Hello, May I know your age? However as you are on many medications, supplements it may take long time to gradually make the positive changes and this require complete and permanent change in the diet as well as lifestyle. Lifestyle- 1. Learn yogasana-pranayama from an experienced teacher(one on one) and start practicing everyday for one hour 15 minutes. 2. Let there be a gap of 1.5 hours between dinner and going to bed. 3. Chew your food properly and be mindful.
Diet- 1. Start having only home cooked fresh warm easily digestible food. 2. Stay away from meat(if you meat consumer) for 120 days. 3. Let your dinner bb light to digest like kichdi/steamed vegetables. 4. Avoid anything which is processed-refrigerated-cold beverages-deep fried food. 5. Drink only boiled warm water through-out the day-1.5 liters. 6. Avoid drinking water 30 minutes before your main meal. 7. Think of breaking your meals to smaller meals. 8. Avoid caffeine(like coffee, tea) 9. Start your day with a steamed apple(skin out) as first food in the morning.
Medicines which will help you to reduce the symptoms as well as to heal the gut mucosa: 1. Yashtimadhu milk decoction- to be taken in the morning 30 minutes after having your steamed apple (Boil one cup of milk+1 one cup of milk+ one teaspoon of yashtimadu powder to reduce to one cup of milk; strain to discard the powder and drink the milk decoction as mentioned above once a day)
Take care, Kind regards.
1.Avipattikar churna 1 tsp twice daily with warm water before meals 2.Kamdugdha rasa 1 tab twice daily with milk or honey after meals 3.Syp.Amlapitta mishran 2 tsp thrice daily
Foods & Herbs That Support Mucus and Lining - Aloe vera juice (small amounts, 20–30 ml diluted, before meals) – soothing. - Slippery elm, licorice (DGL), marshmallow root – coat and protect mucosa. - Amla (Indian gooseberry) – antioxidant, supports healing. - Banana (ripe, not overripe) – gentle mucosal protection. - Cooked rice gruel / barley water – traditional Ayurvedic soothing food.
🥗 Diet & Lifestyle - Eat small, frequent meals; avoid long fasting gaps. - Avoid triggers: spicy, fried, citrus, coffee, alcohol, excess tomato. - Favor soothing foods: rice, moong dal, boiled vegetables, coconut water. - Stress management: pranayama (Anulom Vilom, Bhramari) can reduce tension and dizziness. - Sleep hygiene: elevate head of bed slightly to reduce reflux at night.
⚠️ About Long‑Term PPI (Pantoprazole) and H2 Blocker (Famotidine) Use
Possible risks of prolonged high‑dose use (especially when combined): - Reduced absorption of nutrients (Vitamin B12, magnesium, calcium, iron). - Increased risk of gut infections (like Clostridium difficile) due to reduced stomach acid. - Potential kidney effects with chronic use.
- Sucralfate is generally protective, but taking it with PPIs/H2 blockers can sometimes interfere with absorption of other medicines.
- Your worry is valid: staying on high doses for months can have side effects, but stopping suddenly can worsen burning and rebound acid secretion
Warm Regards Dr. Anjali Sehrawat
I understand how frightening and exhausting this situation feels and your concern is completely valid because constant burning pain with dizziness and tension can make anyone anxious especially when you are already taking many medicines and still not getting relief
first to reassure you being on pantoprazole and famotidine together for some time does not usually cause permanent damage but it can definitely create side effects like altered digestion bloating constipation loose motions nutrient absorption issues dizziness and a hollow burning or raw feeling in the stomach especially when the stomach lining becomes sensitive and dry rather than acidic this is something we commonly see in long standing gastritis patients on high dose acid suppression
your description strongly suggests that right now the issue is not excess acid but an irritated hypersensitive gastric lining with weak natural mucus protection this is why even eating food causes burning why magnesium triggers diarrhea and why the stomach feels like it is pounding or cramping
staying on strong PPIs for a few more weeks until your appointment is unlikely to suddenly damage your body so please do not panic but at the same time your body is clearly signaling that it needs soothing and rebuilding rather than further suppression
