Brief Answer:
Initially we have to rule out causes of Bloating

Detailed Answer:
Dear
Thanks for contacting Ayurveda with your health concern and do let me know about any noticeable feature noticed in you:

1. duration of symptoms: i.e. whether your condition required immediate medical attention or is nuisance or worrisome to you?
2. Any associated condition which is cause and effect of bloating i.e.
.Weight loss?
. Liver disease?
. post menopausal vaginal bleeding? [keeping in view your age]
. Abdominal pain/fever?

3. was any examination with Gynecologist or General Physician undertaken and if yes were any Investigations [endoscopy/ultrasound/stool test] advised?
4.
i. Are you taking high fibre diet?
ii. sweet stuff [in history]: bloating is due to the bacteria in the intestines digest the sugar and produces gas.
iii. any history of acid reflux/constipation?
iv. any Gastro eneterologist opinion?
v. any lactose intolerance?

Do revert back with above concerns for better management of symptoms and proper understanding of pathology.

Dr. Munish Sood
Consultant & Physician
Naimittika Clinic

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Brief Answer:
Address the root cause

Detailed Answer:
Dear
Thanks for reverting back with your concern.

1. Since parameters are normal and problem is more of uncomfortable than medical thus following is/are line of management.

i. For Constipation
. Constipation itself is the root of several disorders due to increased intake of artificial foods, increasing mental tension, lack of rest and careless attitude towards responding to natural urges:all of which affects digestion.
PS. due to improper motion food remain in the intestine for large period of time, resulting in fermentation and as a result bloating and acidity.

.Regular bowel habits with attempted bowel movements 15-20 minutes after breakfast when gastro colic reflex is strongest.
* Adequate fibre diet.
* Adequate fluid intake.
* have olive oil for purgation [it is free from adverse effects]
* take 10 cashewnuts and 10 raisins empty stomach [in morning]
* take trifla Churan 3 gm with XXXXXXX warm [water at night]

. For Bloating:
. Eating a little less than demanded by appetite is very important.
. Avoid oily food, aerated drinks, eat slowly-chew properly-avoid over eating.
. Avoid peas, beans, meat, potato, excess and irregular eating, sweet/heavy food which are difficult to digest and cause indigestion.
. You can take vinegar or coriander chutney before food,take old rice,bottle gourd, moong dal XXXXXXX marich, pomegranate,jaiphal,hot water, adequate rest and sleep.
. Regular abdominal exercises, morning walk is essential, coconut water and raw papaya vegetable is ideal drink and food.
. Remain calm and stress free.
. Do not sleep immediately after food, have a small walk after each meal.
. Drinking holy XXXXXXX (tulsi) leaves juice 10ml everyday has good effect on symptoms of bloating.
. Prescription medicine with effective results are: Kayam Churna, Tablet Gasex, Kaumarya Assav, Syrup Livomyn, Draksha Arishta

. For Reflux:
. Avoid forward bending or Immediately lying down after eating, instead go for head high position at night
. avoid caffeine, food which take more time to digest or irritate stomach mucosa like: cabbage/ sprouts, onions, asparagus, pears, apples, peaches,chewing gum,milk products,fruit juice,vinegar,alcohol, caffeine,greasy-spicy-refined foods, caffeine.
. maintain good posture. [gravity prevents reflux]
. do not eat one large meal at one time, instead take smaller, more frequent meals during the day.
. banana,cucumber,water melon are natural antacids

. Make sure your Intestine remain clear and avoid diet as prescribed.

Dr. Munish
Naimittika

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Brief Answer:
Diet & Lifestyle Tips for Gastritis

Detailed Answer:
Dear

Thanks for reverting back with your concern.

1. Going by sonography comments, important finding is 'Gastritis' while other parameters are normal.

Diet In Gastritis:

1. Manage Stress
Since stress is known to release acid secretion in stomach and thereby causing irritation and reduction in digestive enzyme thus one has to pay attention to Nervous system also.

Tablet Mentat [himalaya] 2 tablet at night with XXXXXXX warm water

2. Dietary Regime
Take: old brown rice,moong dal,white gourd melon,green vegetables,pipalli, harad,garlic,honey,amla,rice gruel,milk,shatavari
Avoid: newly harvested rice,chickpea flour,urad dal,potato,brinjal,saindhav namak,spicy/oily/fried food,tea/coffee,junk food, day time sleeping, sesame, salt, curd.

. Vitamin C help to prevent and treat gastritis (due to its ability to suppress Helicobacter pylori) thus amla is ideal
. Also take aloe vera juice [ghritkumari] helps reduce inflammation and irritation.
. you can take yashtimadhu [mulethi] and suck it, since it helps coating the stomach mucosa and prevent acid attack on it.
. fresh mint juice
. banana,cucumber,water melon are natural antacids.
. suck 10 gm jaggery everyday [after meals] for constant acidity]
. lukewarm water 1 glass
lemon juice 1 tsf
ginger juice 1tsf
honey 2tsf..... mix well and drink

3. Medicines
i. Patoladi Kwatha: 15ml with honey [twice daily]
ii. Sutshekhar Ras 125mg
XXXXXXX XXXXXXX ras: 125mg... with amla murabba [twice daily]
iii. Livomyn Syrup: 2 tsf thrice daily [after meals]
iv. Tablet Gasex: 2 tab thrice a day [1/2 hour after meals

PS. If symptoms improve/deteriorate check with Gastroenterologist for 'Endoscopy' to rule out H.Pylori infection.

Dr. Munish Sood
Naimittika

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