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Why my haemoglobin at times goes down with any apparent reason?
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Gastrointestinal Disorders
Question #27967
40 days ago
318

Why my haemoglobin at times goes down with any apparent reason? - #27967

gautam ghosh

At times my haemoglobin level goes down to around 6 without any apparent reason. I dont have any blood loss . I have hypothyrodism and take medicines for blood pressure. My creatinine is also bit high at around 1.5 My age is 70 and still working

Age: 70
Chronic illnesses: hypothyrodism
300 INR (~3.51 USD)
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Doctors’ responses

It’s may be due to either your thyroid medication/ increase creatinine level, don’t worry with Some Ayurvedic medicines it’s manageable.

1.Drakshadi kwatham tab 2-0-2 before food 2.Ayaskrithi- 15ml twice daily after food 3.Annabedi sindhooram caps 2-0-2 after food

Include leafy vegetables, Pomogranites, dates , dry raisins(soaked ), berries ,etc in your diet Have 3-4litres of water daily Have more vegetables and fruits Include millets like raggi (Sprouted also you can have) Avoid tea/coffee/any Carbonated drinks

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Dr. Sanchi Damodhar
I am an Ayurvedic doctor with about 3 years of hands-on experience, mainly dealing with lifestyle disorders like PCOD, weight gain, diabetes, stress, and gut stuff—like bloating or weak digestion or just that feeling something’s off. I did my BAMS coz I was really drawn toward natural healing, not just the herbs part, but how everything connects—mind, food, sleep, mood... all of it. What I really try to focus on is not just giving medicine n sending people off. I like to understand what’s behind the symptoms... like why their metabolism’s slowed down or why they keep getting acidity despite eating less. That’s where my work with diet and mindset come in. I use Ayurvedic principles, yes, but I also mix it with small practical stuff—daily routines, sleep hygiene, stress release, food planning, whatever feels doable for that person. It’s not always about detoxes or strict regimens, though sometimes that helps too. Depends, really. I’ve seen good results when people actually get that they don’t need to do huge things. Just right guidance at the right time. I try to keep things light in consultation, make people feel heard, not rushed. I genuinely like when someone says “no one explained it to me like this before” — that feels nice. My whole approach is basically trying to make health feel natural again. Nothing fancy. Just rooted in the real Ayurvedic logic and a lot of listening. And yes, there’s trial and error sometimes, every case is different. But that’s what makes it kind of real. If you're dealing with any of those everyday-but-tiring health issues, I’ll do my best to figure it out with you—not just for now, but in a way that holds up longer term.
40 days ago
5

Hlw Ghosh ji,

Thank you for providing the details, Gautam. A sudden or recurring drop in hemoglobin to levels as low as 6 g/dL is concerning, especially in the absence of obvious blood loss. Given your history of hypothyroidism, mildly elevated creatinine, hypertension, and your age (70), here are possible causes that should be considered:

1. Chronic Kidney Disease (CKD)-Related Anemia

Elevated creatinine (1.5 mg/dL) may suggest reduced kidney function 0Kidneys produce erythropoietin, a hormone that stimulates red blood cell production. In CKD, erythropoietin production drops, causing normocytic, normochromic anemia.

2. Hypothyroidism

Even mild or well-treated hypothyroidism can contribute to anemia. Mechanism: reduces red cell production, may also cause iron-deficiency or macrocytic anemia.

3. Occult (Hidden) Blood Loss

Even without visible bleeding, slow, internal blood loss can occur: GI tract (most common): ulcers, gastritis, polyps, colon cancer. If not already done, consider: Fecal occult blood test (FOBT) Upper GI endoscopy and colonoscopy

4. Nutritional Deficiencies

Deficiencies in the following can cause significant anemia: Iron (even without overt bleeding) Vitamin B12 or Folate (often seen in older adults) These deficiencies can be subtle and progressive.

5. Bone Marrow Disorders

Less common, but especially relevant if anemia is recurrent or unexplained. Myelodysplastic syndromes or marrow suppression can occur with age. Bone marrow biopsy might be considered if other tests are inconclusive.