there are gentle natural ways to protect and rebuild the stomach lining eat very small frequent meals every two to three hours and do not let the stomach stay empty food should be warm soft and bland like rice porridge oats well cooked vegetables banana stewed apple and avoid raw salads spices caffeine chocolate tomato citrus mint and fried food sip warm water through the day but not large quantities at once
for natural mucus support plain oatmeal or rice gruel helps coat the stomach aloe vera juice in a very small quantity can help if it suits you slippery elm and DGL licorice are good choices and may be continued but keep a gap from other medicines a small quantity of ghee can soothe the lining if tolerated
stress and nervous system tension play a major role in gastritis the dizziness and tight feeling you describe indicate gut brain overstimulation so calming the nervous system is essential slow deep breathing warm compress on the upper abdomen gentle walking and maintaining regular sleep are important melatonin in low dose is acceptable
AYURVEDIC MEDICINE SUPPORT
AVIPATTIKARA CHURNA HALF TEASPOON TWICE DAILY BEFORE MEALS
MULETHI CHURNA HALF TEASPOON TWICE DAILY AFTER MEALS WITH WARM WATER
AMLAPITTA TABLETS ONE TABLET TWICE DAILY AFTER MEALS
do not add multiple new supplements at once as your system is already overloaded simplicity is healing
if you develop vomiting blood black stools severe weakness or unrelenting pain then urgent medical evaluation is necessary otherwise waiting until february 7 while focusing on soothing diet and nervous system calming is reasonable
you are not doing irreversible harm by being on these medicines but your body now needs rebuilding soothing and calming rather than fighting acid gastritis can heal even when it feels relentless take this one day at a time and be gentle with your stomach and your mind
Hello I get it. It’s tough dealing with constant stomach burning after every meal, then there’s the anxiety, dizziness, and crazy bowel issues. But dont worry we are here to help you out 😊
YOUR CONCERN
Bad burning in your stomach after eating, plus a pounding feeling and cramps. Feeling anxious, tense, and dizzy sometimes. This has been going on for 1-6 months
Meds and supplements you’re taking: * Pantoprazole 40 mg (twice a day) * Famotidine 40 mg (twice a day) * Sucralfate 1 g (four times a day) * Slippery elm, probiotics, lion’s mane * DGL licorice, mustard seed, aloe (off and on) * Melatonin 3 mg + Ativan 1 mg (for sleep)
Bathroom habits: Mostly stopped up, but magnesium makes you go too much.
Doctors say so far: It’s gastritis, no ulcers. Your biggest worries: Am I messing myself up with all these strong meds? Is there a natural way to fix my stomach and get my protective goo back?
MUST KNOW
–Yes.taking strong acid blockers for a long time, especially together for months, can cause issues. –No, you’re not doing lasting damage right now. But your symptoms definitely point to an irritated gut, a weak digestive system, and overactive nerves, not just too much acid. –Do NOT suddenly quit your Pantoprazole or Famotidine! Stopping them cold turkey can make your acid act up even worse.
AYURVEDIC UNDERSTANDING
Based on Ayurveda, your situation sounds a lot like: Urdhwaga Amlapitta (that burning/acidity going upwards) + Grahani Dushti (a troubled digestive system).
–Too much Pitta: This explains the burning, cramps, and heat you feel. –Too much Vata: This brings on the anxiety, pounding heart, and goes-between constipation and diarrhea. –Lost your protective lining: Your stomach’s natural slime (Kledaka Kapha) is going away because of things like: * Constant acid blocking meds * Stress * Too many medicines
THATS THE REASOB YOU FEEL
* You burn even when there are no ulcers. * Food makes you hurt. * Magnesium causes sudden diarrhea. * You feel nervous (tense, dizzy).
This isn’t a illness, but it’s a very touchy problem with your gut-brain connection.
TREATMENT GOAL
* Calm down that burning Pitta. * Settle your Vata (pain, anxiety, weird bowel movements). * Safely bring back your stomach’s natural protective goo. * Protect your stomach without using irritating herbs. * Slowly get you off some meds (with your doctor’s help).
YOUR MEDICATION ARE MAKING IT WORSE?
* Yes, for some people, strong acid blockers taken for a long time can lead to: * Bad digestion * Gas, bloating * Constipation or diarrhea * Being extra sensitive to things (like nervous system issues) * Rebound burning if doses change
But: No, they’re not poisoning you. No, they’re not causing ulcers. No, you’re not in danger right now. Your body is just really suppressed and irritated, not ruined.
