are -rekindle agni(digestive fire)- so food is digested completely -Remove ama(toxic waste)= clean the gut and reduce inflamamtion -Heal gastric lining= repair damage from H.pylori and acid -Balance vata pitta= reduce acidity, bloating, and emotional swings -Improve absorption and nutrition= gain weight, restore energy -Strengthen the nerves and reproductive tissues=reduce nightfall -supprot the mind and sleep= reduce anger, anxiety and fatigue

TREATMENT PROTOCOL

1) INITIAL DEEPANA AND PACHANA(digestive dire reset)= first 20 days target= to remove toxin, rekindle agni

-TRIKATU CHURNA= 2 gm with warm water before meals

-HINGWASTAKA CHURNA= 2 gm twice daily with warm water

-SHANKHA VATI= 1 tab twice daily before meals for gas, bloating

-AVIPATIAR CHURNA= 1 tsp at bedtime with warm water for acid reflux and gastritis

-BILWADI CHURNA= 3 gm twice daily if mucus in stool persist

AVOID = cold food/ water, heavy lentils, curd, fermented food during this phase

2) GUT MUCOSA HEALING AND ANTI. H PYLORI PHASE= from day 21-45 days

-SOOTSEKHAR RAS= 1 tab twice daily after meals

-PRAVAL PANCHAMRUT= 250 mg twice daily after meals= soothes gut lining

-KAMDUDHA RAS= 1 tab twice daily after meals for acid reflux and burinng

-AMALAKI RASAYANA= 1 tsp daily in morning= rejuvinates gastric mucosa

ANTI-MICROBIAL (NATURAL) -VIDANGA CHURNA= 2 gm once daily after meals

3) VATA-PITTA BALANCE AND NERVOUS SYSTEM STBILIZATION= from day 46-day 80

-ASHWAGANDHA CHURNA= 1 tsp twice daily with warm milk =fatigue, anxiety, sleep

-BRAHMI GHRITA= 1 tsp at bedtime with warm water/milk =for mood swings, anger, and cognitive function

-CHANDRAPRABHA VATI= 1 tab twice daily after rmeals =nightfall, urinary and shukra balance

-SHATAVARI CHURNA= 1 tsp with warm milk in morning =rebuild tissues and nourish shukra dhatu

DIET TO BE FOLLOWED PROPERLY

GRAINS= rice white or red, oats, quinoa, broken wheat, soften roti with ghee =easily digestible, soothing to intestines, grounding for vata

PULSES/LEGUMES= split moong dal, massor dal, urad dal(in small quantity), green gram sprouts(lightly steamed) =moong is best- reduces gas and nourish tissue. cook with cumin , hing, ginger, to avoid gas

VEGETABLES= bottle gourd, ash gourd, pumpkin, ridge gourd, carrot, beetroot, sweet potato, cooked spinach, zucchini =soft, moist, vegetables reduces dryness. cooked and spiced lightly they help digestion

FRUITS= papaya, banana, (ripe), pomegranate, apple(steamed), figs, soaked raisins, dates =these fruits ease constipation and reduce pitta heavy.avoid cold fruits from fridge strictly take room temperature fruits

FATS= cow ghee 2-3 tsp daily, sesame oil in cooking, small amount of coconut oil =ghee is medicine here- it lubricates colon, strengthens digestion, calms acidity

DAIRY= warm milk with turmeric or nutmeg , panner(fresh not fried), homemade buttermilk(thin, spiced with cumin and coriander) =warm dairy soothes both vata and pitta . avoid sour curd at night

SPICES= cumin, coriander, fennel , ginger, ajwain, hing, black pepper, cinnamon =these spices help digest food, reduce gas and keep agni balanced

SWEETNERS= jaggery, small amount of raw honey (never heat honey), dates, raisins =natural and moistening- helps ease bowel . Not refined sugar

FLUIDS= warm water, jeera water, ajwain. water, ginger tea, fennel-coriander- cumin tea =sip throughout the day to flush toxins, reduce bloating and keep gut warm

GOLDEN RULE= eat warm, moist, well cooked, lightly spiced food, avoid dry, cold, and raw foods- they disturbs your gut further

FOODS TO AVOID STRICTLY

COLD FOODS= cold water, cold mil, fried fruits, ice cream =cold suppress digestive fire, worsens vata and increases acidity

RAW FOODS= raw salads, uncooked sprouts, uncooked vegetables =too rough and drying for your weak gut- leads to gas, bloating

SPICY/OILY= green chilli, red chilli, too much garlic, fried pakoras, samosa =increases pitta (acidity), weakness agni

HEAVY CARBS= bread, bakery, refined flour, noodles, pizza, biscuits =difficult to digest form toxins

DRINKS= carbonated soda, cold juices, canned drinks =gas forming disturbs gut balance

