Ask Ayurveda

/
/
/
How to low esr in ibd esr is 35
FREE!Ask Ayurvedic Doctors — 24/7
Connect with Ayurvedic doctors 24/7. Ask anything, get expert help today.
500 doctors ONLINE
#1 Ayurveda Platform
Ask question for free
00H : 56M : 50S
background-image
Click Here
background image
Gastrointestinal Disorders
Question #35097
125 days ago
506

How to low esr in ibd esr is 35 - #35097

Himanshu

How to low esr esr is 35 with ibd please tell m very worried, with stomach pain now on antibiotics,please help ,focal active colitis ,intraepithelial lymphocytosis in biopsy report, frustrated from 2 years but no one fave me proper solution

Age: 30
Chronic illnesses: No
FREE
Question is closed

Doctor-recommended remedies for this condition

Based on 27 doctor answers
FREE! Ask an Ayurvedic Doctor — 24/7, 100% Anonymous
Get expert answers anytime, completely confidential. No sign-up needed.
background-image
background-image
background image
banner-image
banner-image

Doctors' responses

Dear Himanshu Have some patience. Avoid oily, spicy and processed foods. Regular use of buttermilk. Increase intake of raw vegetables and fruits. Cap. Florasante 1-0-1 Tab. Guduchi 2-0-2 Tab. Stop IBS 1-0-1 FOLLOW UP AFTER 10DAYS

3639 answered questions
61% best answers
Your personalized treatment is ready
We've added the medicines recommended by your doctor.
Your personalized treatment is ready
We've added the medicines recommended by your doctor.
Accepted response

0 replies

With your concerns about elevated ESR in the context of Inflammatory Bowel Disease (IBD) and the other symptoms you’ve mentioned, it’s essential to approach this from a holistic perspective. In Ayurveda, the balance of the doshas, particularly Vata and Pitta, often influences digestive and inflammatory conditions. Managing these is crucial.

Firstly, focusing on diet is key. Favor foods that are easy on the digestive tract. Try a warm, cooked diet over raw foods, as they’re easier to digest. You can start including khichadi (a mixture of rice and mung dal) cooked with a pinch of turmeric and cumin, which can help in calming inflammation. Avoid spicy, oily, and overly sour foods, as they can aggravate Pitta.

Drink herbal teas such as ginger or fennel throughout the day to soothe the stomach and aid digestion. Reduce annpand eliminate processed foods, fried foods, caffeine, and any known allergens if you’ve identified some in your diet. Hydrate adequately but avoid very cold water, opting for lukewarm or room-temperature fluids.

Herbs like turmeric and ashwagandha are known for their anti-inflammatory properties. You can incorporate these in your routine under the guidance of a professional Ayurvedic practitioner, as they’ll consider your individual Prakriti (body constitution) to ensure compatibility and safety.

Since you are currently on antibiotics, be attentive to your gut flora too. Incorporate probiotics naturally via fermented foods like buttermilk or yogurt, once your current course of antibiotics finishes, as they can help restore the digestive balance.

For lifestyle, ensure regularity in meals and sleep. Sleep at least 7-8 hours per night, as rest is vital for healing and reducing inflammation. Gentle yoga or pranayama can help reduce stress, which often exacerbates IBD symptoms.

Ask your Ayurvedic practitioner about therapies like Abhyanga (warm oil massage), as they can be grounding for Vata and beneficial in promoting circulation and relaxation.

In case of persistent symptoms, it’s important to maintain open and continuous communication with your healthcare providers, including allopathic doctors, as they can offer interventions aligned with immediate and long-term health outcomes. Make sure to address urgent symptoms promptly and consider integrating treatments that all cherish your overall health.

1742 answered questions
27% best answers
Your personalized treatment is ready
We've added the medicines recommended by your doctor.
Your personalized treatment is ready
We've added the medicines recommended by your doctor.

0 replies

To address a high ESR (Erythrocyte Sedimentation Rate) related to IBD (Inflammatory Bowel Disease), it’s important to focus on reducing underlying inflammation and supporting digestive health. Though conventional treatment is essential, Siddha-Ayurvedic practices can complement it. Begin by managing your diet with emphasis on soothing, anti-inflammatory foods. Avoid spicy, fried, and processed foods which may exacerbate inflammation. Instead, incorporate more cooling, sattvic foods—like white rice, cooked fruits, and vegetables. Hydrating yourself with buttermilk, coconut water, or herbal teas such as chamomile or fenugreek can also aid digestion and reduce inflammation.

