Seeking Advice on Dyspepsia and Current Treatment - #47647

1. Please avoid taking any medicine without doctor’s prescription. 2. Please avoid: Spicy Food, Tea, Coffee, Smoking, Green Vegetables (specially – Palak, Methi), Egg and non- vegetarian diet. 3. Amlapittantak Yog- 2 Tablets Two times a day after meals 4. Triphala churna 2gm H.S.(at night before bed) with warm water or if not comfortable with Churna Triphala Tablets 2 Tabletd H.S.

Don’t worry take Sutashekar ras gold 1tab bd, udaramritham 20ml bd Chitrakadhi vati 1tab bd, Pancharista 20ml bd

Dr RC BAMS MS

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.

- Choti Doodi (Indigofera tinctoria / Croton polyandrum depending on local usage) and Cologrit are marketed for acidity and gastritis, but their clinical evidence is limited. They are generally considered safe in mild gastritis, but with antral lesion and severe pain, relying only on them is not sufficient.

1.Avipattikar churna 1 tsp twice daily with warm water before meals 2.Kamdugh Ras (Moti Yukta) 1 tab twice with honey or milk after meals 3.Yashtimadhu churna 1/2 tsp with milk of ghee twice daily after meals 4.Syp.Amlapitta mishran 2 tsp thrice daily

🥗 Diet & Lifestyle Tips - Eat small, frequent meals; avoid long gaps. - Avoid spicy, sour, fried foods, coffee, alcohol. - Favor warm, bland foods: rice, moong dal khichdi, boiled vegetables. - Drink lukewarm water; avoid very hot or cold drinks. - Do not lie down immediately after meals; wait at least 2 hours. - Practice gentle pranayama (Anulom Vilom, Bhramari) for stress relief.

Warm Regards Dr. Anjali Sehrawat

ALLERGIC RHINITIS WITH DEVELOPING ASTHMA AND ITCHY MOUTH IS A COMMON ALLERGIC PATTERN WHEN EXPOSURE TO DUST CONTINUES FOR A LONG TIME AND THE RESPIRATORY SYSTEM BECOMES OVER SENSITIVE

THIS CONDITION USUALLY DEVELOPS DUE TO REPEATED IRRITATION OF THE NASAL PASSAGES AND LUNGS LEADING TO INFLAMMATION DRYNESS EXCESS MUCUS AND IMMUNE OVER REACTION SO THE AIM OF TREATMENT IS TO CALM THE AIRWAYS REDUCE ALLERGIC RESPONSE CLEAR MUCUS AND STRENGTHEN LUNG IMMUNITY GRADUALLY

STRICT DUST AVOIDANCE IS VERY IMPORTANT USE A MASK WHILE CLEANING KEEP BEDDING AND PILLOWS DUST FREE AVOID COLD DRINKS CURD BANANA ICE CREAM BAKERY ITEMS PACKAGED FOODS AND NIGHT TIME COLD AIR EXPOSURE PREFER WARM FRESHLY COOKED FOOD DRINK WARM WATER REGULARLY AND DO STEAM INHALATION ONCE DAILY

SUPPORTIVE AYURVEDIC MEDICINES COMMONLY USED IN SUCH CONDITIONS INCLUDE SITOPALADI CHURNA HALF TEASPOON TWICE DAILY WITH HONEY TALISADI CHURNA HALF TEASPOON TWICE DAILY WITH HONEY HARIDRA KHANDA ONE TEASPOON ONCE DAILY AFTER FOOD CHYAWANPRASH HALF TEASPOON IN THE MORNING WITH WARM WATER OR MILK

FOR NASAL AND ALLERGIC SUPPORT ANU TAILA NASAL APPLICATION CAN BE DONE UNDER GUIDANCE AND WITH REGULARITY

WITH CONSISTENT LIFESTYLE CORRECTION DIETARY CARE AND PROPER SUPPORT THE ALLERGIC RESPONSE CAN BE CONTROLLED AND ASTHMA PROGRESSION CAN BE PREVENTED

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.

Syp. Amlapitta Mishran 2 tsp twice a day just before food and you can repeat when you have pain

Tab. Gandharva Haritaki Vati 2 tabs at bed time with a cup of hot water.

Stop Choti Doodi & Cologrit immediately – they are too strong/purgative and can worsen gastritis/ulcer pain.

Medicines 1 Kamadhudha Ras (plain) – 250 mg morning + night with cold water (cools bile reflux & nausea fast). 2 Avipattikar Churna – 3 gm + cold water 30 min before dinner (best for reflux & vomiting). 3 Sutshekhar Ras (plain) – 1 tablet morning + night after food (relieves bitter taste & irritation). 4 Praval Pishti – 250 mg morning + night with water (soothes gastric lining).

