Seeking Advice for GERD Management with Asactil and Ayurvedic Medicines - #35449

Hi Jemson Thank you for sharing your concern here. Alsactil tab is an Ayurvedic medicine used for treating various stomach related issues like Nausea , Heartburn , Constipation, Dyspepsia, etc. And also it helps to improve the gut health.
So you can use it regularly . But for your GERD issue you have to add few more medicines for better result .

1.Guluchyadi kwatham tab 2-0-2 before food [Helps to Control excessive PITA dosa and also helps to regulate functions of Gastric hormones ]

2.Shankabhasma capsule 2-0-2 after food [Helps in symptoms like burning, sour eructation and stomach bloating]

3.Dhanwantharam gulika 2-2-2 after food with jeeraka water [Helps in Vayu /gas related issues ]

Also follow some lifestyle modifications and dietary changes as I mentioned below

*Do’s 3-4litres of water /day More focus on fruits and vegetables Include Sprouted grains Walking - daily 30min to 1hour Practice yoga and meditation regularly

*Don’ts Tea /coffee Oily too spicy oily salty sour sweet foods Junk foods Carbonated/soft drinks Maida and its products

Dear Jemson Avoid oily, spicy and packed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Regular use of buttermilk. Tab. Yashtimadhu 2-0-2 Tab. Guduchi 2-0-2 Follow up after 2weeks

Hello Jemson

I can understand your concern regarding GERD. Gastroesophageal Reflux Disease is a chronic condition caused by aggravation of Pitta and Vata dosha in Ayurveda — particularly Amlapitta. But dont worry we are here to help you out😊

While Asactil (which contains domperidone and pantoprazole or similar agents) can provide symptomatic relief by reducing acid secretion and improving motility, it does not address the root cause

To ensure long-term control without dependency on antacids, a combined Ayurvedic–modern integrated approach works best

✅ COMBINED MANAGEMENT PLAN

✅Continue Asactil (short-term)

Take as per your physician’s advice This helps control acute acid secretion and gives initial relief.

✅ But: To prevent relapse and dependency, start Ayurvedic treatment alongside for root cause correction.

✅ AYURVEDIC INTERNAL MEDICATION (for 6–8 weeks)

1 Avipattikar Churna – ½ teaspoon with warm water before food twice daily ( Balances Pitta, relieves burning, acidity, and indigestion)

2 Kamdugh Ras (Mouktik Yukta) – 1 tablet twice daily after food ( Excellent Pitta–shamak, reduces heartburn and gastric irritation.)

3 Sutshekhar Ras – 1 tablet twice daily after food (Neutralizes acid, protects mucosa, and relieves bloating)

4 Dadimadi ghrita – 1 tsp at bed time follwed by warm water (Soothes gastric lining, rejuvenates digestion, rich in antioxidants)

Optional (if bloating & gas are severe) ➡️ Hingwashtak Churna – ½ tsp before lunch with lukewarm water

✅ External Therapies (Optional but Effective)

Abhyanga (daily oil massage) with Ksheerabala Taila – calms Vata

Takradhara or Shirodhara – helps in stress-induced GERD (if anxiety or insomnia coexists)( to be done in nearby panchakarma therapy center)

✅DIET MODIFICATION

✅ Include-

Eat small, frequent, warm meals Early dinner (before 8 PM) Include ghee, milk, rice gruel, moong dal soup Drink Jeera + Dhaniya + Fennel seed decoction after meals Sleep on left side to reduce reflux

❌ Avoid

Spicy, fried, sour, fermented foods (pickle, curd at night) Tea, coffee, alcohol, carbonated drinks Heavy or late-night meals Lying down soon after eating (wait at least 2 hours)

✅LIFESTYLE & YOGA

Manage stress – as emotional stress worsens acid reflux Daily Pranayama: Sheetali / Sheetkari Anulom Vilom

Gentle yoga: Vajrasana after meals (for 5 min), Bhujangasana,

✅HOME REMEDIES

✔️1 tsp Aloe vera juice + ½ tsp Amla juice on empty stomach morning ✔️ 1 glass cold milk with pinch of elaichi powder for acute burning ✔️Chew 1 small piece of licorice (Mulethi) after meals

⚠️ NOTE

Do not stop Asactil abruptly. Continue it for 2–3 weeks while Ayurvedic medicines start acting, then taper under medical supervision

Wishing you a good health😊

Warm Regards Dr Snehal Vidhate