Consider incorporating herbal preparations like ‘Kutaja’ decoctions, often used in managing gut health issues. However, always consult with a local Ayurvedic practitioner before starting any herbal regimen, as they will be tailored to your dosha. Ayurveda suggests practicing ‘pranayama’ to calm the digestive fire (agni) and promote better absorption of nutrients. Anulom Vilom and Bhramari pranayama specifically can help in calming and balancing the body.

Pace your meals, allowing at least 4 hours between them, to give your digestive system adequate rest and prevent further irritation. Ensure you get enough sleep and engage in mild physical activities, like walking, which help improve circulation and digestion.

Since you’re on antibiotics, continue with those as prescribed by your healthcare provider. A high ESR can indicate other underlying health issues, so working closely with your doctor to monitor symptoms is vital. Promptly address potential complications associated with IBD to avoid serious exacerbations. You must keep regular follow-ups with your healthcare provider to balance your treatment plan safely.

13657 answered questions
34% best answers
Your personalized treatment is ready
We've added the medicines recommended by your doctor.
Your personalized treatment is ready
We've added the medicines recommended by your doctor.

0 replies
Speech bubble
FREE! Ask an Ayurvedic doctor — 24/7,
100% Anonymous

600+ certified Ayurvedic experts. No sign-up.

About our doctors

Only qualified ayurvedic doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.


