Hello Shweta
"NO NEED TO WORRY "
" I WILL HELP YOU UNDERSTAND RECOVER & MANAGE ANAL FISSURE CONSTIPATION ABDOMINAL PAIN SAFELY EFFECTIVELY "
UR ISSUES
Anal Fissure Constipation Abdominal Pain Traveling Pain Phobia
MEDICAL HISTORY
Urticaria Sensitive Skin High Pitta
PROBABLE CAUSES
High Pitta Agni Digestive Metabolic Imablance Recurrent Constipation Bloating Vit B Deficiency Too Acidic Hot Spicy Salty Sour Masala Fried Oily Fast Juck foods Bakery items Excessive Tea Coffee Pickles Non Veg Lack of Water Fibers intake Prolonged Sittings Travelling Mechanical Injures Stress Anxiety Improper Lifestyle late night sleeps etc
AYURVEDIC APPROCH
* Parikartika ( Anal Fissure ) - High Pitta Rakta Mamsa Vitiation * Vibandha ( Constipation ) - High Vata Pitta Imbalance * Adhman ( Bloating) * High Pitta -( High Heat Sensitive)
HOW DO ANAL FISSURE MANIFESTS
Above Causes —> Agni (Digestive Fire) + High Pitta —>Ajirna ( Indigestion) —> Pitta + Vata Imablance —> Extreme Heat & Dryness ----> Constipation Bloating ----> High Pitta Vata Vitiated Rata Mamsa ---->Anal Fissure
HOW AYURVEDA HELPS U ?
TREATMENT GOAL
* Complete Anal Fissure Recovery * Helpful in Relieving Pain Inflammation Burning and Ease * It Helps to heal the wound completely * Reduces High Pitta Vata * Reduces Pain Burning * It helps Proper Digestion * Improves Gut Motility Imablance * Easy expulsion of Passing Stools * Helps to Relax Spam * Non Recurrence
NOTE - TAKING MEDICINE ONLY IS NOT ENOUGH TO CURE ANAL FISSURE
IN MY CLINICAL PRACTICE I HAVE SEEN BEST PROMISING RESULTS WITH COMBINING FOLLOWING TREATMENT
" Identification & Corrections + Ayurvedic Medicine + Proper Pitta Vata har Diet + Lifestyle Modifications + Physical Activities+ Yoga + Stress Management "
BEST RESULTS ORIENTED AYURVEDIC MEDICINES U MUST TRY ( Anal Fissure Constipation Bloating Gas Motions Clear in 20 Days )
AYURVEDIC MEDICINES
Daily Detox Juice * Aloe Vera Juice 30 ml + Soaked Gond Katira 4 Tsf + Soaked Sabja Seeds 6 Tsf ( Mix All Together) + ½ Liter.Take twice a Day on Empty Stomach Pitta Balance * Tab.Kamdudha Ras Mukta Yukta 2 -0- 2 Before Food Heat Balance * Tab.Prawal Panchamrit Ras Mukta Yukta 1 -0- 1 After Food Bloating Gas * Tab.Gasex ( Himalaya Pharma) 2 -0-2 After Food For Intestinal Heat Digestion Stools Softening Nourishment * Sukumar Ghritam 1 Tsf -0- 1 Tsf Night After Food Preferably with Luke Warm Water For Control High Pitta heat at Intestines * Avipattikar Churna 1 Tsf -0-1 Tsf Night After Food Preferably with 1 Glass of Normal Water For Clearing Bowel * Gandharvhastadi Castor Oil ( SDM Pharma) 1 Tsf Night After Food Preferably with 1 Glass of Luke Warm Water For Anal Fissure Wound healing * Local Application Jatyadi Ghritam + Shatadhouta Ghritam Local Application over Pain & Burning areas For Local Wound Care * Sitz Bath - Neem leaves 30 in Number + Triphala Powder 2 Tsf in water for Sitz Bath
NOTE - Take Intermittently B Complex ( Whole Supplement) for Vit B Deficiency
INSTRUCTIONS MUST TO FOLLOW
