Don't Ask - What Disease I Have? Ask - Why I Got Disease?
- Madhukar Dama
- Sep 22, 2025
- 10 min read

When we fall sick, the first instinct is to ask: โ๐๐ก๐๐ญ ๐๐ข๐ฌ๐๐๐ฌ๐ do I have?โ
It feels logical. A cough must be an infection. Chest pain must be a heart problem. Headache? Migraine or sinusitis.
So we rush to the doctor, the lab, the scan, the pharmacy. A name is given, a pill prescribed. Everyone feels relieved โ the disease has been identified.
But pause for a moment. Has it really been understood โ or only labelled?
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๐๐ก๐ ๐๐ข๐๐ ๐ง๐จ๐ฌ๐ข๐ฌ ๐๐ซ๐๐ฉ
Diagnosis sounds like knowledge. But often it is only a description of effects, not a discovery of causes.
Diabetes = your blood sugar is chronically high.
Hypertension = your blood pressure is consistently high.
Gastritis = your stomach lining is irritated.
These words name the smoke. They donโt reveal the fire.
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๐๐ก๐ ๐๐ก๐ข๐๐ญ: ๐๐ก๐๐ญ โ ๐๐ก๐ฒ
Instead of asking what disease do I have, ask why did I get this disease?
This shift transforms you from a passive patient into an active investigator of your own life.
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๐๐ก๐ ๐๐จ๐ฐ๐๐ซ ๐จ๐ ๐๐๐ฅ๐-๐๐ง๐ช๐ฎ๐ข๐ซ๐ฒ
Almost all diseases can be traced back to silent, everyday errors:
The food you eat.
The sleep you skip.
The emotions you suppress.
The stress you ignore.
The addictions you normalize.
Individually small, together they build disease.
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๐๐ฆ๐จ๐ญ๐ข๐จ๐ง๐๐ฅ & ๐๐ฌ๐ฒ๐๐ก๐จ๐ฅ๐จ๐ ๐ข๐๐๐ฅ ๐๐จ๐จ๐ญ๐ฌ
The body carries the weight of the mind.
Unresolved anger raises blood pressure.
Loneliness weakens immunity.
Fear disturbs digestion.
Unexpressed grief drains vitality.
Sometimes the disease you see is only the body shouting what the mind has been whispering for years.
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๐๐ฎ๐ฅ๐ญ๐ฎ๐ซ๐๐ฅ ๐๐ง๐ ๐๐จ๐๐ข๐๐ฅ ๐๐จ๐ซ๐ฆ๐ฌ
In India, many errors are disguised as culture.
Overfeeding children with sugar-loaded โhealthโ drinks.
Celebrating festivals with endless fried sweets.
Showing hospitality through overeating.
Glorifying overwork as โdedication.โ
What is normalised in society becomes pathology in the body.
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๐๐๐จ๐ง๐จ๐ฆ๐ข๐ & ๐๐ฒ๐ฌ๐ญ๐๐ฆ๐ข๐ ๐ ๐จ๐ซ๐๐๐ฌ
Our habits are not just personal; they are engineered.
Food companies design addictions with sugar, salt, fat, and โfortification.โ
Pharma thrives not on cures but on lifelong prescriptions.
Doctors are pressured to prescribe instead of prevent.
Media sells fear and miracle cures together.
To ask โwhyโ is also to resist this machinery.
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๐ ๐๐ข๐ฌ๐๐จ๐ฆ ๐๐ ๐ ๐จ๐ซ๐ ๐จ๐ญ
Ancient Indian sciences โ Ayurveda, Siddha, Yoga, Naturopathy โ always asked โwhy.โ
They spoke of imbalance in diet, sleep, emotions, environment. Illness was a signal, not an enemy.
Modern medicine reduced health to diagnosis + pill. The older wisdom still waits to be rediscovered.
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๐๐ฉ๐ข๐ซ๐ข๐ญ๐ฎ๐๐ฅ ๐๐ข๐ฆ๐๐ง๐ฌ๐ข๐จ๐ง
Sometimes disease is not just physical or emotional. It comes when life is lived out of alignment.
When purpose is denied, creativity suffocated, or truth ignored, the body often takes the burden.
Disease, then, is not punishment but teacher.