Related questions

Doctors online

Dr. Ravi Chandra Rushi
I am working right now as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital in Nalgonda—and yeah, that name’s quite something, but what really keeps me here is the kind of cases we get. My main focus is managing ano-rectal disorders like piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), pilonidal sinus, and rectal polyps. These are often more complex than they look at first, and they get misdiagnosed or overtreated in a lotta places. That’s where our classical tools come in—Ksharasutra therapy, Agnikarma, and a few other para-surgical techniques we follow from the Samhitas...they’ve been lifesavers honestly. My work here pushes me to keep refining surgical precision while also sticking to the Ayurvedic core. I do rely on modern diagnostics when needed, but I won’t replace the value of a well-done Nadi Pariksha or assessing dosha-vikruti in depth. Most of my patients come with pain, fear, and usually after a couple of rounds of either incomplete surgeries or just being fed painkillers n antibiotics. And I totally get that frustration. That’s why I combine surgery with a whole support plan—Ayurvedic meds, diet changes, lifestyle tweaks that actually match their prakriti. Not generic stuff off a handout. Over time, I’ve seen that when people follow the whole protocol, not just the procedure part, the recurrence drops a lot. I’m quite particular about follow-up and wound care too, ‘cause we’re dealing with delicate areas here and ignoring post-op can ruin outcomes. Oh and yeah—I care a lot about educating folks too. I talk to patients in OPD, sometimes give community talks, just to tell people they do have safer options than cutting everything out under GA! I still study Shalya Tantra like it’s a living document. I try to stay updated with whatever credible advancements are happening in Ayurvedic surgery, but I filter what’s fluff and what’s actually useful. At the end of the day, my aim is to offer respectful, outcome-based care that lets patients walk out without shame or fear. That’s really what keeps me grounded in this field.
5
1717 reviews
Dr. Jatin Kumar Sharma
I am a BAMS graduate and currently running my own clinic, where I see patients on a regular basis and try to give them honest, practical care. My daily work involves understanding different health concerns, listening properly to what the patient is going through, and then planning treatment in a way that actually fits their routine. I believe treatment should not feel confusing or rushed, and sometimes even small changes make a big difference. Running my own clinic has taught me a lot about responsibility and consistency. Some days are busy, some are slow, but every patient brings a different challenge and learning. I focus mainly on Ayurvedic treatment methods, lifestyle correction and long-term health balance, rather than quick fixes. There are times when progress takes longer, but I stay patient and keep working with the person step by step. I try to keep my approach simple, practical and honest. For me, real success is when a patient feels better in daily life, sleeps better, eats better and slowly regains balance. That is what keeps me going and improving every day.
5
90 reviews
Dr. Snehal Vidhate
I am Dr. Snehal Vidhate, born n brought up in Maharashtra—and honestly, for as long as I remember I’ve felt this pull towards Ayurveda. Not the fancy version ppl throw around, but the deep, real kind that actually helps ppl. I did my BAMS from YMT Ayurvedic Medical College in Kharghar. That’s where I got my basics strong—like really studied the shastras, understood prakriti, doshas, the whole deal. Not just crammed theory but started to see how it shows up in real lives. After finishing BAMS, I got into this one-year certificate course at Rashtriya Ayurveda Vidyapeeth, Delhi—honestly a turning point. I was super lucky to learn Kerala Ayurveda from my Guru, Prof. Dr. G.G. Gangadharan. He’s got this way of seeing things... simple but deep. That time with him taught me more than any textbook ever could. It kinda reshaped how I look at health, healing n how precise Ayurveda can be when you respect its roots. Right now I’m doing my MD in Panchakarma from SDM Ayurveda College, Bangalore. This place is like a hub for serious Ayurveda work. The Panchakarma training here? Super intense. We go deep into detoxification & rasayana therapy—not just theory again, but hands-on. I’m learning to blend classical techniques with today’s clinical demands.. like how to make Vamana or Basti actually doable in modern patient setups. My current practice is really about merging tradition with logic. Whether it’s chronic skin issues, gut problems, stress burnout or hormone stuff—my goal is to get to the root, not just hush the symptoms. I use Panchakarma when needed, but also a lot of ahara-vihara tweaks, medhya herbs, sometimes just slowing ppl down a bit helps. I really believe Ayurveda’s power is in its simplicity when done right. I don’t try to fix ppl—I work *with* them. And honestly, every patient teaches me something back.
5
561 reviews
Dr. Batu
I am an Ayurvedic doctor trying to bring the old wisdom of chikitsa into daily life, even if sometime I feel I am still learning new things every single day.. I work mostly with the classical principles, the ones I studied again n agin during my training, and I try to see how they fit with each patient’s prakriti and the tiny details of their health story. I am often thinking how Ayurveda doesn’t rush anything, it asks for understanding of the roga and even the rogi in a deeper way, and I keep that in mind when someone walks in and tell me their concerns. Some cases are simple, some not really, but I do my best to look at the ahara, vihara, dosha pattern and even the habits they don’t notice at first. Sometimes I get a bit caught up in analysing too many factors at once, or typing notes too fas and mixing commas,, but at the core I focus on using authentic Ayurvedic approaches—herbal formulations, routine correction, panchkarma suggestions where needed—and I try to guide people gently without overwhelming them. I am also aware that many patients come with doubts or half-heard ideas about Ayurveda, and I try to clear those without sounding too “doctorly,” just explaining what makes sense for their body. I want them to feel they can trust the process, even if progress take time or feel slow on some days. I am still growing in this field, and every person who comes to me reminds me why I chose Ayurveda in the first place: clarity, balance, and healing that respects the person as a whole. There are moments where I wish I had more hours in a day to study more granthas or revise a chapter I skipped, but I stay committed to giving care that is genuine, thoughtful and rooted in traditional practice—even if the journey gets a bit messy here n there !!
