Pain in Right Ribs and Digestive Issues - #47835

Piles for take kanchanara Guggulu 1tab bd, arshakutar ras 1tab bd, kaishora Guggulu 1tab bd, swadista virechana churnam 1tsp with lukewarm water,sunarin ointment Externally apply

Dr RC BAMS MS

Hlo,

1. Right rib pain Pain in the right ribs can be from: Muscle strain or injury. Liver or gallbladder issues (especially if it’s upper right abdomen/rib area). Lung problems (less likely if no cough or shortness of breath). Since you also have loss of appetite and fatigue, it’s important not to ignore liver or gallbladder causes.

2. Loss of appetite and low energy Could be related to medication side effects, constipation, or underlying illness. Persistent inability to eat or feeling weak for several days is concerning and requires prompt medical evaluation.

3. Constipation & piles Difficulty passing stools a few times a week can worsen hemorrhoids (piles), especially if straining. This can also contribute to abdominal discomfort, bloating, and fatigue.

⚠️ Red flags that need urgent attention You should seek medical care as soon as possible if you have any of these: Severe or worsening right upper abdominal/rib pain Vomiting, especially if green/yellow or blood-stained Fever, chills, or jaundice (yellowing of eyes/skin) Severe constipation with inability to pass gas or stools for several days Weakness or fatigue that is worsening

Ayurvedic prescription -

1. For Constipation - Triphala Churna (Powder): Dose: 1 teaspoon at bedtime with warm water or honey. Action: Gentle laxative, detoxifies, improves bowel movements. Isabgol (Psyllium husk): Dose: 1 teaspoon in a glass of warm water at night. Action: Softens stool and eases passage. Tip: Drink plenty of warm water throughout the day.

2. For Piles (Hemorrhoids) External application: - Triphala Ghrita or Aloe Vera Gel: Apply gently to the affected area twice daily. Internal support: - Haritaki Powder: ½ teaspoon at bedtime (can be mixed in warm water or ghee) – supports bowel movement and reduces inflammation. Lifestyle tips: Sit in warm water (sitz bath) for 10–15 minutes twice daily. Avoid straining during bowel movements. Eat high-fiber foods like fruits (papaya, pear), vegetables, and whole grains.

3. For Low Appetite & Fatigue - Chyawanprash: 1–2 teaspoons in the morning with warm milk or water. Supports energy, immunity, and digestion. - Trikatu Churna (Ginger, Black Pepper, Long Pepper): Dose: ¼ teaspoon with warm water before meals to stimulate appetite.

4. General Dosha Balance Favor warm, cooked, easy-to-digest foods. Avoid cold, heavy, or processed foods. Gentle oil massage (Abhyanga) with sesame oil can improve circulation and energy.

Tq

Hello, The following will help you to address your issues: 1. Mahadhanvantharam Gulika(kottakkal) 2-----2----2 with cumin tea for 15 days. 2. Dasamoola haritaki lehyam(kottakkal) 1 tablespoon at bed time with a cup of warm water for 30 days.

Diet- 1. Avoid raw food for 30 days 2. Avoid caffeine as first food in the morning 3. Drink at least 2 liters of boiled cooled water a day.

Lifestyle- 1. Let there be a gap of 1 hour at least between dinner and going to bed 2. Start practicing yogsana for 40 minutes a day 3. Walk for 15 to 20 minutes after dinner.

Take care, Kind regards.

PAIN ON THE RIGHT SIDE OF THE RIBS ALONG WITH LOSS OF APPETITE LOW ENERGY AND CONSTIPATION CAN HAPPEN WHEN DIGESTION BECOMES VERY SLUGGISH AND THE ABDOMINAL ORGANS ARE UNDER STRAIN SOMETIMES LIVER GALLBLADDER OR SEVERE GAS AND CONSTIPATION CAN CAUSE THIS KIND OF PAIN AND WHEN STOOLS ARE HARD OR DELAYED PILES PAIN ALSO WORSENS

FIRST IT IS IMPORTANT NOT TO IGNORE RIGHT RIB PAIN IF IT IS SEVERE INCREASING ASSOCIATED WITH FEVER VOMITING YELLOWING OF EYES OR SEVERE WEAKNESS THEN PROPER MEDICAL EVALUATION LIKE ULTRASOUND AND BLOOD TESTS IS NECESSARY TO RULE OUT LIVER OR GALLBLADDER ISSUES

FROM AN AYURVEDIC PERSPECTIVE THIS PICTURE SUGGESTS WEAK DIGESTION DRYNESS AND BLOCKAGE IN THE GUT WHICH IS WHY YOU ARE UNABLE TO EAT FEEL DRAINED AND CANNOT GO TO THE TOILET

FOR CONSTIPATION AND PILES SUPPORT

GANDHARVA HARITAKI CHURNA ONE TEASPOON AT NIGHT IF STOOLS ARE VERY HARD

FOR DIGESTION AND APPETITE HINGVASTAK CHURNA A PINCH WITH WARM WATER BEFORE MEALS JEERAKARISHTA 15 ML TWICE DAILY AFTER FOOD WITH EQUAL WATER

