Heavy Menstrual Bleeding and High Blood Pressure Concerns - #46069

Avoid oily spicy and processed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Sy.Evecare 20 ml twice a day Tab.Shatavari 2-0-2 Follow up after 4weeks.

Hello I​‍​‌‍​‍‌​‍​‌‍​‍‌ fully empathize with you. A heavy menstrual bleeding situation mixed with high blood pressure, anemia, and high cholesterol situation can be both physically and emotionally draining.

It is quite understandable that you are worried but Ayurvedic treatment which is correct and sequential will surely and safely accomplish the management of your condition.

YOUR CONCERN

It seems that you are suffering from: Very heavy menstrual bleeding for the past 1 year High blood pressure (around 150/85 mmHg) High cholesterol (250) Anemia (Hb ~8 g/dl) Current medications: Telma 40 & Rosuvastatin 10 (since 8 months) It is mentioned that stress is a clear trigger.

AYURVEDIC UNDERSTANDING

Mentioned are the common causes of such a health condition: Raktapradara (excessive menstrual bleeding) Pitta + Vata aggravation Chronic blood loss leading to Pandu (anemia) Long-term stress disturbing Apana Vata & hormonal balance

The treatment goal is to: - Control bleeding - Improve hemoglobin - Balance BP & cholesterol - Strengthen uterus and overall vitality

AYURVEDIC TREATMENT PLAN

INTERNAL MEDICATION (It is safe to take along with BP & cholesterol medicines)

1. Pushyanug Churna- ½ tsp twice daily with rice water or plain water → Most effective classical medicine for heavy menstrual bleeding

2. Ashokarishta- 15 ml + equal water twice daily after food → Regularizes cycles, strengthens uterus, and reduces the amount of flow

3. Praval Pishti- 250 mg twice daily with water → Helps in bleeding control, pitta is calmed and BP gets helped as well

4. Punarnava Mandur- 1 tablet twice daily after meals → Helps to increase hemoglobin and also reduces the feeling of weakness

5. Arjuna Churna- ½ tsp at night with warm water → Keeps the heart healthy, helps BP & cholesterol

Duration: A minimum of 3 months with regular follow-up

DIETARY GUIDELINES

✅ INCLUDE

Pomegranate, apple, dates, black raisins Beetroot, bottle gourd, pumpkin Moong dal, red rice, soft cooked vegetables Cow ghee in small quantity Warm water throughout the day

❌ AVOID

Spicy, fried, and oily food Excess tea, and coffee Packaged & bakery items Late night meals Excess salt (very important for BP)

LIFESTYLE & STRESS MANAGEMENT

Sleep before 10:30 pm Do not expose yourself to excessive physical strain during periods Practice Anulom Vilom & Bhramari Pranayama daily Gentle walk for 20–30 mins Mental stress should be avoided as it directly worsens the bleeding

INVESTIGATIONS ADVISED

CBC (Hemoglobin) Ultrasound of the abdomen & pelvis (to exclude fibroid / endometrial issues) Thyroid profile Lipid profile follow-up

IMPORTANT NOTE

Do not stop BP or cholesterol medicines abruptly As bleeding and Hb get better, medicines can be changed under the supervision

With regular Ayurvedic treatment:- Bleeding is reduced dramatically within 1–2 cycles- Hemoglobin slowly gets better- Energy, BP stability, and general well-being get better

Warm regards, Dr Snehal ​‍​‌‍​‍‌​‍​‌‍​‍‌Vidhate

Take Ashokarista 20ml bd, shatavarighritam 20ml bd, usheersava 20ml bd,bola parapati 1tab bd Enough

Dr RC BAMS MS

Hlo, Thanks for your question,

🩺 AYURVEDIC DIAGNOSIS- ✨✨Asrigdara (Ati-pravritti Artava)✨✨ ➜ Pitta-pradhan + Vata association ➜ Rakta dhatu kshaya → anemia

🌿 AYURVEDA TREATMENT 1) ashkoarisht 15 ml twice a day with equal amount of water after meal 2) pushyanug churn 3 gm with normal water twice daily after meal,
- Start 10 days before expected menses - Continue during menstruation 3) Navayas Lauh 1 tab twice daily after meal 4) laudhr bhasam 2 gm twice daily after meal with honey 5)Brahmi Vati 1 tablet at night - Helps hormonal axis & stress-related bleeding

