How can I improve my gut health after H.pylori treatment? - #45159
Having been detected with H.pylori a year ago through endoscopy, I followed all the necessary diet plans and medications, including a combination of antibiotics and an acid-reducing proton pump inhibitor (PPI) and also did daily yoga and exercises. However, even after a year, I sometimes feel bloated if I eat outside of an invitation or even with some homemade meals. I find it difficult to tolerate milk and spicy foods as they cause burning sensations in my stomach and oesophagus. Could you please provide me with some suggestions on how I can get my gut properly healthy?
How often do you experience bloating after meals?:
- FrequentlyHave you made any changes to your diet since your H.pylori treatment?:
- Yes, significant changesDo you have any other digestive symptoms?:
- Yes, heartburn or acid refluxDoctor-recommended remedies for this condition
Doctors' responses
Even after H pylori treatment the stomach lining often remains sensitive for few months so foods that are heavy spicy oily or dairy based can still trigger bloating and burning This doesn’t mean the infection is still there Your gut is simply not fully healed and the acid control mechanism is still weak Focus on warm simple meals avoid milk for now Use butter milk and curd mainly at day time Eat smaller portions eat at regular intervals avoid long gaps between meals Keep dinner early and light Do not skip meals Drink warm water throughout the day Take Avipattikara churna 1/2 tsp before meals Include cow ghee in diet Draksha aristha 15 ml with equal water after meals
1.Avipattikar churna 1 tsp twice daily with lukewarm water before meals 2.Yashtimadhu Churna 1/2 tsp twice daily with warm water twice daily before meals 3.Kamdudha Ras (Moti Yukta) 1 tab twice daily with honey or ghee after meals
🧘 Lifestyle & Diet Tips
Diet - Favor warm, soft, non-spicy meals (khichdi, mung dal soup, steamed vegetables). - Fruits: pomegranate, apple, papaya (avoid citrus and very sour fruits). - Avoid milk if it causes burning; instead try buttermilk (diluted, spiced with cumin). - Reduce fried, oily, and very spicy foods. - Sip warm water throughout the day.
Routine - Eat at regular times; avoid late-night meals. - Practice Anulom Vilom and Bhramari pranayama for stress and gut relaxation. - Gentle yoga: Pawanmuktasana, Vajrasana after meals (improves digestion). - Sleep 7–8 hours, preferably before 10 pm.
Internal Medicines- 1 Avipattikar Churna – 3 gm + warm water 30 min BEFORE dinner 2 Kamadhudha Ras (plain) – 250 mg morning + night with milk/water 3 Dadimadi Ghrita – 10 gm morning empty stomach with warm water 4 Panchamrit Parpati – 125 mg morning + night after food 5 Bilwadi Lehya OR Bilvasava – 10 gm / 15 ml night
Daily Must-Do - Vajrasana 10 min after every meal Chew ½ tsp saunf + mishri slowly after meals Dinner before 7:30 PM → only moong khichdi + ghee first 30 days 1 glass thin buttermilk + roasted jeera + rock salt lunch time only
Foods you can slowly re-introduce after 45 days Week 6–8 → start 50 ml warm milk + pinch cardamom Week 8–10 → mild spices (jeera-dhania only) Never → cold milk, raw chilli, very spicy street food
Bloating & burning will reduce 80–90 % in 10–14 days You will be able to tolerate milk & normal home food in 60–75 days
Repeat endoscopy/Urea breath test after 90 days Start tonight and your stomach will feel brand-new from week 2.
Regards Dr Gursimran Jeet Singh MD Panchakarma
Yes take Sutashekar ras gold 1tab, Pancharista 20ml, chitrakadivati 1tab bd, bilwadilehyam 1tsp bd enough
Dr RC BAMS MS
Hello
I appreciate you sharing your experience so openly.
First of all, I would like to commend your effort and discipline that you went through the entire antibiotic + PPI course, you followed the dietary advice, and you even kept up with yoga and exercise.
That fact alone is a great accomplishment and it shows your strong determination to get better.
It is quite typical for individuals to experience: –Persistent bloating –Post-meal burning –Milk intolerance –Spice sensitivity Even 6–12 months after H. pylori eradication.
This does not mean that the infection is still there — it indicates that your digestive fire (Agni) is weak and your gut lining is still in the process of recovery.
✅ IS YOUR GUT RECOVERABLE AND CAN IT HEAL COMPLETELY?