FOR PAIN AND WEAKNESS ASHWAGANDHA CHURNA HALF TEASPOON TWICE DAILY WITH WARM WATER OR MILK IF TOLERATED

DIET SHOULD BE LIGHT WARM AND SOFT RICE GRUEL VEGETABLE SOUP MOONG DAL AVOID SPICY OILY FRIED FOOD COLD FOOD AND BAKERY ITEMS DRINK WARM WATER THROUGH THE DAY

FOR PILES AVOID STRAINING

PLEASE CONTINUE PRESCRIBED MEDICINES BUT IF PAIN PERSISTS BEYOND A FEW DAYS OR APPETITE REMAINS VERY POOR GET PROPER INVESTIGATIONS DONE ALONGSIDE AYURVEDIC SUPPORT SO THAT THE ROOT CAUSE IS NOT MISSED

IF YOU WANT YOU CAN TELL ME THE EXACT MEDICINES YOU ARE TAKING AND THE NATURE OF RIB PAIN DULL SHARP OR BURNING AND I CAN GUIDE YOU MORE PRECISELY

Here is a clear, structured Ayurvedic reply you can directly use for the patient, including prescription + investigations + diet, lifestyle, yoga & home remedies, written in a reassuring clinical tone 👇

🩺 Ayurvedic Assessment

Symptoms suggest Agnimandya, Vata–Pitta imbalance, constipation leading to Arsha (piles), with associated right hypochondriac (right rib) pain. Weak digestion and strain during bowel movements are aggravating factors.

Dashmoolarishta – 15 ml twice daily after meals with equal water

Ashwagandha Churna – 3 g once daily with warm milk or water

Arshkuthar Ras – 1 tablet twice daily after meals

Isabgol Husk – 3 g at night with warm milk

Buttermilk (Takra) – once daily (preferably with roasted jeera)

🔹 Local Application

Aloe vera gel – apply locally on affected piles area every 3–4 hours

Sitz bath with lukewarm water once daily (10–15 minutes)

🧪 Investigations Advised

CBC (Complete Blood Count)

LFT (Liver Function Test)

USG Abdomen

(To rule out liver/gallbladder pathology and anemia)

🥗 Dietary Guidelines

✅ Recommended

Light, warm, freshly cooked food

Moong dal, lauki, tori, pumpkin, spinach

Soft foods: rice gruel, khichdi, vegetable soup

Plenty of warm water throughout the day

Papaya, soaked raisins (5–6 overnight)

❌ Avoid

Spicy, fried, oily food

Bakery items, fast food

Red chilli, excess salt

Tea, coffee, alcohol

Late-night eating

🧘‍♂️ Yoga & Physical Activity

(Do gently, without strain)

Pawanmuktasana

Malasana

Vajrasana (after meals)

Anulom Vilom Pranayama – 10 minutes

Deep breathing – 5 minutes

🛑 Avoid heavy exercise, long sitting, and straining during defecation.

🌿 Home Remedies

Warm water early morning

1 tsp ghee at night if stools are very hard

Sitz bath water may be mixed with a pinch of triphala decoction if available

🧾 Lifestyle Advice

Do not suppress natural urges

Fixed time for bowel movements

Avoid prolonged sitting on the toilet

Adequate sleep & stress reduction

🚨 When to Seek Immediate Care

Severe or increasing right-sided abdominal pain

Blood in stools

Persistent loss of appetite or weakness

Fever or vomiting

1.Triphala churna 1 tsp at bedtime with warm water 2.Avipattikar churna 3/4 tsp twice daily with warm water before meals

🍵 Supportive Home Remedies - Warm water sipping throughout the day. - Buttermilk with roasted jeera powder after meals (excellent for piles and digestion). - Soaked raisins in the morning for gentle bowel movement. - Avoid spicy, fried, and heavy foods until appetite improves.

Warm Regards Dr. Anjali Sehrawat

Follow some simple lifestyle changes and dietary changes and you will see results for your problem.

✔️Do’s✔️ Drink buttermilk daily. Eat freshly cooked food. Drink warm water. Lunch and dinner on fixed timings. 100 steps after every meal. If possible dinner as early as 7-8 pm.

🧘‍♀️ Yogasan : 🧘‍♀️ 1. Pawanmuktasana 2. Bhujangasana 3. Dhanurasana 4. Paschimottanasana 5. Ardha Matsyendrasana 6. Vajrasana 7. Supta Matsyendrasana

🧘‍♀️ Pranayam: 🧘‍♀️ 1. Bhramari 2.Bhasrika 3.Kapalbhati 4.Jyoti Tratak 5. Anulom Vilom

❌Don’ts:❌ Packed and processed food. Ready to eat items. Oily and spicy food. Sour and fermented products. Dals (only moong dal can be eaten) Besan Raw vegetables and sprouts Curd Reduce dairy intake.

