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Iron deficiency anemia since 1 year
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General Medicine
Question #26260
82 days ago
268

Iron deficiency anemia since 1 year - #26260

Rashmi Ranjan

I have iron deficiency iron since 1 year eating iron tablet still hemoglobin is not increasing what should I do should I go for panchakarma..... It will cure my iron absorption problem ....... ..........................

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Doctors’ responses

HELLO RASHMI,

Iron deficiency anemia means your body does not have enough iron to produce healthy hemoglobin, the red part of blood cells that carries oxygen.Without enough hemoglobin, your blood can’t carry enough oxygen to your body’s tissues- making you feel tired, weak or even dizzy.

You said you’ve been taking iron tablets for a year and still not improving. That suggests something deeper might be interfering

POSSIBLE REASONS

1) NOT ABSORBING IRON WELL in the intestines -celiac disease -acid imbalance in the stomach -intestinal inflammation

2) LOSING BLOOD SILENTLY -heavy periods-menorrhagia -bleedibg in your stomach/intestines- ulcers, piles, polyps, worms

3) IMPROPER IRON INTAKE OR ABSORPTION HABITS -taking iron with tea, coffee, milk-they block iron -not taking iron with vitamin c -skipping doses or irregular intake

In Ayurveda, this condition is called panda roga -pandu means paleness-from reduced blood/hemoglobin -it is due to vitiation (imbalance) in pitta and kapha doshas, leading to weakened rasa(nutrient plasma) and rakta dhatu(blood tissue) -weak digestion (mandagni) causes poor iron absorption and toxin formation(ama)

TREATMENT GOAL -correct agni(digestive fire) to absorb iron properly -rebuild rakta dhatu-blood tissue -remove ama(toxins) from the system -provide nourishing rasayana(rejuvination) for long term strength

INTERNAL AYURVEDIC MEDICINES

1) PUNARNAVA MANDUR= 2 tabs twice daily after food for 3-6 onths =improves hemoglobin, detox liver

2) NAVAYASA LAUHA= 500mg with ghee in morning for 3-6 months =iron coompund

3) MANDUR BHASMA= 250 mg with honey at night for 2 months =iron rich herbs-mineral for absorption

4) DRAKSHARISHTA= 20 ml with equal water after meals for 3 months =improves digestion and iron absorption

5) LAUHA BHASMA= 125 mh with honey in morning for 1 month =direct iron source

6) PIPPALI RASAYANA= 5gm in milk in morning for 40 days =enhances agni, increases absorption

EXTERNAL THERAPIES

1) ABYANGA(oil massage)- BALA TAILA =improves circulation and overall strength

2) STEAM THERAPY -useful in detoxifying and improving metabolism

PANCHAKARMA(indicated) -virechana - if pitta is dominant -basti=for chronic or vata related anemia

DIET -green leafy vegetables= spinach, moringa, methi, amaranth -fruits= pomegranate, black grapes, apples, dates, raisins -vegetables- beetroot, pumpkin, carrots -others= jaggery, sesame seeds(black), soaked almonds, figs, dry dates -whole grains= ragi, bajra -vitamin c rich foods= amla, lemon, oranges-help iron absorption

AVOID -tea,coffee(interfere with iron absorption) -milk+iron rich foods together -fried, packaged, stale foods -cold drinks, curd at night

HOME REMEDIES 1) beetroot juice+ amla juice= 50 ml once daily 2) Soaked raisins+black sesame seeds= eat 1 tsp daily 3) jaggery+ghee on roti or as ladoos 4) Dry dates soaked overnight in water- eat in the morning 5)Pomegranate juice- daily on empty stomach

LIFESTYLE, YOGA AND PRANAYAM

GOALS -improve blood flow -boost digestion -calm stress(which worsens absorption)

YOGA ASANA -Sarvangasana -Paschimottanasana -Bhujangasana -Matsyasana -Vipaita karani

PRANAYAM -Anulom vilom= balances body -Bhramari=calms mind -Kapalbhati= stimulates digestion(start slowly)

practice 20-30 minutes daily, preferably in morning

Minimum 3-6 months. Blood takes time to rebuild, continue regular medications and lab investigation to monitor progress

Iron deficiency Anemia is curable- but not by tablets alone. You must correct digestion, stop hidden losses, and nourish your blood using a combination of ayurveda, lifestyle changes, proper diet and rest.

