Thank you for reaching out and trusting this platform with your Health journey. I can imagine how exhausting and confusing. It feels when abdominal discomfort keeps coming back for years, especially when even mild bowel reactions, create pressure fullness and the right sided discomfort
From the symptoms which you have mentioned like PVT, chronic gastritis, right sided, abdominal pressure, constipation, alternating with loose tools, low vitamin D3 and B12 mild anaemia and discomfort, even after the bowel moment- this picture matches a long standing vata pitta imbalance affecting the gut, liver region and large intestine
Although your LFT is normal, the region around the liver and duodenum is irritable, meaning, the fire is uneven while the wind is over active
In Ayurveda, this combination leads to a condition comparable to Grahame with the intestinal tone becomes weak. It cannot hold and release the tool properly, so even my changes in diet creates an exaggerated response, either constipation or sudden loose tools. This instability also produces that pressure feeling between the ribs and write upper abdomen because the gut-liver axis becomes hypersensitive When vata rises in the colon and pitta irritate the stomach/duodenum, the discomfort, radiates upward, exactly in the region you mentioned
Your vitamin B12 and D3 deficiency and mild anaemia, indicate that impaired absorption, not just poor diet … when Agni is weak for a long time, nutrient and stop observing effectively, even if reports appear normal otherwise PVT and gastritis further confirm that the channels around the liver‘s stomach and tests or strained, inflamed and tight
The good news is that this combination response beautifully to a gentle stabilising regular Ayurvedic routine. You do not need any harsh medicines or sudden detox in fact, harsh treatments will worsen your condition
Begin your day with warm water with a pinch of dry ginger powder Include warm, freshly cooked meals, like moong dal kichdi with ghee lightly spices, vegetables, simple roti, rice, and buttermilk with cumin Avoid raw salads curd at night bakery products, Ripen banana Start taking Avipattikara churna half teaspoon before meals with water Hingwastaka churna of teaspoon after food with warm water Gandharva Haritaki half teaspoon at bedtime Sutashekara Ras one tablet after breakfast once daily Pippalyasava -15, ML with equal amount of water after meals
Once your digestion improves automatically vitamin D3 and B12 in a natural level will start improving. Meanwhile, you can expose to early morning sunrise for half an hour daily. If you’re already on any supplements, you can continue that you can add sesame laddus n dates in your diet Avoid drinking cold water or eating fruits after meals Avoid long gap between meals Do not lie down immediately after having meals Regular walking
This condition is fully reversible with gentle consistent support. Nothing here is dangerous or risky. In fact, you are simply teaching your gut how to behave steadily again without sudden over reaction.
Avoid long fasting periods - these may trigger gastric problem Eat small frequent meals. Drink enough water Avoid over spicy, sour and fried foods.
Avoid raw salads. In some people raw veggies also make stomach discomfort. Ensure warm freshly prepared food to eat. Include oats, soaked chia, dates, raisins in diet.
Make sure a sleep wake cycle. Preferably go to bed before 10: pm.
Triphala is good laxative agent. But your gut is overreacting to triphala. It may be due to overdose or a sensitive gut.
Do sooryanamaskar, vajrasana, pavanamuktasana etc Make a 20 min walk after every meal. Don’t go to sleep just after meal
Make these changes in your routine and follow up
Internal Medicines- 1 Avipattikar Churna – 3 gm with warm water 30 min before dinner 2 Dadimadi Ghrita – 10 gm morning empty stomach with warm water 3 Punarnavadi Mandoor – 250 mg morning + night after food 4 Kutajghan Vati – 2 tablets morning + 2 tablets night after food 5 Sukhsarak Vati – 1 tablet night only with warm water
Add these – B12 + D3 supplement as per doctor dose and Wheatgrass juice 20 ml morning
Daily Must-Do 1 tsp cow ghee + warm water morning empty stomach Vajrasana 10 min after meals Dinner before 7 PM → only moong khichdi + ghee first 30 days
Diet Give only: moong khichdi + ghee, thin buttermilk + roasted jeera, pomegranate, rice kanji Avoid completely: fried food, banana (in excess ), Triphala, tea/coffee, spicy/sour, raw salads
Regards Dr Gursimran Jeet Singh MD Panchakarma
Avoid addiction if any. Avoid oily spicy and processed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Use boiled water for drinking. Tab Yashtimadhu 2-0-2 Tab.Erandbhrushta haritaki 0-0-1 At bedtime with lukewarm water sy.gason 15ml twice after meal Follow up after 2 weeks.
