Long-term Acid Reflux and Digestive Issues - #45973

It appears you’re dealing with a classic case of aggravated Pitta dosha, particularly in the digestive tract. Your symptons like burning sensation and acid reflux, along with duodenitis and stress, indicate this imbalance. Transitioning to a vegetarian diet can be supportive but may need further refinement to more effectively manage your symptoms.

First things first, avoid foods that are pungent, sour or overly spicy as these can aggravate Pitta. Emphasize cooling and soothing foods - like cucumber, sweet fruits like ripe bananas, and coconut water. These help calm the burning sensation you described. Ensure regular meals without skipping as maintaining a routine can stabilize your digestion.

Consider incorporating herbs like amla (Indian gooseberry) known for its pitta-pacifying properties. It can be consumed as juice or powder on an empty stomach in the morning with room temperature water for best results. Furthermore, samplings of fennel seeds or licorice tea post meals can provide instant soothing relief.

Make sure to manage stress effectively, as it’s known to exacerbate such digestive issues. Simple practices like Pranayama (breathing exercises) or meditation for at least 15 minutes a day might reduce stress levels and improve your digestion.

Hydration is key! Drink warm water through the day, but avoid drinking large amounts during meals to prevent the dilution of digestive enzymes.

Consult with an Ayurvedic practictioner for personalized herb formulations, these can offer holistic support. Also regular check-ups with a gastroenterologist are recommended given your fatty liver and continuing reflux. Remember, immediate medical help might be needed in case of severe symptoms or complications. Addressing these issues with a combination of Ayurveda and conventional medical care can optimize your healing journey.