1. Treatment : ✅ Punarnava Mandur Classic formulation for anemia, kidney health, and detoxification. Improves hemoglobin, supports liver and kidney function. Dose: 1–2 tablets twice a day after meals with warm water. ⚠️ Monitor BP if on medication — it has mild diuretic effect.

✅ Lohasava Iron-rich fermented preparation that improves hemoglobin and digestion. Dose: 10–15 ml with equal water after meals twice daily. Gentle on digestion and improves appetite.

✅ Draksharishta Good for fatigue and low energy. Supports blood formation and is cooling (helps balance Pitta). Dose: 15–20 ml after meals with water.

✅ Amalaki Rasayana or Chyawanprash Rich in Vitamin C and antioxidants. Enhances iron absorption and immunity. Dose: 1 tsp in the morning on empty stomach or with warm milk.

2. Dietary Recommendations (Ahara)

Focus on iron-rich, easy-to-digest, warm foods:

✔️ Include

Cooked green leafy vegetables (like spinach, moringa, amaranth) Black sesame seeds (til) – 1 tsp roasted, daily Raisins and dates – soaked overnight, eaten in the morning Pomegranate, beetroot, apples Cow ghee – supports absorption and gut health Moong dal, red rice, jaggery (in moderation).

Thank you!

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1.Punarnavadi mandoor 2 tab (crushed) twice daily with honey, after meal 2.Lohasava 20 ml with 20 ml water twice daily, after meal

Add chana and jaggary to your daily diet in rich amount. Add roasted chana as a snack option Drink sugarcane juice 2-3 glasses/day

Warm Regards Dr. Anjali Sehrawat

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It’s due to raise serium critinine.bcz when creatine are raised iron in blood goes down…it’s totally cured through ayurveda…when critinine are recovered then automatically hb%are increased…DNT worry hb 6 called as severe anemia …

DIVYA RENOGHRIT TAB=2-2 TAB DIVYA HEMOGHRIT VITAL=2-2 TAB…BEFORE MEAL TWICE DAILY

DIVYA PUNARNAWADI MANDOOR DIVYA VRRIKDOSHHAR VATI…2-2 TAB AFTER MEAL TWICE DAILY

DIVYA LOHASAVA=3-3 TSP AFTER MEAL TWICE DAILY WITH WATER

AVOID HIGH PROTEIN/POTTASIUM RICH DIET SUCH AS…MILK PRODUCTS.PANEER/SWEETS/GHEE/BUTTER…

CHOLE /CHANE/RAJMA ETC…

DO REGULAR YOGA AND PRANAYAM=VAZRASANA/TITLIASNA=10 MIN EACH

TAKE 2 MONTHS AND THEN INVESTIGATE=KFT/IRON STUDIES/HB%

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Namaste Gautam ji, I understand your concern it is worrisome when hemoglobin suddenly drops without obvious cause. But dont worry we are here to help you out😊

✅Possible Causes of Sudden Hemoglobin Drop (Even Without Visible Blood Loss)

1. Hidden Causes Occult bleeding in stool/urine (not always visible). Gastritis/ulcer due to long-term medications (esp. BP/thyroid medicines).

2. Bone Marrow Inefficiency – at older age, bone marrow sometimes slows down RBC production.

3. Kidney Function – since creatinine is a bit high (1.5), it means kidneys may not produce enough Erythropoietin hormone, which stimulates RBC production leading to anemia.

4. Hypothyroidism – itself reduces metabolism and can cause anemia of chronic disease.

5. Nutritional Deficiency – even if eating well, sometimes iron, B12, folate absorption is poor due to age-related digestion weakness (Agnimandya in Ayurveda).

✅AYURVEDIC PLAN OF TREATMENT

✅INTERNAL MEDICATION

1 punarnava Mandoor 1-0-1 after food (for anemia with mild kidney issue)

2 Ayaskriti 30 ml-0-30ml after food ( to improve hb )

✅DIET MODIFICATION

✅INCLUDE= 👉Have black raisins, dates, figs soaked overnight. 👉Add pomegranate, beetroot, carrot, spinach, drumstick leaves regularly. 👉Take cow’s ghee in small quantity for strength. 👉Drink jeera–dhaniya–ajwain warm water for digestion & absorption.

