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•Dear doctor, Please read my healthy history fully and help me
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General Medicine
Question #26236
146 days ago
398

•Dear doctor, Please read my healthy history fully and help me - #26236

Deviram

My Health History I started experiencing pain in my left leg in 2005. I didn’t consult a doctor then—just managed with painkillers until 2010. In 2011, the pain worsened, and I visited Ashwini Hospital in Chennai. I don’t remember the medicine they gave, but after taking it, back pain started. So, I decided to consult one of the best hospitals in the country—Apollo, Teynampet. There, Dr. Siddharth Ghosh, Senior Neuro Surgeon, attended to me and prescribed physiotherapy, which continued for a few months. However, with each passing day, both the medicine and physiotherapy only seemed to worsen the pain. In 2012, I lost hope with private hospitals and went to KMC Government Hospital, Kilpauk. There, a physiotherapist treated me in a different way, and I felt better in just 11 days. After that, pain would return now and then—sometimes in the cervical area, sometimes lumbar. From 2019 to Jan 2025, the frequency of pain was less, and I managed well. But from Feb 2025, I began experiencing severe radiating pain in my left leg again. I followed the same treatment—physio and medicine—but it hasn’t helped, even until July 2025. Despite the pain, my appetite remained good. So, I ended up eating more and sleeping more, as my movement was restricted. Maybe because of that—or maybe it had already started earlier—I began facing other health issues. A recent Master Health Check-up at Kauvery Hospital revealed the following problems: •>>>> Fatty Liver, High Bad Cholesterol,Thyroid, Borderline to High BP&Prostate<<<<< I’ve also been dealing with other issues for the past few years:- Following issues could be due to the above conditions as seen in recent Health Checkup 1. Heaviness near the heart, difficulty taking deep breaths, and a drowning-like feeling. I feel suffocated in closed spaces. I could take the MRI only after taking a heavy dose of sleeping tablet. 2. Left nostril runs while bending. 3. While travelling in a bus or car, I can’t look at the mobile screen even for a second. I get a terrible internal feeling—eye pain, curling sensation in the stomach 4. Right hand numbness due to earlier cervical pain, now managed with exercise. 5. Left leg numbness and sharp pain, starting from lower back, passing through the buttocks and running down to the toes. The leg feels very heavy. 6. Right leg nerve pain near the ankle, with swelling for the past 3–4 years. Just above the middle three toes, if pressed, it gives a current shock-like sensation. 7. Shaking hands sometimes, especially when feeling sudden hunger or abnormal appetite. 8. Occasional urine incontinence. While working, I can control it, but if I reach the washroom and it’s already occupied, I can’t hold it. 9. Right ear feels blocked, as if the hole isn’t open fully—though there’s no specific ENT issue confirmed. 10. Disturbed sleep—I can’t fall asleep before 1 or 2 AM, and can’t get up in the morning. I feel bad when my young son gets ready for school and my elderly mother sits helpless while I am still lying down. I’m unable to help others in my own family. Due to the back pain since Feb 2025, my movement has become very limited, and my eating and sleeping habits have worsened. That might have caused—or worsened—the health problems revealed in the recent health check-up as mentioned above>>>High Bad Cholesterol,Fatty Liver,Thyroid,Borderline BP & Enlarged Prostate<<< Frankly, I’m more worried about these than my neck and back pain. The back and neck issues have become like old friends to me—I’ve learned to live with them and work through them. But if I don’t manage these lifestyle-related conditions, I fear they may lead to something serious in the long run. That’s why I want to address these core issues through Ayurveda. A few Ayurvedic doctors I consulted told me that all these problems are interconnected and suggested a complete, customized treatment to cure all of them together. I feel hopeful after hearing that. My recent reports are attached.

Age: 45
Chronic illnesses: • Fatty Liver, High Bad Cholesterol,Thyroid, Borderline to High BP&Prostate Back and Neck pain for 20 yrs
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Thank you for giving details history of your health As you mentioned, your facing these problems since many years it may take little longer duration to correct your problem Start doing streching simple excercise as much as possible Do simple yoga posture which help to strengthen your body Take tab bruhatvata chintamani rasa 1 tid after food Cap sandhivin oA 1 tid after food Maharasnadi kashya 15 ml bd before food Use Dhanvantara taila to whole body and take hot water bath do it daily If possible visit the nearby panchakarma centre and take one course of Virechana karma or Basti karma as your having multiple problems these treatments helps to tackle your condition

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Based on the detailed history provided, it’s clear that there are multiple interconnected health challenges, reflecting a typical presentation of Vata and Pitta imbalance. Your symptoms and lifestyle suggest an accentuated state of Vata, resulting in issues like body pains, digestive concerns, and insomnia, while Pitta may be causing thyroid, cholesterol, and emotional upset. Here’s how Ayurveda might approach your condition:

First, diet plays a very important role. Considering your fatty liver and high cholesterol, focus on a diet that softens Vata and moderates Pitta. Avoid pungent, sour and salty foods as they increase Pitta. Consume more sweet, bitter, and astringent tastes. Include cooked vegetables, whole grains like barley and brown rice, and lean proteins like mung beans and lentils. Healthy oils like ghee in moderation are beneficial.

