A 43 years old patient came with c/o burning sensation in the epigastric region, hot burps and acid reflux since 2013. It all started after the stress conditions due to house buying / financial problems. It started with feeling of nausea on and off in the morning 6years back. Used to take Nexium (20mg) which made her felt better. She stopped taking after sometime and the symptoms came back very badly. Takes Nexium on and off especially after alcohol and chilli intake as they make pain and burning worse. Also taking slippery elm sometimes. Used to aspirin but worsens gastritis so not taking any more. Used to have a lot of coffee and spicy food.
Diet and lifestyle
Diet Chart-
Pitta Vata Prakruthi
This diet advice should be considered as a guide to help improve your condition. Try and involve the foods favourable more into your daily diet and try and avoid the foods unfavourable as much as possible. But you may find some foods in the favourable list not suiting you occasionally. Avoid them and adjust your diet accordingly.
|
Category |
Often |
In Moderation |
Seldom |
|
Vegetables |
Asparagus, Onion (Cooked), Squash, Leafy Greens, Pumpkin, |
Broccoli, Beets, Spinach, Sweet Potato, Cauliflower, |
Peppers, Corn, Tomato, Eggplant, Mushrooms, Turnips, |
|
Fruits |
Figs (fresh), Pineapple, Dates, Mango, Watermelon, Coconut, |
Lemons, Banana, Limes, Cherries,
Pink Grapefruit, Apples, Strawberries, Pears, Grapes, |
Avocado, Kiwi, Persimmon, Yellow Grapefruit, Cranberries |
|
Grains |
Basmati rice, Wheat, Oats (cooked), Barley, Couscous |
Quinoa, Brown rice (cooked well), Amaranth, Wild Rice |
Rye, Corn, Millet, |
|
Nuts and Seeds |
Coconut, Pepitas (pumpkin seeds), Sunflower seeds, Almonds |
Psyllium, Almonds (with skin), |
Peanuts, all nuts and seeds in large quantities |
|
Meat |
None |
Fish and seafood (esp. white fish), Chicken, Turkey, |
Pork, Beef, Lamb, Kangaroo, Duck & other game birds, |
|
Oils |
Coconut, Olive oil, Sesame |
Avocado, Almond, Canola, Safflower |
Corn, Animal fats/lard |
|
Beans/ Legumes |
Mung |
Tofu and soy products, Kidney beans, Navy beans, Black eyed |
Urud Dhal, Aduki beans, Miso |
|
Dairy |
Ghee, Butter milk |
All Dairy Products |
Yoghurt at night time, Ice-cream, Salted butter, Sour cream |
|
Sweeteners |
Natural Sweetener (barley malt, amasake, brown rice syrup, |
Honey, Jaggery, Molasses, sucanat – whole cane sugar) |
All white sugar and its products, Artificial sweeteners, |
|
Herbs and Spices |
Cardamom, Coriander, Cinnamon, Fennel, Dill, Cumin, Mint, |
Black Pepper, Ginger, Garlic, Bay leaf, Rosemary, Sage, |
Chilli, Mustard, Cloves, Marjoram, |
Advice:
Body Constitution (Prakruti) Type or for Current imbalances (Vikruti) – Combination of Vata and Pitta doshas. Favour diet and lifestyle of these doshas.
- Avoid junk foods, spicy and hot & sour food, meat, frozen foods, acidic food, fried foods, processed and refined foods and foods that have been micro-waved. Avoid hamburgers, milk shakes, bacon and sausage.
- Avoid food with a high fat content, such as fatty fried food, ice cream, heavy meats, and cheese. Eat lighter meals. Avoid known trigger foods.
- Alcohol, aerated and caffeinated drinks like coffee, tea, cola, etc and ice cream are to be avoided. Avoiding cold milk and moderate consumption of milk is recommended.
- Avoid food combinations with different rates of digestion, ie. Heavy and light foods. Some examples are: Fish with dairy; Yoghurt with sour fruits and melons (melons should be eaten on their own); Vegetables with fruit or milk.
- Add the following herbs and spices in your cooking, to aid with digestion: ginger, cumin, turmeric, cinnamon, fennel, celery seeds, and oregano.
- Light exercise like walking, Yoga, pranayama.
- Meditation in the morning and at night if possible. Or whenever comfortable to combat stress. Breathing exercise (pranayama) in the morning so as to manage and reduce stress.
- Avoid too much salt in the food as BP was high during last consult.
- Listen to calming music to destress yourself.
- In the evening, drink two glasses of hot after dinner drink, even if you feel a little nauseous, which means that you are expelling toxins.
- Keep taking slippery elm, vitamin B12 and D supplements. Also take Gut flora care probiotic.
- Drink tender coconut water.
- For Stress Reduction
Nadi Shodhana Pranayama:
Inhale/Exhale
- Close the right nostril with your right thumb and inhale through the left nostril. Do this to the count of 5.
- Immediately close the left nostril with your right ring finger and little finger, and at the same time remove your thumb from the right nostril, and exhale through this nostril. Do this to count of eight. This completes a half round.
- Inhale through the right nostril to the count of four. Close the right nostril with your right thumb and exhale through the left nostril to the count of eight. This completes one full round.
Complete at least four rounds to begin with and gradually increase up to eight to ten once you feel comfortable with the practice.
Recipes-
- 1. Coriander Cumin Fennel Tea (CCF tea)-Great After Dinner Drink
- ¼ tsp coriander seeds
- ¼ tsp cumin seeds
- ¼ tsp fennel seeds
Preparation:
Boil 1.5 cups of water, add seeds to boiled water. Steep for 5 minutes, remove seeds and drink when the temperature is comfortable. OR steep overnight. Seeds can be used in cooking.
Coriander water: Soak 1 Tablespoon coriander seeds in 1L water overnight. Strain and drink the next day. This supports the kidneys, helps to flush the bladder OR chew a few coriander seeds after each meal.
Pitta Spice mix (Churna)
Ingredients:
- 1 tsp. coriander seeds
- 5g (5cm) dried ginger root
- 1 tsp. fennel seeds
- 1 tsp. cumin
- 5g (5cm) cinnamon stick
- 1 tsp. green cardamon capsules
- ½ tsp mustard seeds
- Seeds from two anise stars
- Shredded coconut
- 1 tsp poppy seeds
- 2 Bay leaves
- 1 tsp. turmeric
Preparation:
This combination is especially good for vegetable curries, sauces and soups. Dry roast all ingredients except turmeric in a Teflon-coated pan. Heat the items until they begin to pop and smoke, but do not let them turn black. Grind this mixture with mortar and pestle or in a coffee bean grinder and then add paprika and turmeric.
Herbs
- Shatavari– it increases the mucus secretion i.e. gastric mucosal barrier (kledaka kapha) in the stomach and keeps the pepsin and acid levels stable. Also it has in-vitro antibacterial properties. Rasa- madhur and tikta, pittavata balancing, shita virya helps cure amlapitta.
- Guduchi– Helps to balance kledaka kapha.
- Dadima– Helps to pacify pitta due to its cooling effect.
- Triphala– Helps to balance pachaka pitta, samana and apanavata and kledaka kapha.
- Licorice– Increases gastric mucosal barrier (kledaka kapha)
- Nimba– Due to its shita virya, tikta, Kashaya rasa and balances pitta dosha. Acts on annavaha srotas.
- Bhringaraja– Helps to reduce the amount of acid produced in the stomach.
- Muktashukti bhasma– To neutralise the acidity of stomach.
Case is presented by Dr Lata under supervison of Dr Kumar at Jeeva health. For more information call us 03 9939 9474