ANIMAL PROTEIN= egg (can use If boiled only occasionally), red meat strictly avoid =heavy and heating- not recommended in weak digestion

TOO MUCH ONION/GARLIC= avoid especially raw =very heating, disturbs pitta and causes gas

SPICES FOR DIGESTION use these spices regularly in your cooking to reduce gas, improves digestion and balance doshas HING= best for gas. use in dal and veggies AJWAIN= chew 1/2 tsp after meals with black salt JEERA= add to cooking or boil for water SAUNF= chew after meals or boil in tea GINGER= fresh ginger in meals, or ginger tea BLACK PEPPER= enhances digestive enzymes in small amounts CORIANDER= cools pitta, especially in teas

YOGA ASANA(start slow=20 min/day) -Pawanmuktasana= releases trapped gas from intestines -Vajrasana= stimulates digestion(after meals) -balasana= calms vata, relaxes abdomen -Apanasana= aids in bowel movement -Bhujangasana= opens abdominal area, improves digestion

PRANAYAM(daily 10 min after yoga) -Nadi sodhana= clears energy channels, calms mind -Bhramari= reduce stress and acid formation -Ujjayi = gently builds digestive fire -Avoid very breathing like kapalbhati for now, unless guided

LIFESTYLE RECOMMENDATIONS

wake up before sunrise= encourages bowel movement and clears toxins

Try to poop same time daily= trains body to empty bowels naturally

Abhyanga(oil massage )- 3 times/week= warm sesame oil calms vata and supports digestion

Gentle walk after meals= helps digestion and reduce gas(20-30 min post meals)

Sun exposure= boosts vitamin D and improves agni

Meditate or listen to calming music= gut health and mind are deeply connected

Drink warm water through the day= keeps digestion flowing and clears toxins

SLEEP AND MENTAL WELL-BEING -vata increases with poor sleep. Get 7-8 hours of restful sleep -avoid screen time at least 30 mins before bed -evening milk with nutmeg or turmeric helps calm the system

PANCHAKARMA(if feasible) -mridu virechana with castor oil -basti = Matra Basti for chronic vata

FOLLOW UP AND MONITORING -track weight every 2 weeks -monitor bowel regularity and mucus content -repeat H.pylori testing after 2-3 months -hemoglobin , vitamin b12, and iron levels if fatigue persists

You’ve taken a disciplined path(no smoking/alcohol, and following diet) that’s an excellent foundation. The body wants to heal- we just have to remove the obstacles and support it.

Your condition is reversible, but it needs consistent effort for 3-6 months. Ayurveda is slow but deep healing and long lasting. You’ll gradually notice -more energy -better bowel movements -less acidity -stronger digestion -balanced emotions -reduced nightfall

DO FOLLOW CONSISTENTLY

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

12028 answered questions
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Accepted response

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Avipattikar churn 1tbspn bd Sootshekhar ras 2 tab bd

1 answered questions
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Don’t worry, Start taking1.Avipattikar choorna 1tsf before having meal twice in a day. 2.Sutshekhar ras 1-0-1 empty stomach 3.kamdudha ras 1-0-1 4.Amlapittantak lauh 1-0-1 Follow up after 45 days. **If you can do KUNJAL KRIYA THEN Do this twice in a week.

1391 answered questions
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Avoid spicy, oily and processed food. Regular use of buttermilk. Increase intake of raw vegetables and fruits. Cap.Florasante 1-0-1 Tab.Yashtimadhu 2-0-2 Tab.Protekt 2-0-2

12900 answered questions
39% best answers

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Daily Massage with Balaashwagandhadi oil…

1391 answered questions
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It’s called colitis or SANGRAHINI in ayurveda … it’s happens many reasons mostly=stress/anxiety/uneven or unhealthy lifestyle or food HABBITS… It’s CURABLE through ayurveda medication do follow instructions

DIVYA NEUROGHRIT GOLD TABLET=1-1 TAB BEFORE MEAL TWICE DAILY

DIVYA COLOGHRIT TAB GRAHINI KAPAT RAS MEDHA VATI=2-2 TAB AFTER MEAL TWICE DAILY

AVOID DAIRY PRODUCTS SUCH AS MILK/PANEER/GHEE/BUTTER

FIBROUS FRUITS=MANGO/ORANGE/PINEAPPLE

AVOID ROTI AT NIGHT

YOGA AND PRANAYAM=KAPALBHATI/VAZRASANA

YOU CAN EAISLY CURED

775 answered questions
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Hi amritananda this is Dr Vinayak as considering your problem…see you are facing this problem since long time it will take long time to cure … And H-pylori if positivite then it will be sensitive to treat

You have so many complaints…let treat one be one… *Pittashekara kashaya 10ml twice before food Avipattikar churna 1tsp twice before food Sutashekara rasa 1-0-1 after food You should take H -pylori kit first to treat infection then we will go with our treatment

322 answered questions
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Take tablet Liv-52 1-0-1 after food with water Kamdudharas moti yukta 1-0-1 after food with water Kutaj ghanvati 1-0-0 after food with water Avoid processed spicy fried sugary foods, junk food. Follow up after 45 days

12839 answered questions
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Hello

Firstly avoid oil fried items process food refrigerated food red meat sweets spicy sour foods According to your symptoms the good bacteria in the gut is not properly there bad bacteria as the present that is the reason for all your chronic symptoms.