GENTLE, NATURAL WAYS TO BUILD UP YOUR STOMACH PROTECTIVE LINING
INTERNAL MEDICATION (These are cooling and protect your lining)
1.Shatavari kalpa * Half a teaspoon twice a day. * Mix with lukewarm water or a tiny bit of warm milk (if you can drink milk). * This is the best natural way to rebuild your stomach’s protective lining.
2.Yashtimadhu (Licorice root – just the root, not DGL) * Quarter of a teaspoon twice a day. * Lightly boil it in water. * This helps fix your lining and cuts down on burning.
3 cow Ghee: * Half to one teaspoon once a day. * Helps restore that Kledaka Kapha (protective goo).
Steer clear of mustard seed, raw aloe, apple cider vinegar, baking soda, or strong spices – these will only make your Pitta worse.
DIET PLAN
❌AVOID * Coffee, tea * Chocolate * Tomatoes * Citrus fruits * Raw onion, garlic * Spicy, sour, fried foods * Cold smoothies * Eating big meals
✅INCLUDE
* Small, regular meals
* Soft, cooked rice
* Moong dal
* Oatmeal (plain)
* Stewed apples or pears
* Only warm water
* Food should always be warm, soft, and not too flavorful.
* Never eat until you're stuffed. Stop when you're about 70% full.
YOUR LIFESTYLE CHANGES
Your gut issues are really tied to stress and how sensitive your nerves are.
* Eat in peace, no phone. * Sit up straight after eating (for 20-30 minutes). * Try some gentle belly breathing. * Put a warm pack on your stomach. * Sleep on your left side. * Melatonin is fine. * Ativan should just be for now; don’t use it long-term.
Constipation & Diarrhea explained:
This pattern suggests your Grahani (digestive system) is involved, not an infection. * Magnesium is too strong for your gut right now. * Skip the laxatives. * If you need it later, a tiny bit of Triphala might be okay, but not while the burning is this bad.
You aren’t doing irreversible harm to your body. Your system is just begging for gentleness, cooling, and calming for your nerves, not more suppression. Ayurveda is all about fixing your lining and getting things back in balance, not just fighting acid.
Please don’t stop your meds suddenly, but you can definitely start these supportive, cooling, and protective steps right away until your appointment.
Warm Regards Dr. Snehal Vidhate
Donot Worry. Follow some simple lifestyle changes and dietary changes and you will see results for your problem.
✔️Do’s✔️ Drink buttermilk daily. Eat freshly cooked food. Drink warm water. Lunch and dinner on fixed timings. 100 steps after every meal. If possible dinner as early as 7-8 pm.
🧘♀️ Yogasan : 🧘♀️ 1. Pawanmuktasana 2. Bhujangasana 3. Dhanurasana 4. Paschimottanasana 5. Ardha Matsyendrasana 6. Vajrasana 7. Supta Matsyendrasana
🧘♀️ Pranayam: 🧘♀️ 1. Bhramari 2.Bhasrika 3.Kapalbhati 4.Jyoti Tratak 5. Anulom Vilom
❌Don’ts:❌ Packed and processed food. Ready to eat items. Oily and spicy food. Sour and fermented products. Dals (only moong dal can be eaten) Besan Raw vegetables and sprouts Curd Reduce dairy intake.
💊Medication 💊
Tab. Ampachak Vati 2 tabs twice a day before food. Tab. Praval Panchamrit Vati 2 tabs twice a day before food. Tab. Kutaj parpati vati 1 tab twice a day before food. Syp. Bhunimbadi kadha (prefer SANDU PHARMA) 2 tsp with half a cup of warm water before food.
Syp. Amlapitta Mishran 2 tsp twice a day just before food
Tab. Gandharva Haritaki Vati 2 tabs at bed time with a cup of hot water.
STOP taking Mustard Seed immediately. It is extremely hot and penetrating. It is likely the main cause of your burning pain despite all the medicines.
Medicines Cooling Powder Mix : Mix Avipattikar Churna (100g) + Kamadudha Ras (Mukta Yukta) (5g) + Praval Pishti (5g). Take 1 teaspoon of this powder twice daily, 30 minutes before meals with water.
Shatavari Ghrita (To Build Mucus): 1 teaspoon mixed in half a cup of warm milk or warm water, first thing in the morning on an empty stomach. This heals the eroded lining.
