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Am I suffering from Pitta Ama or Nirama Pitta?
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General Medicine
Question #50666
20 days ago
367

Am I suffering from Pitta Ama or Nirama Pitta? - #50666

Shanaya

Am i suffering from pitta ama or nirama pitta pls tell?? I usually suffer from loose non sticky motion with reddish acne bloating & severe hunger.Pungent med reduce bloating but above mentioned symptoms are increases. ON taking bitter astringent med stool is well formed but sticky,acne reduce,lack of appetite.Is it SAMA PITTA or nirama pitta condition??What to do now

How long have you been experiencing these digestive symptoms?:

- More than 6 months

What is your typical appetite like throughout the day?:

- Hungry at specific times

Have you noticed any specific triggers for your symptoms?:

- Certain foods
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Doctors' responses

Most of your symptoms shows --This is Nirama Pitta with Vata involvement, not Sama Pitta. -Strong hunger and loose non-sticky stools indicate aggravated Pitta with sharp digestion. -Bloating shows Vata in the intestines. Pungent herbs reduce gas but worsen Pitta. Bitter/astringent reduce Pitta but temporarily slow digestion. —Rx- 1) Guduchi Satva – 500 mg Twice daily after food with Luke warm water 2)Avipattikar Churna – 3 gm At bedtime with lukewarm water 3)Shankha Vati – 1 tab Twice daily after food (for bloating) 4)-----If acne prominent: Mahamanjishthadi Kwath – 15 ml + 15 ml water Twice daily before food ----Diet Advice:- Rice + moong dal Small quantity ghee Coriander + fennel water Eat every 3–4 hrs not too heavy —Apathya: Chili, fried food Fermented food Sour curd Excess garlic/onion —Follow-up: 15 days

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Shanaya 2
Client
19 days ago

My pitta was increased and i was facing severe acne.So i drank 14-15 glasses of hot water per day for 2-3 months.Now my motion is loose from a month acne is still there also increased.What happened to me ?Is water increased in body?

Shanaya 2
Client
19 days ago

Pls reply dr sana

No water has not increased in your body. Drinking 14–15 glasses of hot water daily for months increased Pitta, not body water. — plz understand this Excess heat → irritated intestines → loose motions, More internal heat → acne worsened Vata also disturbed → bloating Hot water is good for Kapha/ama, but in Pitta people it can aggravate heat if overused.

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Can u plz tell, what real symptoms u are facing at present, so will help to get proper diagnosis and treatment.

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Sama Pitta vs. Nirama Pitta Sama Pitta (pitta mixed with ama/toxins) Stool: sticky, foul-smelling, sometimes mucus-laden. Appetite: reduced or irregular. Acne/skin issues: often aggravated. Response to bitter/astringent medicines: stool improves, acne reduces, but appetite drops → this matches your experience. Nirama Pitta (pure aggravated pitta, without ama) Stool: loose, non-sticky, burning sensation possible. Appetite: strong, frequent hunger. Acne: reddish, inflamed. Response to pungent medicines: bloating reduces, but pitta symptoms (acne, hunger, loose stool) worsen → again, this matches your description. Stabilize digestion (Agni) Use mild deepana-pachana herbs: Trikatu churna (very small dose, 1–2 pinches with warm water before meals). Avoid overuse of pungent medicines, since they aggravate pitta in your case. Clear Ama gently Guduchi (Tinospora cordifolia): 500 mg capsule or 1–2 tsp decoction daily with warm water. Bilva churna: 1–2 g with warm water after meals if stool is loose. Balance Pitta Avipattikar churna: 1–2 g with warm water at bedtime if acidity/burning is present. Saraswatarishta or Kamadudha rasa (under supervision) for acne and pitta calming. Dietary Do’s Eat at regular times; avoid skipping meals. Favor cooling, light foods: rice, moong dal, bottle gourd, pomegranate, coriander water. Avoid excess pungent, sour, salty foods. Don’ts No irregular eating, late-night meals, or heavy fried/oily foods. Limit chili, pickles, alcohol, and fermented foods.

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Shanaya 2
Client
19 days ago

My pitta was increased and i was facing severe acne.So i drank 14-15 glasses of hot water per day for 2-3 months.Now my motion is loose from a month acne is still there also increased.Now i stopped drinking hot water.What happened to me ?Is water increased in the body?

Shanaya 2
Client
19 days ago

Pls reply dr Anjali

It’s difficult to put your symptoms in one category. Just follow the below protocol. ✓Do ama pachana + mild deepana Vaishwanara Churna – 1–2 gm after lunch & dinner with warm water Arogyavardhini Vati – 1 tablet morning after breakfast ✓After 10–14 days (when bloating & loose motion reduce) Add Kutaj Parpati Vati or Kutajarishta 10–15 ml BD ✓Diet Light warm food only: thin moong khichdi + ½ tsp ghee, boiled lauki/pumpkin, pomegranate, thin buttermilk + roasted jeera Avoid completely: spicy/pungent (even mild), sour, fried, heavy dairy, cold drinks, raw salads, late dinner No skipping meals – eat small & frequent ✓Daily must Vajrasana 10 min after every meal Warm water sip all day (2.5–3 L) 10 min Anulom-Vilom pranayama Regards Dr Gursimran Jeet Singh MD Panchakarma

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Hi… For your current condition it is more over nirama pitta because you said non sticky stool…but increase hunger means that your pitta is aggrevated with kapha anubandh that will cause sticky stool as ama formation and reducing agni… So basically you need to remove kapha from pittashya and then work on pitta… For this You can take Shunthi churna -1tsp-BD With warm water only…when you feel that your stool is non sticky and hunger is normal but your acne outburst then will go for pittaj chikitsa So for this start taking Triphala churna+ avipattkar churna at night 1 tsp only

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Shanaya 2
Client
19 days ago

My pitta was increased and i was facing severe acne.So i drank 14-15 glasses of hot water per day for 2-3 months.Now my motion is loose from a month acne is still there also increased.What happened to me ?Is water increased in the body?

This is not right to drink hot water like this…but if you are facing acne issues right now then you can take Syrup safi 15 ml empty stomach Tab neemol 2 BD

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HELLO, In Ayurveda, the difference between Sama pitta (pitta with Ama) and Nirama pitta (pitta without ama) depends mainly on the presence of ama (toxins due to weak digestion) BASED ON YOUR SYMPTOMS When taking pungent medicines -loose, non-sticky stools -increased acne (reddish) -severe hunger -bloating reduces This shows strong Agni(digestion) but aggravated pitta, without clear ama signs WHEN TAKING BITTER/ASTRINGENT MEDICINES -stool becomes formed but sticky -acne reduces -appetite descreases Stickiness suggests mild Ama formation due to agni suppression Your pattern suggests mainly Nirama pitta (aggravated pitta without significant ama), but when you over-cool/suppress digestion with too much bitter/astringent medicine, secondary ama formation happens So this is primarily nirama pitta with variable agni, not classical Sama pitta AYURVEDIC MANAGEMENT MAIN GOAL -pacify pitta -maintain balanced agni -do NOT over-reduce digestion DIET -take regular meals on time -old rice, wheat -moong dal -bottle gourd, ridge gourd -pomegranate -small amount of ghee AVOID -excess spicy, sour, fermented foods -fried items -excess chilli -skipping meals SIMPLE REMEDIES -GUDUCHI GHAN VATI= 2 tabs twice dialy after meals =immunomodulator -SHATAVARI= 1 tsp with warm milk at night = mild pitta pacifier without suppressing digestion -AVIPATTIKAR CHURNA= 1/2 tsp with warm water before meals -BUTTERMILK diluted, non sour with roasted jeera at lunch LIFESTYLE -sleep before 10:30 pm -avoid anger/stress (pitta trigger) -moderate cooling pranayam - sheetali If symptoms persist>6 months as in your case, a mild virechana may give long term relief- but under ayurvedic physician DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU

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Shanaya 2
Client
19 days ago

My pitta was increased and i was facing severe acne.So i drank 14-15 glasses of hot water per day for 2-3 months.Now my motion is loose from a month acne is still there also increased.What happened to me ?Is water increased in the body?

Shanaya 2
Client
19 days ago

Pls reply dr krishnaja

You are having sama pitta kopa. There is agni vaishamya in sama pitta which is causing symptoms like sticky foul smelling stools and this causes further accumulation of ama leading to further symptoms

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Shanaya 2
Client
19 days ago

My pitta was increased and i was facing severe acne.So i drank 14-15 glasses of hot water per day for 2-3 months.Now my motion is loose from a month acne is still there also increased.Now i stopped drinking hot water.What happened to me ?Is water increased in the body?

Ideally you should only be drinking 2 to 3 liters of water only. Excessive drinking of water can dilute your electrolytes and sodium balance and cause issues from the cellular levels itself. In ayurvedic terms agni vaishamya. You need to improve your agni using gentle means in order to not irritate it further.

