Considering the symptoms of constant burning in your upper abdomen and the immediate response to spicy foods, this could indicate an issue like hyperacidity, gastritis, or possibly an ulcer depending on specific underlying factors. The presence of blackish stools, specifically if they look like tar, can indeed suggest bleeding in the upper gastrointestinal tract. This, combined with yellow stool and the fact the symptoms have persisted, suggests you should seek immediate medical evaluation to rule out more serious conditions such as bleeding ulcers or perforation.
For the Ayurvedic approach, it’s prudent first to ensure safety by confirming there isn’t a medical emergency. If it’s safe to continue with Ayurveda, considering your current regimen, the medicines particularly aim at cooling and reducing pitta, which seem appropriate, yet sometimes it can be about the optimal usage and your body’s unique response. Kamdudha Ras and Akik Pishti are cooling, but monitoring their effect and ensuring freshness or batch is essential.
Regarding your current medicines, the time and dosage might be adjusted. Kamdudha Ras and Sutshekhar Ras can typically be sustained, but try shifting intake a bit closer to meals to buffer your stomach lining. Continue Sukumara Ghrita for gentle lubrication and support but avoid combining with anything cooling — meditate on whether you truly feel relief after each dose.
Perhaps introduce more medicinal hydration; Sip warm cumin water through the day without any other foods interfering within half an hour. Continue your boiled diet but integrate some mucilaginous foods like lightly mangled flax seed water.
Immediate attention to your symptom of potential bleeding is crucial, and making those adjustments can go in parallel if that concern’s addressed. Always keep medical services informed while pursuing these adjustments.



