AyuCafe - Live chat Amlapitta(Acidity)

Views shared by several Ayurveda professionals and non-Ayurveda people in discussion group:

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All views shared here are only for knowledge. This information doesn’t have any scientific validation. Various doctors and non-medicos have shared their views and experiences in this discussion. Please do not try any of the suggestions described here, without prior consult from your regular, qualified doctor. Dr. Prerak Shah and no other person is responsible for any unwanted effects, side effects or contra-indications in your health. Thank you.

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AyuCafe - Live chat

Topic of discussion is Amlapitta(Acidity)

Atri Ghosh: Sankha vati lilabhilas maha sankha bati which is useful for amla pitta and in which condition

Ayulink: Basically I would go for Guduchi and Shatavari for the treatment, instead of using ras-bhasma

Dr. Chirag Dobariya: In which form?

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Ayulink: Guduchi satva and shatavari kshir pak

Dr. Sandeep Sharma: Amlapitta,hyper acidity is one of the cause of Vertigo...I saw number of patients having vertigo due to Amlapitta..

Dr. Jigar Joshi: M also, But in my experience sutshekhar also good effective

Dr. Madhura Phadtare: If stress is root cause for amlapitta then  what should be choice of drug ?

Neelamben Chudasma: Apple cider vinegar ( mother)  that’s work for acidity.

Atri Ghosh: bt which is the drug of choice

Dr. Sandeep Sharma: Satavari

Dr Pankaj Joshi: Amalki rasayan + Sutshekhar ras

Vd.Rahul Doke: We usually start with Kamdudha moutik on empty stomach & then follow it with Suvarna Sutshekhar Ras with honey....

Atri Ghosh: and in which sutasekar ras sanka vati and lila vilas shold be given

Croatia Branko Markovic: Renewing mucosal lining as we’ll sever acidity: amalaki+yashtimadhu.

Dr Anzil Eramangalath: Nitya vivechanam  will be Good for Urdhanwanga Amlapitta

Dr. Sachin Bali: Laghu sutshekhar

Neelamben Chudasma: If is root is stress than can we use ashvgandha and for acidity Shatavari

Dr Sandeep Madaan: Vidagdhajirna and amlapitta need to be differentiated. Again urdhva, adho amlapitta. Then discuss the treatment

Dr Anzil Eramangalath: Virechanam

Vd. Ekta D. Patel: Avipatikar churna & kamdudha before meal with ghrit also giving good result.

Ayulink: basic cause of amlapitta must be discussed and then one can decide the line of treatment...this is fundamental rule, but most of the time, we are substituting allopath - modern anta-acids for the fast response. And for that matter I have known many ayu doctors use kamdudha ras and avippatikar churna

Atri Ghosh: how to differentiate

Vd. Sachin Kadlag: Urdhwaga amlapitta choice of drug = praval panchamruta

Adhoga amlapitta = kamdudha

Tiryaka amlapitta = Sutshekara

Dr. Chirag Dobariya: Amlapit and stress is leading cause of BPPV ...I   prefare suvarn sootshekhar and prawal panchamrut

Dr. Sachin Bali: 8pm?

Ayulink: V. Good point doctor. Please elaborate more.

Dr Anzil Eramangalath: Decreased Agni

Vd. Shrinidhi: amlapitta as per meaning in vachaspathya

अम्लपित्त =अम्लाय पित्तम् . रोगभेदे यत्र भुक्तं सर्व्वं  ;

 वस्तुमात्रं पित्तदोषेणाम्लरसतां नीयते तस्मिन् रोगभेदे .

 Here derangement in pitta dosha in turn it will lead to sourness

So my approach would be to prevent further derangement of pitta by  preventing the factors which is causing it and to expell the deranged product out of body

Here to Begin with in literature we find urdwaga and ado amla pitta where in different treatment has to be planned

Usna jala pana is always preferred

Ayulink: we are more familiar with  urdhvag amlapitta, what about adhog amlapitta?