💯 Absolutely — the gut is capable of full recovery. But, it requires: –Time –Gentle nourishment –Cooling & soothing therapy –Gut flora restoration
✅ AYURVEDIC GUT HEALING MEDICATIONS
1.Avipattikar Churna ½ tsp twice daily after meals with warm water (Reduces acidity, bloating, and burning)
2.Licorice (Yashtimadhu) Powder ½ tsp at night with warm milk/water (Heals ulcers, strengthens gut lining, takes away burning)
3.Shatavari Granules 1 tsp with warm water once daily after food (great for cooling and rebuilding gut tissues)
👉 Probiotic Support Homemade buttermilk with roasted cumin
✅ DETAILED GUT HEALING DIET PLAN (Most Important)
✅ Include
–Soft rice + moong dal khichdi –Boiled vegetables: bottle gourd, pumpkin, carrot –Thin buttermilk with roasted cumin –Ripe banana, papaya –Overnight soaked oats –Ghee in small quantity
❌ Avoid –Directly milk (you are currently intolerant) –Tea, coffee –Bakery, fried food –Chili, garam masala, black pepper –Onion, garlic, vinegar –Citrus fruits at night –Carbonated drinks
✅ YOGA AND LIFESTYLE –Vajrasana after meals – Pawanmuktasana – Deep breathing (Anulom Vilom) – Early dinner (before 7:30 pm) – 7–8 hours of sound sleep
✅ Home Remedies for Daily Comfort
–Cumin + fennel + coriander water (boiled and sipped warm) – 1 tsp ghee at bedtime – Only warm water for drinking – Small frequent meals
✅ Are You in Need of Repeat H. pylori Test?
✅ Yes — after 1 year, you may carry out:Stool antigen testto confirm complete eradication(This is optional but reassuring.)
Your gut is NOT permanently broken. It is just a bit sensitive and recovering — and, with the right approach, it will become even more resilient than before.
Do not despair. Your body still possesses great healing capabilities.
Wishing you a good health😊
Warm Regards Dr Snehal Vidhate
- Reduce intake of oily food. - Slightly reduced salt intake also.
- Prefer olive oil, ghee etc for food preparation. - Follow a regular time for food intake.
1. Avipathy choornam 1/2 tsp with ghee at night.
2. Ashtachoornam 1/2 tsp with butter milk regularly.
Follow up after 1 month. Take care, Dr. Shaniba
Hello !
Even after H. pylori is killed with antibiotics, the stomach lining stays inflamed and sensitive for months, sometimes more than a year. That’s why you still feel: • bloating • burning • intolerance to milk • discomfort after outside food • acid reflux
Your stomach acid layer and mucosal lining are still thin, irritated and unstable. Ayurveda calls this Mandagni + Amla Pitta, meaning your digestion is weak and your stomach becomes irritated quickly.
The goal now is to: 1. Heal and thicken the stomach lining 2. Calm acidity and burning 3. Strengthen Agni (digestion) so food is processed smoothly 4. Stop bloating and sensitivity long-term
⭐ Internal Ayurvedic Medicines
(Start with Amapachana → then main medicines)
1. Amapachana (first 7 days) • Amapachana Vati – 2 tablets twice daily after food for 7 days
2. Main Internal Medicines (from Day 8 onwards) • Avipattikar Churna – ½ tsp after lunch and dinner • Guduchi Satva – 1 tsp in warm water once daily morning • Yashtimadhu Churna – ½ tsp with warm water twice daily • Triphala Churna – ½ tsp at bedtime with warm water
Duration: 6–8 weeks
(No explanation of action as requested.)
⭐ External / Home Procedures • Warm water bottle on upper abdomen for 10–15 minutes before dinner • Steam inhalation with plain warm water if chest feels tight • Avoid lying down for 2 hours after meals
⭐ Diet Plan (Easy & Practical)
Eat more: • warm rice • moong dal khichdi • boiled vegetables • bottle gourd, ridge gourd, ash gourd • cumin–fennel tea • homemade buttermilk (no curd at night)
Avoid: ❌ milk ❌ spicy food ❌ pickle, vinegar, tomato, raw onion ❌ too much wheat roti ❌ outside food ❌ tea/coffee on empty stomach
Best morning drink: Warm water + pinch of turmeric + 1 tsp ghee
⭐ Yoga (very helpful for gut repair)
Do for 5–10 minutes daily: • Vajrasana (after meals) • Pawanmuktasana • Cat–cow stretch • Deep belly breathing
⭐ Investigations (if not done in last 6 months) • H. pylori stool antigen test (to confirm eradication) • Vitamin B12 • Vitamin D • HbA1c (to rule out hidden sugar issues)
⭐
Your gut is not damaged it is still healing after the infection and strong antibiotics. With the right foods, simple medicines, and routine, your stomach will slowly regain its strength. You will be able to tolerate many foods again once the lining calms down.
I’m here to guide you step by step.