❌AVOID- fried, Reheated food items Junk foods Avoid excess tea/coffee (block iron absorption).

👉 At the age of 70, the focus should be on balancing energy, protecting kidney health, and improving Rakta dhatu naturally rather than only chasing hemoglobin numbers.

👉Even if it fluctuates, with regular check-ups + Ayurvedic support, stability can be maintained.

Wish you a good health😊

Warm. Regards Dr Snehal Vidhate

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DON’T WORRY GAUTAM GHOSHJI,

start taking these medications,

1.lohasava 20ml with equal amount of Lukewarm water just after having meal twice in a day. 2.punarnavadi mandoor 1-1-1 3.Tab.liv 52 1-0-1

Follow up after 45 days.

Take care😊

If you have any doubt, feel free to ask.

Kind Regards, DR.ISHA ASHOK BHARDWAJ

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How is your stools?? Is it black coloured?? Are you on any anti platelets like aspirin or clopidogrel??

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HELLO GAUTAM,

You are 70 years old, have hypothyroidism, take medicines for high blood pressure, your creatinine is slightly high (1.5), and your haemoglobin sometimes drops to 6 g/dL without obvious bleeding.

WHY HEMOGLOBIN CAN DROP (without visible blood loss)

1) Chronic kidney problem- kidneys produce a hormone called erythropoietin , which helps make red blood cells. if kidneys are weak, less hormone is produced-> less hemoglobin

2) HYPOTHYROIDISM- can slow down bone marrow function and cause mild anemia

3) NUTRITIONAL DEFICIENCIES= low iron, vitamin b12, folic acid can reduce blood levels

4) CHRONIC DISEASES= long standing conditions bp, thyroid, kidney even mild infections cause “anemia of chronic disease”

5) HIDDEN BLEEDING= sometimes blood loss from stomach / intestine (ulcer, piles, polyps, colon problem) happens without you noticing

So even though you don’t see bleeding, the cause must be properly evaluated with tests

INVESTIGATIONS NEEDED To properly find the root cause, -CBC= to see type of anemia -Iron studies= serum iron, ferritin, TIBC -Vitamin b12 and folate levels -Renal function tests= creatinine, urea, eGFR -Thyroid profile -stool occult blood test- to rule out hidden bleeding -If needed= ultrasound abdomen, endoscopy/colonoscopy

TREATMENT GOALS -correct the root cause -build healthy blood naturally and sustainable -improve strength and immunity -prevent recurrence of hemoglobin drops -support kidney and heart health at your age

INTERNAL MEDICATIONS

1) PUNARNAVA MANDUR= 2 tabs twice daily after meals with warm water =improves anemia, supports kidney function, reduces swelling, and helps clear toxins

2) NAVAYASA LAUHA= 1 tab twice daily after meals =classical iron formulations for pandu roga (anemia), improves digestion and blood formation

3) DRAKSHARISHA= 15 ml with equal water after meals twice daily =improves appetite, digestion, and gradually improves blood levels

4) ASHWAGANDHA CHURNA= 1 tsp with warm milk at bedtime =strengthen, stamina, energy booster, supports thyroid balance

5) TRIPHALA CHURNA= 1 tsp with warm water at night if constipation =improves digestion, clears toxins, enhances absorption of nutrients

FOODS TO INCLUDE -pomegranate juice= 1/2 glass daily -black raisins= soak 7-10 overnight, eat in morning -dates= 2-3 per day if sugar is normal -beetroot, carrot, spinach cooked - for iron -moringa = excellent for anemia -cow’s ghee= small quantity daily for digestion and strength -whole grains= wheat, red rice, millets -mung dal= light and nourishing

FOODS TO AVOID -excess tea/coffee blocks iron absorption -cold, heavy ,fried, oily food -fermented foods- pickles, vinegar, stale food -excess salt important for bp and kidney

SIMPLE HOME REMEDIES -mix 1 tsp amla powder + 1 tsp honey, take daily -drink warm water boiled with a few pieces of dry ginger- helps digestion -jaggery with ghee small piece after meals - improves blood