Vd. Sachin Kadlag: In acute or acute over chronic and severe condition for fast control .....after that proper shamana and shodhana according to condition of patient and disease

Atri Ghosh: what is adho gata amla pitta

Dr Jayesh Patel: Satavari ghrut is for urdhvag amlpitt with guduchi satv

Vd. Sachin Kadlag: Guduchi ananata shatavari kshirapaka in krusha patient , with good agni , and niraama pitta

Croatia Branko Markovic: Urdhva Amla Pitta (fire) (Acidity in upper abdomen). Kapha (water) associated with ama (undigested food) is the main cause in this type. One may have vomiting of greenish yellow color and acidic in taste, belching of the taste of food taken, heart burning, burning sensation in soles and feet, anorexia, fever, skin rashes and itching may occur. Adhog Amla Pitta (fire) (Acidity or burning in lower abdomen). Pitta (fire) associated with ama (undigested food) is the main dosha (humor) in this case. One may have burning sensation during defecation, thirst, vertigo, passing slur (unformed stool) of greenish or blackish color, nausea, urticaria, indigestion, sweating and yellowish color of the body.

Vd. Sachin Kadlag: Adhoga amlapitta is mostly kshaar dominant

Dr. Vivek D. Shah: Udumbar fal rasa is very good for hyperclorhaldia...

Dr.Krishna: here due to ajeerana nd adhyashana mainly in amla pitta the sneha usha nd drava guna of pitta increaes ..in case of urdhvaga samana udana vayu afects nd same condition if samna appana gets afects it may cause adoghata..its my opinion

Vd. Shrinidhi: Yasti madhu churna (2 gm) with honey gives good result in amlapitta

Vd. Sachin Kadlag: In tiryaka amlapitta , shirashula is always associated

Dr. Sandeep Sharma: Sir,is there any relations between Amlapitta and sheet pitta..

Ayulink: This is very rare condition. Please let us know more about this

Atri Ghosh: tiryak amlapitta means

Dr Anzil Eramangalath: I think, Virudha ahara is also a cause of amlapitta....., what is others opnion

Dr Jayesh Patel: Sometime we missed diagnosis whether it is amlpitt ot not.....

Vd. Sachin Kadlag: Yashtimadhu churna is always necessary and useful for burning anywhere  in whole GI tract

Ayulink: Both are having pitta disturbance. May be amlapitta can increase the condition of Shitpitta.

Dr. Sandeep Sharma: Is Amlapitta one cause of shitapitaa..??

Croatia Branko Markovic: Quite often can be associated with emotion or mind set as inpatients, anger, nervousness..this is my observation with such people..

Vd. Sachin Kadlag: Tiryaka amlapitta is nothing but Koshta --shakha gati of amlapitta..... due to more apathya sevan

Dr Anzil Eramangalath: If we take Ushna aharam along with Sheetha aharam(juice or anything) it will reduce the Agni.... It may result in Amlapitta

Atri Ghosh: what is the clinical feature

Dr. Arvind Shahane: I have used tab locid of Dr vashishth for udar dah

Croatia Branko Markovic: Best and quickest acting food in this case?

Vd. Sachin Kadlag: amlapitta when goes into shakha but shita rutu , and less heat than along with vata is seen more in shotapitta

Ayulink: Milk and rice

Vd. Kalpesh Makvana: For Sam pitta Laghusut shekhar pr sutshekhar ras, Bhunimbadi kadha And  Niram pitta Kamdudha ras, Udumbar avleh

Ayulink: or ghee

Dr. Sandeep Sharma: I think we have available shatrokta medicine  rather then other drugs

Croatia Branko Markovic: Fresh dates are also good choice

Dr.Krishna: in my experience in use to give avipatti churna with butter milk nd sariva churna with water

Dr Anzil Eramangalath: Dried Ginger and suger candy just before food is effective in amlapitta