Considering your thyroid and cholesterol, avoid refined sugars and processed foods. Use spices like turmeric, ginger, and cinnamon, as they are excellent for digestion and metabolism. These spices can also calm an overactive mind which affects sleep.

For back and leg pain, regular gentle yoga and pranayama can help lower muscular tension and increase circulation. Bhujangasana (Cobra Pose) and Shalabhasana (Locust Pose) are particularly beneficial for back issues. Breathe deeply and slowly, through simple pranayama exercises such as Anulom Vilom, which is particularly calming for the nervous system.

Given the sleep disturbances, establish a calming night routine. Drink warm milk with a pinch of nutmeg before bed. An Ayurvedic herb like Ashwagandha can support stress reduction and sleep normalization.

For managing cholesterol and fatty liver, include Triphala at night which helps in detoxifying and balancing digestion. Ayurvedic formulations like Arjuna could prove helpful for managing cholesterol and enhancing cardiovascular health.

Addressing lifestyle and emotional factors is paramount. Develop a daily schedule that allows regular sleeping and waking times, ensuring enough physical rest and mental relaxation. Reducing screen time before bed can help improve sleep quality.

Given your symptomatic expressions and potential metabolic imbalances, it’s crucial that you continue close monitoring by health professionals. Regular check-ups are necessary, particularly for your prostate, blood pressure, and thyroid levels, to guard against potential complications.

In conclusion, blending Ayurveda with regular check-ups provides a holistic framework, targeting root causes while ensuring safety and effectiveness.

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Your detailed health history reflects a complex interplay of issues which, through the lens of Siddha-Ayurveda, indicates imbalances mainly in Vata and Pitta doshas. Let’s address your key concerns holistically:

1. For Fatty Liver and High Cholesterol: The liver is closely tied to Pitta. Incorporate bitter and astringent foods, such as karela (bitter gourd) and turmeric. Avoid fried and oily foods. Triphala churna can be taken at night for detoxifying the liver—around 1 teaspoon in warm water.

2. Thyroid Imbalance: This often relates to both Vata and Kapha. Consider having Kanchanar Guggulu which supports thyroid function. This can be taken as per dosage advised by an Ayurvedic practitioner.

3. Borderline High BP: As Vata increases, so can blood pressure. Regular intake of garlic or garlic juice can help, as well as a daily routine of meditation or pranayama to regulate stress levels.

4. Enlarged Prostate: This condition is often Kapha-related. Gokshura (Tribulus terrestris) is traditionally used to support prostate health. Ensure your fluid intake is balanced—not too little, to flush the system, and not too much so you avoid frequent urination.

5. Digestive Health: Given your history of consuming more due to pain and restricted movement, moderate your meal sizes and prefer lighter, easily digestible foods. Engage in gentle exercises within your comfort zone.

6. For Your Sleep Issues: Establish a fixed routine to regulate the body’s internal clock. Consuming a cup of warm milk with a pinch of nutmeg an hour before bed might help improve sleep quality.

7. Pain and Numbness: Continue physiotherapy but complement it with Ashwagandha for reducing pain related to Vata dosha imbalance. It may also help with stress and fatigue.

Your condition requires an integrative treatment approach, so it’s key to continue regular medical supervision, particularly for the prostate and cardiovascular aspects. Combination of Ayurvedic lifestyle adjustments along with necessary allopathic interventions will produce a more balanced and effective treatment over time. Always communicate openly with all your healthcare providers about the medicines and therapies you’re using to ensure compatibility and safety.

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Understanding your problem i recommend Take Tablet Liv-52 -DS 1-0-0 after food with water Trayodashang guggul 1-0-1 after food with water will reduce pain in neck and back area. Brahmi vati 1-0-1 after food with water will help normalise BP Chandraprabha vati 1-0-1 will help reduce prostrate problem Apply mahanarayan oil on back area and neck area. Do pranamyam

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HELLO DEVIRAM,

THANK YOU FOR SHARING SUCH A DETAIL HISTORY

You are dealing with two main categories of health issues

1) NERVOUS SYSTEM + SPINE PROBLEMS These are mostly related to vata dosha imbalance, which governs nerves, joints, bones, and movement -SYMPTOMS= back pain, neck pain, radiating pain to left leg (sciatica), numbness in hands and legs, occasional shaking, sleep issues -overtime, this has worsened due to degeneration, poor posture, lack of exercise, and aging.