DO FOLLOW CONSISTENTLY

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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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.
81 days ago
5

1) Tab Navajeevana rasa - 2 tab before food with dadima ghrita 10 ml - 3 times a day 2) tab tapyadi loha - 1 tab before food with water 3 times a day 3) draksharishta- 20 ml after food with water 3 times a day

Yoga Therapy

Pranayama

Ujjayi (energy-renewing Pranayama), Nadi-Sodhana (altenate breathing).

Asanas

Paschimottanasans (stretching the back and legs), Ardhamatsyendrasana (Simplified version of the Yogi Matsyendra Posture), Sarvangasana (Shoulder-stand), Sirshasana (Head-stand), Shavasana.

Pathyapathya

Pathya: Spinach, beetroot, carrot, dates, cherry, cranberry, grapes, mango, apple.

Apathya: Salty, sour, spicy, hot diet, exposure to sunlight, excess of exercise, alcohol and smoking.

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hello Rashmi Ranjan ,

You are taking iron tablets but your hemoglobin is still low this tells us that your body isn’t absorbing iron properly. This is not always due to a problem in food, but because of weak digestion (Mandagni) and toxin buildup (Ama) in the gut. When digestion is slow and the intestines are coated with undigested waste, iron and nutrients from food and medicine cannot be absorbed effectively.

This is commonly seen in long-term low energy, poor appetite, frequent gas or acidity, and irregular bowel habits all signs that your gut needs cleansing and strengthening before giving iron-rich medicines.

Step 1: Ama Pachana (First 3–5 days)

To clean the gut, reduce bloating, and prepare for better absorption.

Trikatu Churna – ¼ tsp with warm water, twice daily before food Hingvastaka Churna – ½ tsp after meals with warm water Warm jeera-ajwain water sip throughout the day

Diet: Khichdi, cooked vegetables, moong dal with hing and cumin. No milk, curd, wheat, fried food, bakery, or junk during this phase.

Once digestion is better, these medicines can help build iron and strength.

Punarnava Mandura – 2 tablets twice a day after meals Navayasa Lauha – 125 mg once daily before breakfast with honey or warm water Draksharishta – 15 ml with equal warm water after meals Ashwagandha Churna – ½ tsp with milk or warm water at bedtime Chitrakadi Vati – 1 tablet after lunch and dinner for improving appetite and iron absorption

Abhyanga (Oil Massage) + Swedana (Mild Steam at Home) – 2–3 times a week

Use Dhanwantaram Tailam or Balashwagandhadi Tailam for full body massage followed by warm water bath or mild steam. Helps improve tissue nourishment, digestion, circulation, and fatigue.

Diet Tips

Include black raisins (soaked overnight), dates, jaggery with ghee Avoid tea, coffee immediately before or after meals (they block iron absorption) Use iron-rich foods: leafy vegetables, black sesame seeds, pomegranate, drumstick leaves Cook in iron vessel whenever possible

Follow-up

Recheck Hemoglobin, Serum Ferritin after 6–8 weeks

Continue only digestion-supportive medicines if iron levels improve Observe energy, hair fall, periods, and stool quality to monitor inner improvement

If you have any doubts, you can contact me. Take care, Regards, Dr. Karthika

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Get your blood test if thalessimia is + ve then haemoglobin will not increase easily You can take Tablet Liv-52 1-0-1 after food with water Lohasav 10ml once after food with water Take pomegranate any one juice daily juice,/ amla juice/ beetroot juice/ doodhi juice/ apple juice. Include ragi/ nachni atta in your diet. Follow up after 45 days with report

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Punarnavadi mandura-1 tab twice daily after food with lukewarm water Eat palak beetroot soaked raisins Drumsticks leaves

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If you’re experiencing iron deficiency despite taking supplements, there may be an issue with absorption rather than just intake. Iron deficiency in Ayurveda is often linked to imbalances in doshas, particularly Pitta and Vata, as well as a weak digestive fire (Agni) which hampers assimilation of nutrients. Panchakarma can sometimes aid in resetting the digestive system, but let’s first consider more personalized approaches.

Improving Agni (digestive fire) is essential. Consuming a mixture of ginger, lime, and a pinch of salt before meals can help stimulate digestion. This should be taken ideally 10-15 minutes before eating. Also, consider drinking warm water throughout the day to enhance digestive capacity.