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๐ ๐๐ซ๐๐๐ญ๐ข๐๐๐ฅ ๐๐๐ฉ: ๐๐ก๐ฒ ๐๐ ๐๐๐ญ ๐๐ข๐ฌ๐๐๐ฌ๐๐ฌ
To make this reflection concrete, here is an exhaustive map of factors that quietly create disease:
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๐ ๐จ๐จ๐ & ๐๐ข๐๐ญ
Eating only for taste, not nourishment.
Ignoring seasonal, local, traditional food practices.
Overeating at weddings/festivals.
Late-night heavy dinners.
Lack of sun exposure.
Popping medicines for minor illnesses instead of resting.
Excess processed foods (maida, sugar, white rice, refined oils).
โHealth drinksโ and fortified junk marketed as nutrition.
Eating wheat (gluten intolerance) and milk (lactose intolerance) when sensitive.
Fast food dependency.
Lack of fruits and vegetables.
Excess sugar and salt.
Insufficient fiber.
Unhealthy fats (trans & refined).
Poor portion control.
Skipping meals.
Not fasting, or fasting wrongly.
Unhealthy snacking.
Sugary beverages.
Too little water.
Overeating or undereating.
Ignoring known allergies or intolerances.
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๐๐ก๐ฒ๐ฌ๐ข๐๐๐ฅ ๐๐๐ญ๐ข๐ฏ๐ข๐ญ๐ฒ
Sedentary lifestyle.
Lack of regular exercise.
Urban design against movement (cars, lifts, desk jobs).
Children with no outdoor play.
Overtraining without rest.
Poor technique.
Lack of variety in exercise.
Ignoring pain signals.
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๐๐ฅ๐๐๐ฉ & ๐๐๐ฌ๐ญ
Lack of sleep.
Irregular sleep patterns.
Night shifts and hustle culture.
Caffeine close to bedtime.
Using screens in bed.
Noise and light pollution.
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๐๐๐ง๐ญ๐๐ฅ & ๐๐ฆ๐จ๐ญ๐ข๐จ๐ง๐๐ฅ ๐๐๐๐ฅ๐ญ๐ก
Chronic stress and anxiety.
No relaxation practice (silence, prayer, meditation).
Poor time management.
Negative thinking, pessimism.
Fear of failure.
Lack of confidence.
Low self-esteem.
Lack of motivation.
Perfectionism.
Procrastination.
Overthinking.
Negative self-talk.
Suppression of emotions (anger, grief, tears).
Comparison and social media addiction.
Lack of self-care.
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๐๐ข๐๐๐ฌ๐ญ๐ฒ๐ฅ๐ & ๐๐๐๐ข๐ญ๐ฌ
Overwork, work-life imbalance.
No hobbies or creative outlets.
Isolation, weak social bonds.
Toxic relationships.
Smoking, alcohol, drug abuse.
Unsafe sexual practices.
Self-medicating.
Blind trust in quick-fix pills.
Neglect of preventive care.
Disconnection from nature.
Chasing prestige and material excess.
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๐ ๐๐จ๐ฅ๐ฅ๐๐๐ญ๐ข๐ฏ๐ ๐๐ก๐ฒ
Many diseases are not just personal but collective:
Polluted air โ asthma.
Pesticides โ cancer.
Sedentary cities โ obesity.
Long commutes โ chronic stress.
When we ask โwhy,โ we must also ask: Why are our environments designed to sicken us?
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๐ ๐๐จ๐ซ๐ ๐จ๐ ๐๐๐ฎ๐ญ๐ข๐จ๐ง
The โwhyโ question should not become guilt.
Yes, we must own our errors. But we must also recognise systemic injustice โ poverty, food corruption, pollution, genetic risks.
Awareness, not blame, opens the path to healing.
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๐ ๐ซ๐จ๐ฆ ๐๐ฐ๐๐ซ๐๐ง๐๐ฌ๐ฌ ๐ญ๐จ ๐๐๐ญ๐ข๐จ๐ง
Awareness is the beginning. Action is the cure.
Fresh, natural food.
Restful sleep.
Daily movement.
Honest emotional expression.
Nature, silence, stillness.
Small corrections, done daily, heal deeper than any pill.