Warm regards, Dr. Karthika
✔️ Do’s: ✔️ Millet roti Buttermilk (daily include in your meal) Moong dal (green and yellow both are ok) All fruit vegetables Leafy vegetables (except methi and dil)
🧘♀️ Yogasan : 🧘♀️
1. Bhujangasana (Cobra Pose) 2. Dhanurasana (Bow Pose) 3. Ardha Matsyendrasana (Half Lord of the Fishes Pose) 4. Paschimottanasana (Seated Forward Fold) 5. Halasana (Plow Pose) 6. Sarvangasana (Shoulder Stand Pose) 7. Matsyasana (Fish Pose) 8. Supta Matsyendrasana (Reclined Spinal Twist) 9. Surya Namaskar 10. Malasan (Squats Pose)
🧘♀️ Pranayam : 🧘♀️ 1. Anulo Vilom 2. Bhramari 3. Kapalbhati 4. Shitali 5. Sitkari
❌ Donot’s: ❌ Tea Coffee Addictions Dals (except moong) Sour Packed food Processed food Achar (pickles) Papad Fried food Avoid dairy completely Non veg products
💊 Medication: 💊
Tab. Liv 52 DS 1 tab twice a day before food Tab. Gandhak Rasayan 2 tabs twice a day before food Cap. Mebarid 2 caps twice a day before food Tab. Ampachak Vati 2 tabs twice a day before food Syp. Audumbaravleham 3 tsp twice a day before food
Syp. Amlapitta Mishran 2 tsp twice a day after food immediately Tab. Shankhavati 2 tabs immediately after food suck and eat.
Very normal you have to take panchtikta ghrth 5 ml empty stomach at morning Take pulcurd 2 tablets tds Take triphala 2 tablets at night get good results
HELLO THANK YOU FOR CONTACTING ASK AYURVEDA
YOU HAD BEEN DETECTED WITH H.PYLORI AND YOU HAD TOOK TREATMENT
YES , FROM AYURVEDA YOU CAN GET YOUR GUT HEALTHY.
INITIALL Y YOU HAVE TO UNDERGO DETOXIFICATION AND REJUNIVATION THERPAY
FOR THIS AYURVEDA WILL BE HELPFUL .
YOU HAVE TO UNDERGO PANCHAKARMA THERPAY. IT CAN BE DONE IN ANY GOOD AYURVEDIC CENTRE.
BUT BEFORE PACHAKARMA YOU NEED TO CLEANSE YOUR GUT (DIGESTIVE SYSTEM)
IT HAS TWO STAGES:-
1] DEEPANA THERAPY :- IT REFFERS TO MEDICATIONS THAT IGNITE AGNI , THE METABOLIC FIRE ( APPETITIE SIMULATOR ) WITHOUT NECESSARILY DIGESTING AMA.
2]PACHANA THERPAY :- DIGESTIONS—IT FOCUS ON THE DIGESTION OF AMA.
DEEPANA AND PACHANA PLAYS A SIGNIFICANT ROLE IN THE TREATMENT OF VARIOUS ALIMENTS WHILE ENHANCING DIGESTIVE JUICES ( AGNI). IT GOVERNS METABOLIC PROCESSES, DIGESTION AND THE BODY`S OVERALL FUNCTIONALITY .
NOW PANCHAKARMA THERAPY
IT’S A THERAPY IN AYURVEDA FOR DETOXIFICATION AND REJUVENATION. IT IS USED TO REMOVE TOXINS (AMA) FROM THE BODY AND TO RESTORE BALANCE TO THE THREE DOSHAS IN OUR BODY ( VATA , PITTA ,KAPHA)
IT IS DIVIDED INTO THREE STAGES
1]PURVA KARMA
SNEHANA KARMA :- INTERNAL AND EXTERNAL ADMINISTRATION OF MEDICATED OIL OR GHEE,
INTERNAL :- THIS ARE INGESTED OVER A PERIOD OF DAYS TO LUBRICATE THE TISSUES AND CELLS ALL OVER THE BODY . THIS HELPS TO LOOSEN THE TOXINS AND MAKE READY FOR EVACUATION.
EXTERNAL: MASSAGE WITH MEDICATED OIL TO WHOLE BODY TO ENHANCE ABSORBATION THROUGH THE SKIN AND FURTHER LOOSEN THE MALAS
SWEDANA KARMA:- AFTER SNEHNA TO RELEASE THE MALA FROM THE BODY , INDUCING SWEATING FROM BODY BY STEAM BATH
2]PRADHAN KARMA :-
VAMANA :- IT IS THE THERAPY IN WHICH A PERSON IS INDUCED CONTROLLED VOMITINGS USING MEDICATED DRUGS UNDER OBSERVATION. THIS HELPS IN REMOVING EXCESS KAPHA FROM THE GASTRO INTESTINAL TRACT AND RESPIRATORY SYSTEM.