💊Medication 💊

Tab. Ampachak Vati 2 tabs twice a day before food. Tab. Laghusuthshekhar Ras 2 tabs twice a day before food. Syp. Abhayarishta 2 tsp with half a cup of warm water before food.

Tab. Shankhavati 2 tabs after food suck and eat

Tab. Gandharva Haritaki Vati 3 tabs at bed time with a cup of hot water

Take kanchanar gugulu 2 bd Take kesor gugulu 2 bd Take triphla 2 bd Take jatyadi ghurth for external apply Sitz bath daily

Medicines Abhayarishta: 30ml mixed with 30ml warm water, twice daily (after food).

Arogyavardhini Vati: 1 tablet twice daily.

Triphala Guggulu: 2 tablets twice daily.

Dietary & Lifestyle Advice (Crucial) Liquid Diet (24 Hours): Since you can’t eat and have no energy, your digestion has stopped. Stop solid food for 24 hours. Drink Mung Dal Soup or Rice Gruel (Kanji) only. This will rest the system and restore energy.

Sitz Bath: Sit in a tub of warm water for 10 minutes before going to the toilet. This relaxes the sphincter and reduces Piles pain.

Avoid: Tea, Coffee, and Spicy food completely.

If your eyes or urine turn Yellow (Jaundice), or if you vomit, please go to a hospital immediately for an Ultrasound, as right rib pain can also indicate a Gallbladder attack.

Regards Dr Gursimran Jeet Singh MD Panchakarma

HELLO,

Your symptoms include -pain in right side of ribs -poor appetite, cannot eat properly -low energy, weakness In whole body -constipation, difficulty passing stools -development of piles

In Ayurveda, this condition mainly involves imbalance of Pitta and Vata dosha -Right rib pain-> this area is related to liver and gallbladder. Excess pitta causes inflammation, burning, pain -Loss of appetite and energy-> digestive fire has become weak -Constipation and piles-> Vata dosha in the colon (apana vata) is disturbed , causing hard stools and pressure on rectal veins -Medicines + poor digestion-> leads to Ama (toxic undigested matter), worsening all symptoms

TREATMENT GOALS -improve digestion -normalize liver function and reduce pitta heat -regulate bowel movement without force -heal piles and prevent recurrence -resotre energy and strength -prevent further complications

INTERNAL MEDICATIONS

1) AVIPATTIKAR CHURNA= 1 tsp at bedtime with warm water for 6 weeks =baalances pitta, improves digestion, releives acidity, liver heat, constipation gently

2) TRIPHALA CHURNA= 1/2 tsp at night with warm water for 6 weeks =softens stool natrually, heals intestines, helpful in piles and chronic constipation

3) AROGAVARDHINI VATI= 1 tab twice daily after meals for 6 weeks =best medicine for liver health, reduces right rib pain, improves appetite and metabolism

4) ABHYARISHTA= 20 ml with equal water after dinner for 6 weeks =corrects apana vata, useful in piles and irregular bowel habis

5) GUDUCHI GHAN VATI= 2 tabs twice daily after meals =liver detox, reduces inflamamtion and fatigue

EXTERNAL TREATMENT

FOR PILES -warm sitz bath 15 min daily -add triphala decoction or plain warm water

LOCAL APPLICATION -Jatyadi taila or piles ointment -apply gently twice daily -helps in pain, burning, healing

DIET -warm, freshly cooked meals -rice, moong dal, khichdi -lauki, tori, carrot, pumpkin -buttermilk with roasted cumin -cow ghee 1-2 tsp/day

AVOID -spic, oily, fried food -tea,coffee,alcohol -bakery, junk food -sour, fermented food -cold drinks, ice cream

EAT SMALL PORTIONS, CHEW WELL, EAT ONLY WHEN HUNGRY

LIFESTYLE CHANGES -fixed meal timings -early dinner before 7:30 pm -light walk after meals -adequate sleep -avoid stress, angry, worry (increases pitta)

Do not suppress urge for stool -avoid sitting long hours contiously

YOGA ASANAS -pawanmuktasana= improves digestio -malasana= helps bowel movement -bhujangasana= liver and digestion -vajrasana after meals 10 min

PRANAYAM -Anulom Vilom= 10 min -Sheetali/sheetkari= for pitta cooling -Bhramari= stress reduction

Avoid kapalbhati initially aggravated piles

HOME REMEDIES -warm water early morning -jeera-dhaniya-saunf decoction twice daily -1 tsp ghee in warm milk at night if stools very hard -soaked raisins 5-6 overnight, eat in morning

EXPECTED IMPROVEMENT TIMELINE -Appetite improves-> 7-10 days -bowel regularity-> 1-2 weeks -piles relief-> 2-4 weeks -energy and strength-> 3-4 weeks

This condition is reversible with proper digestion correction and lifestyle discipline. Ayurveda focuses on root cause healing, not temporary relief. Follow diet, mediicnes, and lifestyle sincerely for lasting results

REMEMBER -Healthy digestion= healthy liver= pain free body

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA