Ask Ayurveda

FREE! Ask Ayurvedic Doctors 24/7

Get expert answers from certified doctors anytime

Fast responses
1000+ verified doctors
/
/
/
Best Remedies for Chronic IBS and Lactose Intolerance
Gastrointestinal Disorders
Question #36358
256 days ago
1,484

Best Remedies for Chronic IBS and Lactose Intolerance - #36358

JHILLY DASGUPTA
$5.85

Which is the best for chronic IBS patients who are lactose intolerant with frequent gastric pain and dyspepsia: brahmi pearls or brahmi ghrita? What kind of dinner or food should one have to minimize gastric symptoms? Any supplement that can be taken after dinner to minimize gastric/IBS symptoms? The patient is already taking vizilac after breakfast and dinner as per doctor's prescription.

Question is closed
Writing an explanation of your symptoms through Ayurveda...
Analyzing through Ayurvedic framework0%

Doctors' responses

Hello Jhilly, I can understand your concern regarding IBS (Irritable Bowel Syndrome) with lactose intolerance but dont worry we are here to help you out😊

✅ Choosing Between Brahmi Pearls vs. Brahmi Ghrita

❌ Brahmi Ghrita – Not suitable in your case, as ghee can worsen lactose-related symptoms and cause bloating or diarrhea.

✅ Brahmi Pearls (Brahmi capsules/tablets) – Safer and more effective for calming the mind and gut, as they don’t contain dairy.

Dose- 1 capsule twice daily after meals with warm water.

Benefit- Reduces stress-related IBS triggers, improves gut-brain connection, relieves anxiety, and enhances digestion gently.

✅ Ideal Dinner Plan for IBS + Lactose Intolerance

Dinner should be light, warm, freshly cooked, and mildly spiced. Avoid cold, heavy, or fermented foods.

✅ Recommended foods:

Soft khichdi (moong dal + rice + ghee substitute like sesame oil) Steamed vegetables (bottle gourd, ridge gourd, pumpkin, ash gourd) Rice gruel (kanji) with a pinch of cumin and ajwain Clear vegetable soup or thin dal soup

½ tsp Hing + cumin roasted in ghee substitute (cold-pressed sesame oil) before meals to reduce gas.

❌ Avoid:

Milk and dairy (including paneer, curd, butter) Wheat-based rotis at night (use rice instead) Raw salads, cabbage, cauliflower, beans Processed foods, sweets, cold drinks

✅ Post-Dinner or Bedtime Remedies to Reduce IBS Symptoms 👉 Bilwadi Churna Dose: ½ tsp with lukewarm water after dinner. Benefit: Reduces mucus, calms intestinal inflammation, and corrects stool consistency.

✅Additional Ayurvedic Recommendations

Take Vizilac as prescribed (supports good gut bacteria).

Practice deep breathing, meditation, or mild yoga daily — IBS often worsens with anxiety. Regular sleep and mealtime rhythm are very important. Warm water throughout the day; avoid cold water.

Wishing you a good health😊

Warm Regards Dr Snehal Vidhate

12035 answered questions
28% best answers
Doctor has prepared a treatment plan for you
Brahmi Pearls - Kerala Ayurveda
Hinguasthak Churna - Zandu
Accepted response

0 replies

Between Brahmi pearls and Brahmi gritha , Brahmi pearls are safer Brahmi gritha contains medicated ghee which I turn is a dairy product And can aggrevate gastric symptoms Prefer light easy to digest foods Moong dal Khichdi plain rice with dal cooked vegetables Eat small portions slowly 2-3 hrs before bedtime

4952 answered questions
37% best answers
Doctor has prepared a treatment plan for you
Brahmi Pearls - Kerala Ayurveda
Accepted response

0 replies

Morning (Empty Stomach)

Kutajghan Vati – 2 tablets with lukewarm water

Jeerakarishta – 15 ml with equal water after breakfast

After Breakfast

Vizilac capsule – 1 capsule

Sutshekhar Ras (Plain) – 1 tablet with honey

Lunch

Diet advice:

Soft-cooked rice + moong dal + lightly cooked vegetables

1 tsp ghee if tolerated

Avoid curd, milk, fried, spicy, or fermented food

Evening (Before Dinner)

