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

Hello, Alsactil tablet is recommended for GERD.

Along with that please practice the following: 1. Yashtimadhu milk decoction in empty stomach in the morning(Boil 1/2 a cup of milk with 1/2 a cup of water; once it starts boiling add one teaspoon of yashtimadhu churna.let it boil for 1 minute; then filter and sip the decoction) 2. Chew your food properly 3. Do not drink water during your meals; you can slip small slips of cumin tea instead. 4. Avoid raw food completely. 5. Practice pranayama 15 minutes a day. 6. Have good sleep routine; let there be a gap of 2 hours of between dinner and going to bed. Take care, Kind regards.

Hie jemson additional ayurvedic medicine for GERD :-

DIVYA ACIDOGRIT TAB=2-2 TAB BEFORE MEAL TWICE DAILY

CHITAKADI VATI=2-2 TAB AFTER MEAL TWICE DAILY…

AVOID SPICY/SOUR/PACKED FOOD…

DO REGULAR YOGA AND PRANAYAM=KAPALBHATI/VAZRASANA=10 MIN EACH

Take Sutashekar ras gold 1tab, bilwasava 20ml bd, abhayarista 20ml bd enough

Hi Jemson 1. Licorice powder (Yasthimadhu) 1 tsp Twice A Day 30 minutes before food 2. Shankh Vati 1 Tab Twice A Day after food

Dietary and Lifestyle advice 1. Avoid Tea, Coffee, Soft drinks, Canned Sodas, Spicy, oily food 2.Don’t drink water in between eating meal 3.Drink water after 1.5 hour of having meal 4.Have your dinner at least 2-3 hours before going to bed 5. Vajrasana for atleast 5-8 minutes after having dinner.

Regards Dr Gursimran Jeet Singh MD Panchakarma

Continue Ascatil, along with that take Avipattikara churna 1/2-0-1/2 tsp before Meals with water Draksha aristha 15-0-15 ml with equal water Avoid skipping meals , spicy sour oily foods tea coffee Avoid lying down immediately after meals Sip warm water throughout the day

1.Avipattikar churna 1 tsp before meals with warm water twice daily 2.Triphala churna 1 tsp with warm water at bedtime 3.Amlapitta Mishran 2 tsp twice daily with water after meals 4.Kamdudha rasa 250 mg twice daily with honey after meals

Lifestyle & Diet Tips - Avoid: Sour fruits, citric juices, wheatgrass, ash gourd, fermented foods -Avoid: Carbonated drinks, tea, coffee and packaged juices -Avoid: Fried and processed food items - Favor: Warm, cooked meals with cumin, coriander, fennel -Add: Buttermilk along with roasted jeera in it. - Meal timing: Eat by 7:30 PM, avoid lying down after meals - Hydration: Sip warm water through the day

Hi jemson this is Dr Vinayak as considering your problem… See GERD is condition which take long term treatment to get rid completely… along strict diet.

Rx- pittashekara rasa 2tsp -0-2tsp after food SYP amlaparimala 2tsp -0-2tsp after food T Sutashekara rasa 1-0-1 before food

HELLO JEMSON,

GERD means that the acid and digestive juices from your stomach flow backward (reflux) into the food pipe . This causes burning in the chest , sour belching, throat irritation, cough, bloating, or nausea

In Ayurveda This is called Amla pitta -Amla= sour, acidic -Pitta= the fire element responsible for digestion and metabolism

When Pitta dosha becomes aggravated due to wrong diet and lifestyle, the stomach’s digestive fire turns too strong or irregulat This overheats the stomach, produces excess acid, and forces it upward- causing burning, sour taste, and reflux

CAUSES PHYSICAL AND DIETARY CAUSES -eating spicy, oily, fried, or sour foods -excess coffee, tea, alcohol, smoking -skipping meals or overeating -eating late at night -eating when angry or stressed -excess fasting or irregular eating patterns

MENTAL CAUSES -Anger, frustration , stress, competitiveness -sleep deprivation

These disturb Pitta dosha, especially in the stomach.

WHAT HAPPENS IN THE BODY -Pitta aggravation= excess acid and heat in the stomach -Digestive fire (Agni) becomes irregular-> incomplete digestion-> formation of amla (sour toxins) -Upward movement of pitta-> acid reflux ,chest/throat burning -chronic irritation-> inflammation of oesophagus

TREATMENT GOALS -pcify aggravated pitta dosha -restore digestive fire to a balanced , gentle state -heal the mucosal lining of the stomach and oesophagus -reduce reflux episodes and associated discomfort -strengthen digestion and gut motility long term -prevent recurrence through diet , lifestyle and stress control

INTERNAL MEDICATIONS

1) AVIPATTIKAR CHURNA= 1/2 tsp with warm water before meals for 6-8 weeks =neutralizes acid, cools pitta, improves digestion

2) KAMDUDHA RASA (with mukta shukti)= 1 tab twice daily after meals for 2 months =alkaline and cooling; relieves burning

3) SHANKHA BHASMA= 125mg with honey/ghee twice daily afte meals =antacid effect , aids healing

4) AMLANT SYRUP= 2 tsp after meals =reduces acidity and gas

5) DRAKSHARISHTA= 15ml + equal water after meals =mildly digestive, cooling and soothing

6) AMALAKI POWDER= 1 tsp daily with warm in morning =repairs mucosa, rich in Vitamin C