Daily Must-Do Sip cold/room temperature water throughout day. Vajrasana 10 min after meals. Sleep with head elevated (2 pillows).

Diet Give only: moong khichdi + little ghee, thin buttermilk + roasted jeera, pomegranate, coconut water. Avoid completely: oily/fried, spicy/sour, tea/coffee, heavy meals, late dinner.

Consult gastroenterologist if vomiting persists.

Regards Dr Gursimran Jeet Singh MD Panchakarma

HELLO,

You have been diagnosed with dyspepsia with astral gastritis and astral lesion.

LET US BREAK THIS DOWN SIMPLY -Anturm-> lower part of the stomach -Gastritis-> inflammation (redness, irritation, swelling) -Lesion-> small wound/erosion on the stomach lining -Dyspepsia-> difficulty in digestion, pain, burning, heaviness

So, the lower part of your stomach lining is inflamed and wounded This lining normally protects the stomach from strain digestive acid

When it gets damaged -acid directly irritates nerves -pain becomes severe -healing becomes slow

WHY IS THE PAIN SEVERE AND RADIATING TO THE BACK AND SHOULDER? This is very important -the stomach and back share common nerve pathways -when inflammation becomes deep, pain radiates -Ayurveda explains this as vata dosha involvement -Left sided pain going to shoulder/back is a classic sign of pitta + vata imbalance

That is why -pain is severe -painkillers or acid blockers alone did not help much

AYURVEDIC VIEW

Your condition closely match= Urdhwaga Amlapitta with Amashaya vrana

CAUSES -spicy, sour, oily food -irregular eating -stress, anxiety -excess medicines suppressing natural digestion

DOSHA IMBALANCE -Pitta increases-> excess acid, burning, inflammation -Vata increases-> severe, radiating pain -Kapha reduces-> loss of protective mucus layer

TISSUE DAMAGE -rasa and rakta Dhatus affected -stomach lining becomes weak -lesions forms

WHY MEDICINES DIDNT HELP MUCH? Medicines like Omeprazole -reduce acid temporarily -do NOT heal the wound fully -can weaken digestion if used long term

Ayurveda focuses on -cooling excess acid -healing the wound -correcting digestion permanently

TREATMENT GOALS -reduce excess acid and burning -heal the stomach lesion -relieve pain and radiation -restore healthy digestion -prevent recurrence

INTERNAL MEDICATIONS

1) KAMDUDHA RAS (plain)= 1 tab twice daily before meals for 6 weeks =neutralizes excess acid naturally, cools inflamed stomach lining, reduces burning and pain, protects mucosa

2) CHOTI DOODI= 20ml twice daily before meals for 3 weeks =anti inflammatory, controls acid secretions, helps in gastritis, supports healing

3) COLOGRIT TABLETS= 2 tabs twice daily after meals for 4 weeks =acts as natural antacid, improves digestion, prevents gas and heaviness, supports healing environment

4) YASHTIMADHU CHURNA= 1/2 tsp at bedtime with warm milk for 6 weeks =heals stomach wounds, increases protective mucus, reduces pain, prevents ulcer progression

5) SHATAVARI KALPA= 1 tsp twice daily =cooling , nourishes stomach lining, reduces pitta and vata, speeds wound healing

EXTERNAL THERAPIES

1) WARM OIL APPLICATION -apply warm sesame oil on upper abdomen -gentle clockwise massage -once daily =reduces vata pain, relieves radiation

DIET -rice gruel -soft cooked rice -bottle gourd, pumpkin -milk lukewarm small quantity -ghee- 1/2 tsp daily -coconut water

AVOID -spicy food -tea ,coffee -tomatos, citrus -fried food -packaged snacks -late night eating

Even one spicy meal can delay healin by many days

LIFESTYLE CHANGES -eat at regular times -small, frequent meals -sleep by 10 pm -avoid stress and anger -do not lie down immediately after meals -avoid long fasting

YOGA ASANAS -vajrasana after meals -pawanmuktasana -shavasana

PRANAYAM -sheetali -sheetkari -anulom vilom

AVOID -kaplbhati -bhastrika -heavy twisting asanas

HOME REMEDIES -cold milk with a pinch of ghee -coconut water daily -rice water -licorice tea mild

EXPECTED HEALING TIMELINE -Burning and acidity-> 7-10 days -Pain reduction->2 weeks -Radiation pain-> 3-4 weeks -Lesion healing-> 4-6 weeks

This condition is not dangerous but needs discipline

Ayurveda can -heal the lesion -restore digestion -prevent recurrence If diet and lifestyle are followed strictly Do not stop medicines early just because pain reduces

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA