Ayurvedic treatment for Gastric-peptic ulcer

Gastric-peptic ulcer

Know More on Gastro Intestinal diseases

  • Definition
  • Causes
  • Symptoms
  • Diagnosis
  • Management
  • FAQS
  • References


Gastric-peptic ulcer Ayurvedic treatment


Gastric or Peptic ulcer refers to a lesion or a sore in the inner lining of the stomach wall. This sore may sometimes also develop just above the stomach in the wall of the esophagus- where it is called esophageal ulcer.1

The term ‘Peptic ulcer’ is used for all the ulcers - both gastric/esophageal ulcers and duodenal ulcers.1

The symptoms of peptic ulcer are described well in Ayurvedic texts. Gastric ulcers have been described as Annadrava Shoola (pain of the food) and duodenal ulcers have been described as Parinama Shoola (pain during digestion of food).2

While the pain in Annadrava Shoola does not subside at any time; it has no relation with meal or with lifestyle chances, but is relieved occasionally after vomiting. Parinama Shoola is described as pain occurring during digestion of food. When Vata aggravates due to its causative factors like dry food etc. in its digesting process, it dominates and surrounds the Pitta and Kapha and causes pain. This pain is called Parinama Shoola.2

It is further divided into sub categories based on the imbalance in particular doshas viz. vataja, pittaja and kaphaja types.


Gastric-peptic ulcer


Common causes of peptic ulcers include1 -

  • Long-term use of painkillers
  • An infection with the bacteria Helicobacter pylori (H. pylori)
  • Rare cancerous and/or noncancerous tumors in the stomach, duodenum, or pancreas
  • Sometimes Stress can also cause ulcers in the stomach
  • Due to a surgery or other injuries.
  • High consumption of alcohol and smoking.


Gastric-peptic ulcer


A dull/burning pain in the stomach is the most common symptom of gastric/peptic ulcer.1

This pain can:

  • Usually occur 30 minutes to 1 hour after meals. (after 2-3 hrs of eating in duodenal ulcer)
  • Get aggravated by eating
  • Sometimes be relieved by vomiting

It may often lead to weight loss and a fear of eating foods by the sufferer.1


Gastric-peptic ulcer


Doctors generally ask for a detailed medical history, physical examination, and tests to diagnose an ulcer and its cause. The presence of an ulcer can be determined by viewing directly inside the stomach with endoscopy or an X-ray test.1


Gastric-peptic ulcer


Management includes holistic treatment to avoid symptoms, heal the ulcers and avoid recurrence.   

Diet Recommendations (Aahar)

  • Meals should be had on specific time intervals.
  • Light, bland small meals should be taken
  • Milk and vegetables like Parval (Pointed gourd), lauki (Bottle gourd), asparagus are beneficial
  • Avoid very hot or too spicy and sour foods.
  • Avoid alcohol, soft drinks, tea and coffee
  • Avoid fasting for longer periods of time

Lifestyle changes (Vihar)

· Avoid smoking, staying up late and suppressing your urges.

  • Regularly perform yogasanas to help relieve and prevent peptic ulcers. Some yoga cleansing techniques ( Kunjal Kriya and Shanka Prakshalana) include:

1. Pawanmuktasana (wind-relieving pose):


2. Shavasana (corpse pose):


3. Bh ujangasana (cobra pose):



Gastric-peptic ulcer
  1. What is GERD?

Acid reflux disease - also commonly known as Gastro-esophageal reflux disease (GERD) is condition in which acid from the stomach regurgitates or moves up into the esophagus (gullet).

  1. How are fissures caused?

An anal fissure may occur when due to passing of hard or large stools during a bowel movement. Anal fissures typically cause pain and bleeding with bowel movements. One may experience spasms in the ring of muscle at the end of the anus (anal sphincter).

  1. Can a fissure heal completely?

With appropriate treatment and following of pathya apathya, a fissure can heal completely. Although care should be taken not to be constipated and have high amount of fiber in food.

  1. What is a kshar karma? How is it different from other surgery

Kshar karma is a specialized Ayurvedic surgical procedure that involves minimal blood loss and provides excellent relief in hemorrhoids and fistulas. It involves the applying of a sclerosing agent, such as apamarg kshar snuhi kshar etc.

It differs from conventional surgery as in it does not require anaesthesia, shows minimal blood loss and need not require inpatient admissions.