Atri Ghosh: it is tell in agni mandya

Vd. Sachin Kadlag: This happens  in chronic amlapitta patient who doesn't follow pathya or hetusevan is continued... then there are other symptoms than regular mainly Shirashula , manyashula , netradaha , hastapadatala aushnya

Ayulink: water with Ushir (Vertiverra zizanioides) is the best remedy for pitta aggravation

Dr. Nehal Shah: Gulkand is also useful

Vd. Sachin Kadlag: Pitta only ushna guna increased than ushir , ananta are  useful

Dr.Krishna: in some pts have nidra vega dharana and ends in amlapitta there shirodhara along kamadugha mukta i use to give..

Ayulink: Is it common to have amlapitta in people having night duty jobs?

Vd. Sachin Kadlag: Dadimaavaleha is useful in children and in patients who have taste problem

Dr Anzil Eramangalath: I also have same experience, Nidra Vega Dharana

Ayulink: I think the food habit - particularly dessert - having sweet food in the last of meal - is the cause of amlapitta.

Vd. Shrinidhi: I use jeerakadyarista in condition's associated with admana and atopa with shoola 20 ml t.i.d with equal quantity of water after meals within 30 min we get appreciation

Dr. Jigar Joshi: Yes.. this is seen practically

Vd. Sachin Kadlag: yes , in night duty and even more in shift duty pattern job patients as food timings , sleeping time , bowel habits are also altered /disturbed on rotation

Croatia Branko Markovic: In eu it is more do to red meat and alcohol..if not that the like Prerak Ji says a lot of sweets in any form..

Vd. Ahmed Savani: *Vidagdha Ajeerna* : There will be acidity, burning sensation in chest, sour belching only due to taking vidagdha meal. (What pt complaints that acidity occur only if consume more punget and sour foods.) While in *Amlapitta*, Amla Guna of Pachak Pitta has got increased due to *Samata* (Clinically patient will complain that acidity remains also when he takes normal light meal or no meal!!) Agreed what are the practical & the most common clinical cause for Amlapitta you experience clinically or in your opinion prevalent more!

Vd. Hardik bhatt: Yes sir, night shift is injerious to health and it disturbs body clock

Vd. Sachin Kadlag: Amlapitta is also shows different presentations in chronic alcoholic patients

Dr. Nehal Shah: I have seen a patient who has started acidity after having milk, or banana,

Vd. Hardik bhatt: That are the symptoms of vidagdhajirna

Ayulink: food habits and irregular life style is the main thing to correct. Black grapes or raisins are also good to eat for instant result

Dr. Nehal Shah: Avipattikar tab or churna and shankhvati gives good results also

Vd. Hardik bhatt: There is a difference that  after eating banana acidity dexreases and vidagdhajirna increases

Ayulink: cloves are also best

Vd. Hardik bhatt: Avipatikarchurn .. main content is cloves.

Vd Ashish Kumar: साम अम्लपित्त की चिकित्सा अलग है और निराम की अलग।

Dr. Jigar Joshi: Which is an imp ingredient of Avipattikar

Dr. Misbah suhana: Raisins can be given as as virechena

Vd. Sachin Kadlag: Virechan is useful in  recurrent adhoga amlapitta

Vd. Kalpesh Makvana: Sarkara

Ayulink: any ghee as shamana sneha is good option

Vd. Hardik bhatt: Black raisins are very useful than others

Ayulink: Does milk really works in acidity?

Dr. Misbah suhana: Followed by kamadugdha, and avuoattukara and laghu suta shekara

Dr. Misbah suhana: Milk with gulkgand bot at room temperature

Ayulink: for me brahmi + ashwagandha + shatavari + Guduchi combination to control stress

Dr. Misbah suhana: Cows milk

Vd. Hardik bhatt: Kushmand is very useful for pitta .. and aaragvadh for pitta virechana

Nimish Oza: સ્વાદિષ્ટ  વિરેચન  ચૂર્ણ  પણ  સારું  કામ  કરે  છેં

Dr. jagveer singh : Amlapitta ke lia yog

Ayulink: kushmand avaleh is known for it. finally mukta pishti, praval pishti are good but they are costly.