YOGA ASANA -bhujangasana- stimulates digestion -pawanmuktasana= improves absorption -Tadasana= improves circulation -shavasana= for bp and stress

PRANAYAM -anulom vilom = 10 min daily -bhramari= calming for bp and sleep -deep belly breathing= enhances oxygen supply, good for blood

LIFESTYLE -Avoid excessive exertion -walk daily 20-30 minutes , gentle pace -sleep early, wake early -avoid daytime sleeping causes kapha aggravation

-A haemoglobin of 6 g/dL is very low and sometimes requires urgent hospital care (blood transfusion, injection Erythropoietin if kidney related). please don’t ignore this -Ayurveda can support and strengthen your system, improves digestion, nutrition absorption, and gradually improves blood levels

DO FOLLOW CONSISTENTLY

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Dr. Anupriya
I am an Ayurvedic doctor trained at one of the most reputed institutes (yeah, the kind that makes u sweat but also feel proud lol) where I completed my BAMS with 70%—not just numbers but real grind behind it. My focus during & after graduation has always been on treating the patient not just the disease, and honestly that philosophy keeps guiding me even now. I usually see anywhere around 50 to 60 patients a day, sometimes more if there's a health camp or local rush. It’s hectic, but I kinda thrive in that rhythm. What matters to me is not the number but going deep into each case—reading every complaint, understanding symptoms, prakriti, current state, season changes etc. and putting together a treatment that feels “right” for that person, not just for the condition. Like, I don’t do one-size-fits-all plans. I sit down, make case reports (yup, proper handwritten notes sometimes), observe small shifts, modify herbs, suggest diet tweaks, even plan rest patterns when needed. I find that holistic angle super powerful. And patients feel it too—some who come in dull n restless, over weeks show clarity, skin settles, energy kinda gets back... that makes the day worth it tbh. There’s no shortcut to trust, and i get that. Maybe that’s why patients keep referring their siblings or maa-papa too. Not bragging, but when people say things like “you actually listened” or “I felt heard”, it stays in the back of my mind even when I’m dog tired lol. My goal? Just to keep learning, treating honestly and evolving as per what each new case teaches me. Ayurveda isn’t static—it grows with u if u let it. I guess I’m just walking that path, one custom plan at a time.
40 days ago
5

Hello Gautam ji, Hemoglobin dropping to 6 is concerning. The reason behind it could be increased creatinine level, thyroid medicines. I recommend the following treatment - Treatment - 1. Lohasava and Punarnvaristha - 2 tsp each with 4 tsp water twice a day after meals. 2. Arogyavardhni vati-1-1-1 after meals. 3. Punarnvadi Mandoor 2-0-2 after meals. Diet- Dark green leafy vegetables (spinach,beans, kale). Legumes (lentils, beans, chickpeas). Fortified cereals, breads, and pastas. Dried fruits (apricots, raisins). Nuts and seeds (almonds, cashews, sunflower seeds). Tofu . Avoid foods that inhibit iron absorption like- tea, coffee, alcohol.

Yoga- Sarvangasana (Shoulder Stand), Viparita Karani (Legs-Up-the-Wall Pose), and Trikonasana (Triangle Pose).

Follow this plan and reach out for any further query. Take care Regards, Dr. Anupriya

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Start with Punarnava mandur 1-0-1 after food with water Tablet Liv-52 1-0-1 after food with water Gokshuradi guggul 2-0-0 after food with water Include juice daily 300ml of either pomegranate/ apples/ doodhi/ amla/ beetroot. Include ragi/ nachani flour in your diet daily Follow up after 1 month

