Ask Ayurveda

FREE! Ask Ayurvedic Doctors 24/7

Get expert answers from certified doctors anytime

Fast responses
1000+ verified doctors
/
/
/
How to treat chronic acidity and weakness in an elderly patient with a history of duodenal ulcer?
Gastrointestinal Disorders
Question #57078
2 hours ago
13

How to treat chronic acidity and weakness in an elderly patient with a history of duodenal ulcer? - #57078

Client_d6cac5
$3

Had been suffering from acidity related stomach pain for about 30 years. Undergone surgery (at 60) for duedinal ulcer. Now found aneamic and weak. No improvement under allopathy. No life style diseases. Am in my 80s. Pl advse.

How long have you been experiencing acidity and stomach pain?:

- More than 30 years

How would you describe the intensity of your stomach pain?:

- Severe — constant pain

Have you noticed any specific foods that trigger your acidity?:

- Spicy foods

What other symptoms are you experiencing along with acidity?:

- Fatigue or weakness

How is your appetite and digestive health?:

- Very poor appetite

How would you rate your energy levels throughout the day?:

- Low — often tired

Have you been taking any supplements or alternative treatments for anemia?:

- Iron supplements
Writing an explanation of your symptoms through Ayurveda...
Analyzing through Ayurvedic framework0%

Doctors' responses

The patient is in his/her 80s and has been suffering from severe acidity and stomach pain for more than 30 years. A surgery for a duodenal ulcer was performed at around 60 years of age. Despite ongoing allopathic treatment, there has been no significant improvement. ----Currently, the patient reports: Severe, persistent stomach pain Acidity aggravated by spicy foods Very poor appetite Marked weakness and fatigue Low energy levels throughout the day Anemia, for which iron supplements are being taken ----There is no history of lifestyle diseases such as diabetes, hypertension, or heart disease. ----Considering the patient’s advanced age, long-standing gastrointestinal symptoms, poor appetite, anemia, and persistent weakness, a thorough re-evaluation is recommended. This may include assessment for ongoing gastrointestinal blood loss, nutritional deficiencies (iron, vitamin B12, folate), recurrence of ulcer disease, gastritis, malabsorption, or other age-related gastrointestinal conditions. -----Rx: 1) Avipattikar Churna – 3 g twice daily after meals with lukewarm water. 2) Kamdudha Ras (Muktiyukta) – 1 tablet twice daily after meals. 3) Draksharishta – 15 ml with equal water twice daily after meals. 4) Punarnava Mandur – 2 tablets twice daily after meals. 5) Shatavari Kalpa – 1 teaspoon twice daily with milk, if tolerated. ----Diet Advice (Pathya): Soft, freshly prepared food. Khichdi, rice gruel, cooked vegetables, pomegranate, ripe banana. Adequate hydration. Small frequent meals. ----Avoid (Apathya): Spicy, fried, sour, and very hot foods. Excess tea, coffee, tobacco, and alcohol. Long gaps between meals. ----Follow-up: Review after 2–4 weeks


