Antral gastritis for last 4-5 months and IBS for last 7-8 yrs - #26414
I have been suffering from IBS for last 7-8 yrs that is whenever I feel anger, fear or stressed I have to go washroom. Some times loose and some times constipated and motions are mostly undigested food pieces. Low in energy always and too much sweating always. But current now for last 4-5 months suffering from antral gastritis ( endoscopy done) which is not getting cured. Taken allopathy, homeopathy, ayurvedic medicines but 4-5 days becomes ok then again comes back. When stomach is empty upper abdomen pains and fired inside feels but when food is taken then always fired all upper abdomen and little pain developed. If slight stress then go to washroom. There are no loose motions. Motion is normal but have to go again whenever fear or stressed and always feels depressed and suicidal as I am not getting any permanent solution. I am only on plain khichdi and dal ghiya sabzi for last many months. I eat little and have to go washroom after some time and after coming out abdomen pains more and feels all stomach is fired up inside and feeling of going again as bowel is not empty. Gut brain axis is totally disconnected and now gastritis have worsened. Mood is always weak, depressed, feeling to cry always.
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Doctors’ responses
Hello Vedant, I can understand how difficult and exhausting this prolonged digestive and emotional struggle must be for you.i can understand what kind of emotional pain you must be going through. Your symptoms suggest a interaction between your gut (IBS with antral gastritis) and your mental health (stress, depression, mood issues) — this is often referred to as the gut-brain axis imbalance. Gut and brain are strongly associated as GUT BRAIN AXIS. but dont worry we are here to help you out😊
✅ HEALING STARTS FROM WITHIN SO KEEP A TRUST ON AYURVEDA, HAVE A BELIEVE IN YOURSELF THAT YOU WILL COME OUT OF THIS STRONGLY 😊
✔️Start with following as early as possible ✅Immediate Care (To calm aggravated Pitta and Vata)
❌Avoid: Spicy, oily, heavy, acidic foods, caffeine, alcohol, smoking, late-night meals.
Diet: Continue with light, easy-to-digest foods like khichdi (moong dal + rice),bottle gourd sabzi, steamed vegetables, and buttermilk with a pinch of roasted cumin powder.
Hydration: Warm jeera infused water sip throughout the day.
AYURVEDIC MEDICATION
1 Dadimadi ghrita 1 tsp morning empty stomach follwed by warm water ( will heal your gastritis) 2 Amlant 2-0-2 before food 3 Kutajaristha 15ml-0-15ml +30 ml water after food ( Controls bowel irregularities and soothes gut) 4 Brahmi cap 1-0-1 twice daily after food ( Calms mind, relieves stress and anxiety) 5. Manas mitra vatakam 2 at bed time ( Reduces stress, supports mood and energy)
External Therapies*
1 Abhyanga (daily gentle oil massage) with Bala Taila or Ashwagandha oil to calm Vata. 2 ksheerbala taila -Warm oil Apply on head half hour before bath
Lifestyle mofification ✅Meditation and Pranayama: Practice Nadi Shodhana (alternate nostril breathing) and deep relaxation for 15-20 minutes daily to calm mind and gut. ✅Avoid cold drinks, ice, and heavy exertion especially on an empty stomach. ✅Regular routine: Wake, eat, and sleep at fixed times to regulate digestion.
✅✅✅It’s important to seek psychological counseling or Ayurvedic mental health therapies to address depression and suicidal thoughts.
✔️You may also benefit from Ayurvedic therapies like Shirodhara which calms the nervous system.
Important ❌Avoid self-medicating and please consult an Ayurvedic physician for personalized evaluation and treatment.
❌Don’t ignore the mental health symptoms; they need to be addressed along with digestive health for true recovery.
✔️Continue gentle diet and herbal medicines as prescribed for 3 months minimum for sustained relief.
I encourage you to hold on, and have hope that healing is possible with the right support and consistent care.
Strength to you✨ Warm Regards. Dr Snehal Vidhate
Take tablet Liv-52 1-0-1 after food with water Kutaj ghanvati 1-0-1 after food with water Avipattikar tablet 1-0-1 after food with water Avoid nonveg, wheat and wheat products Milk also to be avoided take butter milk with pinch of asafoetida black salt and roasted jeera powder after lunch daily Bael syrup 2tsp in a glass of water / or bael murabba twice daily with water.
