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How to treat heavy bleeding and fibroids with low hemoglobin and thalassemia?
Gynecology and Obstetrics
Question #55181
40 days ago
360

How to treat heavy bleeding and fibroids with low hemoglobin and thalassemia? - #55181

Client_780293
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I have heavy bleeding issues and fibroids so because of that hemoglobin goes down and also minor Thalasemia. Suggest best solution

How long have you been experiencing heavy bleeding?:

- More than 6 months

What is the average duration of your menstrual cycle?:

- 21-28 days

How would you describe the severity of your bleeding?:

- Very heavy

Have you experienced any other symptoms along with the bleeding?:

- Pain or cramps

What treatments or medications have you tried for your fibroids?:

- None

How is your diet and nutrition?:

- Low in iron-rich foods

Have you had any recent blood tests to check your hemoglobin levels?:

- Yes, within the last 3 months
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Doctors' responses

Plz share your reports first to rule out size of fibroid .Treatment focuses on reducing excessive bleeding, shrinking fibroids, improving blood nourishment, and strengthening the body naturally. –Internal Medicines 1) Ashokarishta – 20 ml with equal water after meals BD 2) Lohasava – 20 ml with equal water after meals BD 3) Kanchanar Guggulu – 2 tabs BD after meals 4) Punarnava Mandur – 1 tab bd 5) Pradarantak Lauh – 1 tab BD after meals —Panchakarma Mild Virechana for Pitta-Shamana Yonidhawan with Triphala Kwath Matra Basti with Ksheerbala Taila Uttarbasti after control of excessive bleeding and as per condition —Pathya Iron-rich diet: black raisins, dates, pomegranate, green leafy vegetables Avoid spicy, sour, fried, fermented foods, excess tea/coffee Proper sleep and stress reduction —Follow-up Advice Hb monitoring after 5 days USG pelvis follow-up after 2 months


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Heavy bleeding with fibroids, low hemoglobin, and minor thalassemia needs proper medical supervision because continuous blood loss can worsen weakness and anemia. In Ayurveda, this condition is often related to aggravated Pitta dosha, Rakta dushti, and imbalance of Artava dhatu. Ayurvedic management focuses on: Reducing excessive bleeding Supporting uterine health Improving strength and hemoglobin naturally Reducing inflammation and weakness Helpful Ayurvedic medicines Ashokarishta – supports heavy menstrual bleeding and uterine tone Lodhrasava – helps control excess bleeding Praval Pishti – cooling and supportive in Pitta imbalance Punarnava Mandur – commonly used for anemia and weakness Shatavari – nourishes female reproductive tissues Diet and lifestyle are equally important: Increase iron-rich foods: beetroot, black raisins, dates, pomegranate, sesame, leafy greens Take vitamin C foods with meals for better iron absorption Avoid excessive tea/coffee near meals Reduce spicy, fried, very sour, and packaged foods Maintain proper sleep and stress control Important: Because you also have thalassemia minor, do not self-take high-dose iron supplements without advice. Regular monitoring of: Hemoglobin Iron profile Fibroid size Excess bleeding is very important.


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The goal is to control the bleeding (Stambhana), shrink the fibroids (Lekhana), and improve blood quality (Rakta Prasadana) without overloading the system. ​In Ayurveda, this condition is often correlated with Asrigdara (excessive discharge of blood). •Ashokaarist: 15ml with same amount of water both time after food. the primary herb for uterine health. It acts as a uterine sedative and stops bleeding •Lodhraasav:- 15ml with same amount of water both time after food .Highly effective in reducing the frequency and intensity of heavy flow. Managing Fibroids (Lekhana - Scraping Therapy) ​Fibroids are considered a Kapha-Vata accumulation in the Artavavaha Srotas (reproductive channels). ​•Kanchanar Guggulu: 1 BD after food with normal water. The “gold standard” in Ayurveda for any glandular growth or cysts. It helps in drying up the excess fluid and scraping away the growth. Addressing Low Hemoglobin and Thalassemia ​This is a delicate area because, in Thalassemia, the body may have issues with iron metabolism. Ayurveda focuses on Rakta-Poshana (nourishing the blood) rather than just adding inorganic iron •Drakshasav: 15ml with same amount of water both time after food .A fermented tonic made from raisins that improves digestion and naturally boosts hemoglobin levels To be Favored (Pathya) •​Red Rice and Barley: Easy to digest and strengthening. •​Pomegranate and Grapes: Excellent for blood health (Rakta-Vardhak). •​Lentils: Mung dal is preferred as it is light on the stomach. •​Amla: Rich in Vitamin C to help with whatever iron is being consumed. ​To be Avoided (Apathya) •​Excessive Salt and Spicy Food: These increase Pitta and can worsen bleeding. •​Papaya and Pineapple: Traditionally avoided during heavy bleeding as they may stimulate the uterus. •​Heavy, Oily, and Fermented Foods: These increase Kapha and can lead to further growth of fibroids.