0 replies

Your long history of acidity, previous duodenal ulcer surgery, poor appetite, anemia, weakness, and persistent stomach pain at this age deserve careful attention. While Ayurveda can help improve digestion, strength, and quality of life, it is important not to assume that all symptoms are due to “acidity” alone. In an 80+ year-old patient with anemia and poor appetite, further medical evaluation is also necessary. Clinically, the most likely factors are: chronic hyperacidity and impaired digestion (Agnimandya), post-surgical digestive weakness after ulcer surgery, nutritional deficiencies causing anemia and fatigue, and possible age-related gastric mucosal changes. Persistent severe pain despite treatment warrants ruling out recurrent ulceration, occult bleeding, or other gastrointestinal conditions. From an Ayurvedic perspective, this appears to be a combination of aggravated Pitta in the stomach with Vata depletion and Dhatu Kshaya (tissue weakness), leading to both acidity and loss of strength. I would consider the following Ayurvedic support • Avipattikar Churna 3 grams after lunch and dinner with lukewarm water for 6–8 weeks to help reduce acidity and burning. • Yashtimadhu (Mulethi) Churna 2 grams twice daily mixed with honey or warm water after meals, provided there is no uncontrolled hypertension. It helps soothe the gastric lining. • Shatavari Kalpa 1 teaspoon twice daily with warm milk (or water if milk is not tolerated) to nourish tissues and support recovery. • Punarnava Mandur 1 tablet twice daily after meals may be useful if anemia is due to iron deficiency, but only after reviewing hemoglobin and iron studies. Diet is extremely important. Prefer soft, freshly cooked foods such as rice, moong dal, cooked vegetables, pomegranate, ripe banana, and thin rice gruel. Take small frequent meals rather than large meals. Avoid spicy foods, pickles, excess tea/coffee, fried foods, sour foods, long fasting, and late-night meals. A simple home remedy is 1 teaspoon of ghee in warm rice or soft food daily if digestion permits; this often reduces gastric irritation and supports nourishment in elderly patients. At your age, strong Panchakarma procedures are generally not advised unless assessed in person. Gentle Brimhana (nourishing) therapies and mild Abhyanga (oil massage) may help weakness and improve comfort. Please arrange a review of CBC, iron profile, vitamin B12, stool occult blood test, and upper GI evaluation if not done recently. Seek urgent medical attention if there is black stool, vomiting blood, unexplained weight loss, difficulty swallowing, or worsening pain. With consistent treatment and dietary correction, acidity may improve within 3–6 weeks, while strength and anemia usually require 2–3 months of focused management


0 replies

••In Ayurveda, your situation is viewed through a specific lens: a history of severe Amla Pitta (chronic hyperacidity) and Parinama Shula (duodenal ulcer) has naturally weakened your Agni (digestive fire). Following surgery and years of depleted absorption, this has led to Pandu (anemia) and Dhatukshaya (tissue depletion leading to weakness), which is further compounded by the natural dominance of Vata dosha in this stage of life. Because you are dealing with chronic anemia and are in your 80s, it is absolutely vital to consult a qualified Ayurvedic physician in person before starting any strong herbo-mineral formulations. Here is a supportive, gentle Ayurvedic framework designed to revive your digestion and build your blood levels without aggravating your stomach. 1. Cooling & Healing the Stomach Lining Before we can successfully build your blood and iron levels, we have to make sure your stomach can absorb nutrients comfortably without triggering acidity or pain. Yashtimadhu (Licorice): This is exceptionally gentle and acts as a natural demulcent, coating and soothing the mucosal lining of the stomach and duodenum. Shatavari: Known for its cooling (Sheeta) properties, it helps pacify Pitta and promotes tissue healing while being very gentle on an elderly digestive tract. Amalaki (Indian Gooseberry): Unlike other sour fruits, Amalaki actually reduces Pitta (acidity) and is a massive natural source of Vitamin C, which is crucial for iron absorption. 2. Addressing Anemia (Pandu) Gently Traditional iron supplements often cause constipation or gastric irritation. Ayurveda uses naturally processed, bioavailable options that are combined with digestive herbs to prevent this. Dhatri Lauha: A classical formulation where iron is processed with Amalaki. It is specifically indicated for Parinama Shula (ulcer pain) and Pandu (anemia) because the Amalaki buffers the iron, making it highly absorbable and cooling to the stomach. Drakshadi Lehyam or Draksharishta: A herbal jam or mild fermented preparation made from raisins. It naturally builds hemoglobin, relieves weakness, and ensures smooth bowel movements, which prevents Vata from building up in the colon. 3. Dietary Regimen for Deep Nourishment When Agni (digestion) is weak, the food must be easy to break down, otherwise, it turns into Ama (toxins) instead of blood. Pomegranate & Black Raisins: Both are excellent Rakta-vardhaka (blood-building) foods. Soaking 10–15 black raisins in water overnight and chewing them in the morning is incredibly supportive. Manda and Yusha (Rice gruel and Moong Dal Soup): Prepared with a pinch of cumin and coriander, these give immediate energy without straining your stomach. A2 Cow’s Ghee: Taken in small quantities (half a teaspoon with warm meals), ghee heals the gut lining, stimulates the digestive fire, and calms Vata.


