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Oncology
Question #43878
87 days ago
665

Seeking Ayurvedic Guidance for PMP Cancer Treatment - #43878

Tamilselvan

Hi Doctor, My mother has been diagnosed with PMP cancer. We initially planned for surgery, but since the disease has spread to the lungs (lung nodules), the doctors have recommended palliative chemotherapy. If Ayurvedic treatment is a possibility for this condition, could you please guide me on where I can get treatment and how the treatment works? Note: My mother is stable and has no symptoms. We initially discovered the issue during her knee replacement process (ultrasound scan in June 2025). After about four months, we sought a second opinion and, because of my insistence, she agreed to undergo the MRI, which revealed this condition.

How long has your mother been diagnosed with PMP cancer?:

- 3-6 months

Has she experienced any symptoms related to her condition?:

- No symptoms at all

What is her current state of health aside from the cancer diagnosis?:

- Very good, active lifestyle
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Doctors' responses

Hi

Ayurvedic treatment for PMP (Pseudomyxoma Peritonei) is generally used as supportive and palliative care alongside conventional medicine. It focuses on detoxification, strengthening digestion and immunity, and improving quality of life.

1.Vrddhi vadhika vati 2 tab twice daily with water after meals 2.Arogyavardhini Vati 1 tab twice daily with water after meals 3.Kanchnar guggulu 2 tab twice daily with water after meals 4.Guduchi (Giloy) Ghanvati 2 tab twice daily with water after meals

🥗 Supportive Diet & Lifestyle - Food: Warm, light, easily digestible meals (khichdi, moong dal, steamed vegetables). - Avoid: Fried, spicy, processed foods, excess dairy, alcohol. - Hydration: Sip warm water throughout the day. - Mind-body care: Gentle yoga, pranayama (Anulom Vilom, Bhramari), meditation for stress reduction.

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Start Amla juice 10ml+ Aloevera juice 10ml+ wheat grass juice 10ml once daily after food with water Kanchanar guggul 1-0-1 after food with water Vriddhivadhika vati 1-0-1 Aarogyavardhini 1-0-1 after food with water. Do pranamyam lom -vilom bhastrika kapalbhati daily for 5-10mins twice Avoid processed food, food made from maida flour, Lessen intake of salt in your diet.

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May I know Wats her age ?? Presently does she have any symptoms?? Any past illness ? On any medications?? Done any PET SCAN ?

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Tamilselvan Periyasamy
Client
87 days ago

She did not had surgery.

No I meant to ask that Ascitic fluid was taken for analysis know regarding that I wanted to ask - that the fluid just was taken for lab analysis to say 10 to 20 ml or it was in larger quantities?? Like 1 litre or more than that ??

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Tamilselvan Periyasamy
Client
87 days ago

Her age is 64. Currently she dont have any symptoms. She is not having any illness. I am having MRI and CT scan.

Tamilselvan Periyasamy
Client
87 days ago

But I could not find option to upload reports

Yeah we cannot upload the reports When was mri / ct done - is it was done recently?? If it’s not done recently I would suggest once to go with PET SCAN ,

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How much fluid was drained ?? Is still she is having abdominal distension/ bloating? Where does she stays ?

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Tamilselvan Periyasamy
Client
85 days ago

It is just 10 to 20 ml

10 to 20 ml is ok If you wanna start treatment then will advise accordingly your mother can start

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Tamilselvan Periyasamy
Client
83 days ago

Yes. I want to start treatment

But it’s better to see your mother n then advise instead of blindly advising the medicines

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Based upon her scan report it’s showing that her peritoneum and oment r showing mucin filled pattern that’s consistent with PMP type spread which means the disease is very slow progressive rather than fast spreading one Usually this condition progresses gradually over years which is a positive sign , so the main focus is to keep the abdomen free from fluid/ mucus accumulation n improve her immunity system Meanwhile if you get her PET SCAN, after confirming then we can start actual treatment. If you opt for online consultation/ video call consultation that would be better option so we can suggest/ advise by seeing her directly meanwhile Avoid curd excess salt raw salads bakery items Long gaps between meals Adequate rest Avoid physical strain N lastly want to tell dat do not pani. As its slow progressive ayurvedic supportive care will make big difference in her day to day comfort

