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
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
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
