HELLO RAJAT,
You have been diagnosed with anorexia (loss of appetite) and mildly high amylase (155 U/L) .
FROM A MODERN MEDICAL VIEW -Amylase is an enzyme made mostly by your salivary glands and pancreas to digest starch. -Mild elevation (like 155) without raised lipase and no abdominal pain usually means mild digestive inflammation, stress related enzyme fluctuation or post antibiotic effect- not serious pancreatic disease -You’ve had antibiotics and syrups, which may have disturbed your gut microbiome (good bacteria), leading to bloating, early fullness, and poor appetite
FROM AN AYURVEDIC VIEW Your condition matches Agnimandya (weak digestive fire) and Aruchi (loss of appetite)
In Ayurveda, digestion= everything. If your Agni (digestive fire ) is weak -food doesn’t digest completely-> produce Ama (undigested toxins) -ama blocks channels-> causes heaviness, fullness, loss of taste, fatigue, and poor tissue nourishment -gradually, the body’s building blocks (dhatus) are undernourished-> weight loss and weakness
TREATMENT GOALS 1)DEEPANA AND PACHANA= rekibdle digestive fire and remove toxins 2) AGNIVARDHANA= improve enzyme secretion naturally 3) BRIMHANA AND RASAYANA= nourish tissues and gain healthy weight 4) MANASIKA SHANTI= reduce stress, which strongly affects appetite 5) LIFESTYLE CORRECTION= fix habits that suppress agni (late meals, cold food, stress) etc
INTERNAL TREATMENT
PHASE 1= DEEPANA PACHANA (digestive reset and detox) duration= 2-3 weeks
1) TRIKATU CHURNA= 1/4 tsp with honey before meals =improves appetite by stimulating gastric and pancreatic enzymes. scientifically proven to enhance metabolism
2) AROGYAVARDHINI VATI= 1 tab after meals twice daily =liver stimulant, improve fat metabolism and amylase regulation,
3) LAVANBHASKAR CHURNA= 1/2 tsp with warm water after meals =reduces gas, heaviness, bloating, and helps proper digestion, improves peristalsis
If you have acidity-> replace Trikatu with Avipatikar churna (1/2 tsp with warm water before meals)
EXPECTED RESULTS IN PHASE 1 -increased hunger signals -reduced bloating and fullness -normalization of bowel habits
PHASE 2= BRIMHANA- RASAYANA (nourishment and strength building) Duration= 6-8 weeks (after digestion improves)
1) ASHWAGANDHA LEHYA= 1 tsp with warm milk twice daily =rejuvinative that builds muscle mass and improves appetite, clinically proven to help gain weight and reduce stress
2) SHATAVARI KALPA= 1 tsp with milk once daily in morning =cooling and nutritive enhances absorption and promotes tissue nourishment
3) CHYAWANPRASHA = 1 tsp daily empty stomach =boosts immunity, metabolism, and vitality , helps in balanced weight gain
4) DRAKSHARISHTA= 15ml with equal water after meals =digestive tonic, liver support, enhances appetite and nutrient absorption
EXPECTED RESULTS IN THIS PHASE -steady weight gain (1 kg/month or more) -improved energy, better mood, better digestion -stable appetite and regular hunger cycle
LIFESTYLE CHANGES -wake up early before sunrise, avoid sleeping right after meals -brush tongue daily to remove ama deposits -drink warm water in the morning- helps mild detox and stimulate agni -avoid cold drinks, raw salads, heavy cheese, bakery food -eat in a calm environment , not with distractions or stress -do not suppress hunger or natural urges (belching, yawing etc )
STRESS AND MIND MANAGEMENT -mental stress directly blocks digestive fire -practice gratitude, mindfullness, and relaxation breathing before meals -gentle nature walks improve digestion
DIET GRAINS= old rice, wheat, moong dal, khichdi Avoid= maida, deep fried food
FRUITS= ripe bananas, mangoes, dates, papaya, sweet apples Avoid= citrus in empty stomach
DAIRY= milk with ghee, buttermilk (post meals) Avoid= cold milk , ice cream
FATS= cow ghe, sesame oil Avoid = refined oils, margarine
SPICES= cumin, fennel, ajwain, turmeric, ginger Avoid= excess chilli, vinegar
DRINKS= warm water, cumin-fennel-coriander tea Avoid= cold or aerated drinks
HOME REMEDIES -Ginger- lemon- salt mix before meals to stimulate agni -Pomegranate juice for appetite and mild detox -1 tsp ghee with warm milk at night- promotes sleep and tissue nouishment -Soaked raisins + almonds daily morning -ajwain +black salt water post meals for bloating
YOGA ASANAS -vajrasana= sit after meals for 5-10 min -pawanmuktasana -apanasana -trikonasana, bhujangasana -setu band hasana
PRANAYAM -Anulom vilom= balances nervous system, calms digeston -Bhastrika= increases oxygen and appetite -Bhramari= reduces anxiety and improves gut-brain signaling
INVESTIGATIONS -serum Amylase and lipase= after 1 month repeat -Liver function test= after 2 months -CBC -Thyroid profile
EXPECTED PROGRESS 2 weeks= appetite returns, less bloating 1 month= improved digestion, reduced heaviness 2-3 month= weight gain 1-2 kg, better strength and mood 3 + month= stable appetite, healthy metabolism
Your condition is reversible and manageable through consistent lifestyle and Ayurvedic care
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
As lipase is normal increased amylase is just due to antibiotic use irregular meals or emotional stress and alcohol consumption in Ayurveda, it is due to weak digestive fire Start on Ashwagandhadi lehyam-1 teaspoon with warm milk at night Chitrakadi vati-1 tablet to be chewed two times daily Tab luv 52 DS 1-0-1 Triphala hurna -1 teaspoon with warm water at night Hingwastaka churna-1/2 tsp with warm water twice daily after meals Drakshadi aristha-10 ML with equal quantity of water twice daily after food
Take arogya vardini vati 1tab bd, kravyadi ras 1tab, kumariasva 20ml bd, Pancharista 20ml bd enough
1. Patupanchakadi gulika 1 -0-1 after food. 2. Ashtachoornam 1 tsp with butter milk at lunch time before food. 3. Pippalyasavam 10 ml twice daily after food once. 4. Aswagandha choornam 1 tsp with milk at night.