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Tamilselvan Periyasamy
Client
87 days ago

It was taken last month. Just pasting here MRI report

Clinical Profile: Incidentally detected in outside CT: Small cystic lesion in the right lower abdomen adjacent to the cecum and in the right adnexal region, ? Pseudomyxoma períitonei or ovarian neoplasm/sclerosing peritonitis,CA-125 following ruptured mucocele of appendix level -38.5, CEA - 56.5, CA 19-9 is 0.03. :15.10.2025 13:48 Technique: T2 sagittal, axial and coronal, T1 axial, DWI, and dynamic post contrast, TI fs axial, coronal, Sagittal post contrast, T2 HASTE axial - upper abdomen, Tl post contrast axial - upper abdomen, CT correlation.

A tubular cystic structure with thickened and irregular enhancing wall, measuring 20 mm in maximum caliber is noted in the right iliac fossa, contiguous with base of caecum. The content is hyperintense on T2 and hypointense on Tl with focal defect in the wall, measuring 1.5 cm. Multiple irregular T2 hypointense spicules are seen radiating from the wall of appendix with iregular thick enhancement. Moderate ascites with diffuse irregular peritoneal thickening and enhancement are seen. Diffuse omental fat stranding is noted. Few small heterogeneously enhancing peritoneal deposits are noted in the left iliac fossa. Uterus (postmenopausal status) is anteverted, measures 6.3 x 4.2 x 2.2 cm. ET: thin line. No significant pelvic / para aortic lymphadenopathy. A T2 hyperintense lesion measuring 1.l x 0.8 cm is noted in the sub capsular location of left lobe of liver in segment 3.

IMPRESSION: Prominent periportal lymph node noted.

Visualized bones show normal signal intensity.

Bilateral kidneys, urinary bladder and bilateral vesicoureteric junction appear normal.

Features are suggestive of appendicular mucocele with focal rupture and diffuse irregular enhancing wall thickening of appendix with moderate ascites, diffuse omental fat stranding, diffuse irregular peritoneal thickening and few heterogeneously enhancing peritoneal deposits in the left iliac fossa.

T2 hyperintense lesion in the sub capsular location of left lobe of liver in segment III - Indeterminate.

Tamilselvan Periyasamy
Client
87 days ago

PATHOLOGY CYTOLOGY/FNAC EC NO: NATURE OF SPECIMEN: MICROSCOPIC DESCRIPTION: IMPRESSION: NOTE : EC 7936/25 Ascitic fluid cytology Smears show abundant mucinous / mucoidy material in the background with suspended many aggregates and singly scattered cyst macrophages. Few clusters of epithelial cells are seen which are cohesive and appear relatively monomorphous. There is no evidence of high grade nuclear morphology seen in few epithelial cell clusters included. Ascific fluid cytology showing: - Few cohesive clusters of monomorphous epithelial cells in a background with abundant mucinous material, Suggestive of Mucinous neoplasm. In correlation with clinical profile and Imaging, Possibility of pseudomyxoma peritonei to be considered. - End of Report

Thank you for reaching out and trusting this platform with your mothers Health journey… I can feel the confusion and worry, you r going through right now especially when your mother is completely active , stable and not having any symptoms which was found out incidentally during knee replacement According to Ayurveda, this actually gives us a solid foundation to work with because her ojas agni and tissue strength or still intact, so our main aim in her case is to preserve this stability for as long as possible by keeping her kapha- ama formation under control, supporting liver and gut function and maintaining clear circulation in the abdominal channels,so the mucous tendency does not exhilarate, and for this she can start on Kanchanar guggulu VRIDDHIBHADIKA vati Punarnavadi mandura Each 1 tablet twice daily after food with warm water Guduchi satva -2 pinch with honey to be given twice daily Triphala churna 1 tsp with warm water at night Amlaki rasayana 1 1 teaspoon with warm water once daily Ashwagandhadi lehyam 1 teaspoon with warm milk at night Which will help in Maintaining her current quality of life without disturbing her appetite bowels or energy while allowing her body to remain in a balanced resilient state for as long as possible

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Hello​‍​‌‍​‍‌​‍​‌‍​‍‌ Tamilselvan, I really empathize with the emotional anguish you are going through. PMP is an uncommon disease, and it is very understandable that you may feel overwhelmed with the latest discoveries, even if the mother is stable and she is leading a normal life.