Peppermint oil (enteric-coated) – 1 capsule (or Pudina Ark 15 drops in 20 ml water)

After Dinner

Vizilac capsule – 1 capsule

Arogyavardhini Vati – 1 tablet with lukewarm water

At Bedtime

Hingwashtak Churna – 1 teaspoon with warm water (if hyperacidity present, substitute with Avipattikar Churna)

Dietary & Lifestyle Advice

Early dinner before 7:30 PM

Avoid: milk, curd, cheese, raw salads, carbonated drinks, coffee, alcohol

Include: warm, freshly cooked meals; ginger–jeera–hing seasoning

Sip warm water throughout the day

Gentle walk for 10 minutes after meals

Optional Add-ons (if symptoms persist)

Iberogast drops – 20 drops in 20 ml water before meals × 3 daily

Liv.52 DS – 1 tablet twice daily after food

459 answered questions
27% best answers
Doctor has prepared a treatment plan for you
Arogyavardhini Gutika Ras - Dabur
Kutajaghan Vati - Zandu
Sootashekhar Rasa (Plain) - Dhootapapeshwar
+2 more medications
Accepted response

0 replies

Brahmi pearls are more safer than Brahmi ghrita as you mentioned lactose intolerance.

Avoid raw foods. It is better to use cooked ones. Always prefer to eat slight warm food. Early dinner also helps in gastric problems. Keep regular meal time almost before 8:00

1. Hinguvashtaka choornam 1/2 tsp with warm water before food twice a day. Preferably morning and lunch time. 2. Triphala choornam 1/2 tsp at night after food.

Take care, Dr. Shaniba

575 answered questions
32% best answers

0 replies

Dear Jhilly Avoid oily, spicy, processed foods and bakery products. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Cap. Florasante 1-0-1 Tab. StopIBS 1-0-1 TAB. Yashtimadhu 2-0-2 Follow up after 10days

13389 answered questions
39% best answers

0 replies

Hello jhilly Dasgupta as you have mentioned lactose intolerant then Brahmi pearls would be more appropriate choice

Opt for easy digestible foods Lean proteins or fish Avoid raw or cruciferous vegetables that are hard to digest Limit intake of foods like garlic onions beans Since the patient already taking vizilac let her continue as it’s a pre- probiotic

13602 answered questions
29% best answers

0 replies

Take dadimaghirta 1tsp ,and bilwadilehyam 1tsp, Sutashekar ras gold 1tab bd, kutajaganavati 1tab bd enough

16058 answered questions
33% best answers

0 replies

Hi Jhilly, One of most important cause for IBS is stress in about 80% of cases. Other cause is the vitiation of digestive fire within and it hampers the digestion and metabolism. If it is the thing in your case then treatment would be according to that. You need to take oral medications as well as undergo Panchakarma therapy also. For medications take 1. Dadimashtaka churn 1tsp-0-1tsp with Buttermilk before food 2. Kaidaryadi kashayam 20ml-0-20ml with 20ml water after food 3. Brahmi Pearls 1-0-1 after food 4. Manasamitra Vatkam 1-0-1 After food

For Panchakarma procedures- Take Shirodhara with Tila Tail for 10 days (In this medicated oil is poured on forehead in the form of continuous stream for about 40-45 minutes). It relaxes mind and induce calmness.

Avoid outside food, always have home-cooked food. Avoid dairy products, spicy and oil foods.

Regards Dr Gursimran Jeet Singh MD Panchakarma

1945 answered questions
25% best answers

0 replies

Hello Jhilly You can take Brahmi pearls will not irritate your digestive system Avoid wheat and wheat products Have soft khichdi (made of rice and moong dal ) Vegetables like doodhi, french beans, … which are soft and easily digestible with mild spicy if you prefer or else bland diet will be good. Curd rice is also a good choice. Have buttermilk with pinch of asafoetida black salt and roasted jeera powder after lunch daily. Take kamdudharas moti yukta 1-0-1 after food with water.

