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Under weight and gastric issuesI got duodenal ulc
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General Medicine
Question #36001
84 days ago
187

Under weight and gastric issuesI got duodenal ulc - #36001

Sangram Rout

Under weight and gastric issues I got duodenal ulcer in 2019 then took hp kit 2 times in different year but now I feel under weight and prescribe a diet plan that haveweight gain

Age: 26
Chronic illnesses: Gastric issues
PAID
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Take Avipattikara churna 1/2-0-1/2 tsp before meals Chitrakadi vati 1-0-1 to be chewed Ashwagandhadi lehyam 1-0-1 tsp with warm milk Avoid heavy food late night spicy sour fermented sleeping immediately after having food Eat small freq meals easily digestible foods

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Hello Sangram Start with Kamdudharas moti yukta 1-0-1 after food with water Ashwagandha churan 0-0-1tsp at bedtime with cool milk Chyavanprash 2tsp once daily after breakfast with water Include cow’s ghee 2-4tsp in your diet Soak overnight coriander seeds fennel seeds jeera seeds overnight in the morning strain and drink empty stomach before breakfast Soak overnight raisins black currant dry fig in a cup of warm water morning make smoothie and drink. Include bananas, peanuts in your diet. Have buttermilk with pinch of asafoetida black salt and roasted jeera powder after lunch daily.

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HELLO SANGRAM,

You had a duodenal ulcer in 2019. That means the inner lining of your upper intestine (duodenum) got damaged by excess acid and weakened mucosal defence

Even after medical treatment , your digestion hasn’t been fully healthy- now you feel underweight, weak digestion, and gastric discomfort (gas, burning, bloating, loss of appetite)

According to Ayurveda, this condition is due to -agnimandya= weak digestive fire -pitta vriddhi= excess heat /acidity in stomach -vata imbalance= causing irregular digestion, bloating, underweight

So, your system has -weak digestion- can’t absorb nutrients properly -sensitive stomach-acidic, inflamed mucosa -loss of nourishment-> weight loss , fatigue

TREATMENT GOALS -heal and protect stomach lining -correct digestive fire -nourish tissue -balance doshas -improve mental calmness

INTERNAL MEDICATIONS

STAGE 1 = FOR FIRST 1 MONTH= ULCER HEALING AND ACID CONTROL

1) AVIPATTIKAR CHURNA= 1 tsp twice daily before meals with lukewarm water for. 1 month =neutralizes excess acid, relieves burning

2) SHANKHA VATI= 1 tab twice daily with milk after meals for 1 month = antacid , reduces gas and acidity

3) YASHTIMADHU CHURNA= 1/2 tsp with milk twice daily after meals for 1 month =soothes stomach, heals ulcer, anti inflammatory

4) KAMDUDHA RAS (with mukta)= 1 tab twice daily after meals for 1 month =balances pita, protects mucosa

5) AMALAKI RASAYANA= 1 tsp morning empty stomach for 2 months =antioxidant, rejuvenator , aids healing

STAGE 2= AFTER 1 MONTH FOR 2-3 MONTHS- STRENGTH AND WEIGHT GAIN

1) ASHWAGANDHA LEHYAM= 1 tsp with warm milk twice daily for 3 months =builds muscles, improves weight, calms vata

2) SHATAVRI KALPA= 1 tsp in milk at bedtime for 2 months =nourishing tonic, balances pitta, improves appetite

3) CHYAWANPRASHA= 1 tsp in morning =general rejuvenator, immunity and vitality

4) JEERAKADYARISHTA= 15ml with equal water after meals for 2 months =improves digestion, appetite and absorption

DIET -milk and ghee- natural healers and weight gainers -mung dal khichdi , rice with ghee, soft cooked vegetables -sweet fruits- banana, papaya(ripe), dates, figs, soaked raisins -whole wheat, oats , rice -home made butter- mild not sour -coconut water for cooling effect -soups= moong , lentil, pumpkin, bottle gourd

AVOID -spicy, sour, fermented, oily, deep fried foods -tea, coffee, alcohol, smoking -pickles, citrus fruits, tomatoes, chilli, vinegar -long gaps between meals or skipping meals -cold drinks or iced water

