Chronic digestive issues for 7 years.

Clinical Interpretation Your symptoms are most consistent with: 1. Chronic Functional Dyspepsia – Motility Predominant Type • Weak gastric emptying • Burping that is mostly non-acidic • Upper abdominal tightness • Morning “constriction / sucked-in” feeling • Underweight despite eating well This suggests impaired gastric motility, not hyperacidity. 2. Slow Lower GI Transit / Weak Peristalsis • Difficulty evacuating despite soft stool • Feeling of incomplete emptying • Fits with a low-tone colon (Vata-aggravated Apana function) 3. Underweight due to Poor Absorption + High Basal Metabolism Your body is not absorbing/nourishing well → hence low weight despite eating. 4. Mild acidity + episodic anal itching Acidity is secondary; itching is likely: • minor fungal irritation OR • post-evacuation irritation due to incomplete emptying No alarm signs. ⸻ Management Plan A) Correct Gastric Motility (Main Objective) 1. Prokinetic therapy (evidence-based) These medicines increase gastric movement and reduce burping: • Itopride 50 mg – twice daily before meals • OR Levosulpiride 25 mg – once daily before breakfast Take for 4–6 weeks, then reassess. These are the safest long-term prokinetics. 2. Morning routine to reset gastric motility • 250–300 ml warm water • 5–10 minutes gentle stomach kneading clockwise • Light stretches: cat-camel, cobra pose, child pose Promotes vagal tone and pushes stomach out of spasm. ⸻ B) Improve Lower GI Peristalsis (Apana Vayu balance) Best evidence-based + Ayurveda-safe combined method: 1. Psyllium husk (Isabgol) 1 tsp in warm water at bedtime → Increases bulk, improves peristalsis, reduces itching. 2. Gandharvaharishta 10 ml + warm water at night (optional Ayurvedic option) → Very mild laxative + Vata balancing. 3. Avoid stimulant laxatives (harsh herbs, castor oil) — they worsen Vata long term. ⸻ C) Reduce Morning Constriction / Sucked-in Feeling This is classic Vata-dominant gastric spasm. What helps: • Light food at night • No raw salad, fermented food, or cold drinks at night • ½ tsp hing + ghee in warm water before lunch for 2–3 weeks • Prokinetics as above ⸻ D) Treat Burping Since it is non-acidic, the problem is air trapping + slow movement. Best treatments: • Prokinetics • Smaller, frequent meals • Avoid carbonated drinks, chewing gum, smoking, very fast eating • Warm water with meals (not cold) ⸻ E) Manage Mild Acidity You only need light acid control, not full PPIs. • Famotidine 20 mg at night for 2–3 weeks • Avoid chronic PPI unless you have strong acidity ⸻ F) Anal Itching (likely fungal or moisture-related) • Keep area dry • After bath, apply clotrimazole dusting powder for 7–10 days • Avoid wet wipes and scented soaps ⸻ Weight Gain Strategy (Safe for Dyspepsia) A) Foods that increase weight WITHOUT triggering dyspepsia • Rice + ghee • Khichdi • Banana + peanut butter • Paneer (soft) • Dates + soaked almonds • Daliya with ghee • Eggs • Homemade whey (not packaged supplements) B) Ayurvedic Vata-balancing weight gain foods • Cow ghee 1 tsp twice daily • Milk with turmeric at night • Moong dal • Sweet fruits (mango, banana, chikoo) C) What NOT to eat • Raw vegetables • Fermented/spicy food • Excess salad • Too much coffee • Protein powders (cause gas and worsen dysmotility) ⸻ Supplements (Safe) 1. Digestive Enzyme + Probiotic • Unienzyme or Kapiva Ayurvedic digestive tablet • Probiotic (Saccharomyces boulardii OR Lactobacillus) for 1 month 2. Ashwagandha 250–300 mg / day → Reduces gut anxiety, improves motility, helps weight.

When to Investigate Get these tests IF not done recently: • CBC • LFT • Vitamin B12 • Thyroid profile • USG abdomen • H. pylori test (if acidity is more)

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Increase your fibre intake...then watch your symptoms

Good day to you sir I understand your concern and I am sure this must be distressing causing a hindrance in your day to day activities. However I am really happy with the detailed nature of your history which gives great clarity to the treating physician and helps him know which diagnosis to chase after. I shall try to the best of my abilities to consult you However I would like to ask you two questions so that I can further narrow down towards the diagnosis # Do you have any family history of this problem? And how long have you been suffering from this? # Do you have anal itching aggravated during night time? Chronic dyspepsia and gastric immotility can have a wide range of causes:- Nervous system, Electrolyte imbalance, Generic defects, transporter defects and many more I want you to understand that knowing the root cause and coming up with an appropriate treatment plan for your case is beyond the scope of Q/A forum and urge you to book a one to one consultation with your family physician or any physician you are comfortable with so that an extensive workup (history, investigations) can be done. If you feel I can be of better service to you Feel free to book a one to one consultation via practo app Note: I am sorry for not providing WhatsApp contact henceforth due to issues pertaining to Medico legal protection of both client and the doctor One time consultation fee = Rs 200 Follow up consultation= Rs 100 Hope this advice provides you the much needed insight Wishing you a speedy recovery

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For starters Take albendazole 400 mg tab stat. TB workup is a must in your case. Also after proper workup, you may need studies like barium swallow or UGIE. Consult a doctor asap.

It's too lo g problem. Whether  any day  u think of  lifestyle change n diet plan change drastically first??? Without that  no body will help u n you suffering  continue. For anal itch may be pin worm.  Tab mabex 200 two times a day after food for 3 days. Locally in buthole  apply  lidocaine gel. Two three times. Nexpro RD40 ONE IN EMPTY STOMACH FOR ten days.  Mucain gel10 ml without water nothing by mouth till 30min can be taken 3to4 times. Softovac powder two tsf two times for 20 days.

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Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Do connect and consult