Avoid addiction if any. Avoid spicy, oily and processed food. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Cap.Florasante 1-0-1 Tab.Yashtimadhu 2-0-2 Tab.Guduchi 2-0-2 Regular use of buttermilk
Avipattikara churna- 1/2 tsp with water twice daily before food Kutaja ghan vati- 1 tab twice daily after food with lukewarm water( if loos stools) Triphala churna- 1 tsp with warm water at night Drink warm water throughout the day Drink buttermilk daily Avoid spicy oily fermented processed foods Avoid lying on bed immediately after taking food Do walking regularly
1.) Chitrakadi vati 500mg- before food with hot water
2) Hingvashthaka churna-2gm Shankha bhasma-250mg Agnikumara rasa-250mg Panchamrita parpati-250mg - before food with changeri ghrita and warm water
3.)Trayushanadi ghrita-20ml - with hot water 1 hr after food
Diet and Lifestyle:
Pathya
Ahara:
Annavarga-Sashti Shali, Jirna Shali, Masoora, Tuvari, Mudga Yusha, Lajamanda, Vilepi etc.
Shakavarga- Changeri, Rambha Pushpa, Kamalakanda
Phalavarga- Rambha, Jambu, Kapittha, Dadima
Dugdhavarga- Aja or Gavya Dugdha, Dadhi, Takra, Ghrita
Tailavarga- Tila Taila
Vihara: Nidra, Vishrama, activities making mind happy
Apathya
Ahara: Atishita Jala, Dushta Jala, Guru, Snigdha, Drava, Ati Ruksha, and Saraka sub-stances, Viruddha Bhojana, Rasona, Patra Shaka, etc.
Vihara: Vegavidharana, Chinta, Shoka, Bhaya, Krodha, etc.
Hello vedant, Which Allopathic, Ayurvedic and homeopathic medicines did you take?
Allopathy - Rabeprazole 40 mg morning night Raciraft syrup Unienzyme tab Pankreoflat tab Probiotics Ayurvedic - Dadimadi ghrita Avipattikar churna Arq makoh Yashtimadhu tablets 1-2 more tabs, do not remeber
Homeopathy - Nix vomica 30 Gastro aid by baksons Natrum phosphoricum 3x
Thank you for replying vedant ji🙂 **Ayurvedic treatment is highly individualized. It’s essential to consult with a qualified Ayurvedic practitioner who can assess your specific condition (PRAKRUTI and DOSHA IMBALANCE i.e.VIKRUTI ) and recommend the appropriate course of treatment, including personalized dietary recommendations,herbal formulations, and therapies. Take care🙂
hello Vedant , I truly understand you’re going through a lot physically and emotionally and it’s been a long, exhausting journey for you. From what you’ve described, this is a classic case of IBS (Irritable Bowel Syndrome) with predominant gut-brain axis imbalance worsened by chronic antral gastritis. The root cause seems to be a mix of weak digestive fire (mandagni), vishama vata, emotional sensitivity, and ama (toxins) accumulated over years.
Your system is reacting strongly to even mild triggers like emotions, and this indicates that both physical digestion and mental processing (manas and agni) are disturbed. You’re right healing here isn’t just about digestion; it’s about resetting the gut-mind connection patiently and gently.
Your digestion is like a disturbed machine it starts working slightly, then overreacts, then crashes again. Due to stress and emotional overload, your nervous system keeps telling your gut to act up. This keeps the stomach irritated, acid-producing, and weak in processing food, even if you’re eating the lightest food like khichdi. The uneasiness, pain after eating, and incomplete bowel emptying are due to this imbalance of your gut-brain coordination. Even sleep, mood, energy all get affected. Your system doesn’t need heavy medicines now it needs reset and calm.
Investigations (If not recently done)
CBC, CRP, Vitamin D & B12 TSH, Cortisol (to assess endocrine role in chronic fatigue and stress) Stool routine + calprotectin (to reconfirm non-inflammatory IBS) Serum serotonin (if available) – optional Psychological evaluation if mood is worsening (don’t hesitate; support helps)
Treatment Plan
Step 1: Ama Pachana (First 5 days)
Shunthi Churna (Dry Ginger powder) – ¼ tsp with warm water before meals – twice a day Bilwadi Churna – ½ tsp after food with warm water – twice a day Light meals like yavagu (rice gruel), moong dal soup, pomegranate
Step 2: Digestive and Gut Healing Medications (Continue after 5 days)
Avipattikara Churna – ½ tsp at bedtime with warm water (relieves burning and acidity) Kutajghan Vati – 2 tablets twice daily after food (for bowel regulation and gut lining repair) Sutshekhar Ras (Plain) – 1 tab morning and evening after meals with honey or water Manasamitra Vatakam – 1 tab at bedtime with milk (supports gut-brain axis, calmness)
Sip warm water every 1-2 hours Practice Nadi Shodhana Pranayama twice daily (10–15 minutes) Try short walks in fresh air after food Avoid complete isolation—talk gently with someone daily Start Ashwagandha 250 mg once daily at bedtime (if not acidic that day)
Do you wake up at night due to abdominal pain or urgency? Do you feel better when distracted or while traveling (away from home)?