HOME REMEDIES -Licorice milk= heals stomach lining, prevents acid reflux -Banana+ honey paste= 1 mashed banana + 1 tsp honey once daily= natural antacid an healing food -Aloe vera juice= 2 tbsp before breakfast- soothes mucosa, improves digestion -Coconut water- daily 1-2 times- cooling, reduces burning -Small amount of ghee with meals lubricates gut, improves absorption

LIFESTYLE -eat at fixed Times, dont skip meals -sleep early, wake early - avoid anger, stress, night work -avoid overuse of painkillers or anti biotic- they worsen ulcers -gentle daily walk after meals- 10-15 min

YOGA ASANAS -vajrasana= sit in this posture after meals for 5-10 min -pawanmuktasana= reduces gas -bhujangasana= strengthens digestive organs -mandukasana= improves digestion avoid if active ulcer pain -shavasana= relaxes mind and body

PRANAYAM -Anulom vilom= 10 min daily, balances doshas -Bhramari= relieves stress, calms nerves -Sheetali/sheetkari= cooling breath for excess pitta

You can absolutely recover and gain weight- but in sequence -First heal your stomach and balance digestion- 1-2 months -then start nourishing and strengthening therapy next 2-3 months

Ayurveda focuses on root correction= healing Agni, balancing pitta-vata, and rejuvenating the body naturally With regularity, a 3-5 kg weight gain and symptom relief are achievable within 3-4 months

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Addressing your concerns about unwanted weight loss and gastric issues, particularly post-duodenal ulcer management, involves understanding your unique constitution and ensuring that your agni, or digestive fire, is functioning optimally. After using HP kits for H. pylori, it’s essential to recalibrate your digestion and find balance. Ayurveda suggests a few strategies that could be beneficial:

Focus on rajasic and sattvic foods that are easy to digest yet nourishing. Start incorporating more calorically dense foods that are gentle on the stomach. Opt for boiled or lightly cooked foods over raw ones to improve digestibility. Include ghee in your daily meals; it not only adds healthy fats but also soothes the gastrointestinal tract, which is crucial in cases of ulcers.

Have small but frequent meals to kindle your digestive fire without overwhelming it. Grains like rice and oats can be grounding, while mung beans provide good protein and are gentle on digestion. Extra ghee on chapati or rice is calming and supports weight gain. Spices like turmeric, cumin, coriander should be part of your cooking as they enhance digestion while also preventing any inflammations.

Consider warm milk with a pinch of nutmeg or cardamom before bedtime; it is nourishing and helps in relaxation. Nuts and seeds such as almonds and sunflower seeds support weight gain, too, but always soak them overnight to ease digestion. Banana or ripe mango puree in warm weather is another healthy add-in option.

Avoid excessively spicy, sour, or fermented foods which could aggravate gastric troubles. Instead, include more natural sweets like dates and figs, which can promote a balance in body weight while also offering nourishment. Regular yoga, especially poses that involve light twisting movements or gentle pressure on the stomach area, might also help to improve digestion and stimulate weight gain. Prioritize stress-relieving practices like Pranayama, as emotional well-being is closely linked to physical health in Ayurveda.

Remember, these recommendation should be adjusted according to your body’s response, and any significant change to your health should be consulted with an experienced practitioner.

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The challenges you’re facing with weight and gastric issues, particularly with a history of duodenal ulcer, need careful consideration. First, understanding the nature of your duodenal ulcer, it suggests a need to balance the Pitta dosha, which governs digestion and metabolism but, when imbalanced, can lead to excess heat and acidity in the digestive tract.

To address your weight concerns without exacerbating gastric issues, focus on soothing, nutritive foods that ground and gently kindle the digestive fire. Include more sweet, cooling, and nourishing elements in your diet. Foods like khichdi with ghee, soaked almonds, dates, leafy greens, and ripe bananas are supportive. They provide calories, are easy on the stomach, and offer necessary nutrients.

For your duodenal ulcer, avoid spicy, fried, and excessively sour foods as they can irritate your stomach. Instead, include cooling herbs such as licorice (Mulethi), which you can make a decoction of and consume twice daily—it helps soothe the stomach lining and promote healing. Aloe vera juice, consumed on an empty stomach, can also aid in reducing acidity and healing ulcers.

To support weight gain, balance your meals with adequate protein from easily digestible sources such as moong dal or paneer, and include healthy fats like sesame oil and coconut oil in moderation. Small, frequent meals can prevent overloading your digestive system and help gain weight gradually and sustainably.