Vd. Hardik bhatt: Gulkand is very good formula for sensitive peoole

Ayulink: Mukta bhasma  oor pishti are good but I always doubt for the quality

Nimish Oza: Shankh  bhasma  + amalaki  mix

Dr. jagveer singh: 1.soothsekhar ras125mg, Praval pisti125mg, Avipttikr churna 1gm mukta pisti 100mg. 1×3dose with honey

Ayulink: one more very common ingredient is soda bicarb or sodium bicarbonate or sarjika kshar

Neelamben Chudasma: For acidity we can use rose water too , it’s work

Dr. jagveer singh: Bhoonimbadi khada 20.ml.bd with 20ml.water

Dr. Arvind Shahane: Shatpatryadi churna

Ayulink: Is there any role of bitter taste to control acidity?

Nimish Oza: Triphala  powder

Vd. Ahmed Savani: What is the differential diagnosis you follow for these types of Amlapitta, How to differentiate first? Agreed, bcoz the viruddha ahara leads to the formation of *Aama* which is associated with the Amlapitta!!

Vd. Sachin Kadlag: I got mixed results

Vd. Ahmed Savani: True it occurs, bcoz it is hard to digest, classical milk is considered as complete meal in itself. Above of all, want to share that consuming milk with bananas (which is more prevalent this days as pre or post workout diet and in some community) is *Viruddha Ahara* and lead to *Ama formation* (which I strongly believe have strong association with Allergies, Auto-immune disorders & infections). I was able to pinpoint this combination more prevalent while taking history in several patients suffering from Allergy!!

Dr. Arvind Shahane: ASFA Pharma Kalyan vatak have good result

Vd. Ahmed Savani: Personal experience & on recommending several patient. Taking cold milk + Isabgol (evening or at bed time) also give a good results!!

Dr. Nehal Shah: Stressful life is also a reason for acidity nowadays.

Neelamben Chudasma: Takhmaria and Sarkara and dry black grape

Ayulink: kalyan vatak is mainly produced with black grapes and haritaki. I am still looking for some more details on adog amlapitta....and tiryak amlapitta. Any clinical relations and informaiton is welcome

Vd. Hardik bhatt: Isabgul is only for stool bulke I think

Vd. Ahmed Savani: Yes this also give instant relief Khavano Soda!

Dr. Arvind Shahane: Yes sir Reference for kalyan vatak  Shushrut sanhita  Vidagdhajirn chikitsa have mentioned

Ayulink: chest burning and sour burps are the main symptoms to call someone is having acidity....are there any more symptoms for us to check in practice?

let me put in other way, is there any other symptoms to diagnose amlapitta?

Does anybody uses Neem svaras to control acidity?

Dr. Nehal Shah: Headache, bitter Vomiting

Vd. Sachin Kadlag: Classical symptom is feeling better after vomiting. but not possible to vomit easily

23046: Today's lifestyle  stress anxiety   suppression of desires ,  all lead to poor digestion. Results in amlpitt. Sutsekhar ras   , satptradi churn arogyavardhini  give good results

Vd. Hardik bhatt: Due to bitter taste need leaves swaras  passifies pitta...

Dr Anzil Eramangalath: In urdhwanga Amlapitta, Cough will be there...., And Constipation also...., Gas problems to

Neelamben Chudasma: I had one patient, when he close his eyes for meditation than he start continue Khata Odkar so it’s acidity right?

Vd. Hardik bhatt: I says that ajirna or vidagdhajirn

Vd. Sachin Kadlag: Moravala is the best choice in stress induced amlapitta in young patient

Ayulink: to differentiate between amlapitta acidity and ajirna is not easy.