0 reviews
Dr. Shaniba P
I am an Ayurvedic doctor, someone who’s pretty much built her clinical journey around natural healing, balance and yeah—just trying to help ppl feel a bit more whole again. I work mostly with conditions that kinda stay with people... like joint pain that won’t go away, periods all over the place, kids falling sick again n again, or just the kind of stress that messes up digestion n sleep n everything in between. A lot of my practice circles around arthritis, lower back pain, PCOD-ish symptoms, antenatal care, immunity problems in kids, and those quiet mental health imbalances ppl often don't talk much about. My approach isn’t just pulling herbs off a shelf and calling it a day. I spend time with classical diagnosis—checking Prakriti, figuring out doshas, seeing how much of this is physical and how much is coming from daily routine or emotional burnout. And treatments? Usually a mix of traditional Ayurvedic meds, Panchakarma (only if needed!!), changing food habits, tweaking the daily rhythm, and honestly... just slowing down sometimes. I’m also really into helping ppl understand themselves better—like once someone gets how their body is wired, things make more sense. I talk to patients about what actually suits their dosha, what throws them off balance, and how they can stop chasing quick fixes that don’t stick. Education's a big part of it. And yes, I’ve had patients walk in for constant cold and walk out realizing it’s more about weak agni n poor gut routines than just low immunity. Every case’s diff. Some are simple. Some not. But whether it’s a young woman trying to fix her cycles without hormones or a 6-year-old catching colds every week, I try building plans that last—not just short term relief stuff. Healing takes time and needs trust from both sides. End of the day, I try to keep it rooted—classical where it matters but flexible enough to blend with the world we're livin in rn. That balance is tricky, but worth it.
5
174 reviews
Dr. Manjula
I am an Ayurveda practitioner who’s honestly kind of obsessed with understanding what really caused someone’s illness—not just what hurts, but why it started in the first place. I work through Prakruti-Vikruti pareeksha, tongue analysis, lifestyle patterns, digestion history—little things most ppl skip over, but Ayurveda doesn’t. I look at the whole system and how it’s interacting with the world around it. Not just, like, “you have acidity, take this churna.” My main focus is on balancing doshas—Vata, Pitta, Kapha—not in a copy-paste way, but in a very personalized, live-and-evolving format. Because sometimes someone looks like a Pitta imbalance but actually it's their aggravated Vata stirring it up... it’s layered. I use herbal medicine, ahar-vihar (diet + daily routine), lifestyle modifications and also just plain conversations with the patient to bring the mind and body back to a rhythm. When that happens—healing starts showing up, gradually but strongly. I work with chronic conditions, gut imbalances, seasonal allergies, emotional stress patterns, even people who just “don’t feel right” anymore but don’t have a name for it. Prevention is also a huge part of what I do—Ayurveda isn’t just for after you fall sick. Helping someone stay aligned, even when nothing feels urgent, is maybe the most powerful part of this science. My entire practice is rooted in classical Ayurvedic texts—Charaka, Sushruta, Ashtanga Hridayam—and I try to stay true to the system, but I also speak to people where they’re at. That means making the treatments doable in real life. No fancy lists of herbs no one can find. No shloka lectures unless someone wants them. Just real healing using real logic and intuition together. I care about precision in diagnosis. I don’t rush that part. I take time. Because one wrong assumption and you’re treating the shadow, not the source. And that’s what I try to avoid. My goal isn’t temporary relief—it’s to teach the body how to not need constant fixing. When someone walks away lighter, clearer, more in tune with their system—that’s the actual win.
5
290 reviews
Dr. Suchin M
I am someone who’s honestly just really drawn to how deep Ayurveda goes—like really deep—not just treating what’s showing on the surface but getting into what’s actually causing it underneath. I really believe that even those complicated lifestyle diseases, stuff like diabetes or BP or obesity that people think they’ll just have to live with forever, can totally be managed with Ayurvedic principles. Not magically or overnight, but through proper diagnosis, diet tweaks, daily habits, and herbs that actually work if you use them right. That’s the part I focus on—making Ayurveda work practically, not just in theory. After finishing my BAMS, I’ve worked with chronic conditions for over a year now in clinical setups. Mostly patients dealing with long-term stuff that doesn’t go away with one pill—usually the kind of disorders rooted in stress, wrong food choices or too much sitting. I’ve seen that if you really listen first, like actually listen—hear their story, feel where they’re coming from—half the work’s already done. Then when you assess their Prakriti, figure out where the doshas are out of balance, and connect that with their history (plus any modern test reports they might bring), it gives you this full picture that’s so valuable. My treatment plans aren't one-size-fits-all. Sometimes it’s about bringing agni back into balance. Sometimes just clearing aam helps. Most people are shocked that things like bloating or even periods issues can shift just by aligning food and herbs with their constitution. And if the case is acute or there’s a red flag, I have no problem referring for emergency allopathic care. Integrative care makes sense—Ayurveda doesn’t have to be isolated from modern medicine. My aim? It's not just to fix a symptom. I want people to feel at ease in their own body again. To build habits they don’t need to break later. To know their own rhythm, not just follow some generic health trend. That’s what Ayurvedic healing means to me... not perfect, but real.