* Drink Plenty of Water Fluids Fibers Approximately 3 Liters Per Day * Drink Cold Potency Coconut Water Watermelon juice Gond Katira Muskmelon Juice etc * Take Only Cold Potency Easy to Digestive Foods Alkaline High Fibers Moist * Avoid Too Acidic Hot Spicy Salty Sour Masala Fried Fast Juck Foods Bakery non veg items * 100 Steps Walking After every meal * Eat Chew Food Nicely.Eat With Calm Mind without Distractions like eating and seeing TV * Avoid Overeating Frequent Eating. * Avoid Afternoon Sleep * Light Spices Hing Jeera Ajawain Sounf Mulethi Water Decoction Once Daily * Take 1 Tsf Pure Cow Ghee with ¼ Glass of water Evening * Eat 2 Ripen Bananas at Night * Avoid Excessive Stimulants like Tea Coffee Carbonated Beverages Excessive Sweets Packed Canned Foods * Avoid Stimulants like Spicy Salty Sour Masala Fast Foods Bakery excessive Tea Coffee No Afternoon Sleep * Timely Food Timely Sleep * Avoid Mental Stress Overthinking * Totally Avoid outside foods * Practice Dhyan Meditation Daily * Avoid Straining while Passing Stools * Don’t Hold Stools Urges * Exercises Sun Heat Chemicals Exposure * Avoid Mechanical Injury while Washing Potty * Avoid Scratching on Anal Irritation * Use Soft Cotton Comfortable Undergarments * Use Waterbag Cushions while Driving
DAILY DIET PLAN ( DIET AS MEDICINE TO RECOVER FAST )
NORMAL DIET ( Less Oily, Less Spicy Sour Salty, Well Cooked )
* MORNING DRINK - Aloe Vera + Soaked Gond Katira+ Soaked Sabja seeds + ½ Liter Normal Water Early Morning
* BREAKFAST - Rava Ragi Bajra Oats Items/ Fruits Salads/ Home made Soups Panak Sharabat
* MID MORNING - Coconut Water Watermelon juice Musk Melon Juices
* LUNCH - Ghee Applied Roti ( Non Gluten) Jwar/ Bajara/ Ragi + Leafy Vegetable like Palak Methi+ Green Salad Rayta + Any Sabji+ Fresh Butter Milk with Cream + Rice + Dal
* EVENING DRINK- Lemon Sharabat/Shikanji/ Cocum Panak / Sandalwood Rose Sharabat
* DINNER - Half of Lunch Quantity/ Fruits Salads/ Light Diet
DO’S :- Prefer Cold Potency Alkaline Healthy Nutritious Well Cooked Steamed Light for Digestion All Green leafy vegetables Salads Sprouts Fruits Soaked Dry fruits (Kishmish Khajoor Anjeer) fibers Plenty Of Water Fluids intake Luke Warm Water to Drink Fresh Butter Milk
DON’TS :- Restrict Hot Potency Heavy for digestion Excessive Acidic Salty Sour Spicy Fried Oily Junk food Food Bakery Foods Wheat Maida Udad items Fermented Foods Excess Tea Coffee Avoid Rajma Chole Curd Paneer Cream Pickles Soda Vinegar
LIFESTYLE MODIFICATIONS Rest Good Sleep Lifestyle Physical Activities Timely Food Intakes Sleep Early Wake Early Avoid Sedentary Lifestyle Prolonged Travels Excessive Sun Heat chemicals exposure
YOGA Shitali Pranayam Panvanmuktasan Utkatasna Malasan
EXERCISES Walking Mild Mobility Exercise etc
ANTISTRESS Dhyan Meditation
REGARDS
Dr Arun Desai
God Bless You 😊🙏
If you have any questions u can ask me.I will Answer u to level of your satisfaction.U have Text Option here.
Pathya- eating small meals Drink water after meals Apathya- avoid heavy spicy hot oily food Avoid anxiety stress etc Avoid day sleeping heavy meals at night Avoid supresssion of natural urges
🍀 Avoid hot and spicy foods
🍀 Avoid constipation, curd and oily foods, bakery, maida
🌸 Drink butter milk , goats milk
🌸 Onion , nellika, fibre rich food, sitz bath
Medicines : INTERNAL
1. Chiruvilwadi kashayam 15ml + kankayanam gulika 1 tab with boiled hot water morning and evening before food ( empty stomach)
2. Kaishora gulgulu gulika - 2 - 0 - 2 after food with hot water
3 shaddaranam choornam - 1 tspn with butter milk morning and night before food.