2) METABOLIC AND HORMONAL CONDITIONS These are largely linked to pitta and kapha imbalances -FATTY LIVER= liver can’t process fat properly-sluggish metabolism -HIGH LDL(bad cholesterol)= risk for heart disease -THYROID DISORDER== affects energy, weight, digestion, mood -BODERLINE HIGH BP= indicates strain on heart and blood vessels -ENLARGED PROSTATE= age-related issue, causes urinary urgency and incomplete voiding

Together, these create a vicious cycle -pain limits movement-> less physical activity-> more fat storage-> liver/thyroid/bp issues-> more fatigue-> more pain and stiffness-> sleep disturbance and mental distress-> repeat

TREATMENT GOAL -remove accumulated toxins -balance three doshas- especially vata -strengthen digestion and metabolism-agni -rebuild damaged nerves and tissues-rasayana -support liver, thyroid, prostate and heart -restore healthy sleep, energy and mental calm -create a sustainable , long term lifestyle shift

INVESTIGATIONS TO REPEAT EVERY 3-6 MONTHS

-Liver function test= monitor fatty liver -Lipid profile= track cholesterol(LDL,HDL, triglycerides) -Thyroid profile= to check progress -PSA(prostate specific antigen)= for prostate enlargement assessment -Blood pressure monitoring= weekly record -Blood sugar= metabolic health check -Spine MRI/CT if symtoms worsen= tract structural changes

INTERNAL MEDICATIONS

1) TRIPHALA CHUNRA= 1 tsp at bedtime with warm water =gentle detox, supports liver and gut

2) AROGYAVARDHINI VATI= 1 tab after lunch and dinner =liver support, reduce cholesterol

3) KANCHANAR GUGGULU= 2 tabs twice daily after meals =shrinks thyroid nodules, prostate swelling

4) PUNARNAVA MANDUR= 1 tab twice daily after meals =for swelling, liver, kidney, blood

5) YOGARAJ GUGGULU= 2 tabs twice daily after meals =joint and nerve pain (sciatica, cervial)

6) ASHWAGANDHA CHURNA= 1 tsp at night with milk =rejuvinator, sleep aid, energy booster

7) BRAHMI VATI= 1 tab at bedtime =calms mind, improves sleep, mental clarity

8) GOKSHURA+ SHILAJIT CAPSULES= 1 each in morning =strengthens urinary and reproductive system

9) VARUNADI KASHAYA= 15 ml with warm water before meals =prostate health , urinary issues

10) AVIPATTIKAR CHURNA= 1/2 tsp before lunch and dinner with warm water =for acidity, pita balancing, digestion

START WITH 90 DAYS PHASE

EXTERNAL THERAPIES

1) OIL MASSAGE= with BALASHWAGANDHADI taila daily before bath -strenthens muscles, reduces vata

2) Followed by steam - hot towel fomentation =improves circulation, clears stiffness

3) NASYA= instill 2 drops of ANU TAILA in each nostril daily morning

4) FOOT MASSAGE= every night with ghee =helps sleep, soothes nerves

DIE AND LIFESTYLE CHANGES

AVOID -cold food, and drinks -deep fried items, bakery, refined oil -white sugar, artificial sweetners -red meat, preserved foods -excess curd, panner at night -heavy dinners, late night snacks

INCLUDE -Warm, freshly cooked meals -steamed or sautéed vegetables -green moong dal, red rice , millets -buttermilk with roasted jeera- in lunch -garlic, ginger, turmeric, methi in cooling -1 tsp of ghee daily= helps vata, joints -amla juice or triphala daily for detox

YOGA ASANA(daily 20-30 minutes) -makarasana= for back pain -bhujangasana= spine flexibility -pawanmuktasana= gas relief, spinal health -tadasana= posture improvement -vrikshasana= balance and focus -supta baddha konasana= prostate and sleep

Avoid heavy forward bending or jerky movements

PRANAYAM -anulom vilom= balances al doshas -bhramari= calms mind, reduces tinitus -ujjayi= oxygenation, thyroid stimulation -sheetali

HOME REMEDIES- SIMPLE AND EASY

1) FENUGREEK WATER= soak 1 tsp at night, drink water in morning. =helps sugar, high bp, liver

2) AMLA+ TURMERIC POWDER= mix 1 tsp in warm water =natural antioxidant and liver support

3) JEERA-AJWAIN-FENNEL WATER= sip through the day. =improves digestion, bloating

4) CASTOR OIL (1/2 tsp at night)= occasionally for constipaton and vata pacification

5) SESAME OIL NASYA= helps sinus, nostril issues and mental clarity

-You’ve already taken the hardest step- awareness and willingness to heal -Ayurveda is not instant, but it is deep and long lasting -Healing also means forgiving yourself- for late waking for weight gain, for helping others right now. You’re working on it… -In 6 months, your liver , thyroid, prostate and sleep all can improve significantly if you follow this path -combine this with love, purpose, and gentle elf discipline