0 replies

I completely understand how exhausting it must be to deal with this constant stomach pain and severe weakness everyday. Let me explain in simple terms what is happening inside your body 👇👇👇👇👇 What is happening inside? 1) Too Much Stomach Heat: For many years, there has been an excess of heat (called Pitta) in your stomach. This constant heat is what caused your past ulcer and is still causing the severe acidity and burning pain you feel today. 👇👇👇👇👇👇👇 2) Weak Digestive Fire: Because your stomach has been fighting this acidity for so long, your natural digestive fire (called Agni) has become very weak. This is why you have a very poor appetite and don’t feel like eating. 👇👇👇👇👇👇👇 3) Why You Feel So Weak and Anemic: Because your digestive fire is weak, your body cannot properly break down or absorb the goodness and nutrients from the food you eat. Even if you take iron supplements, a weak stomach cannot process them well. Without proper nutrition, your body cannot make healthy, fresh blood. This is the direct cause of your low hemoglobin (anemia) and why you feel constantly tired and drained of energy. 👇👇👇👇👇👇👇👇👇👇👇 1) Avipattikar churna- 2-3 gm twice a day before meals with Luke warm water or honey 2) Sukumar ghrita- 1 teaspoon early morning on empty stomach With warm milk or warm water 3) Draksharishta- 15 ml twice a day after means mix with equal quantity of water 4) sutashekhar rasa- 1 tab twice a day after meals with water 5) shatavari churna- 3 gm at bed time with warm milk 👇👇👇👇👇👇👇👇👇👇👇 Include well-cooked bottle gourd (lauki), pointed gourd (parwal), ridge gourd (turai), pumpkin, and boiled split mung dal. 👇👇👇👇👇👇 Old rice, soft-cooked khichdi (prepared with a little cow’s ghee), and oatmeal are incredibly gentle on a weak stomach. 👇👇👇👇👇👇👇👇 Sip on fresh coconut water, buttermilk churned with a pinch of roasted cumin powder (taken during lunchtime), or water infused with fennel seeds (saunf). 👇👇👇👇👇👇👇 Spicy foods, red chili powder, pickles, heavy fried items, fermented foods (like curd, idli, dosa), citrus fruits, tea, coffee, and carbonated drinks 👇👇👇👇👇👇👇👇👇👇 Do not overeat or leave the stomach empty for long hours. Eat small, warm, freshly cooked meals 4-5 times a day to prevent acid buildup. 👇👇👇👇👇👇👇 Avoid strenuous exercise. A light, slow 10-minute walk after meals helps aid digestion. 👇👇👇👇👇👇👇 Prioritize restful sleep. Avoid sleeping immediately after a meal; maintain a gap of at least 2 hours between dinner and bedtime. 👇👇👇👇👇👇👇👇 High stress triggers acid secretion. Incorporate deep, calm breathing (Pranayama like Shitali or Anulom Vilom) for 10 minutes daily.


0 replies

About our doctors

Only qualified ayurvedic doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.