13659 answered questions
30% best answers

0 replies

HELLO JHILLY,

Irritable bowel syndrome (IBS) is a chronic functional bowel disorder. It causes -frequent abdominal pain or cramps -bloating and gas -irregular bowel habits- alternating loose motion and constipation -discomfort after eating certain foods

Lactose intolerance means the intestine lacks enough lactase enzyme to digest milk sugar (lactose). when lactose-rich food is eaten, it ferments in the gut , producing gas, acidity, pain, and loose stool

So, this combination causes -frequent gas, bloating -abdominal cramps -dyspepsia (indigestion) -intolerane to dairy products -mental stress and fatigue

In Ayurveda , this condition corresponds to “Grahani dosha” , mainly due to Agni dushti (weak digestive fire) and vata-pitta imbalance

ROOT CAUSES -irregular meals, eating late or too fast -spicy, oily, fermented foods -overthinking , anxiety, lack of sleep -excess tea, coffee, junk food

TREATMENT GOALS -strengthen digestive fire -correct grahani -intestinal tone -remove toxins -balance vata and pitta doshas -restore gut flora and calm the mind-gut axis -prevent recurrence

INTERNAL MEDICATIONS

1) BRAHMI PEARLS= 1 cap at bedtime for 3 months =calms the nervous system, reduces anxiety- triggered IBS symptoms, improves sleep, relieves gut tension (Avoid Brahmi ghrita due to lactose intolerance)

2) HINGWASTAKA CHURNA= 1/2 tsp with warm water after meals for 3 months =relieves gas, bloating, abdominal pain; strengthens digestion and regulates vata

3) JEERAKADYARISHTA= 15ml + equal water after meals for 3 months =enhances appetite, relieves dyspepsia, supports proper absorption

4) AROGYAVARDHINI VATI= 1 tab after dinner for 2 months =improves liver function and pitta balance , helps in acid reflux and metabolism

5) VIZILAC CAPSULE= 1 after breakfast and dinner =probiotic to balance gut bacteria and reduce IBS flares

EXTERNAL THERAPIES

1) WARM OIL MASSAGE with Sesame oil 3-4 times/week =calms vata, improves circulation, reduces anxiety and bloating

2) HERBAL PASTE ON NAVEL= with hing + ajwain + warm water during acute bloating = relieves abdominal cramps and gas

DIET -moong dal khichdi -steamed vegetables- bottle gourd, ridge gourd , pumpkin, Carrot -old rice, red rice, small millet -warm water or jeera coriander fennel infused water -light soups= lauki, ash gourd, carrot -small quantity of sesame oil or ghee substitute lactose free - herbal teas = mint, fennel or ginger -pomegranate, ripe banana small , apple boiled or stewed

AVOID -milk, panner, cheese, curd, butter (all lactose sources) -wheat, maida, bakery products at night -cold drinks, ice creams -fried, spicy, or sour foods -Pulses like rajma, chana, urad dal -coffee, excess tea, alcohol - fermented foods like dosa, idli during flare ups

SIMPLE HOME REMEDIES

1) JEERA-SAUNF-AJWAIN WATER =reduces gas, improves digestion- sip warm through day

2) HING AND ROCK SALT PASTE applied around navel in bloating

3) Warm water with 1 tsp aloe vera juice + pinch of cumin powder once daily- soothes acid reflux

4) Triphala powder 1 tsp with warm water at bedtime only if constipation id present

5) Soaked raisins 4-5 days every morning- gentle bowel regulator

LIFESTYLE MODIFICATIONS -Meal habits= eat at fixed times, chew slowly, avoid overeating or log fasting -Sleep= sleep by 10 pm , avoid phone/tv 1 hour before bed -Stress= practice meditation or journaling daily; IBS is highly stress-sensitive -Post meal habit= sit in vajrasana for 10 minutes after meals; aids digestion -Avoid= excess talking during meals, cold drinks, late night eating

YOGA ASANAS -vajrasana= immediately after meals -pawanmuktasana= releases trapped gas - apanasana= improves bowel movement -bhujangasana= strengthens abdomen -shavasana= relaxation

PRANAYAM -Nadi sodhana= balances nervous system -Bhramari= reduces axiety and gut irritability - sheetali/sheetkari= cooling, helpful in pitta- type IBS -deep diaphragmatic breathing- during abdominal pain

