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General Medicine
Question #31636
150 days ago
759

Unable to understand my diseases even if by my doctor - #31636

Rashmi Ranjan

I have all pitaa diseases like severe hairfall low ferritin level, non anemic iron deficiency, Vertigo, headache, acidity, indigestion, high SGOT/SGPT RATIO,LOW SERUM UREA, BUN, severe abdominal pain, psoriasis . all Pitta related issue... But I have Mand agni.. No appetite Severe drowsiness and sluginess after eating food.... My doctor suggested me virechana.... Still no result... He also unable understand what to do next.... Suggested medicine still no result....what to do suggest me it is a unique type of case according to my doctor....when he advise me medicine for enhancing digestive fire... My stomach started hurting and psoriasis started aggravating what to do... Is this or all problem due to vata unable to do anything.... Suggest me or don't have anything in ayurveda should I go for Basti... Please help me

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Doctors' responses

Hey Kindly visit a nearby Ayurvedic physician (MD Panchkarma) as you need personal consultation.

Warm Regards, Dr. Anjali Sehrawat

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HELLO RASHMI,

I hear how much this has been weighing on you- when symptoms pile up in different directions and even your doctor feels puzzled, it can leave you feeling stuck and unseen. You’ve described a mix of strong pitta- type issues (inflammation, skin flare, acidity, liver imbalance) layered with signs of Manda agni (sluggish digestion, drowsiness after meals, low appetite), and even some Vata-like features (vertigo, variable pain). That clash itself can make standard “one-line” treatment backfire- like when your Agni-enhancing medicines aggravated your psoriasis

A few things stand out in your description -Virechana not giving releif suggest that your body may not have been ready for a strong purgative, or that underlying agni imbalance wasn’t stabilize first

-Sluggish digestion with pitta aggravation often requires gentler approaches rather than pushing agni directly

-Low ferritin and fatigue also suggest a nourishing side needs attention, not only reducing

From an Ayurvedic lens, this could be what’s called a Sama-pitta condition (pitta with ama), where stimulating fire without clearing the blockages can worsen things

You mentioned BASTI- in complex cases where pitta and vata are entangled, many physicians do turn to basti therapy because it can pacify Vata without directly flaring pitta. That said, the type of basti (anuvasana / oil based VS Niruha/decoction based) maters a lot, and it really needs a skilled practitioner;s hand

-Lighter non aggravating digestives= instead of strong ushna medicines, milder deepana like Pippali with ghee, or trikatu in very small amounts with honey-only if tolerated

-Pitta soothing diet=cooling but easy-to-digest foods (cooked gourds, rice, mung dal), avoiding oily, spicy, sour items, that aggravate both psoriasis and acidity

-Ama-clearing without harshness= mil formulation like guduchi, amla, musta, sometimes help bridge that line of pitta reduction with gentle agni support

-External support= oil massage with cooling oils (neem, coconut) for psoriasis and to stabilize vata

HOPE THIS MIGHT HELP YOU

THANK YOU

DR. MAITRI ACHARYA

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Dear Rashmi Go for complete detoxification. Please consult your nearest Panchkarma center for better management of your health issues.

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Rashmi Ranjan
Client
150 days ago

Okay thank you sir complete detoxification means which procedure sir

Rashmi Ranjan
Client
150 days ago

Okay thank you sir

Hi Rashmi this is Dr Vinayak as considering your problem…by seeing all information shared by you feels pitta and rasa dusti…no need to worry we will balance it maa…

Any how you took virechana once…

Better go with both vamana and virechana…and completly have patience to get good results…

Rx- Punarnavadi kashaya 10ml+Drakshadi kashaya 10ml mix both take with warm water after food

Amlaparimala SYP 2tsp -0-2tsp before food T sumanas 1-0-1 after food

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Hello rashmi Ranjan , I understand your situation feels very frustrating. You have many Pitta-related problems like hair fall, acidity, psoriasis, liver issues, and headaches, but at the same time, your digestion is very weak. In Ayurveda, this is a tricky combination because your Pitta is high, but your Agni (digestive fire) is low.

