Hlo,
I understand your concern—severe left-sided upper abdominal pain radiating to the back/left shoulder with antral gastritis and antral lesion can be very distressing.
1. Is Choti Doodi + Cologrit safe in your case? 🔹 Choti Doodi (Euphorbia hirta) Action (Ayurveda): Pittashamak, Grahi, Shothahara Use: Helpful in gastritis, ulcers, burning pain Concern: 👉 In higher dose or long use, it can cause irritation and dryness, especially if pain is severe and radiating. Your dose: 30 ml BD before meals ❌ (a bit high for an active antral lesion)
🔹 Cologrit tablets Usually contain Shankha bhasma, Praval, Mukta, herbs Good for acidity, gastritis, dyspepsia Safe at your dose ✅ Cologrit is safe ⚠️ Choti doodi dose needs adjustment
2. Why pain is not reducing (important) Based on your symptoms: Severe pain Left upper abdomen → back → shoulder Triggered by spicy food Not responding to omeprazole + sucralfate 👉 This suggests: Pitta-dominant Annavaha srotas dushti Possible gastric erosion / active inflammation
Vata is also involved (radiating pain)
So we must: ✔️ Cool Pitta ✔️ Heal mucosa ✔️ Control Vata pain ✔️ Avoid irritant herbs temporarily
3. Ayurvedic Prescription (SAFE & EFFECTIVE) 🌿 1. Choti Doodi (Modified) Dose: 15 ml Method: Dilute with equal water Timing: After meals, not before Frequency: Once daily only Duration: 5–7 days only 👉 Stop if burning or pain increases.
🌿 2. Cologrit Dose: 2 tablets After meals – BD Duration: 3–4 weeks ✅ Continue
🌿 3. Add these IMPORTANT medicines ✅ Avipattikar Churna Dose: ½ teaspoon With: Lukewarm water Time: Bedtime Action: Neutralizes Pitta, relieves gastritis pain
✅ Yashtimadhu (Licorice) powder Dose: ½ teaspoon With: Warm milk or water Time: Morning empty stomach Action: Heals antral lesion & gastric lining ⭐ Very important for you
✅ Kamdudha Ras (plain, not motiyukt) Dose: 1 tablet Twice daily after meals Duration: 10–14 days Action: Strong Pitta pacifier, ulcer healing
4. Diet & Lifestyle (NON-NEGOTIABLE) ❌ Strictly avoid Spicy food Tea, coffee Fried food Late-night meals Alcohol (if any) ✅ Preferred Rice gruel Oats porridge Boiled vegetables Warm milk (at night) Coconut water (room temperature)
5. ⚠️ Red Flags – DO NOT IGNORE If any of the following occur, consult a gastroenterologist immediately: Pain worsening despite treatment Vomiting Black stools Fever Pain radiating with sweating (to rule out cardiac causes)
Tq
Based on what you have shared your diagnosis suggests active irritation and inflammation in the lower part of the stomach which can cause severe burning pain radiating to the back shoulder and clavicular area especially when acidity and local mucosal injury are present
Choti doodi in the dose you mentioned 30 ml before food twice daily is generally considered safe for short term use in gastric irritation as it helps reduce excessive acidity and supports healing of the stomach lining , it should always be taken diluted with equal quantity of water after food
Cologrit 2 tablets after food twice daily is also safe and is commonly used to reduce gastric spasm inflammation and pain
When pain is severe ,radiating and not responding to omeprazole and sucralfate ,it indicates deeper irritation and sensitivity so monitoring is very important If you get increased pain nausea vomiting ,black stools ,dizziness worsening shoulder pain or breathlessness seek immediate medical evaluation.
Along with medicines strict dietary care is essential ,avoid spicy fried sour fermented foods coffee tea chocolate late night meals and long gaps between meals , Take soft warm freshly cooked food and eat small portions frequently Avoid lying down immediately after food and avoid pressure on the upper abdomen
Continue the current medicines for a short trial period of 5 to 7 days but do not mix multiple acid suppressing medicines together, If pain does not reduce within a few days or worsens further a detailed reassessment is needed to rule out deeper ulceration or pain from other causes.