Suta Shekhar Ras (Gold): 1 tablet twice daily. It Stops the pounding/dizziness and anxiety related to the stomach pain.
Dietary Advice CCF Tea: Drink Cumin, Coriander and Fennel tea throughout the day (Coriander cools the burning). Stick to Milk, Rice, Ghee, and Coconut water. Avoid Tomatoes and Chillies completely.
Do not stop your PPIs (Pantoprazole) cold turkey. The burning will rebound. Once you start these Ayurvedic medicines, try reducing the Pantoprazole to once a day for a week, then alternate days, as the Ghee builds up your natural protection.
Regards Dr Gursimran Jeet Singh MD Panchakarma
Hi dear this is Dr soukhya as considering all your problem I really want to know now the status of your gastric mucosa… See before trying anything to your body just to confirm what exactly the issue and where we are now to start the treatment… If you have your ENDOSCOPY reports kindly share if not so…plz do once it is really necessary for you… After that only you try anything… don’t blindly try anything to your body…it is not machine…
I UNDERSTAND HOW FRIGHTENING AND EXHAUSTING THIS PHASE IS FOR YOU AND YOUR WORRY IS ABSOLUTELY VALID CONTINUOUS BURNING AFTER EATING WITH DIZZINESS TENSION AND BOWEL DISTURBANCE CAN MAKE ANYONE FEEL HELPLESS
FROM AN AYURVEDIC CLINICAL VIEW THIS PICTURE DOES NOT INDICATE ONLY EXCESS ACID MANY PATIENTS ON HIGH DOSE ACID SUPPRESSING MEDICINES FOR LONG TIME DEVELOP A SENSITIVE DRY IRRITATED STOMACH LINING WHERE THE NATURAL PROTECTIVE MUCUS BECOMES WEAK THIS CAUSES BURNING EVEN AFTER SIMPLE FOOD POUNDING OR CRAMP LIKE PAIN CONSTIPATION ALTERNATING WITH LOOSE MOTIONS AND NERVOUS SYSTEM SYMPTOMS LIKE DIZZINESS AND ANXIETY
TO REASSURE YOU STAYING ON PANTOPRAZOLE AND FAMOTIDINE UNTIL YOUR REVIEW DATE IS UNLIKELY TO CAUSE SUDDEN PERMANENT DAMAGE BUT LONG TERM HIGH DOSE USE CAN DELAY HEALING AND CREATE DIGESTIVE IMBALANCE SO YOUR FEELING THAT THE BODY NOW NEEDS SOOTHING AND REBUILDING IS CORRECT
AYURVEDA FOCUSES ON COOLING CALMING AND RESTORING THE STOMACH LINING WHILE ALSO SETTLING THE GUT AND NERVOUS SYSTEM
AVIPATTIKAR CHURNA HALF TEASPOON TWICE DAILY BEFORE MEALS WITH LUKEWARM WATER
MULETHI CHURNA HALF TEASPOON TWICE DAILY AFTER MEALS WITH WARM WATER
AMLAPITTA HARA TABLET ONE TABLET TWICE DAILY AFTER FOOD WITH WARM WATER
YOU MAY CONTINUE SLIPPERY ELM AND DGL LICORICE AS THEY SUPPORT MUCUS HEALING BUT KEEP THEM SEPARATE FROM OTHER MEDICINES AVOID ADDING NEW SUPPLEMENTS AS THE SYSTEM IS ALREADY OVERLOADED
THE DIZZINESS CHEST TIGHTNESS AND INNER TENSION ALSO SHOW GUT BRAIN OVERSTIMULATION PAIN AND FEAR FEED EACH OTHER SO GENTLE CARE AND REASSURANCE ARE VERY IMPORTANT
IF YOU NOTICE VOMITING BLOOD BLACK STOOLS SEVERE WEAKNESS OR SUDDEN WORSENING PAIN SEEK IMMEDIATE MEDICAL HELP OTHERWISE WAITING FOR YOUR APPOINTMENT WHILE FOLLOWING A SOOTHING HEALING APPROACH IS SAFE
THIS CONDITION DOES HEAL IT NEEDS PATIENCE CONSISTENCY AND A GENTLE DIRECTION YOU ARE NOT CAUSING IRREVERSIBLE DAMAGE AND EVEN SEVERE GASTRITIS CAN RECOVER WITH TIME AND PROPER CARE
Start with Kamdudharas moti ho 1-0-1 after food with water Tablet livomyn 1-0-1 after food with water Triphala tablet 1-0-1 after food with water. Amala tablet 1-0-1 after food with water Avoid spicy sugary foods fried foods citrus fruits, fast foods. Soak overnight coriander seeds fennel seeds jeera seeds in a glass of water morning strain and drink empty stomach before breakfast. Gulkand 1tsp twice daily after food with water Do sheetali pranayam daily 5-10mins twice. Soak overnight raisins black currant dry fig in a cup of warm water, morning make smoothie and drink. Follow up after 15 days