This means if we give strong medicines to boost digestion, it can actually make Pitta worse which is why your stomach hurts and psoriasis flares up.

Virechana (purgation) is usually used for Pitta problems, but in your case, because your digestion is weak, it didn’t work as expected. Right now, your body needs gentle, gradual care: first we support digestion slowly, calm Pitta, and strengthen Vata. Once your digestion improves, therapies like Basti (medicated enema) can be done safely, which can help your liver, skin, hair, and overall energy.

The key is slow and steady treatment strong medicines or detox too early can aggravate your stomach and skin. With proper step-by-step care, we can gradually reduce all these symptoms safely.

You are not alone, and this does not mean Ayurveda cannot help it just needs to be done in the right order and gently, keeping your weak digestion in mind.

The key here is gradual, gentle treatment: Strengthen digestion first without aggravating Pitta. Support Vata to help regulate Pitta. Then, consider Basti or mild detox to clear toxins safely.

Ama Pachana / Digestive Support (gentle, non-aggravating)

Hingvashtaka churna – ½ tsp with warm water before meals, once daily. Pippali Churna – ¼ tsp with honey at night (gentle on Pitta, stimulates digestion slowly). Triphala Churna – ½ tsp with warm water before bed (mild bowel regulation).

Internal Medicines (to balance Pitta and support Vata, 4–6 weeks)

Guduchi (Tinospora cordifolia) churna – ½ tsp twice daily with water (supports liver, reduces Pitta). Shatavari Churna – 1 tsp with warm milk at night (calms Pitta, supports digestion and immunity). Manjishtha Churna – ½ tsp with water after meals (blood purifier, helps skin/psoriasis). Brahmi Churna – ½ tsp with milk (supports nervous system, reduces vertigo, headache).

External Support

Cool oil massage (Kumkumadi Taila or Sandalwood oil) on scalp and body for Pitta calming. Lukewarm water baths; avoid hot water or sun exposure. Gentle abdominal massage with sesame oil once daily.

Lifestyle & Diet

Eat small, frequent, warm, easy-to-digest meals. Avoid spicy, oily, fried, and processed foods; reduce sour, salty items. Include cooling, bitter, astringent foods: cucumber, coriander, mint, bottle gourd, green leafy vegetables. Drink 2–2.5 L water, but avoid very cold drinks. Sleep 7–8 hours; avoid stress.

Investigations to Monitor

Liver function test (SGOT/SGPT, bilirubin, enzymes) Serum iron, ferritin, B12, folate Kidney function tests (BUN, serum urea) Vitamin D, calcium Thyroid profile Ultrasound abdomen if liver/gallbladder issues persist

Your case is unique, and strong Pitta symptoms with weak Agni need gentle, gradual treatment.

Virechana alone may aggravate your weak digestion. Basti therapy can be considered after digestion is mildly improved. Focus first on digestion support, mild detox, and Pitta-calming measures.

Avoid harsh medications or stimulants until your stomach is ready.

Warm regards, Dr. Karthika

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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
150 days ago
5

From the symptoms you are mentioning seems that you have very weak digestive power , until unless it is corrected whatever medicine you take , it will not give good result

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Your case is indeed complex involving a severe Pitaah imbalance, along with critically weak digestion and low digestive fire when agn is very low, strong therapy, such asvirechana or digestive stimulants, often worse symptoms rather than improve them at the body cannot handle intense pitta clearing measures The aggravation of psoriasis abdominal pain and discomfort after medication is assigned that your system is in a fragile state and vata imbalance is due to depleted energy In such situations, the focus must first be on gradual, strengthening of digestion, restoring metabolic balance and calming pitta and vata simultaneously Aggressive Pitta pacifying or detoxification procedures at this stage or likely to be counter productive, Include light or easily, digestible meals, small doses of Triphala churna-half teaspoon is enough at night Alovera juice 5 ml with water

Advanced therapy like Basti can be considered only once direction is stable, and the body is resilient enough to tolerate them If abdominal pain is persisting, it’s advisable to go for ultrasound whole abdomen

