Hyperacidity(Amlapitta) is one of the most common disease seen in the society. It is seen in all ages, all classes, and all community. Hyperacidity refers to a set of symptoms caused by an imbalance between the acid secreting mechanism of the stomach and proximal intestine and the protective mechanisms that ensure their safety. The stomach normally secretes acid that is essential in the digestive process. When there is excess production of acid in the stomach, it results in the condition known as acidity.
In Ayurveda, acidity is referred to as Amla Pitta. This disorder is caused by an imbalance of Pitta Dosha.
Causative factors –
Diet (Ahara)
- Spicy food habits like eating samosa, burger, pizza, etc.
- Excessive use of chilly, Cinnamon, clove, mustard, garam masala powder (spice mixture), garlic etc. in diet
- Salty and sour foods like chips
- Eating of stale, fermented foods (dosa, uttappa, idli etc. bakery food items).
- Excessive intake of fast food
- Excessive intake of Oily foods, pickles
- Intake of food and beverages in its hot condition like soups
- Excessive intake of tea/coffee.
- Lesser intake of water, dry food
- Irregular meal times
- Repeated food intake (before the digestion of the previously taken food)
- Incompatible food like taking non-veg., pizza followed by milk shake.
- Skipping meals.
- Eating too late at night
Regimens (Vihara)
- Lack of rest, fast moving lifestyle.
- Insufficient sleep at night.
- Sleeping immediately after meals.
- Suppression of natural urges.
- Excessive exposure to sun and fire
Mental factors
- Stressful life style
- Excessive anxiety, worry, jealousy, anger, fear
Other causes-
· Living in anoopadeshai.eassam, Bengal and costal region.
· Sharadritu (Autumn season)
· Addiction ofalcohol, smoking, tobacco chewing
· Prolonged intake of NSAIDS (pain killers)
· Helicobacter pylori infection
All the above factors result in excessive increase of ‘Pitta dosha’ in body and exhibits symptoms of amlapitta.
Symptoms
- Burning in the stomach
- Burning in the throat
- Burning sensation in the chest
- Restlessness
- Belching
- Nausea
- Sour taste
- Indigestion
- Constipation
Signs and symptoms
- Heart &chest burn (retrosternal burning)
- Sour or bitter belching.
- Nausea
- Throat burn
- Regurgitation of food or sour substance
- Vomiting
- Gaseous distention of abdomen
- Heaviness in abdomen
- Indigestion.
- Aversion towards food.
- Pain in abdomen.
- Chest pain.
- Headache.
- Bad breathe.
- Foul smelling loose motions.
- Severe burning sensation over feet, hands
- Thirst
- Mouth ulcer
- Fatigue (especially in legs)
- Tiredness
- Fainting.
- Giddiness.
- Itching all over the body
Complications
If not treated timely or if unwholesome diet, regimen and habits continued, it may lead to
· Gastric Ulcer
· Chronic Gastritis
· Duodenitis
· Irritable Bowel Syndrome
· Mal-absorption
· Anemia
· Peptic Stenosis
Medical management
- Avoid causative factors
- Palliative treatment – As the disease is of Pitta origin, all measures are undertaken to pacify pitta.
- Panchakarma treatment When patient cannot be well managed with oral medications ‘Panchakarma procedures’ like Vamana (emesis) or virechana (purgation) whichever is needed should be administered.
- In chronic cases Asthapanavasti (medicated enema) is indicated.
Do’s and Don’ts
Do’s (Pathya)
- Follow the meal times.
- Light food, Coconut water, articles having cooling properties
- Vegetables like white pumpkin, bitter gourd, matured ash gourd, leafy vegetables except Methi
- Wheat, old rice, barley, green gram, sugar candy, cucumber,
- Fruits like gooseberry, dry grapes, black grapes, sweet lime, pomegranate, fig, dry fig,
- Take adequate amount of fluids like pomogranate juice, lemon juice, amla juice, sweetlime juice, Medicated water with ushir (wala) or coriander seeds, or laja (puffed rice). Warm water.
- Dadimpak (sweet preparation made of pomegranate). Moramla (jam made from amla), gulkand (jam made from rose petals) with milk
- A cup of lukewarm milk after every two or three hours.
- One teaspoonful of ghee with warm milk
- Take adequate sleep & rest
- Practice Yoga, Pranayam, meditation & exercise regularly
Don’ts (Apathya)
- Avoid excessive spicy, sour and salty substances
- Avoid fried and junk food items
- Do not remain hungry. Avoid fast.
- Do not overeat, take small frequent meals
- Avoid untimely and irregular food habit
- Avoid foods containing excess amount of garlic, salt, oil, chillies,etc. very often.
- Avoid rice curd and sour fruits.
- Avoid lying down immediately after food and in supine position. The best recommended position is left lateral
- Avoid, smoking, alcohol, tea, coffee and aspirin type drugs.
- Avoid stress
Home Remedies
· The Infusion of coriander seeds (Dhanyak) taken with sugar twice a day.
· Water obtained from green fruit of Coconut 100-500 ml to be taken twice a day.
· Powder of Amla 3-6 gm BD with water.
· Powder of Shatapuspa (Saunf) (Anethumsowa) with sugar mixed in a glass of water – 20 ml twice daily for 1 week or till the symptom subsides
· Chewing of half a teaspoon of fennel seeds after food
