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Duodenal erosions found in endoscopy and colonoscopy is normal
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Gastrointestinal Disorders
Question #26238
42 days ago
123

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

I have done endoscopy as well as colonoscopy in which they diagnosed duodenal erosions because I have a problem of diarrheaas well as constipation so one dr told me thatIhave ibs so thn i changed and seek a gastro than we did endoscopy colonoscopy because my stool have a lot of mucus and blood as well changed in my bowl habits too sometimes green stool too

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HELLO,

Based on what you have shared- duodenal erosions, alternating diarrhoea and constipation, mucus and blood in stools, and bowel habit changes, your condition points towards a complex digestive system imbalance.

WHAT IS DUODENAL EROSIONS? -the duodenum is the first part of small intestines, just after stomach -“Erosions” are small superficial wounds or ulcers on its lining CAUSES= excess acid, weak digestive lining, stress, infections like H.pylori, or irritating foods/drugs like painkillers

WHY MUCUS AND BLOOD IN STOOL? -mucus is produced when the colon is irritated or inflamed Blood may come from -tiny tears(fissures) -hemorrhoids -inflammation(IBD like Ulcerative colitis) -or serious issues like polyps/ cancer-needs ruling out

WHY YOU HAVE ALTERNATING DIARRHOEA AND CONSTIPATION? -this is a classic pattern of IBS but with complications -it means your intestines are not working in a coordinated way- too fast(diarrhoea) or too slow (constipation) -Underlying factors -stresss, poor sleep, bad digestion, and weak gut lining -sometimes chronic inflammation can also cause this.

INVESTIGATION TO DO (if not done yet)

1) H. PYLORI TEST= rule out ulcer causing bacteria 2)STOOL ROUTINE AND CULTURE= to check for infections or parasites 3) STOOL OCULT BLOOD TEST= hidden blood in stools 4) STOOL CALPROTECTIN= distinguisges IBS from IBD 5) CBC, ESR, CRP= check inflammation, anemia 6) USG ABDOMEN= rule out organ related issues 7) COLONOSCOPY BIOPSY= already done- valuable in confirming IBD or colits

AYURVEDICALLY, Your body is struggling with weak digestive fire and Tridosha imbalance, mainly vata= causing irregular movement-> constipation, diarrhoea pitta= causing inflammation, acidity, ulcers->duodenal erosion, bleeding kapha= excess mucus, sluggish digestion ama(toxic undigested material)- leads to mucus, foul smell, heaviness

In Ayurveda, this is closest to a condition called -Grahani roga= similar to IBS/IBD -Amlapitta= duodenal erosion and acidity -Raktatisara= blood in stools

TREATMENT GOAL -Rekindle agni= improve digestion without irritation -Regulate bowels= prevent both diarrhoea and constipation -Heal mucosa= soothe ulcers and reduce blood/ mucus -calm the nervous system= reduce gut-stress connection -remove ama= clean gut toxins gently -balance vata-pitta-kapha= long term stability

INTERNAL MEDICATIONS

1) KUMDUDHA RAS(with mukta)= 250 mg twice daily with honey after meals for 1 month =neutralizes acid, heals duodenal lining

2) SOOTSEKHAR RAS= 125 mg twice daily after meals for 1 month =anti inflammatory , balances pitta

3) KUTAJGHAN VATI= 2 tabs twice daily after meals for 1 month =stop diarrhoea, mucus and bleeding

4) BILWADI CHURNA= 5gm twice daily with buttermilk after meals for 1 month =binds loose stools, reduces colitis symptoms

5) AVIPATTIKAR CHURNA= 3 gm at bedtime for 2 weeks =clears bowel, without irritation

6) DADIMASTAKA CHURNA= 3gm with warm water or honey twice daily for 1 month =improves digestion, calms gut

7) TAKRARISHTA= 15ml with equal water after meals for 2 months =fermented probiotic-like tonic

GENERAL DIET GUIDELINES

DO EAT -warm ,cooked meals -moong dal khichdi -pomegranate juice -steamed veggies(bottle gourd, ash gourd, pumpkin, carrots) -buttermilk with cumin -herbal tea= cumin-coriander-fennel= coffe, tea, carbonated drinks

YOGA AND PRANAYAM Doing 20-30 minutes daily is essential for calming the gut brain connection, reducing anxiety, and improveing digestion

YOGA ASANAS -Vajrasana=after meals -pawanmuktasana= relieves gas -balasana= soothing -apanasana= supports colon health -trikonasana, tadasana= improves abdominal flow

PRANAYAM -Nadi sodhaana= Balances Vata pitta -Bhramari= calms mind and gut -sheetali/sheetkari= reduces pitta(heat/inflammation)

HOME REMEDIES

1) POMEGRANATE PEEL POWDER -dry and powder peel -take 1 tsp with honey twice daily =stops bleeding, heals gut lining

