Looking for help for some GI issues - #10198

GERD (8-12 WEEKS treatment) 1) Tab Veloz L 1 tab before breakfast for 2 weeks 2) Mucaine gel 10ml after dinner for 2 weeks

FOR HEMORRHOIDS

1) Tab. Daflon 500 mg – 1 tab twice daily × 10 days, then once daily × 2–4 weeks 2) syrup lactulose 15ml at bedtime if hard stool 3) Anovate ointment Apply inside and outside gently twice daily for 2 weeks

INVESTIGATION NEEDED

1) Upper GI endoscopy

Follow up after 4 weeks Thank you

Despite medication, diet, and exercise, your symptoms suggest refractory GERD and possibly grade III or IV hemorrhoids, which may require advanced interventions. I strongly recommend consulting a gastroenterologist for a complete evaluation including endoscopy, and a proctologist or colorectal surgeon to assess the need for procedural treatment for hemorrhoids

Thank you for clearly sharing your symptoms — it’s clear you’re dealing with chronic GERD and Grade 3 or 4 hemorrhoids, which are not only painful but deeply affect quality of life.

You’ve already tried medication, diet, and exercise — that tells me this needs a deeper reset and possibly surgical intervention for lasting relief.

Let’s Break This Down:

1. GERD (Gastroesophageal Reflux Disease)

Persistent symptoms like:

* Reflux, indigestion, chest tightness * Metallic/bitter taste

This suggests that your lower esophageal sphincter (LES) is weak, and acid is consistently backing up.

2. Hemorrhoids

* Protruding mass that won’t go back likely Grade 3 or 4 internal hemorrhoids * Blood & pain during stool inflammation, tearing, or thrombosis

You need a 2-path approach

A. GERD: Permanent Relief Strategy

Goal: Reduce acid + strengthen LES + heal esophageal lining 1. Strict Food Rules (3–6 months minimum)*

Avoid completely:

*Tea, coffee, citrus fruits, tomato, curd, pickles * Fried/oily/spicy foods * Maida, carbonated drinks, chocolate, mint

Eat:

* Small, frequent meals (every 3–4 hrs) * Soft khichdi, oats, boiled veggies, soup, fruits like papaya/banana

2. Morning Protocol (empty stomach)

* 1 glass lukewarm water + 1 tsp cow ghee * Then after 30 mins: 1 tsp Amla juice+ 1 tsp Aloe vera juice

3. Post-meal

* Chew 1 tsp fennel (saunf)+ misri * Walk 10–15 mins * No lying down for 2 hours after food

4. Night Ritual

* Early dinner (by 7–7:30 PM) * Before bed: Licorice (Mulethi) tea or Slippery Elm powder in water * Sleep with head slightly elevated (2 pillows or a wedge)

5. Medications that work long-term

* Pantoprazole + Levosulpiride(morning, 30 min before food) * Sucralfate syrup before meals (forms a protective layer) * If H. pylori positive → need triple therapy

B. Hemorrhoids: Stop Progression & Shrink Mass

Based on your description, surgery might be needed but first, try 1-2 months of aggressive therapy to see if we can reverse it.

1. Stool Softening = Non-negotiable

* Isabgol + ghee + warm water every night * Or Triphala churna (1 tsp) + ghee * 2.5–3 L water daily minimum * Avoid: spicy, dry, fried food, maida, coffee

2. Soothing + Healing Remedies

*Sitz bath: Sit in warm water with Himalaya Pilex tablet or ointment twice daily * Apply Pilex ointment or jatyadi taila after bowel movement * Witch hazel pads or coconut oil + camphor for external relief

3. Supplements *Pilex tablets (2 tabs after meals) – Ayurvedic, safe and effective * Horse chestnut extract– improves vein tone * Daflon (Micronized flavonoids)– prescribed in chronic piles

When to Consider Surgery

* If the protruding mass is permanent, bleeding daily, or painful * Surgery

* DGHAL or Stapled Hemorrhoidopexy (less painful, fast recovery) * Laser hemorrhoidectomy(highly effective, minimal downtime)

Get evaluated by a colorectal surgeon. If it’s Grade 4, surgery may be the only real relief.

😟 Emotional Symptoms (Loss of hope, interest)

These issues cause gut-brain disconnect, low nutrient absorption, fatigue, and mild depression.Once digestion and hemorrhoids are under control, your mood will improve.

Also consider:

* Ashwagandha or Brahmi for energy and mood (natural, safe) * Vitamin B12 + Vitamin D test– often deficient with GERD