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Dr. Sumi. S
I am a dedicated Ayurvedic physician with specialized expertise in Shalakya Tantra, focusing on the diagnosis and management of disorders affecting the Netra (eyes), Karna (ears), Nasa (nose), Mukha (oral cavity), Danta (teeth), and Shira (head and ENT region). My training and clinical experience have equipped me to treat a wide range of conditions such as Netra Abhishyanda (conjunctivitis), Timira and Kacha (early and advanced cataract), Adhimantha (glaucoma), Karna Srava (ear discharge), Karna Nada (tinnitus), Pratishyaya (chronic rhinitis and sinusitis), Mukhapaka (oral ulcers), Dantaharsha (dental sensitivity), and Shirashoola (headache and migraine). I routinely incorporate classical Ayurvedic therapeutic techniques like Kriya Kalpas, Nasya, Tarpana, Aschyotana, Karna Purana, Gandusha, Pratisarana, and Dhoomapana, along with internal Rasayana and Shamana therapies, ensuring treatments are both effective and tailored to each patient’s prakriti and condition. Beyond my specialization, I bring over two years of clinical experience managing multi-systemic disorders. My approach blends classical Ayurvedic principles with a sound understanding of modern diagnostics and pathology, allowing me to handle cases related to metabolic disorders (such as diabetes, hypothyroidism, and PCOS), musculoskeletal issues (like arthritis and back pain), gastrointestinal disorders, skin conditions, and women’s health concerns, including infertility and hormonal imbalance. I believe in evidence-informed practice, patient education, and holistic healing. My focus is always on delivering compassionate care that empowers patients to actively participate in their health journey. Through continuous learning and clinical research, I remain committed to upholding the timeless wisdom of Ayurveda in a way that aligns with today’s healthcare needs.
39 days ago
5

Hello Gautam,

Thank you for explaining your condition.

As you are 70 years old with a history of hypothyroidism, high blood pressure, and mildly raised creatinine, and you’re experiencing recurrent low hemoglobin (as low as 6 g/dl) without obvious blood loss, this suggests chronic anemia. The causes can include nutritional deficiency, kidney-related erythropoietin deficiency, bone marrow suppression, or chronic disease-related anemia. Management must focus on finding the root cause (Nidāna parīkṣa), improving Rakta-dhātu formation, supporting kidney function, and ensuring safe blood pressure control.

🔍 Recommended Investigations

1. CBC with peripheral smear – to check anemia type (microcytic, macrocytic, normocytic). 2. Serum Iron, Ferritin, TIBC, Vitamin B12, Folate – to check nutritional deficiencies. 3. Thyroid profile (T3, T4, TSH) – to see if hypothyroidism is adequately controlled. 4. Kidney function tests (Urea, Creatinine, eGFR, Electrolytes) – to monitor kidney health. 5. Reticulocyte count & LDH – to rule out bone marrow suppression/hemolysis. 6. Stool occult blood test – to exclude hidden internal bleeding.

💊 Internal Medicine (Āyurveda Support)

Phase 1 – Rakta vardhaka & Āma-pācana (8 weeks) (To build blood, kindle agni, support kidneys)

1. Punarnavadi kwatha – 15 ml + 30 ml warm water, twice daily before meals (for kidney support & swelling). 2. Navayasa lauha – 250 mg with honey, once daily after food (classical iron preparation, mild on gut). 3. Drakshavaleha – 1 tsp twice daily after meals (nourishing & rakta vardhaka).

Phase 2 – Rasāyana (after Hb improves >9 g/dl)

1. Chyavanaprasha Avaleha – 1 tsp in the morning with warm water/milk. 2. Gudūci Satva – 500 mg with lukewarm water, twice daily (immune & rakta support).

🥗 Diet & Lifestyle Tips

Include (Pathya):

1. Cooked green leafy vegetables (drumstick leaves, spinach, curry leaves). 2. Black sesame, dates, raisins, pomegranate, beetroot. 3. Moong dal khichdi with ghee (easy to digest, rakta vardhaka). 4. Warm jeera–dhaniya–ajwain water for digestion. 5. Protein sources like mung dal, sprouted moong, paneer (if digestion allows).

Avoid (Apathyā):

1. Excess tea/coffee (inhibits iron absorption). 2. Sour curd, heavy oily food, fermented food. 3. Cold drinks, processed food. 4. Excess salt (important for BP & kidney).

🧘‍♀️ Yoga & Lifestyle

1. Vajrasana after meals (5 min) – aids digestion. 2. Anuloma–Viloma pranayama – 10 min twice daily (balances vāta–pitta, improves oxygenation). 3. Gentle walks (20–30 min daily) – enhances circulation & stamina. 4. Adequate night sleep; avoid day sleep (prevents āma accumulation).

