The patient called to consult agonizing and chronic extreme acidity problems. On top of that, the patient had been experiencing very severe headaches very often. He also complained of poor concentration and a burning sensation during defecation. He had been taking allopathic-ayurvedic medicines also but that was not enough to yield any long-term or satisfactory relief. This problem was affecting him very badly and he complained of feeling a sense of choking while swallowing something.
He also complained of a constant dryness in his throat, a repeated urge to drink water to soothe the irritated food tract, he also felt a burning sensation in his chest. Defecating was a very painful experience for the patient. Repeated acid refluxes had also become a serious problem for Mr. Prakash. To overcome the symptoms and in an attempt to control the discomfort, Mr. Prakash habitually took raisins, Triphala powder, and Digene liquid. The patient often had a bloated and tense stomach with mild anal pain due to hardened stool if the problem was left unattended for several days.
Specific History (H/0 Present Illness)
The patient had been suffering for 6-7 years.
Physical/ Systemic Findings
BM – Twice daily, regular, hard consistency,
Appetite – Normal
Urine – Normal if acidity not high,
Gas/Acidity – Present, Urine – Normal if acidity not present,
Sleep – Disturbed if reflux is present,
Mind – Normal, Digestion – Weak
H/0 Past illness /Family HistoryNo specific health issues at the personal and family level were shared.
Medical History
The patient had been taking Allopathic and Ayurvedic medicines.
/>Ayurveda treatment plan for GERD
Samprapti Ghataka- Dosha: Pitta-Vata Dushya: Ras dhatu
Srotas: Anna vaha srotas, Rasa vaha srotas Adhishthan: Amashaya
Nidana: Excessive consumption of dosha aggravating dietary things like sour, pungent, salty things, tea, coffee, lack of water consumption, heavy to digest food, pickle, fried, oily, spicy food intake, fast foods, being short tempered and angry like factors.
Chikitsa Sutra
· Nidana parivarjan – Avoidance of etiological factors in diet and routine that caused disease
· Shaman Chikitsa – Pitta-vata shaman, pachan, anuloman, rechan, rasayan
· Shodhan Chikitsa – Some effective and easy to implement methods were discussed to de done at home
· Sattvavjay Chikitsa – Patient education, expectation management and approach of treatment was shared
Specific Advice on Ayurvedic Remedy for Acidity:
Pathya: Chewing saunf after meals, drinking water, apple, papaya, guava, drinking saunf soaked water were advised to follow.
Apathya: Fried, oily, spicy and heavy foods, things with hot potency, drinking tea-coffee, white flour products, pulses, rajma, urad, brinjal, garlic etc must be avoided.
Modifications/Changes made in prescription during the course, below changed Ayurvedic medicine for Acidity and Indigestion were given as per patient’s feedback:
Outcome
After one month of medication, the patient shared little improvement in some digestive complaints as well as in a headache, chest burning, and throat dryness. But there was no change in the burning sensation after defecation. All these symptoms were recurring if diet restrictions were not followed properly. Gradually, the patient reported a noticeable difference in the burning sensation. In between, garlic intake caused acidity and digestive discomfort.
In May 2018, the patient shared significant recovery in all primary symptoms. The patient reported that once in a while a few of these symptoms recurred due to his negligence in a diet otherwise everything was normal.
Parameters before, during & after Ayurvedic Remedy for Acidity were recorded.
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