IBS is reversible and manageable once digestive fire is restore sand mind is calm The mind gut axis is key- anxiety directly worsens gut symptoms Healing requires consistent diet, regular habits, and stress reduction , not quick medicines Avoid constant switching of medications; stability is essential for gut to heal Overtime, the bowel regains its natural rhythm and lactose intolerance symptoms reduce as the gut strengthens

DURATION OF TREATMENT Initial improvement= 2-4 weeks Digestive stabilization= 3 months

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

13336 answered questions
27% best answers

0 replies

For chronic IBS patients who are lactose intolerant and experience gastric pain, dyspepsia, and bloating, Brahmi Pearls are generally a better choice than Brahmi Ghrita.

Ideal Dinner for IBS with Gastric Sensitivity - Base: Moong dal khichdi (with cumin, ginger, and ghee) - Add-ons: Steamed bottle gourd, ash gourd, or zucchini - Cooling chutney: Mint + coriander + roasted cumin - Avoid: Raw salads, dairy, spicy or sour foods, legumes (except moong), and fermented items Eat by 7 PM, chew slowly, and sit in Vajrasana for 5 minutes post-meal.

Supplements After Dinner (Safe with Vizilac 1.Dadimashtaka Churna 1/2 tsp with warm water before breakfast 2.Takrarishta 5 ml with 15 ml water after dinner

12159 answered questions
27% best answers

0 replies

For chronic IBS patients who are lactose intolerant and experiencing gastric pain and dyspepsia, choosing between Brahmi pearls and Brahmi Ghrita depends on individual digestion and lactose concerns. Brahmi Ghrita is generally made with ghee, which may be tolerable for those with lactose intolerance due to its low lactose content, but still requires cautious use. Brahmi pearls, however, are often in a capsule form which can be easier on digestion for those with intolerances.

Dinner should ideally be light and easy to digest. Opt for cooked vegetables (like zucchini, carrots, or spinach), alongside cooked grains such as rice or quinoa. A simple moong dal khichdi can be soothing and nourishing. Avoid raw salads, heavy legumes, and particularly fried or spicy foods—they can agitate the digestive system.

Post-dinner, you might consider sipping on a cup of warm water mixed with a pinch of roasted fennel or a turmeric pinch, which is known to aid digestion. Herbal teas such as chamomile or ginger can also be calming. Supplements such as Trikatu churna might help improve digestion, but it needs to be taken with care due to its heating properties and consulting with an Ayurvedic practitioner is advised before use.

The continued use of Vizilac is important, as it supports gut health. Pay attention to portion sizes, and try eating at consistent times each day to regulate your digestive fire (agni). Practicing yoga or meditation can also help manage stress, a known aggravator of IBS symptoms. It’s always best to work closely with a healthcare provider to tailor suggestions as per individual needs and conditions.

Don’t hesitate to seek out in-person consultation, especially if new symptoms arise or existing ones worsen, ensuring comprehensive care for sensitive gastrointestinal issues.

13274 answered questions
29% best answers

0 replies

For chronic IBS combined with lactose intolerance, Brahmi pearls may be more suitable than Brahmi ghrita. Brahmi ghrita contains clarified butter, which might not be ideal due to potential lactose sensitvity. Brahmi pearls, having a more concentrated and lactose-free formulation, might be easier on digestion.

For dinner, you might want to focus on a light, easily digestible meal. Opt for khichdi made from moong dal and rice, with a bit of ginger and cumin for improving digestion. Avoid dairy and try plant-based options like almond or coconut milk. Include boiled vegetables like carrots or zucchini, avoiding those known to cause bloating such as cabbage or broccoli.

After dinner, Triphala can be beneficial to regulate digestion and support bowel movements. Take approximately half a teaspoon mixed with warm water or honey. Make sure to consult this with your healthcare provider, as you’re already on Vizilac and there should be no contradicting interactions.

In Siddha-Ayurvedic terms, try practicing deep-breathing exercises or yoga postures that aid in digestion, like Vajrasana. This can balance vata dosha, often aggravated in IBS cases leading to gas and discomfort.

Always consult your Ayurvedic practitioner before making adjustments to your regimen, especially due to chrony symptoms, ensuring a tailored plan for your prakriti and present condition.