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Dr. Arshad Mohammad
I am working in the ayurvedic field since like 3 years now and honestly still feel like there's always more to learn, even after handling so many different kind of cases in both OPD and IPD settings. That mix of outdoor and indoor care changed the way I understand patients—like, not just quick consults but full-on long term treatments where u really gotta observe body patterns, reactions, progress... or even no progress, which is tricky. Sometimes even when the textbook says one thing, patients show something else entirely n you gotta adapt. I deal with a mix of things—digestive issues, skin problems, mild joint pain stuff, lifestyle triggers—and each case kinda adds a new layer to my approach. Working closely with both acute and chronic patients taught me how much small details matter, like even diet timing or mental state can flip how someone respond to a herb. It’s not about formulas—u gotta watch, tweak, rewatch. I do spend time explaining what the treatment plan actually means. Like not just “take this churnam 2 times daily” but *why* it fits their prakruti or condition. That makes ppl stick to it better, I feel. Also yeah, I’ve worked in setups where it was just me managing the flow—making clinical calls, followups, keeping records, sometimes even basic panchakarma guidance when support was limited. That kinda multitasking helped build real confidence, not the paper type but actual “you’re responsible here” type. And it shows me that patient trust comes not from using big words but from clear answers n slow steady improvements they can *feel.* Not everything works fast. But if u observe closely, listen well, and don’t rush—ayurveda does work.
150 days ago
5

If complete shodana is not possible then you can take saddhyo virechan (kosthshodan) also I this you have to take 60 ml of Ghandarav hastayi taila + 100 ml of milk / shunti jal In empty stomach

After this 6,7 times motions are there , and It will detoxify your body instantly. After this start medication

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Hello Rashmi, You start with Kamdudharas moti yukta 1-0-1 after food with water. Syrup Liv-52 -DS 10ml twice daily after food with water Locally apply psorolin oil on psoriasis affected area. Punarnava mandur 1-0-1 after food with water Avoid processed fatty fast sugary street foods Do pranayam lom -vilom bhastrika bhamri kapalbhati 10 mins daily

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Your symptoms appear to be strongly linked to an imbalance in Pitta but the presence of Mand agni (weak digestive fire) and sluggishness after meals points toward Kapha involvement as well. This condition might be more complex than a straightforward Pitta or Vata imbalance, especially as you’ve not found relief after Virechana, which usually helps in pacifying excess Pitta.

A gentle approach might involve first stabilizing Mand agni before addressing the deep-seated Pitta issues fully. A supportive regimen could start with including warm, cooked, and easily digestible foods in your diet. Foods such as rice porridge (kanji), boiled vegetables, and soft cooked grains could ease digestion. Avoid cold, heavy or very oily foods that may dampen the digestive fire further.

Until your digestive fire is kindled, it’s best to avoid very pungent, sour or salty foods which can aggravate Pitta, as you’ve experienced. Opt for bitter and astringent foods - these can balance both Pitta and Kapha. Fresh turmeric in small amounts and a pinch of cumin seeds with meals could provide support. Ditch spicy and fermented foods for now.

Basti (medicated enema) could indeed be beneficial as it addresses Vata disorders and might help in establishing balance when other doshas appear resistant to treatment. Nonetheless, it should be considered under the guidance of a skilled practitioner, particularly given your unique combination of symptoms.

Consider practicing pranayama and gentle yoga postures, chosen specifically to balance Pitta and Kapha, to harmonize overall energy and digestion. Keeping stress under control is vital as stress can both dampen digestive fire and exacerbate Pitta.

Finally, monitor how your body reacts to any prescribed herbs or dietary changes, particularly if you notice immediate aggravations. Dialog with your Ayurvedic practitioner regularly to adjust your plan as your body’s needs evolve. If symptoms persist or worsen, collaboration with a medical professional specializing in Ayurveda could bring fresh insights and tailored strategies.

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It seems you’re dealing with quite a complex imbalance where both pitta and vata are aggravating, compounded by manda agni (weak digestion). While virechana (therapeutic purgation) is usually effective for pitta-related issues, your symptoms suggest a deeper disruption.