Portal vein thrombosis ! Take Swarna kravyadi ras 1tab bd, yakrithplihatkachurna 1tsp, amritadi Guggulu 1tab bd, bilwadilehyam 1tsp, udaramritham 20ml bd enough u ll relief
Dr RC BAMS MS
Hello,
I truly empathize with your situation. I can only imagine how portal vein thrombosis (PVT), gastritis, bowel sensitivity, and recurrent abdominal pressure must affect you mentally as they have been a part of your life for over 2 years. But dont worry we are here to help you out 😊
Your bowel hyper react to any kind of stimulation (Triphala, banana) as the gut lining is inflamed and is very sensitive.
The primary objective: Calm and heal the gut lining before using any bowel stimulants.
AYURVEDIC TREATMENT PLAN
INTERNAL MEDICATION
1.Amlapittantak Churna ½ tsp twice daily after food with warm water -Helps in gastritis reduction - Calms the inflammatory process - Decreases the burning + pressure sensation in the upper abdomen
2.Kutajaghan Vati 1 tablet twice daily after food -Regulates bowel movement -Prevents constipation and diarrhea -Reduces intestinal inflammation
3.Avipattikar Churna (very mild dose) ¼ tsp at bedtime - Stops acid reflux - Normalizes bowel movement without inducing diarrhea - Very safe for a sensitive gut
4.Punarnava Mandur 1 tablet twice daily after food - Helps liver & portal circulation - Brings relief in anemia - Removes swelling & heaviness from the abdomen
EXTERNAL THERAPY
Warm Castor Oil Pack (3–4 times/week) Warm up the castor oil Spread it on your upper abdomen + right side Put a hot water bottle on your area for 20 minutes
Advantages: - Reduces the inflammatory process -Improves bowel movement - Alleviates the sensation of pressure - Energizes the liver area
DIET PLAN
Foods to Include (Healing Diet) Soft khichdi with ghee Moong dal soup Steamed apple Rice porridge
Bottlegourd, ash gourd, pumpkin Pomegranate Buttermilk with roasted jeera Coconut water Small amount of ghee daily Rice flakes (poha) Warm water throughout the day
Foods to Avoid Strictly (They Trigger Your Symptoms)
Deep fried foods Spicy foods Fermented foods Heavy milk + banana Wheat chapati (cause bloating) Raw salads (hurt the large intestine) Coffee Cold drinks Nothing sour like lemon/pickle
LIFESTYLE RECOMMENDATIONS
Try to eat freshly prepared warm food Do not lie down immediately after eating After every meal take a 10-minute walk Try to reduce your stress levels (stress aggravates gastritis very much) Go to bed before 11 pm Do not fast for long hours Do not eat too much at one time
REALISTIC EXPECTATIONS
With regular Ayurveda:
- In around 3–4 weeks gastritis is greatly alleviated - Constipation becomes normal without diarrhea - The feeling of pressure slowly disappears - Inflammation in the bowel decreases - PVT is supported by the improvement in liver circulation
Warm Regards Dr Snehal Vidhate
1.Avipattikar churna ½ teaspoon twice daily before meals with lukewarm water 2.Kutajghan Vati 2 tab twice daily with water after meals 3.Aroggyavardhini vati 2 tab twice daily with water after meals 4.Yashtimadhu Churna 1/2 tsp twice daily with warm milk or water before meals
🪔 Diet & Lifestyle Support - Avoid fried, oily, spicy foods completely. - Favor soft, warm meals: moong dal khichdi, rice gruel (kanji), boiled vegetables. - Add ghee in small amounts for lubrication. - Drink coriander seed water or fennel seed tea for cooling. - Small, frequent meals instead of heavy ones. - Gentle yoga: Pawanmuktasana, Setubandhasana, Bhujangasana—support digestion and circulation. - Daily Abhyanga (warm sesame oil massage) for calming Vata.