You can recover with the right approach that heals both digestion and emotions. Don’t carry this burden alone you’re not failing. You just need time, care, and consistency. Your body is asking for balance, not punishment.
You’ll get betterstep by step. Regards, Dr. Karthika
You can ask your queries through the Ask Ayurveda platform, and I will ensure that all your concerns are addressed. Thank you.
Mam, How can I contact you to make this treatment more personalized??
“You can ask your queries through the Ask Ayurveda platform, and I will ensure that all your concerns are addressed. Thank you.”
I wake up at night due to urination. In day time also I go frequent urination after every 1-2 hours. Too much sweating later which makes me exhausted and dehydrated so after every 2-3 hours I have to drink glucose water. I have no diabetes. I feel better when distracted and when busy with talking or in some work but if work becomes stressfull it feels like urgent bowel movements. Stomach starts making noises inside when ever I am alone or in fear, loneliness, anxiety. Gut feels like loosing and out of control. Tests done - Stool culture normal Stool routine - acidic Stool no blood CBC - normal TSH - normal Diabetes - normal Lipid - normal LFT KFT - normal I feel heavyness on chest, like fear is surrounding me, i stammer a lot now a days and my confidence is getting low
hi Vedant , I have gone through ur reply -frequent urination (especially at night), excessive sweating, fatigue, bowel urgency during stress, stomach noises, chest heaviness, stammering, and low confidence this clearly reflects a disturbance in Vata dosha (particularly Apana and Udana Vata) along with gut-brain axis imbalance and long-standing emotional strain. Though your medical reports are normal, your system is functionally exhausted due to ongoing stress, emotional overload, and weak digestive fire (mandagni), leading to disturbed nervous signals and poor fluid regulation. Your gut and mind are overactive and misfiring signals that’s why stress worsens all symptoms. Begin with 5 days of Ama Pachana using Shunthi Churna ¼ tsp with warm water before meals and Bilwadi Churna ½ tsp after food twice daily. From Day 6 onwards, take Avipattikara Churna ½ tsp at bedtime, Ashwagandha Avaleha 1 tsp with warm milk at night, Manasamitra Vatakam 1 tab at night, and Shatavari Kalpa 1 tsp in the morning to balance digestion, hydration, and calm the nervous system. Avoid glucose water; instead, sip water boiled with dry ginger and coriander. Also do foot soaks in warm water with rock salt and practice 10 minutes of slow breathing daily. Suggested investigations: Serum Cortisol, Vitamin B12 & D3, and urine routine. You are not alone your system just needs regulation and gentleness, and you will improve gradually with consistent care.
Mam you told to drink milk but it is not supported by my system I feel bloated and indigestion by milk even plain light butter milk is increasing heat in my stomach and it pains after some time.
Hello mam, I am following this treatment, in the starting 2-3 days it gets normalize some but now again from yesterday pain started again in my stomach. I am on the same diet as usual i.e khichdi boiled, roti plain, lauki boiled plain sabzi no spices, no masala no chillies. Just plain all things but still yesterday after evening meal pain came back again.
Thank you for sharing that, Vedant. If milk and buttermilk are not suiting you right now, it’s perfectly okay your system seems to be highly sensitive due to ongoing gut inflammation and Vata-Pitta imbalance. 1. Ashwagandha Avaleha – 1 tsp at bedtime with warm water (instead of milk) 2. Manasamitra Vatakam – 1 tablet at bedtime with lukewarm rice gruel water or warm jeera water 3. Sunthi (Dry Ginger) Water – Boil 1 pinch of sunthi in 1 litre of water, reduce to half, and sip it warm throughout the day 4. Light Meals – Stick to rice gruel (yavagu), moong dal soup, and soft-cooked ridge gourd or bottle gourd 5. Avoid Buttermilk and Milk – Until digestion improves fully 6. Ajwain + Jeera Mix – Roast equal quantities of ajwain and jeera, grind, take 1/4 tsp after meals with warm water
Let me know how your system responds in 4–5 days we can fine-tune again as needed.
