How do reduce swelling on ankle - #26544

Thank you for explaining your condition in detail. At 16 years of age, with a history of gall bladder removal in 2023, persistent ankle swelling, low hemoglobin (10 g/dl), low Vitamin D3 (18 ng/ml), and elevated SGOT (liver enzyme), along with recent lower leg and back pain, the approach should focus on:

Improving liver function (Yakrit poshana)

Correcting anemia (Pandu chikitsa)

Reducing swelling & inflammation (Shothahara)

Strengthening bones & muscles (Asthi poshana)

Supporting digestion and circulation.

Recommended Investigations ( if not taken previously)

1. Liver function test (LFT) – to monitor SGOT, SGPT, bilirubin, alkaline phosphatase 2. Abdominal ultrasound – to check liver size, bile duct flow after gall bladder removal 3. CBC – for anemia evaluation 4. Serum ferritin & iron studies – to assess iron deficiency 5. Vitamin D3 & B12 – to confirm and track correction 6. Kidney function test (KFT) – to rule out renal cause for swelling 7. ESR & CRP – to assess inflammation

Internal Medicine

1. Punarnavadi kwath – 10 ml with 30 ml of warm water twice daily before meals (reduces swelling, supports liver & kidney). 2 . Arogyavardhini vati – 1 tablet twice daily after meals with warm water (liver detox & digestion).

3. Draksharishta – 10 ml with equal water twice daily after food. 4. Dhatri loha 1-0-1 after food 5.Asthi poshaka vati 1-0-1 after food

Include jaggery, dates, black raisins, pomegranate in daily diet.

Diet & Nutrition Tips

Avoid

Fried, oily, packaged food (strain on liver) Excess salt (may worsen swelling) Cold and heavy foods

Include

Warm water with a pinch of turmeric daily morning Steamed/boiled vegetables (bottle gourd, ridge gourd, drumstick leaves) Iron-rich foods: dates, black sesame, spinach, beetroot Calcium & Vitamin D sources: ragi, drumstick, cow’s milk, sesame. Soak in mild morning sunlight for 20 min daily for Vitamin D3.

Lifestyle Modifications

Keep legs elevated while sleeping to reduce ankle swelling

Gentle stretching & ankle rotations twice daily

Avoid standing for long hours continuously

Slow walking 20–30 min daily to improve circulation

Regular follow-up for liver function monitoring

May your swelling reduce, hemoglobin improve, and liver regain optimal function. Please don’t hesitate to reach out for follow-up or adjustments in treatment.

With kind regards, Dr. Sumi