Duodenal erosions found in endoscopy and colonoscopy is normal - #26238

Take tablet Liv-52 1-0-1 after food with water Kamdudharas 1-0-1 after food with water Kutaj ghanvati 1-0-1 after food with water Take bael syrup 2tsp twice daily in a glass of water.or bael murabba 2tsp daily Avoid spicy fried foods, nonveg food, also wheat and wheat products. Avoid milk , but can take buttermilk only after lunch with a pinch of asafoetida black salt and roasted jeera powder. Follow up after 1 month

Avoid spicy, oily and processed food. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Regular use of buttermilk. Cap.Florasante 1-0-1 Tab.Yashtimadhu 2-0-2 Tab.Guduchi 2-0-2

After reviewing your symptoms and the diagnosis of duodenal erosions, it’s key to address the imbalances that might be causing these issues. Duodenal erosions can be linked to aggravated Pitta dosha, which affects Agni, the digestive fire. This imbalance may lead to the symptoms you’re experiencing: diarrhea, constipation, mucous, and blood in stools, as well as changes in bowel habits.

A primary step would be to incorporate a Pitta-pacifying diet. Focus on cooling, non-spicy foods. Include meals like kitchari, which is easy on digestion, and consider mung beans, but ensure they’re well-cooked. Avoid fried and processed foods; they can further disrupt your digestive balance.

Try taking triphala churna at night. Mix half a teaspoon with warm water a couple of hours after dinner; it can help regulate bowel movements and cleanse the digestive tract over time. Remember, consistency is key, so use this approach gently over a few weeks.

Hydration with warm or room-temperature water, rather than cold, can support your Agni. A pinch of fennel seeds boiled in water and consumed daily may soothe the digestive tract.

Given the presence of mucus and blood, keep a close monitor on these. While Siddha and Ayurveda provide supportive care, such symptoms can occasionally point to more urgent health needs, so further assessment by a gastroenterologist is wise. Maintaining awareness of the severity and seeking additional clinical intervention when symptoms persist or worsen ensures your safety.

Alongside dietary adjustments, incorporate some light, calming pranayama practices into your daily routine. Focus on Anulom Vilom (alternate nostril breathing) to balance your body’s internal energies.

This plan, aligned with your existing medical treatments and expert consultations, can help harmonize your internal environment and provide some relief from the discomfort you’re facing, ensuring that you’re integrating both contemporary and traditional insights effectively.

When diagnosing duodenal erosions alongside symptoms such as diarrhea, constipation, mucus, blood in stool, and altered bowel habits, it’s crucial to address these concerns through both medical evaluation and Ayurvedic approaches. Given the findings, it is imperative to follow up with your gastroenterologist to rule out any serious conditions like ulcers or other gastrointestinal diseases requiring immediate attention. However, integrating Ayurvedic methods may help in managing symptoms and improving your digestive health.

In Ayurveda, balancing agni (digestive fire) is essential. Your symptoms suggest an imbalance in the doshas, particularly vata and pitta. Start with dietary modifications: Consume light, easily digestible foods. Opt for well-cooked vegetables, soups, and stews. Avoid spicy, fried, or overly acidic foods that can aggrravate pitta. Consider adding cumin, coriander, and fennel seeds to your meals to support digestion.

Include buttermilk in your diet, seasoned with a pinch of black pepper and roasted cumin, which can soothe the digestive tract and reduce acidity. Aloe vera juice (2-3 tablespoons) before meals may also provide relief, assisting in healing the mucous membranes of the digestive tract.

Practicing stress-reduction techniques like meditation or yoga can be beneficial since stress can exacerbate IBS-like symptoms. Aim for 7-8 hours of quality sleep each night to support overall digestion. Ensure you have a consistent eating schedule, as irregular diets can disturb vata balance.

If symptoms persist or worsen, do not delay in seeking further medical evaluation. Ayurveda can complement but should not replace conventional medical treatments for acute symptoms, especially when blood is present in the stool. Always keep your doctor informed of any alternative practices you are considering.

1) Cap. Amlapittantaka-1 tab before food 2 times a day 2) kamdugha rasa -250 mg before food 3 Times a day 3) mahatiktaka ghrita 10-15 ml with warm milk 30 min after food

Yoga Nidra

Om Mantra chanting

Diet and Lifestyle

Pathya: Eating smaller meals

Drink water after meals

Apathya

Avoid heavy, spicy, sour, hot, too much oily food.

Excessive or scanty and also taken too early or too late.

Avoid anxiety, worry, anger, etc.

Avoid alcohol and acidic foods.

Avoid aspirin and other NSAIDs.

Avoid drinking of water just before meal, day sleeping after meal; heavy meals at night time.

Don’t take anything in between meals except liquids.

Suppression of the natural urges. Prevention:

Avoiding the pitta-aggravating diet, smoking, tobacco chewing, alcohol.

Avoid stress, tension, anxiety, anger, etc.

Persons of Pitta Prakriti should take purgation therapy once in year

Avoiding aspirin, ibuprofen, naproxen, etc. NSAIDs.

Based on report- duodenal erosions, alternating diarrhoea and constipation, mucus and blood in stool, and bowel habit changes- your symptoms resemble a mix of Irritable bowel syndrome(IBS) and possibly inflammatory bowel condition (though endoscopy only shows duodenal erosions and colposcopy is normal)

Your symptoms suggest an imbalance in Pitta and Vata doshas, leading to Grahani (IBS-like condition), and Amlapitta/parinama shoal(duodenal erosion/ulcer like symptoms)

AYURVEDIC MANAGEMENT

DIET AND LIFESTYLE

AVOID= spicy, sour, fermented foods, caffeine, cold drinks, fried items

INCLUDE= warm, soft cooked foods like khichdi, moong dal, boiled vegetables, ghee

Eat at fixed times daily

Avoid mental stress (stress aggravates vata and pitta)

Ensure adequate sleep and hydration

HERBAL REMEDIES

TO HEAL EROSIONS -YASHTIMADHU GHRITA= 1 tsp twice daily after meals with warm milk

IBS AND MUCUS /BLOOD -KUTAJARISHTA= 20 ml with warm water twice daily after meals

REGULATE BOWELS -BILVA CHURNA= 1 tsp at bedtime with warm water

SOOTHES GUT, REDUCE INFLAMMATION -AVIPATTIKAR CHURNA= 1/2 tsp before meals with warm water

PANCHAKARMA (if symptoms are chronic) -virechana(medicated purgation) to clear pitta -basti(medicated enema) to balance vata

GENERAL TONICS

-DADIMASHTAKA CHURNA 1 TSP + GHEE= for appetite and digestion

-TAKRA(buttermilk) with trikatu + hing post lunch

THANK YOU

DR. HEMANSHU MEHTA