HELLO VEDANT,
You are suffering from two interconnected digestive disorders
1) ANTRAL GASTRITIS (Amlapitta- pittaj type) -the antrum is the lower part of your stomach. When its lining gets inflamed , you feel burning, pain when hungry, and fire like sensation after eating. -it occurs because Pitta dosha is aggravated. This excess digestive acid starts harming the lining instead of digesting food.
2) IBS- Irritable bowel syndrome -In Ibs, the digestive fire becomes unstable- sometimes too fast (causing loose motion), sometimes too slow (causing constipation) -It also causes undigested food, gas, pain, frequent urge to pass stools especially under stress or emotions -this is vata-pitta imbalance with a disturbed gut-brain connection
3) MIND- GUT AXIS DISTURBANCE -constant stresss, anxiety, depression, and fear create a loop where the mind disturbs the gut and vice versa. -ayurveda explains this as an imbalance in Rajas (agitation, fear) and Tamas (depression, lethargy) -You sweat more, feel tired, and emotionally exhausted because Vata is too high and Ojas (vital energy) is low.
TREATMENT GOALS -reduce acidity, burning -stabilise digestion -regulate bowel -calm mind, reduce stress -repair gut lining -reconnect mind-gut
INTERNAL MEDICATIONS
1) KAMDUDHA RAS (MOTI YUKTA)= 1 tab twice daily after meals =strong coolant, reduces pitta, stops burning
2) SUTSEKHAR RAS= 1 tab twice daily after meals =for acid control, nausea, pain
3) AVIPATTIKAR CHURNA= 1 tsp at night with warm water =gentle detox + clears pitta from gut
4) BILVADI GULIKA= 2 tabs twice daily after meals =astringent + digestive tonic for IBS
5) KUTAJ GHAN VATI= 2 tabs twice daily after meals =controls loose motion, inflammation
6) SHANKHA VATI= 1 tab twice daily after meals =gas, bloating, heaviness
7) JATAMANSI CHURNA + ASHWAGANDHA CHURNA= 1 tsp each in warm milk at night =calms nervous system, improves sleep and stress
DURATION= minimum 2-3 months continuous, then reassess
DIET PLAN
GEENERALLY -eat warm, soft, simple, and cooked food -stick to regular meal timimngs -avoid raw, sour, spicy, fermented or cold food
INCLUDE -moong dal khichdi with ghee -bottlegourd, pumpkin, ridge gourd cooked -rice, old wheat, jowar in small amounts -cow ghee 1 tsp per meal-heals gut -jeera, fennel, ajwain, coriander in cooking -fresh buttermilk diluted, not curd
AVOID -tea, coffee, green tea -curd especially at night -pickles, papad, fried food -tomato, tamrind, lemon, amchur -reheated food -processed food/outside food
YOGA ASANA -pawanmuktasana= release gas -vajrasana= sit after food -supta baddha konasana -balasana -setubandhasana
Practice slowly, 15-20 mins daily, early morning or evening
PRANAYAM -Nadi sodhana- balances vata and pitta -bhramari- calms nervous system -sheetali/sheetkari= cools internal fire -ujjayi- for better focus
HOME REMEDIES
1) CUMIN-FENNEL-CORIANDER TEA -1 tsp each in 1 litre water-> boil -> sip warm through the day ->supports digestion, reduces gas and inflammation
2) ALOE VERA JUICE (non-sour variety)- 20 ml on empty stomach -> soothes gastric lining, helps ulcers
3) LICOROCE + AMLA + GUDUCHI= 1 tsp powder each -> boil in 2 cups water -> reduce to 1 cup -> drink once/day for gut lining healing
4) ROASTED AJWAIN + BLACK SALT + GHEE= after meals -> aids digestion, reduces vata
INVESTIGATIONS TO CONSIDER -CBC, CRP, ESR (basic inflammation markers) -H. pylori test (gastritis related bacteria ) -vitamin b12, d3 (often deficient to IBS) -thyroid profile -stool routine + occult blood (if symptoms worsen) -endoscopy
LIFESTYLE TIPS -wake up by 6-6:30 AM -Avoid overthinking, excessive screen use -No talking while eating- eat in silence or calm -Take sunlight daily for 15-20 mins -Sleep by 10 PM -Avoid suppressing urges (gas, urine, stool) -Use copper vessel water, avoid fridge water
VEDANT, your body and mind are clearly to weak- they are asking for deep reset, not just symptom suppression.you have tried hard, and now it’s time to follow a structural system that treats you as a whole human- not as a collection of symptoms.