4. Mahathikthakam ghrtam - 10 ml at night after food.
5. Radix tab - 1 twice daily after food
Medicine : EXTERNAL
If you suffering fissure problems like pain , discomforts
1. Anal pichu : shatadhouta ghrtam - apply before and after defecation
2. Triphala choornam put boiled hot water - sitz bath
Check : Hb , RBS
Thank you 😊
Take liv 52 1-0-1 after food with water Avipattikar tablet 1-0-1 after food with water Avoid spicy fried processed junk foods
Thank you for sharing your concerns Your symptoms suggest chronic PITTA -VATA imbalance For relief Take Avipattikara churna-1/2 with water before meals Triphala guggulu-one tablet twice daily after food with warm water Abhaya aristha-4 teaspoon with equal quantity of water twice daily after food If you have of loose stools while travelling then you can take either Tab sporlac Or kutaja than vati -before travelling
Avoid oily, spicy fermented food Avoid stress Stay hydrated Drink buttermilk with roasted cumin powder with pinch of rock salt after meals Do Pranayam Yoga Sanana Can apply JATYADI TAILAM WITH COTTON over the anus/ fissures
HELLO SHWETA
PRIMARY CONCERN-(1 YEAR+) -chronic constipation -gas and bloating -anal fissuring(recurring) -food sensitivity(outside/spicy foods worsen her condition) -fear of travel due to urgency -skin hypersensitivity, urticaria(vata-pitta involvement)
#PROBABLE AYURVEDIC DIAGNOSIS -pakvashayagata vita with pittanubandha -Grahani dosha(chronic gut disturbance) -Bhagandar Poorva Aastha-if fissure is recurrent -vata-pitta prakopa with raktadusti-urticaria, fissure -manasik bhaya/jignaasa- psychosomatic fear of emergency bowel episodes during travel
#TREATMENT PROTOCOL- RESTORATIVE AND MAINTENANCE
1)Avipatikar churna- 1 tsp with warm water after lunch and dinner for 2 months= corrects pitta, reduces acidity, supports bowels
2)Triphala guggulu- 2 tabs after meals for 2 mnths= reduces inflammation, heal fissure
3)Kutajghan vati- 2 tabs before breakfast and dinner- for 2 months= stabilises bowel, prevents bloating
4)Sanjivani vati- 1 tab morning empty stomach-45 days= amapachak, deepan pachan
5)Gulkand+Isabgol= 1 tsp each in milk bedtime- ongoing= fissure soothing, gentle laxative
6)Draksharista+kumaryasava- 10 ml each mixed in water= after meals for 1 month= for gut soothing pitta shaman
#EXTERNAL TREATMENT
-Jatyadi ghrita rectal application- twice daily, especially after defecation -Sitz bath- warm water with triphala decoction daily for 15 minutes -Oil massage using dhanwantaram taila on abdomen, thighs and lower back-3times/week.
#DIET
INCLUDE -moong dal khichdi with ghee -lauki,parwal,tori,pumpkin -steamed rice, whole wheat roti -cow ghee 1 tsp daily -fresh buttermilk with jeera and mint -soaked raisins, figs -herbal tea- fennel, cumin,licorice
AVOID -spicy/oily -brinjal,potatoes -maida,bakery -red chillies, pickles -curd at night -raw sprouts -coffee, carbonated drinks
*FASTING SHOULD BE AVOIDED. EAT SMALL, WARM MEALS EVERY 3-4 HOURS
#LIFESTYLE AND MIND MANAGEMENT
TRATAKA(candle gazing)- daily at night=focus, anxiety relief
NADI SODHANA PRANAYAM- 10 min in morning and evening = balances vata and pitta
BHRAMARI+SHEETALI- 5 min= calms digestive heat
WALKING AFTER MEALS- 20-30 MINS = supports digestion
AVOID SCREEN TIME POST-SUNSET- daily= improves gut-brain axis
FOOT MASSAGE WITH GHEE/OIL- night= calms vata, improves sleep
#SUPPORTIVE ADD-ONS(AS NEEDED)
1)YASTIMADHU TAB- 1 tab daily- for acidity and skin 2)PANCHATIKTA GHRITA GUGGULU- 1 tab daily if fissure inflammation is high 3)SHANKHA VATI- sos for bloating/gas on travel days 4)GANDHARVAHASTADI KASHAYA- 10 ml if constipation is very hard and painful
#YOGA ADVISED- DAILY 30 MIN
WAKE UP(5MIN) -neck shoulder wrist ankle rotations -cat cow pose- 5 slow rounds
-pawanmuktasana- 3 rounds holdfor 30 sec -apanasana- 5 deep breathes per leg -supta matsyendrasana- 30 sec each side -ardha matsyendrasana- 40 sec * 2 sides -malasana- 1 min -vajrsasana+shashankasana- 5 deep breaths -bhujangasana- 5-8 breaths -viparita karani- 5-10 min
PRANAYAM-10 MIN -nadi sodhana- 5-7 rounds -bhramari- 8-10 rounds -mild kapalbhati- 3 rounds* 30 strokes -sheetali/sheetakari- 20 breathes -apana mudra(thumb+middle+ring finger touch)- hold during breathing
#LONG TERM ADVICE -panchakarma suggestion- basti therapy (mantra basti with anuvasana) in clinical setting for 7 days -maintain a fixed sleeping and eating pattern -avoid overthinking and suppression of natural urges -carry gulkand+tripahala powder mix while travelling as emergency aids -train mind and affirmations and controlled exposure therapy to remove travel fear
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR.MAITRI ACHARYA
Certainly understand these concerns. It sounds like you are dealing with a chronic issue of constipation, bloating, and anal fissures, which can be quite uncomfortable and concerning. Let’s look into some Ayurvedic principles that might help you find a sustainable solution.