✅AYURVEDIC INTERPREATTION

-Slow metabolism of Kapha-Medo dhatu= jelly-like mucin deposition seen in PMP -Involvement of Vata allowed the spread to lungs -Agni mandya (low cellular metabolic fire) = promotes abnormal tissue growth - Ama formation may contribute to further proliferation

The positive thing is that your mother being asymptomatic and active her Agni & Ojas must be still strong that is why supportive Ayurvedic therapy has very good results in such cases.

✅ AYURVEDIC PLAN OF TREATMENT

In Ayurveda, oncological care is not substituted with the Ayurvedic care in case like PMP, but it can: - Support immunity & strength - Slow progression (where possible) - Improve quality of life - Help tolerate chemotherapy better -Reduce metabolic & inflammatory load

✅ INTERNAL MEDICATION

1.Chemoyog 1 sachet mix with Varundi Ghrita 1 tsp morning empty stomach followed by warm water ( Anti-proliferative and helps to prevent further spread)

2 Ashwagandha extract capsule – 1 at night

3 Varanadi Kashayam – 15 ml twice daily with equal water (reduces Kapha-Medo influence)

4 Sitopaladi + Yastimadhu – 2 g daily (For Lung Nodule Stability

Support lungs, immunity, and alkalize the body by removing Kapha stasis.

✅DIET MODIFICATION

❌Avoid Kapha-Medo aggravating foods

Milk + curd combinations Fried foods Cheese, paneer, pizza Oily, heavy, creamy foods Excess sweets, bakery items Cold drinks, ice cream

✔️Recommended Foods

Warm cooked vegetables Turmeric + black pepper daily Old rice, wheat, barley Mung dal khichdi Fresh pomegranate Warm water frequently Dashamoola herbal water (optional)

☑️What You Should Expect (Realistic Guidance)

Ayurveda cannot claim cure for PMP, especially after lung involvement. But it can: ✔ Reduce rate of progression ✔ Support energy, digestion, immunity ✔ Lessen chemo side effects

Your mother being strong, active, and without symptoms, is, therefore, the perfect candidate for supportive integrative Ayurveda.

I know very well how dear the health of your mother is to you and I also know that with very careful integrative management (oncology + Ayurveda), her overall strength and stability can be kept for quite a while.

Wishing your mother a good health😊

With warm regards Dr Snehal ​‍​‌‍​‍‌​‍​‌‍​‍‌Vidhate

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Take canconil 1tab os,tab anacarcin 1tab od, navapasahna chendoram 1tab od this medicine are useful in Cancerous treatment and quality life nd need personal consultation

Dr RC BAMS MS

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Ayurveda cannot cure or reverse PMP (a mucinous peritoneal cancer originating from the appendix), as it’s a modern pathological entity without direct classical equivalents. However, it offers strong supportive care to improve quality of life, reduce symptoms (even if asymptomatic now), strengthen immunity, manage chemo side effects, and potentially slow progression by detoxifying the body, balancing doshas (especially Kapha-Pitta), and supporting overall vitality. This is always used alongside conventional palliative chemotherapy, not as a replacement Ayurveda views PMP as Granthi (tumor) with Kapha-Pitta imbalance + Ama (toxins) causing mucus accumulation. Treatment focuses on Shodhana (detox via Panchakarma) to clear peritoneum/lung channels, Rasayana (rejuvenation) to boost immunity, and diet/lifestyle to prevent mucus buildup. Sessions last 21–42 days in-patient, followed by home medicines Centre where you can refer to - AVT Institute for Advanced Research, Coimbatore Meanwhile supportive treatment to follow- 1 Kanchanar Guggulu – 2 tablets twice daily after meals 2 Arogyavardhini Vati – 1 tablet morning after breakfast 3 Guduchi Ghan Vati – 500 mg twice daily 4 Rohitakarishta – 20 ml + 40 ml warm water after lunch & dinner.

External (Daily) Warm sesame oil massage on abdomen (Narayana Taila) – 10 min nightly, hot fomentation 15 min (reduces Kapha).

Diet Give only: Moong khichdi + ghee, pomegranate, bitter gourd, barley water. Avoid: Dairy, sweets, fried/oily food (worsens mucus).

