What is Amlapitta?
Amlapitta is the Ayurvedic diagnostic entity closely corresponding to hyperacidity, gastritis, and gastro-oesophageal reflux disease (GERD). It arises from Pitta dosha aggravation, faulty diet, stress, irregular meals, and constitutional predisposition.
Modern presentations include chronic hyperacidity, reflux and heartburn, chronic gastritis, H. pylori infection, functional dyspepsia, and long-term PPI dependence.
Symptoms
- Burning sensation in the chest or upper abdomen
- Sour or bitter taste in the mouth
- Belching
- Nausea, especially after meals
- Heartburn
- Chronic indigestion
- Bloating
- Sleep disturbance from reflux
Our Approach
Careful Evaluation
Before starting treatment, we assess:
- Duration and severity of symptoms
- Response to modern medication
- Diet, meal patterns, and lifestyle
- Constitutional and dosha assessment
- H. pylori status if not already tested
- Any red flag symptoms requiring endoscopy
Treatment Components
- Ayurvedic internal medication (individualised)
- Dietary correction (fundamental to outcome)
- Meal-timing regulation
- Stress management guidance
- Panchakarma (particularly Virechana) where indicated
- Gradual reduction of PPI dependence under medical supervision
Coordinated Care
For patients on long-term PPI, we coordinate with the prescribing physician for gradual tapering. We do not recommend abrupt stopping of any modern medication.
Realistic Expectations
- Symptomatic improvement often within 2 to 4 weeks
- Meaningful reduction in PPI need typically over 2 to 6 months
- Some patients need periodic short PPI courses even with Ayurvedic management
- Success requires consistent dietary and lifestyle adherence
When to Prioritise Modern Evaluation
Red flag symptoms requiring modern gastroenterology evaluation:
- Difficulty swallowing
- Unexplained weight loss
- Anaemia
- Vomiting blood or coffee-ground vomiting
- Black stools
- Age over 55 with new symptoms
We refer these appropriately.