10668 answered questions
28% best answers

0 replies

About our doctors

Only qualified ayurvedic doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.


How to treat mucus in stool for IBS after Panchakarma treatment?
How to treat fissures and internal piles when stool is hard and painful?
Can I use Dabur Ampachak Kadha with Triphala tablets for digestion?
What to do for IBS and night pain with urinary burning, hair fall, and left side back pain in the morning?
What dietary changes can help with stomach upset from boiled eggs, fermented soya beans, and moong sprouts?
How to treat Crohn's disease with a special diet for poor digestion and hemorrhoids?
How to treat acid reflux and chest burning every few days with home remedies?
Can I eat banana and papaya together? What to do if I have gas and bloating?
What to do if my bilirubin is still high and urine is yellow after jaundice treatment?
What to do for severe bloating, left side stomach pain, and constipation?
What home remedies can help with difficult swallowing, acid reflux, and dry mouth?
How to treat chronic acidity and weakness in an elderly patient with a history of duodenal ulcer?
What to do for pain after bowel movement and feeling of incomplete evacuation?
How to reduce acidity and heartburn naturally?
How to cure piles caused by long sitting at work?
How to treat persistent stomach pain after years of masturbation?
What to do for excessive gas and heaviness in the stomach after eating?
How to treat loss of appetite and bloating after endoscopy?
How to treat fermentation colitis and early vitiligo with Ayurvedic remedies?
What to do for stomach pain and gas after going to the bathroom twice in the morning?
How to treat sticky stool and digestive issues after 8 months of Ayurvedic treatment?
How to use Kamdudha Ras for acidity issues that cause acid reflux?
How to treat stomach gastritis when acid reflux is not controlled for three years?
Can I take Livosin syrup continuously for 5 months for fatty liver and occasional right side stomach pain?
What to do for chronic constipation and loss of appetite?
How to treat gas, acidity, bloating, and belly fat with high blood pressure and anxiety?
How to treat burning sensation in stomach and mouth after eating for a year?
What alternative tablets can I take for IBD while on cortirowa od, Pankreoaflat, and messacol?
Can I use herbal drugs for chronic gastritis while taking Sucrafil gel and Vonoprazan?
How to treat chronic constipation caused by opiates and holding back during construction work?
How to treat ongoing digestive problems and anxiety in a 40-year-old with Stevens-Johnson Syndrome?
Can I treat multiple gallbladder stones without surgery?
What to do for my 17-year-old son who has stomach cramps and weight gain issues after eating?
How to treat grade 2 internal piles with itching and burning sensation?
How to treat acidity, gas, and constipation that don't improve despite regular prayers?
How to treat lower back pain with leg soreness and bloating in a 46-year-old woman?
Can I take Dabur Ampachak Kadha with Avipattikar and Triphala for burning sensation after bowel movement?
How to treat gastritis caused by H. pylori with cloves?
What to do if I have constipation and blood in stool after lymphadenopathy treatment?
How to use Amlant for treating GERD and acidity - before or after meals?
What to do for constipation and burning sensation in the mouth in a 94-year-old patient?
What to do if I feel bloated, nauseous, and feverish after taking Krishna Ayurvedic digestive juice for three days?
How to treat constant abdominal pain with acidity and heaviness in the stomach?
What to do for bloating, brain fog, and foot bulging with brown coating on tongue?
What to do for stomach discomfort and sour burps after loose motion last month?
Can Mukta Vati cause diarrhea after taking it for several months?
How to treat chronic mouth ulcers and constipation with weak digestion?
How to know if my anal pain and swelling is a fissure or piles?
Is it necessary to take aspirin for GERD treatment, and how does it affect my condition?
What to do for bloating and sour burps after loose motions for a month?
How to improve sleep quality when I have IBS and have tried yoga and meditation?
What causes transparent mucus in stool after bowel movements?
How to treat loose motion and stomach pain after eating for the last three days?
What to do for gas, bloating, and constipation that I've had for 20 years?
How to treat rectal tenesmus after bowel movements?
How to treat ulcerative colitis after steroid tapering with mild mucus in stool?
What to do for rectal pain after bowel movements and breakfast with lower back pain?