🌸 With Kind Regards May your blood regain strength, your kidneys remain supported, and your energy stay steady for your active lifestyle. Please review your reports with a physician to rule out hidden causes, and consider timely blood transfusion if Hb falls <7 g/dl for safety.

– Dr. Sumi

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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.
39 days ago
5

Gautam, a hemoglobin level of 6 g/dL is very low and requires immediate medical attention. While you state there’s no apparent reason, a hemoglobin drop this significant is almost always a symptom of an underlying condition. Given your age and existing health issues, several factors could be contributing to this.

​Potential Reasons for Low Hemoglobin

​Chronic Kidney Disease (CKD) ​Your elevated creatinine level of 1.5 mg/dL is a strong indicator of kidney dysfunction, a condition often associated with a drop in hemoglobin. Healthy kidneys produce a hormone called erythropoietin (EPO), which signals the bone marrow to produce red blood cells. In people with CKD, the kidneys may not produce enough EPO, leading to anemia of chronic disease. This is a very common cause of anemia in individuals with impaired kidney function and may be the most likely reason for your low hemoglobin.

​Hypothyroidism ​Severe, long-standing hypothyroidism can also cause a form of anemia. This is due to a direct effect of thyroid hormones on red blood cell production. Thyroid hormones are essential for bone marrow function, and a deficiency can slow down the production of red blood cells, leading to a mild to moderate anemia. While this is a possibility, it is less likely to be the sole cause of a hemoglobin level as low as 6 g/dL.

​Nutritional Deficiencies ​Even without apparent blood loss, deficiencies in key nutrients can lead to a drop in hemoglobin. Given your age, the absorption of certain nutrients may be less efficient. This includes:

​Iron: A lack of iron is the most common cause of anemia.
​Vitamin B12: A deficiency can cause macrocytic anemia, where red blood cells are larger than normal but fewer in number.
​Folic Acid: A lack of folate can also cause macrocytic anemia.

​Ayurveda Opinion ​In Ayurveda, anemia (known as pandu roga) is considered a disorder of the Pitta and Rakta Dhatu. The primary cause is believed to be a weakness in the digestive fire (Agni), which leads to poor absorption of nutrients (Ahara Rasa) and improper formation of blood. Treatment focuses on strengthening Agni, detoxifying the body, and providing herbs that are rich in iron and other nutrients.

​Herbal Remedies: Herbs like Amalaki (Indian gooseberry), Punarnava, and Shatavari are commonly used to improve blood quality and red blood cell production. ​Dietary Changes: a diet rich in iron-rich foods like pomegranates, dates, and beetroot, while avoiding foods that are difficult to digest. ​treatment 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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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.
39 days ago
5

It’s due to your kidney problem just continue the treatment you are taking and consult the same doctor for this.

You can take syp mulberine 10ml subha sham khane ke baad for hemoglobin.

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A drop in haemoglobin levels without an evident cause can be concerning, especially at your age and with existing medical conditions like hypothyroidism and high creatinine. Ayurveda often sees such issues through the lens of dosha imbalances and weakened agni or digestive fire. Your prakriti (constitution) and current lifestyle could be contributing to these fluctuations in haemoglobin.

Firstly, hypothyroidism can influence metabolism and blood formation. The imbalance might lead to poor digestion and absorption of nutrients; this affects rasa dhatu (plasma) formation, which is fundamental to healthy blood. Even without noticable blood loss, inadequate nutritional intake or assimilation can lead to low haemoglobin.

In Ayurveda, enhancing agni is crucial for better digestion and nutrient uptake. Try incorporating warming spices like ginger, cumin, and black pepper into your meals. These can aid digestion and help nutrient absorption. Use these spices sparing and ensure you’re taking them in a way that’s suitable for your body, considering your hypertention.

Creatinine levels at 1.5 suggest some strain on the kidneys, which requires attention. Stay hydrated but avoid excess fluid intake, especially with low sodium. Consuming Punarnava (Boerhavia diffusa) may support kidney function, however, please check with your healthcare provider before adding new herbs, especially since you’re on medication.