How to treat gas, acidity, bloating, and belly fat with high blood pressure and anxiety?
Can Mukta Vati cause diarrhea after taking it for several months?
How to treat erosive gastritis and duodenitis with excessive gas and bloating?
What to do if my bilirubin is still high and urine is yellow after jaundice treatment?
What to do for excessive gas and heaviness in the stomach after eating?
What to do for bloating, brain fog, and foot bulging with brown coating on tongue?
Can I treat multiple gallbladder stones without surgery?
What are the Ayurvedic treatments and dietary recommendations for piles and fissures?
What to do for vomiting, nausea, and acidity during pregnancy at 13 weeks?
What to do if I feel bloated, nauseous, and feverish after taking Krishna Ayurvedic digestive juice for three days?
How to treat ulcerative colitis after steroid tapering with mild mucus in stool?
How to treat persistent stomach pain after years of masturbation?
How to treat bloating, brain fog, and foot bulging due to Lax hiatus grade 1?
How to treat lower back pain with leg soreness and bloating in a 46-year-old woman?
What to do for severe bloating, left side stomach pain, and constipation?
What alternative tablets can I take for IBD while on cortirowa od, Pankreoaflat, and messacol?
How to use Ayurvedic remedies for unformed stool and low libido after antibiotics?
Is daily use of Shudhdhi Churna good for stomach relief?
What is causing my terrible gas, leg pain, and heavy head with bloating?
What to do for my 75-year-old parent with stomach bloating, water retention, and loss of appetite?
How to treat constant hunger and difficulty in digestion in the morning?
How to treat frequent bloating and burning chest after spicy food?
What home remedies can help with difficult swallowing, acid reflux, and dry mouth?
What to do for pain after bowel movement and feeling of incomplete evacuation?
How to improve sleep quality when I have IBS and have tried yoga and meditation?
Can I use herbal drugs for chronic gastritis while taking Sucrafil gel and Vonoprazan?
Can I take Patanjali's Mukta Pisti with honey before bed for my duodenal ulcer and stomach pain?
What to do for rectal pain after bowel movements and breakfast with lower back pain?
How to treat burning sensation in stomach and mouth after eating for a year?
How to treat indigestion and pebble poop stool with Anuloma DS?
How to treat Crohn's disease with a special diet for poor digestion and hemorrhoids?
What to do for recurring mouth ulcers and stomach burning after eating?
What to do if I'm experiencing watery stools after taking Mi Sehat tablet daily?
What to do for gas issues and breathing problems after eating kala chana?
What to do for small bleeding and burning sensation after using the toilet for piles and fissure?
Can I take Livcon and Assicon syrup for gastritis and IBS with upper stomach pain?
How to treat chronic constipation with redundant colon when triphala and laxatives aren't working?
What to do for my 60-year-old wife who has weight loss and digestive issues?
How to treat loose motion and stomach pain after eating for the last three days?
What to do for stomach discomfort and sour burps after loose motion last month?
Can I use Dabur Ampachak Kadha with Triphala tablets for digestion?
Can Ayurveda fully treat chronic severe constipation caused by dysnergic defecation type 4?
What to do for gas, bloating, and constipation that I've had for 20 years?
Can I eat banana and papaya together? What to do if I have gas and bloating?
How to know if my anal pain and swelling is a fissure or piles?
What to do if I have constipation and blood in stool after lymphadenopathy treatment?
Can I take Dabur Ampachak Kadha with Avipattikar and Triphala for burning sensation after bowel movement?
How to treat gastritis caused by H. pylori with cloves?
How to treat my son's recurrent abdominal pain and inflammation after ultrasound findings of hepatomegaly and cystitis?
How to treat ulcerative colitis with Ayurveda when experiencing mucus in stool and abdominal cramps?
What to do if my stomach is not getting flat despite working out and eating healthy?
How to treat fissures and internal piles when stool is hard and painful?
How to treat throat pressure and hemorrhoids after food poisoning at 24 years old?
What to do for pain after morning bowel movement and feeling of incomplete evacuation?
Can I give Mustharishtam to my daughter for constipation and suspected worm infection?
What to do for gas, dizziness, and sweating after eating with low blood pressure and vomiting?
What to do if I feel weak and have frequent burping throughout the day?