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Heavy bleeding with fibroids can gradually reduce hemoglobin, and with thalassemia minor, weakness and fatigue can become more noticeable. The main focus should be controlling bleeding and improving strength. Avoid very spicy, sour, and heat-producing foods. Include iron-rich foods like beetroot, pomegranate, black raisins, dates, green vegetables, and sesame in your diet. Proper rest and hydration are important during bleeding days. At home, soaked black raisins and pomegranate juice regularly can help support hemoglobin naturally. Ashokarishta – 15 ml with equal water twice daily after food Pradrantak lauha – 1 tablet twice daily after food Kanchanar Guggulu – 1 tablet twice daily after food Shatavari churna – 1 teaspoon with milk at bedtime These can help reduce excessive bleeding and support hemoglobin levels gradually. Please continue regular hemoglobin monitoring. If bleeding becomes very heavy or hemoglobin drops significantly, gynecologist follow-up is important to discuss fibroid management options. Regards, Dr Raghuveer (Ayurvedacharya)


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1.Dhatri lauh 2 tab twice daily with water after meals 2.Punarnavadi mandoor 2 tab twice daily with water after meals 3.Pushyanug churna 1/2 tsp twice daily with rice water or honey after meals 4.Lodhrasarva 15 ml with 15 ml water twice daily after meals 5.Drakshasava 15 ml with 15 ml water twice daily after meals Diet & Lifestyle Adjustments -Avoid “Hot” Foods: Stay away from papaya, pineapple, sesame seeds (til), ginger, and excessive garlic during your periods, as these increase blood flow. -Cooling Foods: Incorporate Petha (Ash Gourd) juice, Amla, and Pomegranate (Anar). Pomegranate is excellent for Thalassemia as it supports blood production naturally. -Iron-Rich Plant Sources: Since your diet is low in iron, focus on Beetroot, Spinach (Palak), and Black Raisins (Munakka). -Stress Management: High stress increases cortisol, which can feed fibroid growth. Yoga practices like Pranayama (Sheetali) can help cool the body.


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Hello, Fibroid is a noncancerous growth in or around uterus. It’s made of muscle and fibrous tissue. Your fibroid is located on the posterior wall of your uterus , which Is large YOUR CURRENT SYMPTOMS -heavy bleeding This means the fibroid might be interfering with your hormonal balance or uterine lining TREATMENT GOALS -shrink the fibroid naturally -regulate menstruation - balances hormones especially estrogen - prevent further growth or complications -avoid surgery, if safely possible In Ayurveda, Uterine fibroid is known as “GRANTHI” in Ayurveda(hard,tumor like growth) -caused by imbalance in kapha(growth), vata(movement), and pitta(inflammation) -weak digestion , hormonal imbalance, and toxin accumulation also contribute INTERNAL MEDICATIONS 1) KANCHANAR GUGGULU= 2 tabs thrice daily after meals with warm water =breaks down fibrous growths and tumors 2) VARUNADI KASHAYA= 20 ml with equal water before food twice daily =balances kapha and vata, helps shrink fibroid size 3) ASHOKARISHTA= supports healthy menstruation, tones uterus -20 ml with equal water twice daily after meals 4) Lohasava= 15ml with warm water twice daily after meals =treats low hemoglobin 5) Tamra bhasma = with honey 50mg twice daily =very effective 6) Pradarantak lauha= 1 tab twice daily after meals =controls heavy bleeding 7) Guduchi ghan vati= 2 tabs twice daily after meals =for immunity helps thalessamia Diet -warm, light, fresh cooked meals -barley, millets, bajra, ragi, horse gram - green leafy vegetables- drumstick, laves, methi, bitter gourd - spices= turmeric, cumin, coriander, ginger -amla fresh or juice - Aloe vera juice-10ml on empty stomach - cow ghee in small amount improves digestion Avoid -cold, stale, or processed foods - dairy=curd, panner, cheese -deep fried food, maida, white bread -refined sugar, and sugary drinks - soy products they mimic oestrogen - red meat and eggs - packaged or canned foods Lifestyle changes Good habits -wake up early before 7 am - stay physically active- walk 30 mins daily - keep digestion strong- avoid heavy night meals - manage stress- anxiety, and anger disturb hormones -sleep 7-8 hours regularly Avoid -day time sleeping -overeating or skipping meals - late night eating - constipation Home remedies 1) Castor oil pack -soak cloth in warm castor oil, place over lower abdomen for 45 mins, 3-4 times/week =reduces inflammation and supports shrinkage 2) Aloe vera + shatavari juice -mix 10 ml each with warm water. take on empty stomach =helps nourish uterus and regulate periods 3) Turmeric milk =1/2 tsp turmeric in warm almond or nut milk at night. Anti inflammatory Yoga asanas very helpful -Supta baddha konasana -viparita karani -setu bandhasana - paschimottanasana -balasana -ustrasana these improves pelvic circulation, reduce fibroid pressure and balance hormone pranayam -anulom vilom -bhramari -sheetali practice 10 mins daily visible improvement in bleeding= within 2-3 months Fibroid shrinkage= usually needs 6-12 months Ultrasound check= every 3-4 months Do follow Hope this might be helpful Thank you


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