Let’s dive into the Ayurvedic approach to managing GERD, especially since it’s linked to a hiatus hernia in your case. Your symptoms suggest an imbalance in the pitta dosha, the energy responsible for digestion and metabolism. This can cause excessive heat and acidity in the stomach.
First, consider incorporating buttermilk into your daily routine. It’s cooling and can help soothe the stomach lining. Take a glass after meals. Mix with a pinch of roasted cumin powder for added benefit. Avoid spicy, sour, and very salty foods as they can aggravate pitta and Vata. Stick to cooling, easily digestible meals.
Don’t lie down immediately after eating. Maintain an upright position for at least 2-3 hours to avoid acid reflux. Elevate your bed’s head slightly, this works with gravity to keep stomach acids down.
Triphala is an excellent herbal remedy that helps with digestion and can balance doshas. Take it as a gentle laxative to promote regular bowel movements and support gut health. Use one teaspoon of Triphala powder with warm water at night before bedtime.
Ashwagandha and Shatavari can help strengthen the body, improve energy, and enhance appetite. They also boost immunity and might aid your vitamin deficiencies. Taking them in powder form with warm milk could be beneficial.
Consult a qualified Ayurvedic practitioner for personalized herbal better formulation. Siddha medicine focuses on balancing energies and understanding the subtleties of human physiology, so these small changes can create significant impacts.
Regarding low vitamin d and b12, make sure to get sunlight exposure daily, which is a natural source of vitamin D. For Vitamin B12, consider dietary sources or supplements as advised by your healthcare provider. If symptoms persist or worsen, it’s crucial to consult a medical professional promptly.