LEPA ON EPIGASTRIC REGIO= paste of sandalwood + rose water =soothes burning sensation

DIET -warm, freshly cooked, non spicy food -moong dal, rice, bottle gourd, ridge gourd, pumpkin -sweet fruits= pomegranate, banana , melon -A2 cow’s milk lukewarm not cold -ghee 1 tsp with rice -coconut water, aloe vera juice, coriander water -curd only in daytime, mixed with sugar or jaggery -jeera, fennel ,cardamom, coriander seeds in food

AVOID -spicy, fried, oily, fermented, sour foods -tomatoes, vinegar, citrus fruits, smoking -carbonated drinks, coffe, alcohol, smoking -late night eating, lying down after meals -skipping meals or fating excessively

SIMPLE HOME REMEDIES -cold milk with cardamom powder= 1/2 cup during burning sensation -fennel seeds- chew 1 tsp after meals or boil in water and drink -coriadner -cumin- fennel water= boil 1 tsp each in 1 L waterr, cool , sip through the day -aloe vera juice 30 ml on empty stomach in morning and evening -Licorice powder 1/2 tsp - mic with honey or ghee, take after meals for soothing the throat and esophaguss

YOGA ASANAS -vajrasana= after meals, gentle sitting posture -pawanmuktasana r=release gas and aids digestion -ardha matsyendrasana= improves digestion -setu bandhasana= strengthens esophagus -supta baddha konasana= relieves tension in the abdomen

PRANAYAM -sheetali /sheetkari= cooling, pacify pitta -Nadi sodhana= balances all doshas, reduces stress -Bhramari= calms mind and nervous system

MEDITATION -10-15 min of daily meditation or mindfullness

DURATION OF TREATMENT -Initial relief= 2-4 weeks -Stabilization and mucosal healing= 2-3 months -Long term maintenance and recurrence prevent = 6 months or more

Consistency in diet, medication , and stress management is crucial- Ayurveda heals by correcting the root cause, not just suppressing acid

When the fire of digestion burns steady, health flourishes. when it burns wild, it scorches the system

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Start on Avipattikara churna 1/2-0-1/2 tsp with water Chitrakadi vati 1-1-1 Mulethi churna 1 tsp with warm water Avoid oily spicy sour fermented foods

Asactil tablet is known to provide relief for GERD by reducing stomach acid, but relying solely on it may not fully address the underlying cause if it doesn’t align with ayurvedic principles. From an Ayurvedic perspective, GERD is typically related to an imbalance in the Pitta dosha, which governs digestion and metabolism.

First, maintaining a balanced diet according to your prakriti (constitution) is crucial. Avoid spicy, oily, or acidic foods that can aggravate Pitta. Favor pitta-pacifying foods like sweet, bitter, and astringent tastes - include more cooling foods like cucumber, coriander, fresh fruits (not sour ones) in your diet.

Consider incorporating Ayurvedic herbs like Yashtimadhu (licorice root), which is soothing and can be beneficial for GERD. Take 1/2 teaspoon of Yashtimadhu powder mixed with warm water after meals. Another effective remedy is Amalaki (Indian gooseberry). Consume Amalaki churna 1/2 teaspoon with honey daily in the morning.

Improve your agni (digestive fire) by drinking warm herbal teas, such as ginger tea throughout the day. Avoid cold or iced beverages, especially during or after meals.

Adopting certain lifestyle modifications can also play a significant role in managing GERD. Practice regular yoga and pranayama, focusing on poses like child pose (Shishuasana) and seated twist (Ardha Matsyendrasana) which improve digestion. Try to eat your last meal at least 2-3 hours before bedtime and maintain slightly elevated head position while sleeping to prevent acid reflux.

It’s essential to monitor your symptoms. If the GERD persists or worsens, consult with both Ayurvedic practitioner and your healthcare provider. They may need to adjust your current medications or suggest more personalized treatment options. Always balance Ayurvedic treatment with ongoing conventional medical advice for chronic conditions like GERD.

Asactil can provide relief from GERD symptoms by neutralizing stomach acid, but addressing the root cause with a more holistic approach can be beneficial. GERD often stems from an imbalance in the body’s agni, or digestive fire, typically linked to aggravated pitta dosha.

To balance pitta and strengthen digestion, consider the following recommendations:

1. Dietary Adjustments: Avoid hot, spicy, and oily foods that can aggravate pitta. Favor sweet, cooling, and light foods like roasted cumin seeds and coriander water to soothe your digestive system. Eating meals at regular intervals can stabilize agni.

2. Herbal Supplements: Triphala, a traditional Ayurvedic formulation, can support digestive health. A teaspoon mixed in warm water before bedtime may assist in cleansing and balancing your digestive tract.

3. Lifestyle Recommendations: Minimize stress through regular yoga and pranayama, particularly Sitali and Sheetkari, to cool excess heat in the body. Aim for a daily routine that includes waking up and eating meals at consistent times.

4. Hydration: Sip warm water throughout the day to aid digestion and prevent acid reflux. Avoid caffeinated and carbonated beverages.

Before incorporating new supplements or making significant lifestyle changes, it’s essential to consult with an Ayurvedic practitioner for personalized advice, considering your unique constitution and any other health conditions. If GERD symptoms persist or worsen, continue collaborating with a healthcare provider to ensure appropriate management and look out for any serious developments needing immediate attention.