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*Kaiduryadi kashayam 15 ml twice daily before food mixed with 60 ml luke warm water will be extremely useful in your as it’s gentle it improves agni and balance pitta and vata. *Dadimashtak choorna 3 gm with butter milk twice daily after food is potent agnivardhaka but is gentle on pitta. *Lasunadi vati 1tab+ dhanwantaram gulika 2tab thrice daily before food will balance the vata vitiation happened along with it. *Kutajarishta 10 ml thrice daily after food will be able to control the pitta effect on skin and is also potent in sama pitta and improve your bowel movements Once your pitta is stabilized we can start using bilwadi lehya in the mornings to strengthen the system as a rasayana. Meanwhile only drink luke warm water just over 2 liters every day

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THANK YOU FOR SHARING YOUR SYMPTOMS SO CLEARLY I CAN UNDERSTAND THAT YOU HAVE BEEN DEALING WITH THIS FOR MANY MONTHS AND IT CAN BE CONFUSING WHEN MEDICINES HELP ONE PART BUT WORSEN ANOTHER FROM YOUR DESCRIPTION THIS DOES NOT LOOK LIKE PURE SAMA PITTA AND IT IS NOT PURE NIRAMA PITTA ALSO YOUR AGNI IS SHARP BUT UNSTABLE WHEN PITTA IS HIGH YOU EXPERIENCE LOOSE NON STICKY MOTION SEVERE HUNGER AND REDDISH ACNE WHICH SHOWS TEEKSHNA AGNI AND ACTIVE PITTA WHEN YOU TAKE PUNGENT MEDICINE BLOATING REDUCES BECAUSE VATA IN THE GUT CALMS DOWN BUT AT THE SAME TIME PITTA INCREASES SO ACNE AND HEAT SYMPTOMS BECOME MORE WHEN YOU TAKE BITTER AND ASTRINGENT MEDICINE STOOL BECOMES FORMED BUT STICKY AND APPETITE REDUCES THIS SHOWS THAT AGNI IS GETTING SUPPRESSED AND AMA IS FORMING SO THIS IS A MIXED CONDITION OF PITTA WITH VATA INVOLVEMENT AND A TENDENCY TO DEVELOP AMA WHEN AGNI BECOMES LOW YOU DO NOT NEED STRONG PUNGENT OR HEAVY COOLING MEDICINES YOU NEED BALANCING TREATMENT TAKE FOOD ON TIME DO NOT SKIP MEALS INCLUDE SIMPLE WARM LIGHT FOOD LIKE OLD RICE MOONG DAL AND EASY TO DIGEST VEGETABLES ADD A SMALL AMOUNT OF GHEE TO STABILIZE PITTA AVOID VERY SPICY SOUR FRIED AND FERMENTED FOOD YOU CAN USE MILD CUMIN AND CORIANDER AFTER FOOD TO SUPPORT DIGESTION WITHOUT INCREASING HEAT THE MAIN GOAL IS TO STABILIZE AGNI NOT TO SUPPRESS IT WITH PROPER DIET AND GENTLE CORRECTION YOUR SYMPTOMS CAN COME INTO BALANCE OVER TIME

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Don’t worry Take Udaramritham ras 20ml bd Kamaduda ras muktayukta 1tab bd AF Chitrakadhi vati 1tab bd AF Avoid oily spicy food meat alcohol smoking U ll get results

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3 replies
Shanaya 2
Client
19 days ago

My pitta was increased and i was facing severe acne.So i drank 14-15 glasses of hot water per day for 2-3 months.Now my motion is loose from a month acne is still there also increased.What happened to me ?Is water increased in the body?

Shanaya 2
Client
19 days ago

Pls reply dr ravi

Need blood purification go for panchakarma therapy consulting the AYURVEDIC PANCHAKRAMA MD SPECIALIST only

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Hello Thank you for sharing your concern. I must say you have made a keen observation abour how your body responds to different tastes. This information abour yourself is very useful. As our body gives different sign and we must be able to understand and act on it accordingly. YOUR CONCERN You are suffering with Loose stools Sometimes sticky and sometimes non sticky Bloating Reddish acne Stronger hunger at fixed time And you have this from 6 months You have noticed Pungent medication = reduces bloating but worsens acne and loose stools On other hand Bitter or astringent medicines = improves your acne but causes sticky stools This symptoms suggests a mixed digestive state not purely sama or purely nirama As i came to know your knowledge in Ayurveda, I would like to explain it in a more understandable way AYURVEDIC UNDERSTANDING Your condition= combination of sama and nirama Sama pitta includes Bloating Sticky stools Heaviness Reduced appetite When you consume bitter mediaction Ama gets reduced partially But bitter medicines make digestion or agni weak So stools become sticky This all indicates ama involvement Now moving to nirama pitta Syrong hunger Loose stools Burning tendency Acne This suggests nirama stage of pitta And when you take pungent mediactaion Digestion imprives Ama reduces But pitta increases This indicates the active stage of pitta I hope you have now understood your symptoms So making a conclusion you are likely having a combination of both sama and nirama Avastha In short Ama is present intermittent Pitta is strong Digestion is vishama that is irregular sometimes strong sometimes weak so is your stools sometimes sticky sometimes non sticky TREATMENT PLAN So according to your condition i will plan a treatment which will first regulate your agni and remove ama with out disturbing your pitta Aim of treatment 👉Balance digestion and remove ama 👉control pitta 👉Stabilize digestion INTERNAL. AYURVEDIC MEDICATION 1.Avipathikar chourna 1/2 tsp twice daily before your meals This will balance pitta and improve digestion 2.Musta churna 1/2 tsp twice daily after food Removes Ama Controls loose stools 3.Takaristha 30ml +30ml water after lunch Best for mixed Ama- pitta condition Reduces bloating As your digestion will. IMPROVE acne and redness will also reduce DIET PLAN For you diet plan and important role as diet is only main thing which can make or break your agni ✅INCLUDE Rice Moong dal Bottle gourd Ridge gourd Buttermilk Pomogranate ❌AVOID very spicy food Fried items Fermented food items Packed food items HOME REMEDIES Very effective 👉CORIANDER- CUMIN WATER** Boil 1/2 tsp of each in 1 glass of water and drink daily Balances pitta and ama 👉GINGER WATER Put a small piece of ginger in warm water and drink Improves digestion without increasing pitta Your sumptoms show sentsitive pitta with irregular digestion, not a permanent disease Avoid very strong pungent medications The goal of above holistic plan is to bring Samaagni that is balanced agni With proper AYURVEDIC plan your digestion can stabilize Hope you found this helpful Wishing you a good health Warm Regards Dr Snehal Vidhate

