Brief Answer:
Anti ulcerants in Ayurveda

Detailed Answer:
Dear
Thanks for contacting with your health concern:

1. Since H.pylori infection is an established risk factor for duodenal ulcer thus treatment and management from Ayurveda point of view can be categorised under " Parinam shool".

PS. In Ayurveda 'krimi' is explained as an etiological factor for parinam shoola and favours the H.pylori infection

2. Take: old brown rice, bitter gourd, green gram,white gourd, green vegetables,cold water,harad,garlic,honey,pomegranate, amla,rice water,cold milk.

Avoid: newly harvested rice,chickpea flour, black gram,horse gram,potato,brinjal, junk food,alcohol,day time sleeping,tea/coffee, sesame,salt,curd,citrus.

3. Avoid chillies and sour food, smoking and alcohol
. Stop irritant drugs, especially pain killers ( except paracetamol)
. Bland diet
. Avoid tea/coffee. If wish to then take with some food,not on empty stomach.
. Have regular meals,avoid period of starvation-take small snacks in between.
. Avoid late night duties,take regular sleep and adequate rest.

4. Try to suck a piece of clove.
. Fresh mint juice.
. Banana,cucumber,water melon are natural antacids.
. Glass of warm water (early morning)
. Coconut water 3-4 times a day
. Suck 10 gm jaggery everyday (after meals) for constant acidity.

5. Best medicine recommended for you is/are:
. Sutashekhra Ras
. Shatavri Mandura
. Patoladi Kwatha.
. XXXXXXX Lauha.

please revert back for further information.

Dr. Munish Sood
Consultant & Physician
Naimittika

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Brief Answer:
Mechanism of action and assessment

Detailed Answer:
Dear
Thanks for reverting back and following is/are explanation:

1. H.pylori prevalence and its positivity is inversely proportional to the duration of maintenence therapy.

2. The maintenance therapy should be taken initially for 6 weeks and then go for endoscopy to know the status of H.pylori (a tissue biopsy can be taken at the same time)

3. You should continue for a duration of 12 months (1 year) which has shown to eradicate H.pylori in 100%cases and decrease the relapse rate of duodenal ulcer by 80%.

4. Sutashekhar ras: 200 mg with water, thrice daily
. Shatavri Mandur : 3 gm after food, thrice daily.
. XXXXXXX lauha: 500 mg ( before,between and after) food with honey and ghee
. Patoladi kwatha: 10 mI in morning.


Dr. Munish
Naimittika

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Brief Answer:
clarification of maintenance therapy

Detailed Answer:
Dear
Thanks for reverting back.

1. second,third,and fourth point are dietary regime which should be incorporated in your lifestyle and to be followed regularly.

PS. Wide range of Options are given to you regarding home remedies which means you can follow any one of them (and by hit and trial method) can find which suits you the most.

2. Maintenance therapy means that continue with the said medicines for 6 weeks along with diet schedule and then go for biopsy.

PS. even if biopsy report show presence of h.pylori continue with the said medicine.for full 1year.

Dr. Munish
Naimittika

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Brief Answer:
Minimising side effects

Detailed Answer:
Dear

Thanks for reverting back.

1. The said medicines will be available on all leading Ayurveda medical store/shops and have proven efficacy.

PS. one might find difficulty in procuring shatavri mandur,if that is the case do let me know directly on bit.ly/drmunishsood for necessary arrangements.

2. Since medicine has effect it will be having adverse effects:

i. As RAS means parad (mercury) thus make sure not to take more than specified dose or on empty stomach otherwise may cause nausea/vomiting.

ii. As MANDUR (iron) is there make sure to take it of a reputed company since general pharmacy usually mix impure iron which damages the kidney.

iii. Take Patoladi kwatha after meals and with equal amount of water.

iv. XXXXXXX lauha causes epigastric burning in.some patients/cases and if that occurs with you omit the same.

Dr. Munish
Naimittika

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