Pain in eight hypochondrium with nausea weight loss protein and vitamin deficiency - #31903
I have right hyochondrium pain radiating to right upper back and right shouldermore from 3 months with nauseaand weight loss passing bulky and white stools I havegall bladder removed 1 year ago no fever only pain and nausea with loss of apetite endoscopy was normal but lft were raised igA ttg negative I havesometimes abdominal pain starting after eating not able to diagnose what it can be butweight loss and nausea and pain is disturbing my daily routine


Doctors’ responses
Avoid oily, spicy and processed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Tab. Sunthi 2-0-2 Tab. Guduchi 2-0-2 Follow up after 4weeks.
The symptoms you describe, including the right hypochondrium pain, nausea, and bulky pale stools, might be associated with issues related to biliary system or digestion post-cholecystectomy (gallbladder removal). The absence of a gallbladder can sometimes lead to improper bile production or flow, which is essential for fat digestion, potentially causing pale stools and digestive discomfort.
Considering Ayurvedic principles, there may be an imbalance in Pitta dosha, which governs digestion, and a possible disturbance in Vata due to the pain and irregular digestion. It’s important to focus on stabilizing digestion and supporting the liver and bile production.
1. Dietary Adjustments: Begin with a diet that supports liver health and easy bile flow. Opt for warm, cooked foods rather than raw, cold ones. Avoid fatty, greasy, and spicy foods that could disrupt Pitta further. Foods rich in soluble fiber like oats and brown rice can help manage the stools.
2. Herbal Support: Include Ayurvedic herbs such as Bhumi Amla and Kutki, known for supporting liver function and enhancing digestive fire (Agni). These can help with metabolizing nutrients properly and may aid in reducing nausea and improving appetite. Please consult an Ayurvedic practitioner for specific dosages tailored to your constitution (Prakriti).
3. Daily Routine: Establish a routine that includes regular meals at fixed times to support digestive rhythms. Drinking warm water with lemon in the morning can stimulate the digestive system.
4. Yoga & Pranayama: Practicing gentle yoga poses that improve digestion, such as Matsyasana (Fish Pose), and Pranayama techniques, like Nadi Shodhana (Alternate Nostril Breathing), can help balance Pitta and Vata.
5. Medical Follow-Up: It’s vital to monitor your liver function tests regularly, as elevated levels may indicate ongoing liver stress. If the symptoms persist or worsen, seek immediate medical advice to rule out complications, such as bile duct obstruction or pancreatitis.
These recommendations are to support your overall well-being, but addressing this condition comprehensively with your healthcare provider is essential. Additionally, never ignore or delay medical care when dealing with significant symptoms like these that disturb daily life.
Your symptoms, particularly the right hypochondrium pain radiating to the upper back, along with nausea and weight loss, might be related to a digestive imbalance, possibly involving the liver or bile flow issues, especially since your gallbladder was removed. The altered bowel movements you describe could suggest malabsorption, quite likely linked to a kapha and pitta imbalance in the digestive system.
From a Siddha-Ayurvedic perspective, it’s crucial to enhance your digestive fire, or agni, and balance the doshic energies. A few practical steps might help:
1. Dietary Adjustments: Focus on a diet that supports your digestive fire. Consume warm, cooked foods, avoiding cold, oily, and heavy meals which may aggravate your current condition. Include ingredients like ginger and turmeric, known to stimulate digestion and balance pitta and kapha doshas.
2. Herbal Remedies: Consider taking triphala, a trusted traditional remedy which can aid digestion and improve liver function. You might start with half a teaspoon before bedtime, mixed in warm water. As always, consult with a practitioner familiar with your health history.
3. Digestive Tea: Prepare a tea using cumin, coriander, and fennel seeds - equal parts and a teaspoon combined in boiling water. This can aid digestion and reduce symptoms like bloating and nausea.
4. Lifestyle Considerations: Practice mindful eating; eat in a calm environment, chewing thoroughly, and resting after meals to support digestion. Also, daily yoga and pranayama can be beneficial in releasing tension and enhancing the digestive process.
5. Medical Attention: Since you’ve experienced significant weight loss and pain, consulting with a gastroenterologist is essential for ongoing observation and to rule out any other underlying conditions that may require immediate intervention.
Balancing your digestive system is key here and requires a dedicated approach encompassing diet, lifestyle, and sometimes medical intervention. Always prioritize safety and keep your healthcare provider informed, especially if symptoms persist or worsen.

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