Severe acidity and mouth burns and sore on eating any spice or salty food ,mouth is always dry and edges of lips inflamed and sore - #31257

Avoid oily, spicy and processed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Tab. Yashtimadhu 2-0-2 Tab. Protekt 2-0-2 Apply WH5 ointment

Hello Smita ji, TREATMENT- 1. KAMDUDHA RAS MOTI YUKTA-1-0-1 BEFORE MEAL 2. AVIPATTIKAR CHURNA-1TSF WITH LUKEWARM WATER TWICE A DAY BEFORE MEAL. 3. NUTRELA VIT B12 CAPSULE -1CAPSULE AT BEDTIME. DIET- . Avoid spicy, fried food. .Take vit B12 rich diet. Take adequate amount of water. .Take juicy fruits, coconut water,milk. Yoga- Sheetali,sheetkari. Follow these and you will get relief. Take care Smita ji Regards, Dr. Anupriya .

1.Avipattikar churna 1 tsp with warm water before meals twice daily 2.Yashtimadhu churna 1/2 tsp with honey twice daily 3.Triphala tablets 2 tab at bedtime with warm water

Eat More Of: - Soft, cooling foods: rice gruel, boiled vegetables, moong dal khichdi - Hydrating fruits: pomegranate, watermelon, cucumber (in moderation) - Healthy fats: ghee, coconut, soaked almonds - Herbal teas: coriander seed tea, fennel tea

Avoid: - Spicy, salty, sour, and fried foods - Tomatoes, pickles, citrus fruits, and curd - Tea, coffee, and carbonated drinks - Very hot foods and beverages

Lifestyle Tips - Eat early dinners (by 7 PM) to reduce nighttime acidity - Sleep with head slightly elevated to prevent reflux - Practice Pranayama: Sheetali and Anulom Vilom for cooling and calming - Avoid mouthwashes with alcohol—they worsen dryness

Start with Kamdudharas ras moti yukta 1-0-1 after food with water Amala ghanvati 1-0-1 after food with water Triphala guggul 0-0-1 at bedtime with water Apply pure honey in mouth 2-3 times daily Avoid spicy sugary foods street foods Soak overnight coriander seeds fennel seeds jeera seeds overnight in the morning strain and drink empty stomach Soak overnight raisins (5-6)+ Dry Anjeer (2-3) + black currant (5-6) overnight make smoothie with its water, if you want to add milk you can buy don’t add sugar to can have like breakfast drink. Have gulkand 2tsp in the morning before breakfast .

Firstly, the symptoms you describe, such as mouth burning, dryness, and lips sores, might partially stem from the medication you are currently taking. Some pharmaceuticals, like Metformin, can potentially affect oral health and influence conditions like dry mouth. However, this is not an exhaustive conclusion, and evaluation by a healthcare professional is important to rule out other causes.

From an Ayurvedic perspective, your symptoms suggest an imbalance of Pitta dosha, which is responsible for heat and metabolic processes in the body. This imbalance can manifest as burning sensations, inflammation, and increased acidity. The first step to address this is to pacify Pitta with dietary and lifestyle adjustments.

Firstly, try to avoid spicy, oily, and excessively salty foods as much as possible; opt for a Pitta-pacifying diet which includes cooling and soothing foods such as sweet fruits, cucumbers, zucchini, and coconut water. Incorporate plenty of hydrating fluids, like water or herbal teas, to manage the dry mouth symptoms.

Aloe vera juice can be consumed daily, about 20 ml on an empty stomach, to soothe inflammation internally. Triphala powder, traditionally used for balancing all doshas, can be taken at night in warm water to support digestion and cleanse toxins. To address inflammation, consider Turmeric milk with a pinch of black pepper at night; this can reduce inflammatory symptoms, infuse warmth and provided you’re not sensitive to dairy.

Beyond diet, practice stress-relieving activities such as yoga, but avoid hot yoga. Take time for cooling breaths, like Sheetali pranayama, which can aid in reducing internal heat.