Lifestyle: 20 min gentle walk daily, Anulom-Vilom pranayama 10 min (lung strength), sleep 10 PM–6 AM.

Regards Dr Gursimran Jeet Singh MD Panchakarma

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HELLO,

WHAT IS PMP? Pseudomyxoma peritonie (PMP) is a rare condition where mucin (jelly like material ) collects inside the abdomen, usually due to slow growing tumor of the appendix or ovary

Think of it like this:- -Instead of forming a hard tumor mass, the cells produce thick mucus -This mucus spreads slowly inside the abdomen -Over time, it can press on organs like intestines, stomach, liver etc

WHY IS IT SERIOUS? Even though PMP is slow growing -It fills space inside the abdomen -it can spread to other areas (e.g; lungs in your mother’s case) -Because of this, surgery is often difficult when there is spread outside the abdomen

Your mother’s current situation -No symptoms-> this is actually positive -Disease has spread to lungs-> so curative surgery is not recommended -Doctors advise palliative chemotherapy, meaning ---- not curvative ---- but helps slow progression ---- keeps her comfortable, ---- improves longevity and quality of life

Palliative treatment means -we treat the person, keep them strong, comfortable , active, and symptom-free as long as possible.

PART2= WHAT AYURVEDA CAN DO (realistically and safely) Ayurveda cannot cure PMP or reverse spread. It can support her body, strengthen immunity, digestion, mind, and help her tolerate chemotherapy better.

Ayurveda has 4 safe goals

1) IMPROVE DIGESTION AND METABOLISM cancer and chemotherapy weaken digestive fire. Ayurveda tried to -prevent bloating -improve appetite -enhance nutrient absorptio

2) SUPPORT IMMUNITY AND STRENGTH -helps fatigue, weakness, sleep, stress

3) IMPROVE COMFORT AND QUALITY OF LIFE -through external therapies such as oil massage , mild detox

4) EMOTIONAL AND MENTAL SUPPORT Stress increases inflamamtion and reduces immunity Ayurveda uses -yoga -meditation -gentle pranayam -counselling

PART 3= AYURVEDA TREATMENT

A) INTERNAL SUPPORT Ayurveda uses 4 categories of internal support

1) DIGESTIVE SUPPORT Given when -appetite is low -gas, bloating, or heaviness -after chemotherapy

PURPOSE -keep digestion healthy -prevent toxins -help food absorption

TAKE mild herbs like ginger, cumin, coriander -warm water -simple foods

2) IMMUNITY-SUPPORT/ RASAYANA Given to -improve strength -reduce fatigue -support sleep -improve appetite

-AMLA CAPSULE= 1 cap in morning empty stomach

-ASHWAGANDHA= 1 tsp with warm milk twice daily

-GUDUCHI GHAN VATI= 2 tabs twice daily after meals

3) LIVER AND GUT SUPPORT Important because chemotherapy often affects these organs

-BHUMYAMALAKI CAPSULE= 1 cap twice daily after meals

-KUTKI CHURNA= 1/2 tsp with warm water twice daily

4) STRESS AND SLEEP SUPPORT -since mental pace is highly important in cancer care

EXTERNAL THERAPIES

1) FULL BODY WARM OIL MASSAGE= WITH WARM SESAME OIL =calms the nervous system, reduces fatigue, improves sleep, improves skin hydration

2) MILD STEAM AFTER OIL MASSAGE =relaxes muscles, improves circulation

DIET -warm, soft, freshly cooked meals -khichdi (rice + moong dal ) with little ghee -steamed vegetables -vegetables soups -light gruel of rice -dal soups -buttermilk with cumin -homemade curd (small quantity) -ripe fruit= banana, papaya, sweet orange )

AVOID -Too spicy or oily foods -dee fried items -pickles, fermented foods -cold drinks -bakery products -excess sugar -red meat

CANCER FREINDLY AYURVEDIC MEAL ROUTINE -3 small meals + 2 small snacks - warm water sips through the day -avoid skipping meals -avoid eating heavy food after 7 pm

HOME REMEDIES

1) GINGER-CORIANDER HERBAL WATER =helps digestion, gas, cold sensation

2) JEERA WATER =helps digestion, acid reflux, post meal heaviness

3) TURMERIC MILK at night =helps immunity, sleep, very small quantity of turmeric

