Hyperacidity
Hyperacidity, also known as acid dyspepsia, is a condition characterized by excessive secretion of acid in the stomach, causing symptoms such as heartburn, sour belching, chest discomfort, nausea, and epigastric pain. In Ayurveda, it can be correlated with Amlapitta. It may be caused by irregular food habits, stress, and excessive intake of spicy or oily food. Hyperacidity is commonly seen in adults and affects individuals with disturbed digestive fire (Agnidushti).
Patient Name: Mr. RS
Age/ Sex: 40 yrs/ Male
Presenting complaints:
- Epigastric burning and pain since 1.5 years
- Sour belching
- Nausea especially in the morning
H/O Presenting complaints:
A 40-year-old male patient was admitted to our hospital with complaints of burning sensation in the epigastric region, sour belching, and nausea predominantly in the mornings, all persisting for the last 1.5 years. The symptoms aggravated after taking spicy, oily, or irregular meals. The patient had previously taken allopathic antacids, which provided only temporary relief.
Vital Parameters:
BP: 118/78 mmHg Pulse: 76/min
Height: 165 cm Weight: 68 Kg
Ahara: Mixed diet
Vihara: Sedentary lifestyle, occasional late nights
Appetite: Vishamagni
Micturition: Normal
Bowel: Vibandha (Constipated)
Sleep: Disturbed
General Systemic examination:
Gait: Normal GC: Normal CVS: S1S2 heard
CNS: Oriented to time and place
RS: NVBS heard PA: Mild tenderness in epigastric region
Clinical Examination:
Abdominal palpation shows mild tenderness in the epigastric area without rigidity or guarding. No organomegaly.
Dasavidha Pariksha:
Prakruthi: Pitta Vata
Vikrutha Dosha: Pitta
Dushya: Rasa, Rakta, Mamsa
Sara: Rakta Sara
Samhanana: Madhyama
Satva: Madhyama
Aharasakthi:
Abhyavaharanashakthi: Madhyama
Jaranashakthi: Heena
Vyayamasakthi: Alpa
Vaya: Madhyama
Pramana: Madhyama
Ashtavidha Pariksha:
Nadi: Tikshna
Mala: Vibandha
Mutra: Sadharana
Jihwa: Picchila
Sabda: Sadharana
Sparsha: Ushna
Drik: Sadharana
Akruthi: Madhyama
Nidana Panchaka:
Nidana:
Ahara – Ati Teekshna, Ushna, Amla, Rooksha ahara
Vihara – Irregular sleep, mental stress
Purvarupa:
Loss of appetite, occasional sour burping
Rupa:
Epigastric burning, sour eructations, nausea, occasional headache
Upasaya:
Milk, cooling diet, rest
Anupasaya:
Spicy food, late meals, stress
Samprapthi Gataka:
Dosha: Pitta
Dushya: Rasa, Rakta, Mamsa
Agni: Vishamagni → Mandagni
Ama: Present
Srotas: Annavaha
Srotodushti Prakara: Sanga, Vimarga gamana
Sadhyasadhyata: Krichrasadhya
Samprapthi Flow Chart:
Mithya Ahara Vihara
↓
Pitta Dosha Vriddhi
↓
Agnimandya → Ama Nirmiti
↓
Annavaha Srotodushti
↓
Rasa, Rakta dushti
↓
Amlapitta Lakshanas (Burning, Sour belching, Nausea)
Diagnosis: Hyperacidity (Amlapitta)
Treatments given:
15 days of inpatient Panchakarma treatment was administered including internal medications and external therapies.
Treatment included:
- Vamana Karma (as Shodhana Chikitsa)
- Snehapana with medicated ghee
- Mridu virechana
- Shamana aushadhis like Avipattikar Churna, and Dadimashtaka Churna
- Diet modification to include cooling, easily digestible foods
Symptoms | Before Treatment | After Treatment |
Epigastric burning | 8 (VAS) | 1 |
Sour Belching | Frequent | Rare |
Nausea | Moderate | Absent |
After 15 days of inpatient treatment, the patient reported marked relief in symptoms. Advised to continue a prescribed diet plan and Shamana medications for one month along with lifestyle modifications.