HELLO,
Your stomach normally has -digestive fire (acid and enzymes) -a protective mucus lining -good movement and nerve balance Right now, the fire is too sharp, and the protective layer is weakened
So instead of helping digestion, the acid is -Irritating the stomach wall -creating burning pain -causing a pounding or cramping sensation -making your stomach extremely sensitive to food, supplements, and medicines
This is why -eating causes burning -medicines trigger symptoms -constipation switches to diarrhea -you feel tense, dizzy, and exhausted
In Ayurveda, this condition is best understood as AMLA PITTA WITH VATA ASSOCIATION (inflamed acid disorder with nervous system involvement)
BREAKDOWN -PITTA AGGRAVATED-> burning, heat, acidity -KAPHA DEPLETED->loss of mucus protection -VATA DISTURBED->pain, cramps, constipation, dizziness, anxiety
Acid is not the main energy Inflamed tissue + weak protection + nervous irritation is the real issue.
TREATMENT GOALS -cool. the excess heat -rebuild the stomach’s protective mucus -stabilize digestion without suppressing it -calm the gut-brain nervous connection -prevent rebound acidity and chronic dependency
INTERNAL TREATMENT
GENERAL RULES -Introduce one new remedy at a time -use gentle doses -avoid mixing many herbs together
CORE HEALING MEDICINES
1) SHATAVARI= 1/2 tsp twice daily with warm milk or warm water for 6 weeks =rebuilds stomach mucus, cools burning, heals gastritis at tissue level, nourishes weakened lining
2) YASHTIMADHU CHURNA= (Licorice root not just DGL) =1/4 tsp twice daily before meals with water for 4 weeks =forms a protective coating, reduces pain and burning, supports healing of irritated tissue
3) AMALAKI CAPSULE= 500mg once daily in morning for 8 weeks =natural acid regulator, strong cooling effect, improves digestion without irritation
4) AVIPATTIKAR CHURNA= 1/2 tsp at bedtime with warm water for 4 weeks =reduces excess acidity, prevent reflux and night burning, supports bowel regulation
SUPPORTIVE MEDICINES
SLIPPERY ELM -between meals acts as a bandage not a cure
ALOE VERA (fresh or unsweetened) -10-15 ml once daily -ccoling and soothing
DIET -rice porridge -oatmeal with almond milk -moong dal soup -steamed vegetables- zucchini, pumpkin, carrots -small amount of ghee 1 tsp/day
AVOID -spicy, sour, fermented foods -citrus fruits -coffee, chocolate, alcohol -raw foods, salads -mustard, vinegar, chilli -excess supplemets Simple, warm, soft food heals gastritis
LIFESTYLE CHANGES -Eat small , frequent meals -avoid lying down immediately after eating -keep stomach warm -avoid late night eating
SLEEP -continue melatonin short term if helpful -aim for calming bedtime routine
YOGA ASANAS -vajrasana -supta baddha konasana -balasana
PRANAYAM- TWICE DAILY -Nadi sodhana= balances nerves -chandra bhedana= cooling, breath -slow exhalations
Avoid Kapalbhati or forceful breathing
HOME REMEDIES -warm rice water -fennel seed tea -coriander seed water -coconut water room temprature
You are not broken your stomach in inflamed, overprotected by medicines and undernourished at tissue level
AYURVEDA WORKS BY -cooling first -healing second -strenghtening digestion last Healing takes weeks, not days, but this condition Is reversible when handled gently and consistently
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YYOU
DR. MAITRI ACHARYA
