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Under weight and gastric issuesI got duodenal ulc
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General Medicine
Question #36001
62 days ago
126

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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Doctors' responses

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 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
50 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
188 reviews

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