Ensure you’re well hydrated but avoid drinking too much water during meals, as this can dilute stomach acids and hinder digestion. For your agni (digestive fire), consider a mild digestive such as ginger tea, sipped before meals, but ensure it’s not too heating.

Monitor your symptoms closely, and it’s crucial to remain in contact with your healthcare provider for ongoing management of your condition, given your history of ulcers. If symptoms like pain, bleeding, or significant weight change occur suddenly, seek medical attention immediately.

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Since you have a history of duodenal ulcer and H pylori treatment your digestion is likely sensitive so the diet and medicine plan should be gentle nourishing and aimed at weight gain while supporting gut healing

Take warm water with honey on empty stomach Soaked almonds and walnuts Take oatmeal or broken wheat porridge cooked in milk with little ghee Add mashed banana or stewed apple Smoothies made with milk banana dates and nuts Or buttermilk with pinch of cumin powder n rock salt For lunch moongdal Khichdi Dinner b4 8 pm Light dinner must be done Take CHYWANPRASH 1 tsp at morning Ashwagandha churna half tsp once daily with warm milk Mulethi churna half tsp with warm water Triphala powder 1 tsp at bed time Avoid spicy fried acidic Take meals at regular intervals Gentle walk after meals

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I am working in Ayurveda for about 2 years now, mainly around gynecological problems, which I honestly feel are way more common than most people realise. I see a lot of women struggling silently with issues like irregular periods, cramps that just don’t stop, mood swings, PCOS kind of symptoms... sometimes they come in after trying a bunch of stuff already n nothing really works long-term. That’s where I try to bring in a more rooted approach. I use a mix of Ayurvedic principles, dietetics (like food based on dosha & body type etc), and yoga therapy to manage these conditions. It’s not just about reducing pain during periods or balancing hormones—it’s more like trying to understand what’s causing the imbalances in the first place. I spend time trying to map the prakriti-vikriti profile and see how stress, food, daily habits are impacting the cycle. I don’t rush things, coz honestly healing isn't linear and doesn't follow some fixed timeline. And not everyone wants to jump into panchakarma straightaway either, right? Also pain management is a big part of my work. Whether it’s period cramps or pelvic pain, or even chronic stuff tied to digestion and fatigue, I look at how we can ease that naturally. Sometimes through simple things like castor oil packs, or subtle shifts in routine, other times I may recommend herbs or formulations. Yoga plays a huge role too, esp. when the body feels stuck or inflamed. Not gym-style yoga, more therapeutic.. breath n movement syncing with dosha correction, that kind of thing. To be honest, I’m still learning—Ayurveda’s depth is huge, and I feel like I’m just getting started. But what I do know is, when I see women begin to trust their own body’s rhythm again, that’s really powerful. Makes all the effort worth it. Even small relief matters. It's not perfect, sometimes things take longer, sometimes we need to adjust mid-way... but it's real.
5
63 reviews
Dr. Shivanshu Sharma
I am Dr. Shivanshu Sharma, an Ayurveda physician with main focus on preventive cardiology and lifestyle related disorders, which slowly became the center of my clinical interest. I completed my BAMS from Vaidya Yagya Dutt Sharma Ayurvedic Mahavidyalaya, Khurja, affiliated to CCS University, where I build a solid base in classical Ayurveda along with practical clinical exposure to many medical conditions. Those early years shaped how I look at chronic disease today, sometimes in simple ways, sometimes more complex. To strengthen my work in heart health, I completed a Certificate Course in Preventive Cardiology from the National Institute of Ayurveda, Jaipur. This training helped me understand cardiovascular risk assesment, early detection of high risk individuals, and holistic management of hypertension, diabetes, dyslipidemia, obesity and metabolic syndrome using Ayurvedic principles mixed with modern preventive cardiology ideas. The balance is not always easy, but it feels necessary. Currently, I am pursuing a Master of Public Health (MPH) from Max Society of Medical Academics Innovation and Research (MSMAIR), which adds a broader public health and evidence informed angle to my clinical thinking. I try to look beyond symptoms, focusing on long term prevention, lifestyle correction and patient awareness. Learning still feels ongoing, sometimes slow, but it keeps my practice grounded and real.
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