IF FEASIBLE= visit panchakarma clinic for better detox

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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I am a Senior Ayurveda Physician with more than 28 years in this field — and trust me, it still surprises me how much there is to learn every single day. Over these years, I’ve had the chance to treat over 1 lakh patients (probably more by now honestly), both through in-person consults and online. Some come in with a mild cough, others with conditions no one’s been able to figure out for years. Each case brings its own rhythm, and that’s where real Ayurveda begins. I still rely deeply on classical tools — *Nadi Pariksha*, *Roga-Rogi Pariksha*, proper *prakriti-vikriti* mapping — not just ticking symptoms into a list. I don’t believe in ready-made cures or generic charts. Diagnosis needs attention. I look at how the disease behaves *inside* that specific person, which doshas are triggering what, and where the imbalance actually started (hint: it’s usually not where the pain is). Over the years I’ve worked with pretty much all age groups and all kinds of health challenges — from digestive upsets & fevers to chronic, autoimmune, hormonal, metabolic and degenerative disorders. Arthritis, diabetes, PCOD, asthma, thyroid... but also things like unexplained fatigue or joint swelling that comes and goes randomly. Many of my patients had already “tried everything else” before they walked into Ayurveda, and watching their systems respond slowly—but surely—is something I don’t take lightly. My line of treatment usually combines herbal formulations (classical ones, not trendy ones), Panchakarma detox when needed, and realistic dietary and lifestyle corrections. Long-term healing needs long-term clarity — not just short bursts of symptom relief. And honestly, I tell patients that too. I also believe patient education isn’t optional. I explain things. Why we’re doing virechana, why the oil changed mid-protocol, why we pause or shift the meds after a few weeks. I want people to feel involved, not confused. Ayurveda works best when the patient is part of the process, not just receiving instructions. Even now I keep learning — through texts, talks, patient follow-ups, sometimes even mistakes that taught me what not to do. And I’m still committed, still fully into it. Because for me, this isn’t just a job. It’s a lifelong responsibility — to restore balance, protect *ojas*, and help each person live in tune with themselves. That’s the real goal.
5
1201 reviews
Dr. Narendrakumar V Mishra
I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.
5
1391 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
818 reviews
Dr. Anupriya
I am an Ayurvedic doctor trained at one of the most reputed institutes (yeah, the kind that makes u sweat but also feel proud lol) where I completed my BAMS with 70%—not just numbers but real grind behind it. My focus during & after graduation has always been on treating the patient not just the disease, and honestly that philosophy keeps guiding me even now. I usually see anywhere around 50 to 60 patients a day, sometimes more if there's a health camp or local rush. It’s hectic, but I kinda thrive in that rhythm. What matters to me is not the number but going deep into each case—reading every complaint, understanding symptoms, prakriti, current state, season changes etc. and putting together a treatment that feels “right” for that person, not just for the condition. Like, I don’t do one-size-fits-all plans. I sit down, make case reports (yup, proper handwritten notes sometimes), observe small shifts, modify herbs, suggest diet tweaks, even plan rest patterns when needed. I find that holistic angle super powerful. And patients feel it too—some who come in dull n restless, over weeks show clarity, skin settles, energy kinda gets back... that makes the day worth it tbh. There’s no shortcut to trust, and i get that. Maybe that’s why patients keep referring their siblings or maa-papa too. Not bragging, but when people say things like “you actually listened” or “I felt heard”, it stays in the back of my mind even when I’m dog tired lol. My goal? Just to keep learning, treating honestly and evolving as per what each new case teaches me. Ayurveda isn’t static—it grows with u if u let it. I guess I’m just walking that path, one custom plan at a time.
5
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Michael
7 hours ago
Thank you so much for this detailed answer. It clarifys alot and gives me hope to address my issues naturally. Much appreciated!
Thank you so much for this detailed answer. It clarifys alot and gives me hope to address my issues naturally. Much appreciated!
Claire
7 hours ago
Really grateful for this in-depth response! It made a lot of sense and I feel more hopeful about managing my hair and health issues now. Thanks!
Really grateful for this in-depth response! It made a lot of sense and I feel more hopeful about managing my hair and health issues now. Thanks!
Alexander
10 hours ago
Thanks for the detailed advice! Your suggestions were spot on, and I already feel more at ease about handling this. Really helpful! :)
Thanks for the detailed advice! Your suggestions were spot on, and I already feel more at ease about handling this. Really helpful! :)
Ryan
10 hours ago
Thanks for the detailed advice! Your clear explanation and reccommendations was super helpful. Feeling relieved!
Thanks for the detailed advice! Your clear explanation and reccommendations was super helpful. Feeling relieved!