Your digestive fire, or agni, being sluggish (manda), but treatments aimed at enhancing it are causing distress. This occurs when agni imbalance irritates sensitive tissues. Your indication of low ferritin non-anemic iron deficiency along with low serum urea point toward dhatu-agni (tissue metabolism) imbalance, especially targeting the blood and muscle tissues.

Before considering basti (medicated enemas), let’s explore practical steps to soothe pitta without aggravating vata. A gentle correction might include:

1. Dietary Adjustments: Focus on a pitta-pacifying diet, avoiding heating, spicy, or oily foods. Embrace cooling, light, and easy-to-digest meals like moong dal, broken wheat porridge, and steamed vegetables.

2. Herbal Support: You might find relief with shatavari and guduchi, known for their pitta-pacifying and immunity-boosting properties. Consult your practitioner for proper doses.

3. Hydration and Teas: Keep hydrated with coconut water and try coriander seed tea, which can cool pitta while aiding mild digestive fire.

4. Gentle Routine: Aim for a routine that includes calming practices like gentle yoga or meditation to manage stress-driving vata.

Before jumping to basti therapy, it’s vital to stabilize your agni moderately. You may want to discuss these suggestions with a qualified Ayurvedic practitioner for personalized formulations and dosage. If yet unresolved, collaborating with an interdisciplinary team—connecting Ayurveda with conventional medicine for continuous monitoring of liver enzymes and overall health—could provide additional insight. Prioritize investigating any serious causes for symptoms urgently, if not already checked.

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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.
5
36 reviews
Dr. Prasad Pentakota
I am Dr. P. Prasad, and I’ve been in this field for 20+ years now, working kinda across the board—General Medicine, Neurology, Dermatology, Cardiology—you name it. Didn’t start out thinking I’d end up spanning that wide, but over time, each area sort of pulled me in deeper. And honestly, I like that mix. It lets me look at a patient not just through one lens but a whole system-wide view... makes more sense when treating something that won’t fit neatly in one category. I’ve handled everything from day-to-day stuff like hypertension, diabetes, or skin infections to more serious neuro and cardiac problems. Some cases are quick—diagnose, treat, done. Others take time, repeated check-ins, figuring out what’s really going on beneath those usual symptoms. And that’s where the detail matters. I’m pretty big on thorough diagnosis and patient education—because half the problem is ppl just not knowing what’s happening inside their own body. What’s changed for me over years isn’t just knowledge, it’s how much I lean on listening. If you miss what someone didn’t say, you might also miss their actual illness. And idk, after seeing it play out so many times, I do believe combining updated medical practice with basic empathy really shifts outcomes. Doesn’t have to be complicated... it just has to be consistent. I keep up with research too—new drugs, diagnostics, cross-specialty updates etc., not because it’s trendy, but cuz it’s necessary. Patients come in better read now than ever. You can’t afford to fall behind. The end goal’s the same tho—help them heal right, not just fast. Ethical practice, evidence-based, and sometimes just being there to explain what’s going on. That’s what I stick to.
5
1141 reviews
Dr. Nayan Wale
I am working in medical field for total 7 years, out of which around 4 years was in hospital setup and 3 years in clinic practice. Hospital work gave me strong base, long duty hours, different type of cases, emergencies sometimes, and learning under pressure. Clinic work is different, slower but deeper, where I sit with patients, listen more, explain things again n again, and follow them over time. In hospital I handled day to day OPD cases, routine management, and also assisted seniors when things got complicated. That phase shaped my clinical thinking a lot, even now I sometimes catch myself thinking like hospital mode when a case looks serious. Clinic practice on the other hand taught me patience. Patients come with chronic issues, expectations, doubts, sometimes fear, and I had to adjust my approach accordingly. I focus on practical treatment planning, not just diagnosis on paper. Some days I feel I should have more time with each patient, but I try to balance it. My experience across hospital and clinic helps me understand both acute care and long term disease management. I still keep learning everyday, reading, observing patterns, correcting myself when needed, because medicine never stays same for long, and neither should the doctor.
5
3 reviews

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Thanks for this advice! It really cleared things up for me. I'll go with the AVP one and try your suggestion. Appreciate it!
Thanks for this advice! It really cleared things up for me. I'll go with the AVP one and try your suggestion. Appreciate it!
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