Apana vata in the intestinal tract is often siphoned upwards through the enteric cycle into the liver and digestive organs. This reversed flow of the apana vata can excessively fan the pachaka pitta in the stomach and irritate the stomach lining. Apana vata can then be pulled upwards from an already aggravated pitta which will need more air to burn the fire. Or, apana vata may rise as a result of nervous system vata stress, wherein the nervous system is under such extreme stress that apana vata is drawn upwards for nervous system support. Along the way the apana would fan the pachaka pitta and leave the seat of vata in the intestines depleted.
Pitta can also be at the root of such a disorder.
Classically, pitta types are the ones who eat fast without awareness and have a very hectic lifestyle. This pitta imbalance will irritate and eventually ulcerate the wall of the stomach. The diagnosis of this condition is made by a combination of signs and symptoms. In vata-conditions, symptoms are associated with a dry throat and mouth, blurred vision, tinnitus, cardiac pain, excessive hunger, and an abnormal taste in the mouth. A pitta-type will have stools that are more liquid and yellow and will probably complain of a chronic burning in the cardiac region and throat.