First, constipation and bloating often indicate Vata dosha imbalance. This could suggest the digestion is not running smoothly, and your Agni (digestive fire) may be deficient. To support better digestion, begin your day with warm water, possibly adding a bit of lemon and honey—this can help stimulate the digestive system gently.
Incorporating foods that are warm, cooked, and oily can help pacify Vata. Avoid cold, raw, and dry foods which are harder to digest. Use spices like cumin, fennel, and ginger in your meals to support digestion and reduce bloating. Meals should be taken at regular, same intervals every day to establish routine and support consistency in digestion.
Fissure issues may derive from the strain during bowel movement. Triphala churn (powder) in warm water before bed can be gentle and effective. It’s key to stay hydrated, ensuring that you’re drinking water throughout the day, but avoid drinking too much during meals.
For dealing with anxieties around eating outside or traveling, Shankhapushpi or Brahmi might be useful as herbal nervous system supporters. They can help alleviate some stress related to these activities. Meditation and pranayama, like Nadi Shodhana, can also be powerful tools to calm the mind and assist with anxiety or fear of emergencies.
However, if the pain from the fissures is significant, or there is persistent bleeding, seeking immediate medical attention with a physician is recommended to prevent further complications. Your safety is always the priority. Maintain the changes consistently, and perhaps with a follow-up consultation, adjustments can be made for ongoing support.
NAMASTE SHWETA JI,
this appears to be chronic pitta-vata aggravated gastrointestinal disorder with associated anxiety and recurrent fissure and urticaria , pointing towards a gut-skin connection and mental stress involvement
ROOT CAUSES -indigestion leading to constipation -pittaja ahar-sevana= spicy, fried, tamsik food -chinta, asamay bhojana, irregular sleep -use of local antibiotic or related purgatives
AYURVEDIC TREATMENT PLANNED FOR YOU
1)TAKRARISTA- 20 ml+40 ml water after lunch and dinner= deepan pachan + grahani + pitta shaman
2)PICHAKARI GUTIKA- 2 tabs after meals= gut healing, fissure, bloating, mucous control
3)DADIMASTAKA CHURNA- 1 tsp with warm water twice daily after food= anti - gas, grahani support
4)SARIVADI VATI- 2 tabs twice daily after meals= for urticaria, pitta rakta sudhi
5)ASHWAGANDHARISTA- 15ml+water at bedtime= anxiety and gut brain axis calming
6)GULKAND+ISABGOL+MILK- 1 tsp+1tsp+1 glass at bedtime= for sooth bowel movement, cooling effect
#EXTERNAL APPLICATION -YASTIMADHU GHRITA- rectal application with cotton swab before bedtime -SPHATIK BHASMA + COCONUT OIL PASTE= apply externally twice daily for fissure soothing and anti inflammatory effect -CASTOR OIL+ERANDAMOOLA DECOCTION= for sit bath -DURING ACUTE FISSURE PAIN- Apply hingwastaka churna+ghee paste externally for soothing
FOR URTICARIA -NEEM TAILA application on rashes -IF SENSITIVE SKIN- sariva+ chandan powder paste with rose water -ITCHING- dusting tankan bhasma+rose powder blend
FOR MIND -BODY CARE -BRAHMI VATI- 1 tab at night= mind+gut calming -SMRITI SAGAR RAS- 125 mg with honey= once in morning(5-7 days course) -TAGAR CHURNA- 250 mg with warm water at bedtime- short course for anxiety
DIET INCLUDE -warm, soft food- khichdi, rice mung dal, mung yusha, larval etc -cow ghee daily -herbal tea- ccf tea-cumin-coriander-fennel -fresh buttermilk -no curd -soaked raisins, soaked almonds -light home cooked meals at fixed times
AVOID -Spicy,fried, fermented foods -bakery items, packaged snacks -curd,cold milk, ice cream -sour fruits like pineapple,orange -tea/coffee on empty stomach -late night meals , irregular eating times -anxiety triggering situation- control through breathing
YOGA AND LIFESTYLE
MILD YOGA- Pawanmuktasana, vajrasana, bhujangasana, anulom-vilom, bhramari, Sheetali -15 min walk after dinner -avoid sitting continuously for more than 45 min
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. HEMANSHU MEHTA