This will not be a “quick fix”- but if you give 3 to 6 months with sincere efforts, the changes can be life-changing
PLEASE REMEMBER -your life force (Ojas) is low but not lost -IBS, gastritis and anxiety all stem from digestive and nervous imbalance- Ayurveda specialises in correcting this -you can heal. But you need a disciplined, loving daily routine- not complicated- just consistent.
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Mam you told jatamansi churna with warm milk but milk is not tolerated by me in IBS and even light butter milk is making heat in my stomach and it pains after some time. How can I take this churna or some other medicines modifications
Yes you can take jatamansi churna with warm water also
Given your symptoms of IBS and antral gastritis, it’s important to address both the physical symptoms and the underlying emotional triggers. Ayurveda regards digestive health as a cornerstone of well-being and often correlates digestive distress with imbalances in the body’s doshas, particularly Vata and Pitta in your case.
For IBS, managing stress is a crucial aspect since it’s directly affecting your digestion. Consider incorporating Ashwagandha or Brahmi supplements as they can help regulate stress and improve mood. Taking 1 teaspoon of Ashwagandha churna with warm milk daily may help in calming the mind and reducing anxiety-induced bowel movements.
With regard to your diet, it’s good you’re on a simple diet but ensure you’re also consuming items which pacify Pitta, as its imbalance seems to be aggravating your gastritis. Try adding aloe vera juice on an empty stomach in the morning, which is soothing for the gastric lining and can reduce burning sensations. Also, licorice (mulethi), can be beneficial; a daily infusion of licorice tea (less than 3 grams to avoid potential side-effects) could help soothe the stomach lining.
Avoid spicy, oily, and very salty foods. Opt for cooling foods such as cucumbers, melons, and coconut water. Regular use of ghee is also highly beneficial to calm aggravated Pitta and support bowel movement regularity.
To help reconnect the gut-brain axis, pranayama and regular mindful breathing can be invaluable. Practicing Nadi Shodhana and deep belly breathing for 10 to 15 minutes daily can provide immense relief.
Moderate physical activity like walking or yoga can enhance both mood and digestion, so consider implementing short, daily walks, ideally in nature to further relax the mind. Also, ensure adequate hydration throughout the day, as dehydration can exacerbate both digestive and mood issues.
Should these symptoms (particularly feelings of depression and thoughts of self-harm) persist or worsen, seeking immediate help from a mental health professional is essential. Balancing holistic interventions with conventional care when necessary is important for comprehensive well-being.
Sir can you guide me with proper personalised treatment plan. Where I can connect you and take the prescription properly??
The symptoms you’re experiencing suggest an imbalance of the Vata and Pitta doshas, which need to be addressed both through dietary modifications and lifestyle practices. Firstly, it’s important to continue eating light, easily digestible foods. While khichdi is good, you might want to add boiled vegetables that are gentle on your stomach, like zucchini and squash. Try to avoid foods that can irritate the stomach lining like spicy, acidic, and fried foods, as these aggravate Pitta and increase the fire element.
To soothe the antral gastritis, start your day by drinking warm cumin-coriander-fennel tea to pacify Pitta and improve digestion. Boil a teaspoon each of these seeds in water for 10 minutes, strain, and sip throughout the day. For Vata, a regular meal schedule is key; eat smaller, frequent meals to prevent stomach pain from an empty stomach.
In terms of lifestyle, incorporating stress management practices is essential. Consider integrating pranayama, specifically alternate nostril breathing, to balance Vata and Pitta—aim for about 10 minutes daily. Gentle yoga, emphasizing forward bends and twists, can help regulate digestion and offer calming effects. As stress seems to trigger bathroom urgency, addressing stress is crucial for both IBS and gastritis.
Triphala at night in a small dose could aid in smoother bowel movements without causing aggravation. However, use it cautiously to avoid dependency. If despite these measures, symptoms persist or your mental health worsens, seeking help from a mental health professional is advised. This could support the gut-brain axis imbalance you mention. While Ayurveda offers many tools, collaboration with allopathic care is sometimes necessary for severe cases.

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