To support your blood health, include iron-rich plant sources such as spinach, legumes, and jaggery, though cooked and seasoned appropriately to mitigate any digestive upsets. Regular moderate physical activity, like walking, might help in keeping the circulatory system active.

If your haemoglobin level reamins persistently low or further declines, a medical consultation is essential. Sudden drops might indicate more serious underlying issues that need immediate investigation and potentially conventional treatments. Stay attuned to your body signals and take proactive steps in balancing your lifestyle with your health needs.

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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.
38 days ago
5

HELLO GAUTAM,

I understand your concern. A hemoglobin drop to 6 is quite serious and should always be evaluated by a physician, since hidden causes like chronic kidney disease, nutritional deficiencies, bone marrow suppression ,thyroid imbalance, or chronic inflammation can contribute even if there is no obvious blood loss. with your age hypothyroidism, blood pressure medication and creatinine 1.5 this needs careful supervision

In Ayurveda, such conditions often relate to pandu roga (anomia-like disorders) and dhatukshaya (tissue depletion). kidney weakness and hypothyroidism are linked to low metabolism and rasa-rakta dhatu imbalance

DIET -warm, easily digestible foods= rice, moong dal, khichdi , vegetables soups -include iron rich items= black raisins soaked overnight, dates, jaggery in moderation, sesame seeds, pomegranate, beetroot, spinach -use cow’s ghee in moderation for strength -avoid heavy, stale, refrigerated, or overly oily/spicy foods

LIFESTYLE -regular gentle exercise like walking, yoga, pranayam especially anulom-vilom, bhramari -adequate sleep and stress management -avoid excessive exertion, late nights, and irregular meals

INTERNAL MEDICATIONS

-LAUH BHASMA= 45 mg once daily with ghee =very potent in raising hemoglobin

-ABHRAK BHASMA= 45 mg with honey twice daily after meals

-AROGYAVARDHINI VATI= 1 tab twice daily with lukewarm water

-DHATRI LAUHA= 2 tabs twice daily after meals

Since your Hb is dropping to 6, this can be life threatening risk of heart strain, fatigue, breathlessness, please -get evaluated by a hematologist to rule out hidden cause -continue modern treatment blood transfusion, iron/b12 injections if needed

THANK YOU

DR. HEMANSHU MEHTA

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Fluctuating hemoglobin levels, particularly dipping as low as 6, is something that definitely warrants attention. Given your age and existing hypothyroidism, blood pressure issues, and slightly elevated creatinine levels, it’s crucial to explore a holistic yet cautious approach while investigating underlying causes. From a Siddha-Ayurvedic perspective, an imbalance in the doshas could affect the functioning of the bone marrow, which produces blood cells, and could also influence the assimilation of nutrients vital for blood production.

In Ayurveda, ensuring that agni, or digestive fire, is strong is crucial as it affects all bodily functions, including the production and quality of blood. In your case, Ayurveda might point to vitiation of Vata dosha, which can impair circulation and nutrient absorption, potentially explaining why hemoglobin levels fluctuate without clear causes. You might want to evaluate your diet, making sure it supports healthy agni. Consider consuming warm, cooked meals with spices like ginger, cumin, and cinnamon to aid digestion and nutrient assimilation.

Also, addressing any subtle imbalances in the rasa and rakta dhatus (primary and blood tissues) is critical. Iron-rich foods should be emphasized—leafy greens, sesame seeds, and molasses can be quite beneficial. However, ensure these are cooked well to make them easier on the digestion. Triphala might help supporting gut health, approximately 1 teaspoon in warm water at night can gently promote digestive wellness and nutrient absorption.

Given your creatinine level is slightly high, it’s vital to hydrate adequately, but not excessively, and regularly engage in mild activities like walking, which can improve circulation and overall body functioning without straining your kidneys. If you experience symptoms like fatigue, tingling, or shortness of breath, it’s essential to promptly consult a healthcare provider to rule out any urgent issues. Declining hemoglobin without visible blood loss might still indicate subtle internal bleeding or nutrient deficiencies that require immediate investigation. Regular check-ups with your primary care doctor, alongside integrating these Ayurvedic practices, can keep a check on your condition swifty.

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