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๐๐๐ญ๐๐ฉ๐ก๐จ๐ซ
Diagnosis is like naming the smoke. Asking โwhyโ reveals the fire.
Disease is the bodyโs protest march. Diagnosis only counts the protestors. Asking โwhyโ uncovers the cause of protest.
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๐๐จ๐ง๐๐ฅ๐ฎ๐ฌ๐ข๐จ๐ง
When you ask ๐ฐ๐ก๐๐ญ ๐๐ข๐ฌ๐๐๐ฌ๐, you get a label.
When you ask ๐ฐ๐ก๐ฒ ๐๐ข๐ฌ๐๐๐ฌ๐, you get the truth.
This shift is not small. It is revolutionary. It saves families from endless pills, unnecessary surgeries, and wasted lives. It restores dignity and responsibility. It turns disease from curse into teacher.
So next time your body speaks through pain, fatigue, or illness โ donโt just ask what. Ask why.
Because the real healer is not the pill, not the label, not the machine. The real healer is you.
---
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๐๐จ๐งโ๐ญ ๐๐ฌ๐ค โ๐๐ก๐๐ญ ๐๐ข๐ฌ๐๐๐ฌ๐ ๐ ๐๐๐ฏ๐?โ โ ๐๐ฌ๐ค โ๐๐ก๐ฒ ๐ ๐๐จ๐ญ ๐๐ข๐ฌ๐๐๐ฌ๐?โ
by Dr. Madhukar Dama
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๐๐ก๐๐ซ๐๐๐ญ๐๐ซ๐ฌ
Madhukar (45) โ Host, off-grid near Yelmadagi. Asthma from age 5 to 20. Every month, multiple hospital visits. Wheezing so severe he often thought he might die in sleep. Doctors gave inhalers, tablets, nebulisers. Nothing cured. At 20, he asked why. He began jogging, gasping, stumbling at first. Within 3 months, asthma reversed. Since then, 25 years, not a single attack.
Ramu (65, Farmer) โ Weathered, strong. Switched from millets to hybrid rice. Suffers arthritis, breathlessness. Believes it is โage.โ
Kamala (55, Homemaker) โ Knows food traditions, but shifted to modern shortcuts. Suffers anaemia, chest heaviness.
Dr. Varma (50, MBBS) โ Modern, rational, authoritative. Treats with tests and pills. Suffers hypertension and borderline diabetes.
Arjun (28, Bengaluru Techie) โ Sleepless, caffeinated, restless. Gastritis, migraines, insomnia.
Shankar (62, Retired Teacher) โ Dutiful, disciplined, diabetic. Resigned to insulin.
Ananda (Monk, 40s) โ Once wealthy businessman. Depression and asthma forced him to leave city. Found healing in silence, fasting, wandering.
Chinnu (10, Neighbourโs Child) โ Innocent, overweight, with cough and cavities. Already labelled โasthmatic.โ
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๐๐ก๐ ๐๐๐ญ๐ญ๐ข๐ง๐
Early morning. The air is cool, dry. Neem leaves whisper. A mat is spread on the ground under a wide neem tree. Brass pot of Simarouba kashaya steams gently. Clay cups are filled, passed around by Sita, Madhukarโs partner. A dog dozes nearby.
This is no casual visit. Madhukar had fixed this date weeks ago. Each participant had been invited. The topic announced in advance:
โDonโt ask โ What disease I have? Ask โ Why I got disease?โ
The group sits. Silence lingers. A rooster crows.
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I. ๐๐ก๐ ๐๐ญ๐จ๐ซ๐ฒ ๐๐ก๐๐ญ ๐๐ฉ๐๐ง๐ฌ
Madhukar: Friends, before we begin, I must tell you why this question matters to me. From age five till twenty, I lived with asthma. My parents rushed me to the hospital several times every month. At night, I would gasp, wheeze, and clutch my chest. I remember thinking โ maybe I will die before morning. Doctors gave names, gave sprays, gave pills. Nothing stopped the attacks.
At twenty, I stopped asking โwhat.โ I asked โwhy.โ Why me? Why always breathless? Why did medicine only silence me for a few hours? I looked inward. I began jogging. First day โ I fell after a few steps, lungs on fire. Next day again. Next week, a little further. In three months โ asthma gone. Since then, twenty-five years, not a single attack.