2) ALOE VERA+GILOY JUICE -15ml of each n empty stomach =soothes ulcers, builds immunity

3) FENNEL+ AJWAIN+ ROCK SUGAR -chew after meals =prevents gas, supports digestion

4) ROASTED BAEL FRUIT POWDER(if loses stool) -1 tsp with water twice daily =strong gut astringent and healing

5) RICE WATER -drink like soup with salt and cumin =soothing during loose motions

LIFESTYLE CHANGES

DO’S -eat on time, every day -sleep before 10:30 pm -chew food well -stay calm and relaxed

DON’TS -skip meals or eat at midnight -use screens late at night -lie down immediately after food -eat while watching tv or stressed -overwork, multitasking or rush meals

You are facing a chronic gut disorder, possibly overlapping between IBS or IBD . Ayurveda doesn’t mask symptoms- it works on the root cause: digestive fire, dosha imbalance, and mind gut connection

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
39 days ago
5

Bilwadi churna- 1/2 tsp with warm water Kutaja ghan vati- 1 tab twice daily after food ( if loose stools) Triphala churna-1/2 tsp with warm water at night Avipattikara churna- 1/2 tsp with water before meals

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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

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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

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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.

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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.

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Dr. Khushboo
I am a dedicated Ayurvedic practitioner with a diverse foundation in both modern and traditional systems of medicine. My journey began with six months of hands-on experience in allopathic medicine at District Hospital Sitapur, where I was exposed to acute and chronic care in a high-volume clinical setting. This experience strengthened my diagnostic skills and deepened my understanding of patient care in an allopathic framework. Complementing this, I have also completed six months of clinical training in Ayurveda and Panchakarma, focusing on natural detoxification and rejuvenation therapies. During this time, I gained practical experience in classical Ayurvedic treatments, including Abhyanga, Basti, Shirodhara, and other Panchakarma modalities. I strongly believe in a patient-centric approach that blends the wisdom of Ayurveda with the clinical precision of modern medicine for optimal outcomes. Additionally, I hold certification in Garbha Sanskar, a specialized Ayurvedic discipline aimed at promoting holistic wellness during pregnancy. I am passionate about supporting maternal health and fetal development through time-tested Ayurvedic practices, dietary guidance, and lifestyle recommendations. My approach to healthcare emphasizes balance, preventive care, and customized wellness plans tailored to each individual’s constitution and health goals. I aim to create a nurturing space where patients feel heard, supported, and empowered in their healing journey. Whether treating seasonal imbalances, supporting women’s health, or guiding patients through Panchakarma therapies, I am committed to delivering care that is rooted in tradition and guided by compassion.
40 days ago
5

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.

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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.
35 days ago
5

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

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ChatGPT said: I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what
 basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.
5
234 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
458 reviews
Dr. Prasad Pentakota
ChatGPT said: 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
313 reviews
Dr. Rajan soni
I am working in Ayurveda field from some time now, started out as a general physician at Chauhan Ayurveda Hospital in Noida. That place taught me a lot—how to handle different types of patients in OPD, those daily cases like fever, digestion issues, body pain... but also chronic stuff which keeps coming back. After that I moved to Instant Aushadhalya—an online Ayurveda hospital setup. Whole different space. Consultations online ain’t easy at first—no pulse reading, no direct Nadi check—but you learn to ask the right things, look at patient’s tone, habit patterns, timing of symptoms... and yeah it actually works, sometimes even better than in person. Right now I’m working as an Ayurveda consultant at Digvijayam Clinic where I’m focusing more on individualised care. Most ppl come here with stress-related problems, digestion issues, joint pain, that kind of mix. I go by classic diagnosis principles like prakriti analysis, dosha imbalance and all, but also mix in what I learned from modern side—like understanding their lifestyle triggers, screen time, sleep cycles, food gaps n stress patterns. I don’t rush into panchakarma or heavy medicines unless it’s needed... prefer starting with simple herbs, diet change, basic daily routine correction. If things demand, then I go stepwise into Shodhan therapies. My goal is to not just “treat” but to help ppl know what’s happening in their body and why its reacting like that. That awareness kinda becomes half the cure already. Not everything is perfect. Sometimes ppl don’t follow what you say, sometimes results are slow, and yeah that gets to you. But this path feels honest. It’s slow, grounded, and meaningful.
5
24 reviews

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Allison
10 hours ago
The doc's answer was a life-saver, gave me simple remedies that actually make sense. I feel more at ease now about my health.
The doc's answer was a life-saver, gave me simple remedies that actually make sense. I feel more at ease now about my health.
Jaxon
12 hours ago
Thanks a ton for your response. It really helped narrow down the issue. Never thought about it like that, appreciate it!
Thanks a ton for your response. It really helped narrow down the issue. Never thought about it like that, appreciate it!
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