Vd Ashish Kumar: क्या सिर्फ दवाओं से ठीक हो जाएगा अम्लपित्त?? या पहले रोग का कारण अवस्था देखना होगी?

Dr Anzil Eramangalath: Vamana and virechana can be done...

Ayulink: thats true...we have discussed a lot today earlier......first thing is first..to find out the cause

Vd Ashish Kumar: हर दवा अच्छी है पर कब कौन सी औषधि उपयोग करना है इस पर चर्चा करने से लाभ होगा

Dr.Krishna: usually in my practices if pt  burning sensation while passing ,watry foul smell  sticky ness of stools usualy i diagnoses as adogha amlapitta

Vd. Sachin Kadlag: ajerrna should be labeled usually in acute conditions  , amlapitta is always chronic or acute over chronic.

Dr. Jigar Joshi: I also have seen symptoms exaggerated by trifala.

23846: Do Gall bladder polyp can cause frequent acidity?

Ayulink: do you mean triphala increases acidity ?

Dr.Chattwani: Do milk help to relieve symptoms of Amal pitta ?

Dr.Krishna: in samatva milk wont help...

Vd Ashish Kumar: त्रिफ़ला किस फॉर्म में दिया,अगर लिक्विड दिया होगा या अनुपान सही नही होगा तब बढ़ सकता है।

Vd. Hardik bhatt: Foul smell, heaviness in abdomen, pain, .. I use sunthi churn with warm water and it helps..

23846: When I use Avipattikar churna, I have burning sensation at my fissure and piles causes bleeding

Vd Ashish Kumar: सिर्फ अविपत्तिकर नही होगा,अन्य दवा भी ली होंगी सर

Ayulink: Many vyapad and other pathology can cause acidity- symptom. But when we are discussing for amlapitta, we have to be careful for it

Dr.Krishna: but in yeshti kshera sadyo vamana wil help

23846: Only Avipattikar churna I have used and stopped and again started to confirm

Vd Ashish Kumar: आम अवस्था मे शुंठी गुणकारी है

Vd. Sachin Kadlag: Avipattikar does induce burning in some patients , specially in ruksha patients

Dr.Krishna: avipaktichurna with butter milk wil work good

Vd. Sachin Kadlag: Solution is to use avipattikar  with yashtimadhu or with ghee

Ayulink: actually buttermilk should not work on acidity...as curd or yogurt is not good for acidity...

Croatia Branko Markovic: While laying in the bed in the evening on the back, acidity is coming to mouth.

Vd Ashish Kumar: दही से और बढ़ेगा अम्लपित्त,छाछ मिश्री के साथ उपयोग कर सकते है अगर द्रव गुण से अम्लपित्त न हुआ हो।

Vd. Sachin Kadlag: yes ,  only butter (नवनीत ) can be used with avipattikar

Vd Ashish Kumar: अति अम्बु पान से भी अम्लपित्त होगा।

23846: I get instant relief if I take Rantac or Eno but not with any of the ayurvedic medicine

Dr. Chirag C. Chauhan: Is there any ras aushadhi cause Acidity Any specific

75500: As per my clinical experience. Classical Vaman is best . Then sadyovaman and lastly luke sallty water inake in kapha kala and then forcely vomit. I think no need of medicine also

Dr. Pulkit Baxi: " KASHAY TIKT MADHURAH PITT MANYE TU KURVATE" Use aahar of KASHAY tikt madhur rashatmak

Dr. Sushant Patil: Lifestyle and regime play important role

Dr.Krishna: rantac is wont give relef ..it just inhibits the proton pump of intestine cells

Dr. Pulkit Baxi: ALL IS ABOUT TO CONTROL OVER SECRATION ND EFFECT OF ---HCL

"Mukta" is also one which control pittj dushti

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Compiled by - Dr. Dhruti Kagrana