Severe gerd problem due to hitus hernia and no apetite - #31430
From Last2 yrs am having this gerd issue due to hiatus hernia.itake3 month 2 times course of allopathic med .am 25yrsold andalso very thin wt is 60 kg .low apetite low vit d and b12 due tothese medicine


Doctors’ responses
Dealing with GERD due to hiatus hernia can be challenging, especially with side effects from medications. Ayurveda might offer supportive guidance to address the root causes. The first focus should be your Agni or digestive fire, as when Agni is weak, it can worsen GERD symptoms.
Start by eating small, frequent meals that are easy to digest. Opt for cooked foods like vegetable soups, steamed vegetables, or kichari, a blend of rice and lentils that are gentle on the stomach. Spices like ginger, cumin and coriander can stimulate digestive fire, but be cautious with spices to avoid aggravating Pitta dosha, which may worsen acidity.
Avoid sour, spicy, or fermented foods which can increase acidity, and limit caffeine and alcohol. Eating at least three hours before bedtime is crucial, allowing time for digestion. Also try to sleep on your left side to minimize reflux during the night.
Yoga can support you too; focus on gentle exercises or poses that don’t compress the stomach like Bhujangasana (Cobra pose) and avoid inversions that might push stomach acid upwards. Pranayama or breath control exercises such as Nadi shodhana (alternate nostril breathing) can help reduce stress, often linked with GERD.
Low appetite and deficiencies in vitamin D and B12 may be interlinked. Focus on foods naturally rich in B12 (like dairy and fortified cereals) while considering supplements after consulting with a healthcare provider. Sunlight exposure supports Vitamin D absorption, so spend 15-20 minutes outside daily if possible, without sunscreen but not during peak sun hours.
Finally, occasional herbal support like amalaki (Indian gooseberry) or licorice root can be considered but check with an experienced Ayurvedic practitioner for personalized advice, particularly because long-term use may have side effects. Always ensure these remedies are integrated with any ongoing medical treatment.
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.

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