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5 replies
Shanaya 2
Client
19 days ago

My pitta was increased and i was facing severe acne.So i drank 14-15 glasses of hot water per day for 2-3 months.Now my motion is loose from a month acne is still there also increased.What happened to me ?Is water increased in the body?

Shanaya 2
Client
19 days ago

Pls reply dr sanw

Shanaya 2
Client
18 days ago

Pls reply dr Snehal

Shanaya 2
Client
18 days ago

??

Drinking 14-15 glass od hot water daily for 2-3 months is excessive and can disturb your digestion That why Your acne increased Motion became loose Body feels imbalance No there ia not excess water retention If water increased you would see swelling, puffiness Acne due to pitta usually needs Cooling diet Blood purification Proper digestion Drink. Only 6-8 glass of water And follow rest prescription as advised

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Your appear to have Niram Pitta when you use bitter medicine to cool the heat the likely we can see your digestive file too much leading to temporary formation of ama You can start with 1) Avipattikar churna 1 teaspoon with luke warm water at bedtime 2) drakshadhi kashaye 15 ml mix with lukewarm water twice daily before food 3) kamdugha Ras 1 tablet twice a day after meal Take one teaspoon coriander seed one teaspoon fennel seed in a cup of water overnight strain and Drink on empty stomach in the morning Avoid Red Chillies vinegar fermented food and skipping meals

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4 replies
Shanaya 2
Client
19 days ago

My pitta was increased and i was facing severe acne.So i drank 14-15 glasses of hot water per day for 2-3 months.Now my motion is loose from a month acne is still there also increased.What happened to me ?Is water increased in the body?

Shanaya 2
Client
19 days ago

Pls reply dr khusboo

Shanaya 2
Client
18 days ago

Pls reply dr

Shanaya 2
Client
18 days ago

???

From what you are describing, this does not look like a purely Nirama Pitta state. In Nirama Pitta, digestion is usually clear and sharp, stools are loose but not sticky, appetite is strong and clean, and there is no coating or heaviness. Your pattern shows mixed features: • Loose, non-sticky stools and severe hunger suggest active Pitta • Bloating suggests Vata involvement and possible Ama formation • When taking bitter/astringent medicines, stools become formed but sticky and appetite reduces — this indicates Ama is still present • Pungent medicines reducing bloating but worsening acne and loose stools shows Pitta aggravation So this appears more like a Sama Pitta with Vata association rather than pure Nirama Pitta. In this stage, strong pungent or excessively heating medicines may worsen Pitta, and heavy bitter/astringent medicines may suppress appetite and increase Ama. What to do: • Focus on mild deepana–pachana (gentle digestion correction) rather than strong Pitta-reducing or heating herbs • Eat at regular times; avoid overeating during severe hunger spikes • Avoid very spicy, fried, fermented, and sour foods • Use light, warm, freshly cooked meals • Do not abruptly alternate strong medicine categories Because your condition has been present for more than 6 months and shows mixed dosha features, treatment needs fine balancing. A detailed consultation is important to assess agni, bowel pattern, tongue signs, and overall constitution before selecting the correct line of treatment.

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Thanks, doc! This was spot on and really helped clear my doubts. Appreciate the detailed advice on dosages, super helpful! 🙌
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Thanks a lot for the helpful info! Really put me at ease and gave me a clear direction on what to consider. Appreciate it tons!
Thanks a lot for the helpful info! Really put me at ease and gave me a clear direction on what to consider. Appreciate it tons!