Hingwastaka churna 1/2-0-1/2 tsp BD CHITRAKADI VATI 1 BD ASHWAGANDHADI LEHYAM 1 tsp HS DIVYA CHURNA 1 TSP HS
TAKE PANCHATIKTA GHURTH OR DADIMADI GHURTH 5 ML AT EMPTY STOMCH AT MORNING TAKE AVIPATIKARAN CHURNA 5 GM BD TAKE SANKAR PHARMA EARAND BRUSHTA HARDE AT NIGHT TAKE HANI PLANT BASED VITAMIND B12 CAPSUL 2 CAPSUL AT MORNING
Considering the ailments you’ve described—portal vein thrombosis (PVT), gastritis, and likely large intestine inflammation—it’s crucial to approach this with care, especially given your anemic condition and deficiencies in vitamin D3 and B12. The significant abdominal discomfort you’re experiencing suggests an imbalance that traditional Ayurveda may help address alongside conventional treatments, so please ensure regular consultations with your healthcare provider.
To start, aim to strengthen your Agni (digestive fire) since it’s essential for all digestive processes. Eating smaller, frequent meals can aid digestion and reduce pressure in your abdomen. Ideally, incorporate warm foods—like cooked vegetables and soft rice—avoiding raw, cold, or heavily spiced meals which could irritate your system further. Ginger tea, sipped throughout the day, might also soothe gastritis and boost digestion. Just a small slice of fresh ginger, boiled in water, should suffice.
For your constipation, it’s vital not to overly stimulate the bowel, as seen with triphala or excessive banana intake. Instead, a gentle approach involves taking 1-2 teaspoons of warm ghee in a glass of hot water on an empty stomach in the morning. This can help better regulate bowel movements without the added risk of imbalance.
Considering your vata dosha might be elevated, leading to irregular bowel movements, include grounding and warm foods. Moong dal khichdi seasoned lightly with cumin and turmeric can be comforting. Reduce foods that increase vata like beans, peas, and cauliflower. Additionally, practicing deep breathing or meditation could help control stress, which often exacerbates gastrointestinal tensions.
Rehabilitate your system by boosting your immune function—address anemia by consulting for possible supplementation for vitamin B12 and D3; dietary sources such as milk or fortified cereals could be considered. Also, ensure adequate exposure to sunlight for vitamin D.
While Ayurveda provides holistic measures to potentially alleviate symptoms, it must complement rather than replace medical guidance. Your situation requires continued medical oversight, particularly for managing PVT and nutritional deficiencies. Please prioritize ongoing professional monitoring while incorporating these supportive practices.
To address the underlying issues, it’s important to balance your doshas and support digestive health according to Siddha-Ayurvedic principles. With the symptoms you describe, there might be an imbalance in Vata and Pitta doshas primarily. The presence of anemia and deficiencies in D3 and B12 suggest the need to strengthen your agni and enhance nutrient absorption.
Start with a diet that pacifies Vata and Pitta: light, warm foods like khichadi (a rice and lentil dish), soupy vegetables, and well-cooked rice with moong dal. Avoid spicy, fried, and sour foods that aggravate these doshas.
Since Triphala and bananas are causing bowel overreaction, try a gentler digestive aid like Amla or Haritaki, which can be less harsh on your system. You might take a half teaspoon of powdered Amla at bedtime with warm water.
Consider incorporating Dashmoola tea, known for its calming effect on digestion and reducing inflammation. Boil the herbal mix in water and sip on it twice daily for relief.
Your focus should also be on improving agni. To stimulate it, chew a piece of fresh ginger with a pinch of rock salt before meals. This will aid in digestion and support better assimilation.
Pay attention to your body’s signals. Practice gentle yoga or pranayama to foster better energy flow and manage stress which can affect Vata and Pitta.
If discomfort persists, especially with history of inflammation, it’s crucial to consult with a healthcare provider to monitor for any complications or serious underlying conditions. Immediate medical care is essential if you experience severe pain or any alarming changes. Ensuring safety and addressing potential issues with timely action is paramount.
Start with Tablet Liv-52 1-0-1 after food with water Avipattikar tablet 1-0-1 after food with water Giloy ghanvati 1-0-1 after food with water Kutaj ghanvati 1-0-1 after food with water. Follow up after 21 days