VIRECHANA:- IT IS THE THERAPY IN WHICH A PERSON IS INDUCED TO PASS CONTROLLED MULTIPLE STOOLS THORUGH MEDICATED DRUGS UNDER OBSERVATION. IT CLEANSES THE LOWER GASTRO INTESTINAL TRACT, LIVER AND GALL BLADDER.
YOU WILL FEEL REJUNIVATION , NOW WE WILL START MEDICATION
1]SUKUMAR GRITHA ONE SPOON WITH WARM MILK TWO TIMES A DAY AFTER MEALS
2]TRIPHALA CHURNA 1/2 SPOON WITH WARM WATER TWO TIMES A DAY
3]HINGUVASTAKA CHURNA 1/2 SPOON WITH WARM WATER BEFORE BED TIME
DIET
PLENTY OF WATER , BUTTER MILK AVOID SPICY , SOUR , HOT , FRIED FOODS EAT HIGH FIBRE FOOD EAT FRUITS , VEGETABLES , SALAD
Start with Tablet Liv-52 1-0-1 after food with water , This will improve your digestion and prevent bloating issues. Kamdudharas moti yukta 1-0-1 after food with water will reduce burning sensation. Have buttermilk with pinch of asafoetida black salt and roasted jeera powder after lunch daily, This will improve gut health naturally. Avoid processed fatty fast sugary foods. Soak overnight coriander seeds fennel seeds jeera seeds morning strain and drink empty stomach before breakfast Soak overnight raisins black currant dry fig in a cup of warm water overnight morning make smoothie and drink.
Post-treatment with antibiotics and PPI for H. pylori, it’s common to experience lingering gut issues. Ayurveda offers strategies to support and restore gut health by balancing digestive fire (agni) and managing dosha imbalances.
Begin with your diet; stick to warm, cooked foods that are easy to digest. Avoid raw, cold food and heavy to digest items like deep-fried dishes which may slow down your digestive agni. Since you’re experiencing sensitivity to milk, try substituting it with almond milk or consume buttermilk which is lighter and helps in digestion. Spices can be aggravating, so go easy on hot spices like chilli. Use gentle spices like cumin or coriander which enhance digestion without causing irritation.
Including triphala, an Ayurvedic formulation, can be beneficial. Taking half a teaspoon with warm water before bed can help regulate your digestive function and assist in detoxification. Drink ginger tea throughout the day; it soothes the stomach, kindles agni without being harsh. When feeling bloated, ajwain and fennel seeds chewed post meals can ease discomfort.
Daily routine plays a pivotal role. Maintain a regular eating schedule and ensure you chew your food slowly to support your digestion. Continue your morning yoga, focus on poses like Vajrasana post meals to harness prana and enhance metabolism. Keep stress in check as it affects digestion; practice meditation for mental peace and balance. Sleep well; it’s crucial for recovery and maintaining agni.
Lastly, if symptoms persist or worsen, don’t hesitate to consult with a healthcare professional. Some cases might need further medical evaluation to rule out other underlying causes that might be overlooked. Healing takes time, and careful adherence to these practices can gradually restore gut resilience.
Addressing post-H. pylori gut challenges naturally aligns with the principles of Ayurveda. It’s crucial to rebalance the agni, or digestive fire, which might have been dampened by antibiotics and PPIs. You likely experience vata and pitta imbalance, leading to bloating and acidity.
Begin by focusing on your diet and routine. Opt for warm, cooked meals that are easily digestible. Avoid any cold or raw foods, which can increase vata. Fresh ginger tea before meals can stimulate agni and mitigate bloating. Just steep a few slices of fresh ginger in hot water and sip slowly.
Since milk might aggravate your symptoms, try incorporating alternatives like almond or rice milk if they’re well tolerated. These are less likely to irritate the gut. Spices such as cumin and coriander, in moderate quantity, can help soothe the digestive tract.
Aloe vera juice, about 20-30 ml on an empty stomach, may help in healing the gut lining and reducing inflammation caused by acidic foods. Meanwhile, triphala, a traditional formulation, can be taken at bedtime (about 1/2 teaspoon with warm water) to support digestion and detoxification.
Incorporate pranayama, focused on gentle breathing exercises, to regulate nadi flow and reduce stress-related digestive issues. Keeping vata in check with a daily routine of consistent meals and restful sleep is beneficial too.
Remember that acidity sometimes signals the need for immediate attention if symptoms become severe—see a healthcare provider if needed. Balancing your lifestyle with mindful dietary choices and regular practices will nurture a stronger, more resilient digestive system.
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