Importantly, consult your physician regarding drug interactions and any adjustments in your current medications that may be necessary. The side effects of your medications might need professional consideration. Emergency symptoms, such as intense lip inflammation or uncontrollable acidity, require immediate medical attention.

​You are describing symptoms of severe acidity, mouth burns, dry mouth, and sore lips, which started about two months ago. You also mentioned that you have diabetes and are taking several medications, including Metformin, Saroglitazar, and Rosuvastatin. You are 65 years old. ​ ​

​In Ayurveda, your symptoms of severe acidity, mouth burns, and dry mouth are primarily associated with an aggravation of Pitta dosha. Pitta is the fiery and transformative energy in the body. When it becomes excessive, it can lead to heat-related conditions.

​Severe Acidity and Mouth Burns (Amlapitta): This is a classic Pitta imbalance. “Amla” means sour and “Pitta” refers to the fiery dosha. The sour and burning sensations in your mouth are a direct manifestation of this imbalance. This is often linked to poor digestion, irregular eating habits, and consuming Pitta-aggravating foods.

​Dry Mouth and Sore Lips: While dryness is typically a Vata dosha symptom, in your case, it could be a combination of Vata and Pitta. The heat from excess Pitta can “dry up” the body’s natural moisture (Kapha), leading to dryness. The sore lips could also be a result of the same heat imbalance, as the skin around the mouth becomes sensitive and inflamed. ​Eating Spicy and Salty Food: Both spicy and salty foods are considered Pitta-aggravating in Ayurveda. Spicy food increases heat, and salty food can also lead to inflammation and fluid retention, further contributing to the imbalance. ​Connection to Your Chronic Illnesses and Medications

​Diabetes (Madhumeha): Diabetes is often considered a complex disorder in Ayurveda involving all three doshas, but with a significant imbalance of Kapha and Vata. The dry mouth and a tendency towards burning sensations can be part of the diabetic picture. High blood sugar levels can also affect the health of your oral tissues. ​Medications: Some medications, including those for diabetes, can have side effects like dry mouth (xerostomia). It’s important to discuss this with your prescribing doctor to see if any of your medications are contributing to your symptoms.

​Ayurvedic Recommendations (General) ​Based on this perspective, the Ayurvedic approach would focus on pacifying the aggravated Pitta dosha and supporting your digestive system. ​1. Diet (Aahara): ​Focus on Pitta-Pacifying Foods: Favor foods that are cooling, sweet, and bitter. ​Grains: Rice, oats, barley. ​Vegetables: Cucumber, leafy greens, broccoli, cauliflower, sweet potatoes, pumpkin. ​Fruits: Sweet fruits like melons, grapes, sweet apples, pears, and coconut. ​Legumes: Mung beans, lentils. ​Dairy (in moderation): Milk, ghee, and unsalted butter. ​Oils: Ghee and coconut oil. ​Avoid Pitta-Aggravating Foods: Reduce or eliminate foods that are sour, salty, spicy, and pungent. ​Spices: Chili, black pepper, and excessive ginger. ​Fermented Foods: Yogurt, vinegar. ​Sour Fruits: Citrus fruits, tomatoes. ​Salty Snacks: Chips, processed foods. ​Nightshades: Tomatoes, potatoes, eggplants (in excess). ​Timing and Habits: ​Eat regular meals and avoid skipping meals. ​Chew your food thoroughly. ​Avoid eating when angry or stressed. ​Drink lukewarm water, not ice-cold water, which can dampen digestive fire. ​2. Lifestyle (Vihara): ​Stress Management: Stress and anger are major Pitta triggers. Practices like meditation, deep breathing exercises (Pranayama), and gentle yoga can be very beneficial. ​Sleep: Ensure you get adequate and restful sleep. Go to bed before 10 PM. ​Avoid Sun and Heat: Limit exposure to direct sunlight, especially during the hottest parts of the day. ​3. Ayurvedic Herbs and Remedies