4) AMLA= fresh or juice =helps digestion, vitamin c, immunity

5) WARM OIL SELF MASSAGE

YOGA -tadasana -vrikshasana -bhujangasana -marjari asana -setu bandhasana

PRANAYAM -anulom vilom -chandra bhedana -bhramari -3 min mindful breathing

Your mother has -a slow growing cancer -no symptoms -good overall strength -a supportive family These are positive sigs for maintaining quality of life for long time

Ayurveda, when done safely and gently can -keep her strong -improve comfort -support appetite -reduce stress -improve sleep -help her tolerate chemotherapy better But it should never replace oncologist- guided treatment

The best success comes from an integrated approach -Modern oncology + supportive ayurveda + good diet, yoga, lifestyle, + emotional support

You are doing the right thing by exploring safe and supportive options

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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In cases like PMP with spreading to the lungs, Ayurveda can support overall health and wellbeing, but it’s crucial to prioritize oncologists’ recommendations, especially when it comes to palliative chemotherapy. Ayurveda can potentially play a supportive role, helping manage overall health and balance through a holistic approach.

Firstly, focusing on maintaining a sattvic diet may help balance her body and mind. Fresh, organic foods prepared at home can enhance the purity and strength of her system. Avoid processed foods, and prioritize whole grains, vegetables, and fruits. Foods like turmeric, garlic, and ginger are known for their antioxidant properties, and can be incorporated into meals regularly.

Her daily routine should also support balance and rest. Encourage regular sleeping hours, aiming to sleep by 10 pm and waking around sunrise. Gentle yoga or pranayama might support mental well-being and ease stress; however, consult a practitioner to ensure safety given her health conditions.

Herbal formulations like Ashwagandha or Guduchi (Tinospora Cordifolia) are often mentioned in classical texts for their rejuvenative properties. However, the evaluation by an Ayurvedic doctor is important to tailor these herbal interventions properly to her constitution (prakriti) and needs.

Regular consultations with both her medical team for cancer and a qualified Ayurvedic practitioner are necessary. It’s about complimenting existing treatments safely. Always share any Ayurvedic remedies being considered with her oncologist to avoid potential interactions.

To find a reputable Ayurvedic treatment center or practitioner, checking credentials and looking for ones affiliated with recognized Ayurvedic institutions or who have medical and Ayurvedic certification can be helpful. It’s about finding someone experienced in dealing with complex conditions.

Incorporating ayurveda is a supportive way to improve quality of life and enhance her overall strength, but should never replace essential medical treatments advised by her primary doctors.

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Please get personal consultation and also continue chemotherapy

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From an Ayurvedic perspective, the approach would focus on balancing the doshas involved and supporting the body’s natural healing capacity. Understanding her Prakriti (inherent constitution) and Vikriti (current imbalances) might help tailoring the treatment plan. Since PMP cancer involves mucinous masses, there’s often a correlation with an imbalance in Kapha dosha, which could lead to excess mucus and fluid retention. Pitta may also be involved if there’s inflammation or metabolic changes.

First, it’s crucial to reinforce that Ayurveda can complement conventional treatment but should not replace it—especially with a condition like cancer. It is important to continue with the medical team’s recommendations for palliative care. If you decide to explore Ayurveda, seek out practitioners skilled in integrating Ayurveda with allopathic treatments.

For lifestyle and dietary adjustments, you might consider a Kapha-reducing diet which includes avoiding dairy, fried foods, and anything excessively sweet. Warm, light, and dry foods can help to reduce Kapha.

Herbal formulations that might be included, under the guidance of a qualified practitioner, involve Ashwagandha for maintaining strength and Brahmi for calming any excess Pitta if present. Triphala could help in detoxification and improving Agni (digestive fire). Regular yoga and pranayama can aid in keeping energy channels open and improving vitality.

Visits to an Ayurvedic doctor would begin with a detailed assessment of your mother’s doshas, state of digestion, and lifestyle. Various treatments like Panchakarma might be considered based on this evaluation. Remember, any herbal treatments must be prescribed also considering her current medications to avoid interactions. Prioritize continuous coordination with her primary oncologists before starting any new treatments.

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