🥗 DIET (MANDATORY WITH MEDICINES) ✔ Prefer - Rice, lauki, pumpkin, ash gourd - Pomegranate, dates, raisins - Coconut water, buttermilk Amla daily

❌ Avoid - Spicy, sour, fermented food - Excess tea/coffee - Junk & fried food - Late nights

⚠️ IMPORTANT CAUTIONS ❌ Do NOT use estrogen-based pills ❌ Avoid self-medication with rasa aushadhi ✔ Continue Telma 40 & Rosuvastatin 10 ✔ Check Hb every 4–6 weeks

THANKS follow up after NXT cycle With your lmp date, days of bleeding, no. Of pads and hb level, USG of uterus and adnexa.

Medicines 1 Pushyanug Churna: 1 teaspoon twice daily. Mix with Rice Washing Water (Tandulodaka) or Honey. 2 Punarnava Mandoor: 2 tablets twice daily (after food). Take with warm water. 3 Arjuna Churna (or Tablets): 1 teaspoon (or 1 tablet) twice daily. Boil in milk or take with warm water. 4 Praval Pishti: 250mg (approx. 2 pinches) twice daily. Mix with Honey or water.

Dietary Advice Iron Source: Eat 1 Pomegranate (Anar) daily. It increases Hemoglobin without increasing body heat. Strictly limit salt intake. High salt increases Blood Pressure and fluid retention, which worsens heavy bleeding.

Avoid: Pickles, Papad, Garlic (excess), and Spicy foods. These increase Pitta (Heat) and trigger bleeding.

Lifestyle Advice Practice Anulom Vilom (Alternate Nostril Breathing) for 15 minutes daily to lower stress and BP. Complete rest is mandatory during heavy flow days. Leg elevation can help reduce pelvic congestion.

Regards Dr Gursimran Jeet Singh MD Panchakarma

Mukta vati 1-0-1( for BP) keep monitoring your bp and taper the dose gradually acc to your blood pressure Punarnavadi mandura 1-0-1 Arogyavardini vati 1-0-1 Asoka aristha 4 tsp-0-4 tsp Once check cbc thyroid profile and us abdomen to rule out any underlying issues

Heavy menstrual bleeding along with high blood pressure and anemia can be indicative of multiple underlying concerns. In Ayurveda, this may relate to imbalances in the doshas, particularly pitta and vata, which could be affecting your body’s functioning. Your current medication, Telma and Rosuvastain, should continue to be taken as prescribed, especially to manage the high blood pressure and cholesterol.

Since you are experiencing anemia with a hemoglobin level of 8, prioritizing iron-rich foods like lentils, spinach, and jaggery in your diet is crucial. Taking a spoonful of black sesame seeds mixed with jaggery can help provide essential iron and also balance menstrual cycle. You might also consider including herbs like Shatavari or Ashoka, traditionally known for supporting women’s health and managing heavy bleeding. Incorporate these in the form of decoctions or in consultation with a local Ayurvedic practitioner.

To address Pitta, which can exacerbate heavy bleeding, it may be beneficial to integrate cooling, anti-inflammatory foods like cilantro juice, mint, or aloe vera pulp into daily routine. Limited spicy and sour foods could also benefit controlling Pitta aggravation.

Managing stress through pranayama, especially Anulom Vilom, can help stabilize mind and reduce the pressure - stress connection which could be contributing to high blood pressure. However, avoid strenuous exercises that might increase Vata imbalance.

Ensure consistency with your allopathic medications and maintain regular check-ups with your healthcare provider. Since anemia is critically low, an immediate consultation is necessary for possibly integrating iron supplements or investigating any further underlying issues through conventional medical tests. Balancing the diet and lifestyle alongside medical treatment should be the holistic focus.

For heavy bleeding Start Cap. Evecare fort 1-0-1 after food with water. Nagkesar tablet 1-0-1 after food with water Shatavari tablet 1-0-1 after food with water Suthshekhar ras 1-0-1 after food with water For high BP Start with Sarpagandha tablet 0-0-1 at bedtime with water Continue allopathy medicine as before, parallely take ayurvedic medicine, once BP starts lowering you can reduce allopathic medicine slowly with doctors advice. Lessen intake of salt in your diet. Follow up after 21 days