  1. What are the risk factors of developing bowel incontinence?

A number of factors can increase the risk of developing fecal incontinence. These include:

  • Age: It is more common in middle-aged and older adults.
  • Female gender: Fecal incontinence is slightly more common in women. One reason may be that fecal incontinence can be a complication of childbirth.
  • Nerve damage: People who have long-standing diabetes or multiple sclerosis — conditions that can damage nerves that help control defecation — may be at risk of fecal incontinence.
  • Dementia: Fecal incontinence is often present in late-stage Alzheimer's disease and dementia.
  • Physical disability: Being physically disabled may make it difficult to reach a toilet in time. An injury that caused a physical disability also may cause rectal nerve damage, leading to fecal incontinence. Also, inactivity can lead to constipation, resulting in fecal incontinence.
  1. What exercises can be done to have better control on the motions?

Certain asanas that help strengthen the pelvic floor (muscles around the anal opening) are recommended for better control over the anorectal area. These are -

Utkatasana                   Virabhadrasana                 Ananda Balasana             Shlabhasana


  1. Can celiac disease lead to anything serious?

Untreated, celiac disease can cause the following complications:

  • Malnutrition: The damage to your small intestine means it can't absorb enough nutrients. Malnutrition can lead to anemia and weight loss. In children, malnutrition can cause slow growth and short stature.
  • Calcium loss of calcium and low bone density: Malabsorption of calcium and vitamin D may lead to a softening of the bone (osteomalacia or rickets) in children and a loss of bone density (osteoporosis) in adults.
  • Infertility and miscarriage: Malabsorption of calcium and vitamin D can contribute to reproductive issues.
  • Lactose intolerance: Damage to your small intestine may cause you to experience abdominal pain and diarrhea after eating lactose-containing dairy products, even though they don't contain gluten. Once your intestine has healed, you may be able to tolerate dairy products again. However, some people continue to experience lactose intolerance despite successful management of celiac disease.
  • Cancer: People with celiac disease who don't maintain a gluten-free diet have a greater risk of developing several forms of cancer, including intestinal lymphoma and small bowel cancer.
  • Neurological problems: Some people with celiac disease may develop neurological problems such as seizures or peripheral neuropathy (disease of the nerves that lead to the hands and feet).

In children, celiac disease can also lead to failure to thrive, delayed puberty, weight loss, irritability and dental enamel defects, anemia, arthritis, and epilepsy.

  1. Who gets affected by pancreatitis?

Acute pancreatitis is more common in middle-aged and elderly people, but it can affect people of any age. Men are more likely to develop alcohol-related pancreatitis, while women are more likely to develop it as a result of gallstones.

  1. What are the common causes of developing ulcers in stomach?

Common causes of peptic ulcers include -

  • Long-term use of non steroidal anti-inflammatory drugs (NSAIDs)
  • An infection with the bacteria Helicobacter pylori (H. pylori)
  • Rare cancerous and/or noncancerous tumors in the stomach, duodenum, or pancreas

Addtionally, intake of alcohol and smoking also increase the chances of having a gastric ulcer.

  1. What causes hemorrhoids?

Swelling in the anal or rectal veins causes hemorrhoids. Several factors may cause this swelling, including -

  • Chronic constipation or diarrhea
  • Straining during bowel movements
  • Sitting on the toilet for long periods of time
  • A lack of fiber in the diet

Another cause of hemorrhoids is the weakening of the connective tissue in the rectum and anus that occurs with age.

Pregnancy can cause hemorrhoids by increasing pressure in the abdomen, which may enlarge the veins in the lower rectum and anus. For most women, hemorrhoids caused by pregnancy disappear after childbirth.



Gastric-peptic ulcer
  1. National Institute of Diabetes and Digestive diseases. Definition and Facts for Peptic Ulcer Disease. US Dept of Health & Human Services. Available at https://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/peptic-ulcer/Pages/definition-facts.aspx accessed on Aug 19th 2016.
  2. Gandhi SP and Singh RH. A critical study of the concept of amlapitta and parinamasula. Ancient Science of Life, Vol No. XIII Nos. 1 & 2, July-October 1993, Pages 111 - 118

Disclaimer: The information on this page is not intended to be a substitute for professional medical advice. Do not use this information to diagnose or ayurvedic treatment of gastro-intestinal-diseases and/or gastric/peptic ulcer without consulting the doctor. Consult your physician before beginning an exercise regime. "While we have products /ayurvedic medicines for gastro-intestinal-diseases and/or gastric/peptic ulcer, you must consult an authorized physician before taking any of the products. For more information on products, visit www.dabur.com or call 1800-103-1644"