This is why I called you here. Because all of you have stories too. And today, I want us to ask together โ not what, but why.
(He sips his kashaya. The others exchange glances.)
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II. ๐ ๐ข๐ซ๐ฌ๐ญ ๐๐ข๐ซ๐๐ฅ๐ โ ๐๐ก๐๐ข๐ซ ๐๐๐๐๐ฅ๐ฌ
Madhukar: Tell me, what names have you been given?
Ramu: Arthritis. And asthma. Ointments, inhalers.
Kamala: Anaemia. Iron pills, injections.
Dr. Varma: Hypertension. Pills daily. Diabetes now knocking.
Arjun: Gastritis, insomnia. Antacids, sleeping tablets.
Shankar: Diabetes. Insulin now, for life.
Ananda: Depression, breathlessness. I ran away from the city.
Chinnu: Asthma. I have an inhaler. Blue one.
Madhukar: Good. The system gave you โwhats.โ But why?
(A silence falls. The neem tree rustles.)
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III. ๐๐๐๐จ๐ง๐ ๐๐ข๐ซ๐๐ฅ๐ โ ๐ ๐จ๐จ๐
Madhukar: Ramu, tell me your food story.
Ramu: We ate jowar, pulses, buttermilk. Walked miles daily. Then the market praised rice. Fertiliser promised more. I ate more rice, polished, white. Less work, more belly. Pain came.
Madhukar: Kamala?
Kamala: I stopped grinding flour. Mixer saves time. My daughter drinks health powders โ colourful, sweet. I buy packet oil, packet rice. Greens โ sometimes.
Arjun: Coffee is my breakfast. Pizza, burger for dinner. Midnight snacks. Always fast food.
Shankar: We teachers respected neat lunchboxes. White rice, sugar tea, fried snacks. I too followed.
Madhukar: And now?
Shankar: Now I inject insulin. But still crave jalebi.
Madhukar: So the food shifted from earth to packet, from kitchen to factory. Did anyone ask you why it mattered?
All (quietly): No.
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IV. ๐๐ก๐ข๐ซ๐ ๐๐ข๐ซ๐๐ฅ๐ โ ๐๐ฅ๐๐๐ฉ
Madhukar: Varma, why awake at midnight?
Dr. Varma: Duty. Reports. Calls. Patients. Coffee helps.
Madhukar: And your blood pressure?
Dr. Varma (defensive): It rose. Pills control it.
Arjun: Same. Work late, wake early. No rest.
Shankar: Correcting homework, exams, stress. Sleep late.
Ananda: The body repairs in nightโs silence. You stole its time, so it demands repayment.
Madhukar: When the night is stolen, disease is borrowed.
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V. ๐ ๐จ๐ฎ๐ซ๐ญ๐ก ๐๐ข๐ซ๐๐ฅ๐ โ ๐๐ฆ๐จ๐ญ๐ข๐จ๐ง๐ฌ
Madhukar: Kamala, why hide chest pain?
Kamala: Who will I tell? The house needs me. Hospital is costly. I swallow fear.
Shankar: I too. Fear of failure, of losing respect. I kept silent. My sugar rose.
Dr. Varma: I treat patientsโ fear, but my own? I donโt tell my wife. I am doctor โ pride stops me.
Madhukar: When fear is buried, the body is forced to speak.
---
VI. ๐ ๐ข๐๐ญ๐ก ๐๐ข๐ซ๐๐ฅ๐ โ ๐๐ฎ๐ฅ๐ญ๐ฎ๐ซ๐ & ๐๐ฒ๐ฌ๐ญ๐๐ฆ
Madhukar: Why do we celebrate excess?
Kamala: Festivals mean frying, sweets. To refuse is insult.
Ramu: Weddings mean overeating. People compete in feeding.
Arjun: Offices give pizza, burgers. Culture of convenience.
Dr. Varma: Hospitals give pills quick. Culture of speed.
Ananda: Society worships more, never balance.
Chinnu (munching biscuit): My teacher gives chocolate for homework.
Madhukar: So culture itself is a factory of sickness. And we obeyed.