5
92 reviews
Dr. M.Sushma
I am Dr. Sushma M and yeah, I’ve been in Ayurveda for over 20 yrs now—honestly still learning from it every day. I mostly work with preventive care, diet logic, and prakriti-based guidance. I mean, why wait for full-blown disease when your body’s been whispering for years, right? I’m kinda obsessed with that early correction part—spotting vata-pitta-kapha imbalances before they spiral into something deeper. Most ppl don’t realize how much power food timing, digestion rhythm, & basic routine actually have… until they shift it. Alongside all that classical Ayurveda, I also use energy medicine & color therapy—those subtle layers matter too, esp when someone’s dealing with long-term fatigue or emotional heaviness. These things help reconnect not just the body, but the inner self too. Some ppl are skeptical at first—but when you treat *beyond* the doshas, they feel it. And I don’t force anything… I just kinda match what fits their nature. I usually take time understanding a person’s prakriti—not just from pulse or skin or tongue—but how they react to stress, sleep patterns, their relationship with food. That whole package tells the story. I don’t do textbook treatment lines—I build a plan that adjusts *with* the person, not on top of them. Over the years, watching patients slowly return to their baseline harmony—that's what keeps me in it. I’ve seen folks come in feeling lost in symptoms no one explained… and then walk out weeks later understanding their body better than they ever did. That, to me, is healing. Not chasing symptoms, but restoring rhythm. I believe true care doesn’t look rushed, or mechanical. It listens, observes, tweaks gently. That's the kind of Ayurveda I try to practice—not loud, but deeply rooted.
5
1002 reviews
Dr. S. Susitha Lekshmi
I am honestly trying to sum up my 10+ years in Ayurveda, and sometimes I feel like the words don’t fully catch what those years really meant. I worked across different setups, a mix of opd days, longer case followups and those moments where I had to rethink a treatment plan because the patient wasn’t responding the way I first expectd. Those things shaped me more than any textbook page honestly. I focus a lot on understanding how a person’s routine n habits shape their health, and I use classical Ayurvedic principles to guide most decisions… though there are days when I go back and recheck the basics again to make sure I am doing it right. My work in these years has made me comfortable handling a wide range of cases, from common digestive trbls to joint issues and skin concerns, and sometimes the more slow-moving lifestyle disorders where patience becomes a kind of treatment too. I try to keep my consultasions more like a conversation than a prescription-giving moment. I’ve seen how patients open up when they realise I’m looking for the root cause, not just the symptom. Diet correction, daily routine fixes, small mind-body adjustments—these things are simple but they shift a lot when done properly, and I’ve watched that happen dozens of times. I also keep learning, even now, sometimes going through old notes or attending quick sessions to refresh things I might have overlooked. And somewhere in these years, I think I developed a steady kind of confidence—not loud, just practical—that comes from seeing what works again and again. I’m still refining my approach, still figuring better ways to guide people, but my aim stayed same through all these years: offer care that feels real, personal, rooted in Ayurveda and still adaptable to the way people live today.
0 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. Akshay Negi
I am currently pursuing my MD in Panchakarma, and by now I carry 3 yrs of steady clinical experience. Panchakarma for me is not just detox or some fancy retreat thing — it’s the core of how Ayurveda actually works to reset the system. During my journey I’ve handled patients with arthritis flares, chronic back pain, migraine, digestive troubles, hormonal imbalance, even skin and stress-related disorders... and in almost every case Panchakarma gave space for deeper healing than medicines alone. Working hands-on with procedures like Vamana, Virechana, Basti, Nasya, and Raktamokshana gave me a lot of practical insight. It's not just about performing the therapy, but understanding timing, patient strength, diet before and after, and how their mind-body reacts to cleansing. Some respond quick, others struggle with initial discomfort, and that’s where real patient support matters. I learnt to watch closely, adjust small details, and guide them through the whole process safely. My approach is always patient-centric. I don’t believe in pushing the same package to everyone. I first assess prakriti, agni, mental state, lifestyle, then decide what works best. Sometimes full Panchakarma isn’t even needed — simple modifications, herbs, or limited therapy sessions can bring results. And when full shodhana is required, I plan it in detail with proper purvakarma & aftercare, cause that’s what makes outcomes sustainable. The last few years made me more confident not just in procedures but in the philosophy behind them. Panchakarma isn’t a quick fix — it demands patience, discipline, trust. But when done right, it gives relief that lasts, and that’s why I keep refining how I practice it.
5
114 reviews

Latest reviews

Benjamin
5 hours ago
Thanks Doc! Your tips really helped clear things up (literally 😅). The herbal suggestions feel so much better than harsh chemicals. Cheers!
Thanks Doc! Your tips really helped clear things up (literally 😅). The herbal suggestions feel so much better than harsh chemicals. Cheers!
Christian
14 hours ago
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!
Hailey
17 hours ago
Thanks for the clear and detailed advice! Really appreciate the step-by-step on using neem oil. I feel more confident managing this now. 😊
Thanks for the clear and detailed advice! Really appreciate the step-by-step on using neem oil. I feel more confident managing this now. 😊
Dylan
18 hours ago
Really appreciate the detailed response! The insight on Ayurveda options was super helpful for us. Exactly what we needed to hear, thanks!
Really appreciate the detailed response! The insight on Ayurveda options was super helpful for us. Exactly what we needed to hear, thanks!