From an Ayurvedic perspective, incorporating specific foods known to boost iron levels might be helpful. Raisins, dates, sesame seeds (til), pomegranates, beetroot, and leafy greens like spinach should be integral parts of your diet. Cook these greens with some lemon juice to enhance iron absorption. Additionally, prepare meals using iron cookware to allow iron to leech into your food naturally.

Optimize meal timing; have your largest meal when your digestive strength is naturally strongest, usually around noon. Sipping on herbal teas like Tulsi or Fenugreek can further bolster digestion.

Assess your daily routine for potential aggravators — avoid consuming things that inhibit iron absorption like dairy products, maize, or consuming caffeine close to meal times. The presence of good gut health is also paramount; consider consuming probiotic-rich foods like fermented foods aiding that.

It’s paramount to have a comprehensive evaluation by a healthcare professional. If Panchakarma is of interest, consult a skilled Ayurvedic practitioner who can recommend a safe, tailored program especially considering any concurrent conditions. If your symptoms persist or worsen, a consultation with a medical professional is necessary as iron deficiency (anemia) can potentially be an indicator of underlying issues needing targeted treatment.

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Persistent iron deficiency despite supplementation requires a closer look at the root cause. In the Siddha-Ayurvedic tradition, this issue often relates to the imbalance of pitta dosha and agni, specifically the jatharagni (digestive fire) that affects nutrient absorption. Before considering Panchakarma, it’s important to strengthen your digestive system and dietary approach.

Firstly, ensure your diet is rich in naturally iron-rich foods. Increase intake of green leafy vegetables like spinach and amaranth, beetroot, jaggery, and dates, ideally cooked with a small amount of ghee to aid digestion. Additionally, include Amla (Indian gooseberry) which is high in Vitamin C and can enhance iron absorption.

A key step is to improve digestive fire. You might want to take Trikatu churna, a blend of dry ginger, black pepper, and long pepper, before meals to stimulate agni. Take 1/2 teaspoon mixed with honey, once a day. Regular consumption of buttermilk with a pinch of rock salt and cumin can also be beneficial post-meals to support digestion.

Avoid consuming tea, coffee, and dairy products around mealtime as they hinder iron absorption. Instead, sipping warm water throughout the day can promote better digestive health.

Before proceeding with Panchakarma, consult with a practitioner to determine if your body is ready for detoxification treatments. Panchakarma usually requires the body to be well-prepared, and removing toxins can sometimes strain someone already experiencing nutritional deficiencies.

Taking these steps should complement your iron tablets, but also, this persistent issue may need conventional evaluation. It’s crucial to rule out any underlying conditions affecting absorption, such as gastrointestinal problems. Consult with a healthcare provider to refine your approach, if you still experience issues.

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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
852 reviews
Dr. M.Sushma
I am Dr. Sushma M and yeah, I’ve been in Ayurveda for over 20 yrs now—honestly still learning from it every day. I mostly work with preventive care, diet logic, and prakriti-based guidance. I mean, why wait for full-blown disease when your body’s been whispering for years, right? I’m kinda obsessed with that early correction part—spotting vata-pitta-kapha imbalances before they spiral into something deeper. Most ppl don’t realize how much power food timing, digestion rhythm, & basic routine actually have… until they shift it. Alongside all that classical Ayurveda, I also use energy medicine & color therapy—those subtle layers matter too, esp when someone’s dealing with long-term fatigue or emotional heaviness. These things help reconnect not just the body, but the inner self too. Some ppl are skeptical at first—but when you treat *beyond* the doshas, they feel it. And I don’t force anything… I just kinda match what fits their nature. I usually take time understanding a person’s prakriti—not just from pulse or skin or tongue—but how they react to stress, sleep patterns, their relationship with food. That whole package tells the story. I don’t do textbook treatment lines—I build a plan that adjusts *with* the person, not on top of them. Over the years, watching patients slowly return to their baseline harmony—that's what keeps me in it. I’ve seen folks come in feeling lost in symptoms no one explained… and then walk out weeks later understanding their body better than they ever did. That, to me, is healing. Not chasing symptoms, but restoring rhythm. I believe true care doesn’t look rushed, or mechanical. It listens, observes, tweaks gently. That's the kind of Ayurveda I try to practice—not loud, but deeply rooted.
5
164 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
489 reviews

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Really helpful response! Appreciate the detailed suggestions and guidance. It's reassuring to have a clear direction for exploring new treatment options.