Took these medicines for 1 month and follow up
Take care, Dr. Shaniba
Hey Rajat, You should go with:
1.Chitrakadi vati 1 tab twice daily with warm water before meals 2.Chywanprash 1 tsp full with warm milk empty stomach in the morning 3.Ashwagandha churna 1 tsp with warm milk twice daily after meals 4.Arogyavardhini vati 2 tab twice daily with water after meals 5.Kutki churna 250 mg once daily with honey
Lifestyle & Diet Tips - Meals: Eat 3 warm, nourishing meals daily—favor oily, grounding foods like khichdi, ghee-roasted sweet potatoes, dates, soaked almonds, and milk-based porridges. - Routine: Stick to regular sleep and meal times to stabilize metabolism. - Yoga: Gentle practices like Vajrasana, Bhujangasana, and alternate nostril breathing (Nadi Shodhana) help digestion and calm Vata. - Rest: Prioritize 7–8 hours of sleep to support tissue repair and appetite regulation.
Optional Panchakarma Therapies (Under Guidance)---- If accessible, consider: - Navara Kizhi: Rice bolus massage for muscle nourishment - Abhyanga: Daily oil massage with Bala Tailam or Ashwagandhadi Tailam - Bruhmana Basti: Nourishing enema therapy for deep tissue support
To address your concerns about appetite, weight gain and pancreatic function, let’s approach this from an Ayurvedic perspective. Raised amylase levels can indicate some pancreatic distress. In Ayurveda, such conditions can relate to pitta imbalance, which governs digestion and metabolism.
First, enhancing agni or digestive fire is essential. Begin with a gentle digestive stimulant like ginger. You can make ginger tea by boiling fresh ginger slices in water and sipping it warm before meals. This helps kindle your appetite and supports digestion.
For gaining weight and muscle, a balance of kapha and pitta increasing foods is helpful. Incorporate foods such as whole grains, lentils, nuts like almonds and seeds, and fresh dairy like paneer. These nourish the dhatus, particulary mamsa dhatu (muscle tissue). Including ghee in your meals can also help enhance digestion and build strength.
Triphala is a helpful herbal formulation support overall gut health. Taking a teaspoon with warm water before bedtime can assist in regularizing bowel motility and cleaning ama (toxins).
Since you’re recovering, consuming small, frequent meals will prevent overwhelming your digestion. Try avoiding cold, heavy or greasy foods which can stagnate digestion.
Moderate exercise like yoga or brisk walking in the morning boosts metabolism and appetite. Pranayama, especially Kapalbhati, can also energize your digestive fire and help with pancreatic health.
Hydration is key, so drink room temperature water throughout the day. If your symptoms persist or escalate, consulting with a healthcare professional for further evaluation is crucial.
Finally, monitor your emotional state as stress can impact appetite and digestion. Try relaxation techniques like meditation to maintain mental balance.
Wishing you well on your path to better health. While implementing these remedies, maintain a close communication with your health provider to ensure your recovery is supported by all necessary means.
Your increased amylase is due to use of higher antibiotics you can start Arogyavardini vati Punarnavadi mandura 1 tablet after meals with warm water Triphala churna-1 tsp with water at bedtime
In your situation, it’s crucial to address the foundational elements of digestion and metabolism from an Ayurvedic perspective. High amylase could indicate some pancreatic stress, so while you’re under medical treatment, we can reinforce your system’s natural balance. Start by focusing on strengthening your agni, or digestive fire. One way is to sip warm water throughout the day, and have a small piece of fresh ginger with a pinch of rock salt before meals to ignite digestion.
For enhancing your appetite and weight gain, consider adding more kapha-provoking foods that are grounding and nourishing. Include sweet, sour, and salty tastes to your diet, like sweet potatoes, cooked oats, or even ripe bananas. Ensure regular meals at consistent times, avoiding cold or raw foods as they’re harder on digestion.
Pancreatic health can be supported with specific herbal remedies known in Siddha-Ayurveda. Guduchi (Tinospora cordifolia) and Amalaki (Emblica officinalis) can help rejuvenate pancreatic function and overall digestive health. Ashwagandha could also aid muscle gain by enhancing strength and vitality—ideal taken with warm milk before bed.
Engaging in moderate exercise, like yoga, can help improve circulation and ensure nutrients are properly delivered to the body’s tissues. Breathing exercises like deep abdominal breathing can stimulate nadi energy channels, promoting digestion and assimilation.
Since you’ve been on antibiotics, it would be good to look into replenishing beneficial gut flora with fermented foods or consider a gentle probiotic to restore balance.
Monitor symptoms and do consult with healthcare professionals when needed, especially if any changes occur. This integrative approach supports your current treatment by nourishing your body and reinforcing balance at its roots.
