Patient aged 38yr/f presented with recurrent GERD. What could be the ayush management for this case?

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@Dr. Manisha Gandhi ma'am According to Ayurveda we can correlate GERD with Amlapitta, Which is pittaja vyadhi associated with Kapha and Vata...... We need to start with Pitta Shaman Chikitsa, Anulom Chikitsa and some life style modifications.... First of all Educate the patient about Pathya-Apathya and Nidana Parivarjana.... Then advice her to take swalpahar, Small meal 4-5 time in a day. Advice to identify the pitta vardhak ahar vihar Then advice for Soot Shekhar Rasa 1 tab BD Kamdudha (Mukta Yukta) 1 tab BD Maha Shankh Vati 1 tab BD Amlapitta Mishran (Dhootpapeshwar) 2tsf Before every meal Drakshasava 20ml TID with equal quantity of water Avipattikar Churna 3gm + Lavan Bhaskar Churna 3gm BD with luke warm water Advice to drink adequate quantity of water Advice for Yoga and Pranayam Advice to avoid unnecessary stress, it also responsible for Amlapitta

Thanku Sir.
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Five best homeopathic remedies for the treatment of heartburn, GERD and acid reflux Homeopathy offers a selection of remedies for the treatment of heartburn and painful acid reflux symptoms. Homeopathy works by giving a tiny dose of a remedy whose characteristics are similar to those of the person who needs that remedy. The remedy stimulates the individual's own vital force, or immune system, encouraging the body to heal itself. Nux Vomica One of the main remedies for most digestive complaints is Nux Vomica. The individual may complain of stomach pains of all types including burning, bloating, aching, constipation, nausea, belching and the feeling of stomach digest and acid backing up into the throat. His personality characteristics, which help determine this remedy, are a brusque temperament -- similar to the overworked, high powered business man who is very intense. He or she may be bossy and easy to anger. This individual often eats and drinks alcohol in excess. He desires coffee, spicy food, fatty foods and other stimulants. The person needing Nux vomica is inclined to overdo everything, all of which contribute to his acid reflux symptoms. Arsenicum album The person needing Arsenicum album for acid reflux disease may complain of burning pains felt in the stomach with food backing up into the esophagus. This is accompanied by burning pains all the way up to the throat. There may be severe, watery, burning, yellow diarrhea. Many of the symptoms will feel better while drinking hot drinks like tea, or by applying hot applications, like a heating pad. They may be thirsty for small, frequent sips of cold water, their mental state may be anxious, restless and fearful of being left alone. Phosphorus The patient needing homeopathic phosphorus for heartburn will complain about burning pains felt in the abdomen, bloating and a feeling of fullness accompanied by great thirst for icy cold drinks, which are vomited back up shortly after becoming warm in the stomach. Belching and vomiting of undigested food are characteristic of the person needing phosphorus. The person is mild-mannered, and seeks company and affection. Pulsatilla The person needing pulsatilla complains of feeling the sensation of a hole being burned in their stomach accompanied by flatulence. They may feel over-stuffed after eating and want to loosen their clothing for relief. Their personality is sweet, gentle, whiny and tearful. Others may feel very protective and sympathetic toward them. They are afraid of being alone and desires lots of sympathy. They may have cravings for ice cream, fatty foods, and pastries, which make them feel worse, and aggravate the reflux. Carbo vegetabilis The individual needing carbo vegetabilis has heartburn characterized by belching, bloating, heaviness in the stomach and chest and distress from eating simple, plain foods. The person may have an aversion to foods like meats, milk and fats. A very common characteristic of the individual needing carbo vegetablis, is that they have a great desire for fresh air or for being fanned during attacks. The heartburn creates burning pains extending from the stomach toward the back and the patient experiences temporary relief from these symptoms during belching.

The treatment is based on (a) lifestyle modification and (b) control of gastric acid secretion through medical therapy with antacids or PPIs or surgical treatment with corrective antireflux surgery. Approximately 80% of patients have a recurrent but nonprogressive form of GERD that is controlled with medications. although our homoeopathy treatment is symptomswois. So Some Homoeopathy medicine are very helpful CalcCarb,CarboVeg,MagCarb,NatrumPhos,Robina,Lycopodium,Nux Vomica,only one symptomwies helpful.

@Dr. Manisha Gandhi first stop taking spices food & masalas,cooldrinks, According to unani excess secration of safra it cause regurgitates and burning sensation,vomite.

@@Dr. Manisha Gandhi GASTRO OESOPHAGEAL REFLUX DISEASE....... Advice:---- ●Ba meal x-ray to detect hiatus hernia. ●Upper GI Endoscopy with urease test to detect any oesophageal or gastric SOL and Presence of H.pylori. ●Life style modification. ●Maintain healthy eating habit.Avoid all sorts of rich,spicy,fast food. ●Reduce body weight. ●Homoeopathic medicine *Constitutional medicine. *Robinia Q., Iris vers.Q, Asafoetida Q. in acute condition.

i agree first we have to change aahar vihar pathya apathya must be followed .Amlapitta ko vata jab bara raha toh pehle vat ka shaman karo sath mein pitta ka.Must be aware pitta pangu kaf pangu pangwo maldhatavah vayuna yatra neeyante tatra gachanti meghwat.

---Drink always Lukewarm warm water overnight stored in Clean copper vessel ---Have Thin butter milk prepared with above water ---Sharna Suthashekhar Ras 1 twice daily after food ---Avipattikara Churna. 1tsf twice before food --- Sarasvatarishta with gold 4 tsf with equal water (above water) at 7:00 pm ---Have cleaned , soaked in water , swollen 5 dry draksha with 1 spoon Anise --1/2 spoon dhaniya-1 clove -1 cardamom-1 black pepper , add them together and chew thoroughly at bed time followed by above water. Avoid spicy , junk and hot food.

First avoid sleeping anfter eating food...don't eat acid incuding food like spicy things... Use anti acids like aluminium MG if it's safe...advanced treatment should use in barrets esophagus

RX: 1.Jawarish safrashikam bd 2.jawarish a jalinoos 3.habb a jograj goggal 4.jawarish a raziyana.khamira sandal

Respected sir 3-4 green cadamoms empty stomach in the morning will be very helpful and as said by other dr's too mini many meals a day will be very helpful

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