1) kamdugha rasa 250mg - before food 3 times with ghee

2) avipattikara churna- 3 gm before food with milk 3 times

3) bhunimbadi kashaya 20 ml before food

​For Dry Mouth: Chewing on a small piece of fennel seeds (Saunf) after meals can help stimulate saliva production. Sipping on water with a few drops of Ghee can also be moisturizing.or chewing mulethi

​For Oral Sores: Rinsing the mouth with coconut oil (oil pulling) in the morning can be very effective for soothing and healing the oral tissues. ​

Amlaki rasyana 1 tsp at morning Avipattikara churna-1/2-01/2 tsp with water Avoid oily spicy foods

Your symptoms suggest an imbalance of pitta dosha, which is linked to excessive heat and inflammatory conditions, particularly affecting the oral cavity. Given your medication regimen for metabolic conditions, it’s essential to approach this with both dietary and lifestyle modifications while considering potential interactions.

First, dietary adjustments can significantly help. Avoid spicy, salty, and acidic foods that aggravate pitta. Instead, incorporate cooling foods like cucumber, aloe vera gel (consume 1 tablespoon mixed with water), and coconut water into your daily intake. These aid in soothing mouth burns and reducing internal heat. Chewing on fresh coriander leaves a couple of times a day could help too—it’s cooling and aids digestion.

Hydration is vital since dryness is a key concern. Keep sipping water throughout the day. You might also try a simple saline mouthwash—mix half a teaspoon of salt in a cup of warm water to rinse your mouth after meals. This can help cleanse and soothe sore areas.

Including a teaspoon of ghee (clarified butter) in your diet, preferably in the morning, acts as an internal moisturizer, which can mitigate dryness, while also balancing pitta. Ensure this aligns with your dietary restrictions due to your medication.

Herbs like amalaki (Indian gooseberry) or guduchi might be beneficial, due to their cooling properties. Amla juice, diluted in water, taken daily can help—being rich in vitamin C also enhances tissue repair.

Stress management through pranayama or meditation can contribute to overall balance, mitigating pitta’s inflammatory tendencies. Practicing full deep breathing (15 minutes a day) focuses on calming the mind and relieving stress-induced digestive issues.

Seek immediate medical attention if symptoms like severe pain, bleeding, or an inability to eat or drink develop, because this could suggest a more serious underlying issue that requires allopathic intervention. Balancing your medication’s side effects with Ayurvedic approaches should be done under guidance to ensure compatibility and safety.

HELLO SMITA,

PROBABLE AYURVEDIC VIEW -PITTA AGGRAVATION= acidity, burning, mouth sores -VATA AGGRAVATION= dryness of mouth lips -DISTURBED DIGESTIN= due to long standing medicine use

DIET AND LIFESTYLE -Avoid spicy , sour, salty, fried, fermented foods -prefer cooling foods= boiled rice, milk, ghee small amounts, coconut water, soaked almonds, pomegranate, pumpkin, ash gourd -drink lukewarm water or coriander + cumin + fennel decoction -avoid late nights, stress, and fasting for long hours

REMEDIES

1) FOR ACIDITY AND BURNING

-KAMDUDHA RAS (with mukta sukti)= 1 tab twice daily

2) FOR DRY MOUTH AND SORES

MOUTH RINSE= decoction of licorice- gargle lukewarm

TOPICAL= apply ghee or coconut oil on lips and inside mouth

3) FOR PITTA BALANCE

-SHATAVARI POWDER= 1 tsp with cold milk at bedtime

-AMALAKI = 1 tsp churna daily

SUPPORTIVE REJUVINATION

-GUDUCHI + YASHTIMADHU + AMALAKI POWDERS= mixed equal parts 1/2 tsp daily with lukewarm water

THANK YOU

DR. HEMANSHU MEHTA