Take good amount of plain and fresh butter milk before food especially in afternoon.

Avoid raw vegetables Better to take boiled or steamed vegetables Take good amount of green leafy vegetables Drink good amount of water Avoid fruit juices Take pomegranate banana papaya take only this fruit at least follow this for 15 days.

1) dadimavleha syrup 5ml-5ml-5ml with 5ml water after food 2) hingwastaka choorna 1/2tsf-0-1/2tsf with first bolus of food. 3) triphala choorna 0-0-1/2tsf with the glass of hot water at bedtime

Can see the difference or reduce the symptoms within 15 days

Thank you Dr Nikita

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1. Sootshekhar Ras – 1 tab after meals (for acid, bloating)

2. Kamdugha Ras (with Mukta) – 1 tab twice daily (for burning, H. pylori)

3. Kutajghan Vati – 1 tab twice daily (for mucus in stool)

4. Mulethi + Shatavari Churna – ½ tsp each with warm water after meals (to heal gut lining)

5. Triphala + Isabgol – 1 tsp at bedtime (for bowel movement)

6. Ashwagandha Avaleha – 1 tsp at bedtime with warm milk (for weakness, nightfall

7. Brahmi vati - 1 tab morning empty stomach (for anxiety and anger outburst) Lifestyle Tips

Eat warm, light food like moong dal khichdi

Avoid curd, sour food, spicy/oily items

Do daily abhyanga (oil massage) with sesame or mahanarayana oil

Sleep on time, manage stress with pranayama

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Simple Remedies 1. Take only soft rice and fresh buttermilk. 2. Take 4 gm powder prepared from Cyperus rotundus, Holarrhena antidysenterica and Aegle marmaleos unripe fruit Bolabaddha rasa-250mg Kutaja ghana vati- 500mg - 3 times before meal withTandulodaka + madhu 2) udumbara avaleha - 3-4 gm with Milk+sugar 3 times a day after food

Yoga therapy Asana Vajrasana 5 min. Pavanamuktasana 2 min. Pranayama Deep breathing with both nostrils Right Nostril deep breathing Yoganidra: Once, twice or thrice a day depending on the severity disease.

Dict and Lifestyle Pathya Vilepi (Rice gruel), Laajaa Manda, rice washed water (make sure rice is not contaminated with pesticides), Rice + Curd. Rice + Buttermilk. Masoor or Aadhaki Yoosha. Frequent drinking of coconut water. Kadali pushpa, madhu, jambu phala, ardraka, shunthi, dadima, bilvaphala, jatiphala, changeri, jeeraka, hribera, bhanga, dhanyaka, mahanimba. Other diets having deepana and laghu guna. Rest. Apathya Heavy, hard, cold, hot, spicy and oily.

773 answered questions
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You are suffering from grahani,after analysing your problem,I would recommend the following treatment - 1.Lavanbhaskar churna 50gm Hingvashtak churna 50gm Shankh Bhasma 10gm Kapardak Bhasma 10gm Mix all the above medicines and take 1 tsp with buttermilk in afternoon and 1 tsp with warm water at night

2.kutaj ghanvati - 1 tab after breakfast and dinner 3. Avoid junk food,non veg,fried food 4. Buttermilk is beneficial for you. 5. Meditation and walking for stress management.

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Based on the symptoms you’ve described, there seems to be an imbalance primarily of Pitta dosha, with Vata also playing a role due to your Vata-Pitta prakruti. The signs - acid reflux, burning sensation, smelly gas, and antral gastritis - indicate Pitta aggravation, while sluggish bowel movements and anxiety suggests Vata imbalance.

Firstly, addressing the H. pylori infection is crucial since it contributes to gastritis. While conventional treatment is often with antibiotics, Ayurveda can augment. Taking a course of the herbal formulation ‘Mahashankha Vati’, under the supervision of Ayurvedic practitioner, can help balance Pitta and aid in soothing the gastric mucosa. For doshas, ‘Triphala Churna’ at bedtime with warm water can help in regulating bowel movements by supporting Vata. Half to one teaspoon should be appropriate.