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VII. ๐๐ข๐ฑ๐ญ๐ก ๐๐ข๐ซ๐๐ฅ๐ โ ๐๐ฉ๐ข๐ซ๐ข๐ญ
Ananda: My lungs collapsed not only from dust, but from life. Depression. Greed. Emptiness. I left. Illness was teacher.
Madhukar: Sometimes disease is body shouting what soul whispers.
Chinnu: Uncle, if I play more and eat laddoo less, will my cough go?
Madhukar (smiles): That is the right why.
---
VIII. ๐๐๐ฏ๐๐ง๐ญ๐ก ๐๐ข๐ซ๐๐ฅ๐ โ ๐๐๐ญ๐ข๐จ๐ง
Madhukar: One small step each.
Ramu: Millet once a day. Walk field myself.
Kamala: Greens daily. Less packet food.
Arjun: Screens off by ten. Carry lunch.
Shankar: Evening walk. Speak fears to wife.
Dr. Varma (hesitant): I will ask patients one question: What do you eat? I will ask myself too.
Ananda: Ten minutes silence before food.
Chinnu: Play outside an hour. Less biscuits.
---
IX. ๐๐ฅ๐จ๐ฌ๐ข๐ง๐
Madhukar: So โ labels told us what. They gave pills. But healing begins when we ask why.
(He lifts his clay cup.)
Madhukar: To asking why โ with honesty, with courage, with kindness.
(They sip. The sun rises. The neem shade shortens. A new day begins, heavier with truth, lighter with possibility.)
---
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๐๐ฌ๐ค ๐๐ก๐ฒ, ๐๐จ๐ญ ๐๐ก๐๐ญ
โ a poem for the report lover
you want the report,
donโt you?
you love the neat paper
the bold black letters:
Fasting: 126
BP: 150/95
Vitamin D: Low
ECG: Normal
the report tells you
๐ฐ๐ก๐๐ญ you have,
and you cling to it
like itโs the last truth on earth.
but listenโ
the report is a polite fraud,
a printed lie of omission.
it names the smoke,
not the fire.
it lists the symptoms,
not the sins.
you hold the report in your hand
and never ask why
the numbers rose,
why the blood thickened,
why the pressure boiled,
why the body cracked.
reports are comforting,
like gods,
like horoscopes,
like government circulars.
they make the unknown
look measured,
as if numbers will save you.
but ask whyโ
and the ground shakes.
ask whyโ
and you see the midnight chips,
the endless cups of chai,
the glowing screens at 2 a.m.,
the silence of swallowed anger,
the way you eat festivals
like punishments,
the way you sit
as if your chair
is a coffin carved early.
ask whyโ
and your report
is naked.
the word diabetes
shrinks into
โtoo much sugar,
too little sweat.โ
the word hypertension
becomes
โtoo much hurry,
too little sleep.โ
the word arthritis
is simply
โtoo many packets,
not enough fields.โ
but you donโt want that,
do you?
you want the comfort of a label.
you want the drama of a diagnosis.
you want to say,
โthe doctor told me itโs this,
not that.โ
you want the big Latin word
to explain away
the little daily errors.
you want the report,
because the report
doesnโt ask you
to change.
it doesnโt shame you
for swallowing stress
like candy.
it doesnโt expose
the 30 years of lies
you fed your own body.
but the whyโ
ah, the why is brutal.
it points the finger
back at you,
back at your kitchen,
your bed,
your habits,
your marriage,
your job,
your choices.
the why whispers
you built this disease
with your own hands.
and you hate that whisper
more than the disease itself.
so you go back to the lab.
again and again.
new reports,
new numbers.
shuffling papers
like tarot cards.
convincing yourself
that the answer
is printed
in Helvetica font.
but the body laughs.
the body doesnโt read reports.
the body keeps score
in pain,
in phlegm,
in sugar,
in pressure.
the body wants you
to look deeper.
the body begs youโ
๐๐ฌ๐ค ๐ฐ๐ก๐ฒ.
ask why the rice lost its husk,
why the oil smells of factories,
why your grandmother fasted
and you only snack.
ask why the fields
now grow poison.
ask why the city
never sleeps.
ask why you never speak
the words stuck in your throat.
ask why,
not what.
itโs harder.
itโs uglier.
itโs not fit for a file.
but itโs the only road
out of this circus.
reports will keep you a customer.
why will make you free.
---
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