How to treat bloating, brain fog, and foot bulging due to Lax hiatus grade 1?
How to treat ulcerative colitis with Ayurveda when experiencing mucus in stool and abdominal cramps?
Can Ayurveda fully treat chronic severe constipation caused by dysnergic defecation type 4?
How to treat chronic constipation with redundant colon when triphala and laxatives aren't working?
What to do for my 15-year-old daughter who has IBS and goes to the toilet 4-5 times a day after eating?
How to treat Crohn's disease and perianal fistula with Ayurveda for infection and digestive issues?
What to do for small bleeding and burning sensation after using the toilet for piles and fissure?
What to do for my 75-year-old parent with stomach bloating, water retention, and loss of appetite?
How to use Ayurvedic remedies for unformed stool and low libido after antibiotics?
Can I use full fat milk for acid reflux while trying to gain weight?
How to treat constipation and incomplete bowel and bladder emptying in a 22-year-old female?
How to treat indigestion and pebble poop stool with Anuloma DS?
How to treat my son's recurrent abdominal pain and inflammation after ultrasound findings of hepatomegaly and cystitis?
What to do for stomach pain, tingling, and leg pain with a heavy feeling?
How to treat throat pressure and hemorrhoids after food poisoning at 24 years old?
What are the Ayurvedic treatments and dietary recommendations for piles and fissures?
How to treat frequent bloating and burning chest after spicy food?
How to treat erosive gastritis and duodenitis with excessive gas and bloating?
What to do if I see blood with stool after kshar sutra treatment for piles?
What causes black stains on my tongue and occasional constipation?
What to do for gas, dizziness, and sweating after eating with low blood pressure and vomiting?
What to do for vomiting, nausea, and acidity during pregnancy at 13 weeks?
What to do for recurring mouth ulcers and stomach burning after eating?
Can I take Patanjali's Mukta Pisti with honey before bed for my duodenal ulcer and stomach pain?
What to do for frequent night bowel movements and back pain due to gas?
How to treat pancreatitis and acidity with Ayurvedic medicine?
Can I take Livcon and Assicon syrup for gastritis and IBS with upper stomach pain?
How to treat severe pain and burning sensation that requires DSR every day for 6 years?
What foods should I avoid for stomach acidity, burning sensation, and acid reflux?
What to do if my stomach is not getting flat despite working out and eating healthy?
What is the best Ayurvedic treatment for chronic gastritis and H. pylori infection with gas and constipation?
What is causing my terrible gas, leg pain, and heavy head with bloating?
How to treat constant bloating and heaviness in the stomach from a sedentary job?
What to do for pain after morning bowel movement and feeling of incomplete evacuation?
What to do for my 60-year-old wife who has weight loss and digestive issues?
What Ayurvedic preparations can help my 82-year-old mother with blood during toilet due to piles and constipation?
How to treat constant hunger and difficulty in digestion in the morning?
What to do for gas issues and breathing problems after eating kala chana?
What to do if I'm experiencing watery stools after taking Mi Sehat tablet daily?
Is daily use of Shudhdhi Churna good for stomach relief?
What to do if I feel weak and have frequent burping throughout the day?
Can I give Mustharishtam to my daughter for constipation and suspected worm infection?
What to do for excessive gas and discomfort near the heart at night?

Doctors for free audio & video consultation

Latest reviews

Avery
3 days ago
This answer was super helpful and put my mind at ease. Appreciated the detailed and practical advice on what to actually try. Feeling more informed! Thumbs up!
This answer was super helpful and put my mind at ease. Appreciated the detailed and practical advice on what to actually try. Feeling more informed! Thumbs up!
Client_0a5cw8
4 days ago
very good, informative, detailed explanation and support is amazing. thanks.
very good, informative, detailed explanation and support is amazing. thanks.
Client_0a5cw8
4 days ago
informative, clear and intelligent. one of the best in ask ayurveda. thank you for all the help.
informative, clear and intelligent. one of the best in ask ayurveda. thank you for all the help.
Robert
9 days ago
Thanks for simplifying things! Your advice was spot on and super helpful for my UC. Feeling more at ease now, appreciate it!
Thanks for simplifying things! Your advice was spot on and super helpful for my UC. Feeling more at ease now, appreciate it!