What to do for bloating and sour burps after loose motions for a month?
How to treat severe pain and burning sensation that requires DSR every day for 6 years?
What to do for IBS and night pain with urinary burning, hair fall, and left side back pain in the morning?
What to do for stomach pain, tingling, and leg pain with a heavy feeling?
How to cure piles caused by long sitting at work?
What foods should I avoid for stomach acidity, burning sensation, and acid reflux?
What dietary changes can help with stomach upset from boiled eggs, fermented soya beans, and moong sprouts?
What Ayurvedic preparations can help my 82-year-old mother with blood during toilet due to piles and constipation?
How to treat fermentation colitis and early vitiligo with Ayurvedic remedies?
How to treat constant abdominal pain with acidity and heaviness in the stomach?
How to treat pancreatitis and acidity with Ayurvedic medicine?
How to treat loss of appetite and bloating after endoscopy?
How to use Kamdudha Ras for acidity issues that cause acid reflux?
What causes transparent mucus in stool after bowel movements?
How to treat grade 2 internal piles with itching and burning sensation?
How to treat sticky stool and digestive issues after 8 months of Ayurvedic treatment?
How to treat rectal tenesmus after bowel movements?
How to treat mucus in stool for IBS after Panchakarma treatment?
What is causing my empty burps and heart pressure in the morning at age 50?
What causes black stains on my tongue and occasional constipation?
How to use Amlant for treating GERD and acidity - before or after meals?
How to treat chronic mouth ulcers and constipation with weak digestion?
How to treat stomach gastritis when acid reflux is not controlled for three years?
What is the best Ayurvedic treatment for chronic gastritis and H. pylori infection with gas and constipation?
How to treat ongoing digestive problems and anxiety in a 40-year-old with Stevens-Johnson Syndrome?
What to do for my 17-year-old son who has stomach cramps and weight gain issues after eating?
Can I take Livosin syrup continuously for 5 months for fatty liver and occasional right side stomach pain?
How to treat Crohn's disease and perianal fistula with Ayurveda for infection and digestive issues?
What to do for chronic constipation and loss of appetite?
How to reduce acidity and heartburn naturally?
What to do if I see blood with stool after kshar sutra treatment for piles?
How to treat constipation and incomplete bowel and bladder emptying in a 22-year-old female?
What to do for my 15-year-old daughter who has IBS and goes to the toilet 4-5 times a day after eating?
How to treat chronic constipation caused by opiates and holding back during construction work?
What to do for stomach pain and gas after going to the bathroom twice in the morning?
Is it necessary to take aspirin for GERD treatment, and how does it affect my condition?
How to treat acid reflux and chest burning every few days with home remedies?
How to treat chronic constipation and bloating when Kayam Churna and Hingvastak Churna aren't helping?
How to treat acidity, gas, and constipation that don't improve despite regular prayers?
What to do for frequent night bowel movements and back pain due to gas?
What to do for excessive gas and discomfort near the heart at night?
What to do for constipation and burning sensation in the mouth in a 94-year-old patient?
How to treat constant bloating and heaviness in the stomach from a sedentary job?

Doctors online

Latest reviews

Phoenix
42 minutes ago
Really helpful advice! The detailed Ayurvedic guidance and suggestions are just what I needed. Big thanks for the clear explanation!
Really helpful advice! The detailed Ayurvedic guidance and suggestions are just what I needed. Big thanks for the clear explanation!
Jayden
13 hours ago
This response was super helpful! Explained everything clearly and gave me practical steps to follow. Feel much more reassured now. Thanks!
This response was super helpful! Explained everything clearly and gave me practical steps to follow. Feel much more reassured now. Thanks!
Andrew
13 hours ago
Super grateful for this Ayurvedic advice! The answer really cleared things up for me, feeling a bit more hopeful about recovery now.
Super grateful for this Ayurvedic advice! The answer really cleared things up for me, feeling a bit more hopeful about recovery now.
Samuel
13 hours ago
Thanks for the detailed answer! The Ayurvedic remedies sound promising and are explained so well. Feeling more hopeful about tackling this now! 👍
Thanks for the detailed answer! The Ayurvedic remedies sound promising and are explained so well. Feeling more hopeful about tackling this now! 👍