Dietary adjustments are important. Avoid spicy, sour, and acidic foods as they aggravate Pitta. Instead, opt for cooling, naturally sweet fruits like pears and pomegranate. Whole grains like oats and barley, cooked vegetables like pumpkin and zucchini are beneficial. Ensure meals are regular and not skipped, as irregular eating can disturb Vata.

Regular intake of warm water infused with fennel or coriander seeds can aid in reducing bloating and gastric discomfort. You might find comfort in teas made from cooling herbs such as chamomile or licorice.

In terms of lifestyle, managing stress through meditation and pranayama is valuable. Practices like ‘Sheetali’ or ‘Sheetkari’ pranayama help in pacifying Pitta and calm the mind. Gentle physical activity, such as yoga, is encouraged; vigorous exercise can further aggravate Pitta and should therefore be avoided.

Good quality sleep and a routine bedtime are critical for Vata balance. Emphasizing relaxation, perhaps through Abhyanga (self-oil massage) using cooling oils like coconut or castor, can support both Vata and Pitta stability.

Present symptoms like the RBCs in stool need monitoring as they may suggest minor erosions or inflammation in the GI tract. If symptoms such as significant blood loss or severe weight loss continue, consult a specialist immediately.

This plan encompasses both healing and strengthenig your digestive system while managing an overall balance of doshas and should be approached holistically. Always consult qualified health professionals for comprehensive care.

11521 answered questions
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Considering your long-term symptoms, it’s clear that there’s an imbalance of vata and pitta doshas, impacting your digestive fire (agni) and resulting in multiple digestive and emotional disturbances. A few specific Siddha-Ayurvedic steps can offer you a route to better balance and relief.

First, regularize your meal timings as achieving stability is crucial for balancing vata. Eat at consistent times and emphasize warm, cooked foods such as kitchari, which is gentle on the stomach and helps recalibrate digestion. Avoid raw, cold, or overly spicy food that might aggravate vata and pitta, leading to more bloating and inflammation.

Given the presence of H. pylori, treating this bacterial imbalance is important, and alongside your prescribed treatment, consider drinking a decoction made from neem leaves, which has antibacterial properties, thrice a week. Ensure to consult with your healthcare provider about herbal interactions.

For antral gastritis, a soothing agent like aloe vera gel, taken first thing in the morning, can coat and calm the gastric mucosa. Limit nightfall and stress-induced aggravators by practicing pranayama, especially anulom vilom, to stabilize mental and emotional imbalances.

To address mucus in stool and incomplete evacuation, triphala powder can help regulate bowel movements. Take half a teaspoon at night with warm water. Trikatu churna may enhance digestive fire and reduce gas, but use cautiously due to its heating nature.

Finally, prioritise adequate rest and reduce workloads to address fatigue and weaknesses. If weight loss persists or RBC in stool continues, re-evaluation by a healthcare professional is essential to rule out other underlying conditions. Always align these recommendations with ongoing treatments for comprehensive care.

13104 answered questions
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Mulethi kwath- 1 tsp with 400 ml water boil until it remains 100 ml filter and drink twice daily on empty stomach Avipattikara churna-1/2 tsp before meals with water Triphala hurna- 1 tsp with warm water at night

13124 answered questions
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HELLO,

Based on your symptoms- constipation, incomplete evacuation , mucus in stool, occasional acid reflux, bloating, fatigue, cramps during and after passing storms and significant weight loss-- it strongly suggest IBS -mixed type with constipation-predominantly tendency

In Ayurveda, your symptoms relate to a vata-pitta imbalance, particularly disturbed Apana vayu- governing downward movement- stools, urination and agni(digestive fire) irregularity

AYURVEDIC MANAGEMENT

1)TRIPHALA CHURNA- 1 tsp with warm water at night =mild laxative, restores gut motility

2)AVIPATTIKAR CHURNA- 1/2 tsp before meals twice daily with ghee =reduces acidity, improves digestion

3)ISABGOL- 1 tbsp with warm water post dinner =adds bulk to stool, reduces mucus

4)KUTAJGHAN VATI- 1 tab twice daily after meals =reduces intestinal inflammation

DIET:- AVOID- dairy(esp milk), fried foods, excess chillies, processed / junk , soft drinks

EAT -warm, cooked meals -easily digestible foods-khichdi, moong dal soup, boiled vegetables -fennem, cumin, and ajwain tea after meals- 1/4 tsp each boiled in water

INCREASE- fibre fruits like papaya, banana, pomegranate, hydration-lukewarm water

LIFESTYLE SLEEP- maintain consistent sleep pattern, 7-8hours daily STRESS- use breathing exercise, meditation or yoga-pawanmuktasana, vajrasana, bhujangasana light physical activity like walking helps bowel movement

Aloe vera juice 15 ml before meals-reduces bloating and mucus

DO FOLLOW

THANK YOU

DR. HEMANSHU MEHTA

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