Ask Ayurveda

FREE! Ask Ayurvedic Doctors 24/7

Get expert answers from certified doctors anytime

Fast responses
1000+ verified doctors
/
/
/
Severe Right Iliac Abdomen Pain and Bowel Issues
Gastrointestinal Disorders
Question #48139
157 days ago
1,176

Severe Right Iliac Abdomen Pain and Bowel Issues - #48139

Client_3766fd
$3.51

I have severe right iliac abdomen pain since 2 years afterdefecation it reduces and my bowel is constipated anddiarrhoea reflux happensonce inweek

How would you describe the severity of your abdominal pain?:

- Severe

What is your usual bowel movement pattern?:

- Alternating between constipation and diarrhea

Have you made any dietary changes in the last 2 years?:

- Yes, minor changes
Question is closed
Writing an explanation of your symptoms through Ayurveda...
Analyzing through Ayurvedic framework0%

Doctors' responses

Namaste Thanks for opening up and sharing your symptoms so clearly. Living with sharp pain in your right lower abdomen for two years—plus the constant flip between constipation and diarrhea—sounds really exhausting. But dont worry we are here to help you out 😊

What’s Going On?

From a modern medical point of view, what you’re describing matches up with a functional bowel disorder.

Most likely, it’s Irritable Bowel Syndrome (IBS), mixed type. Other possibilities include an ileo-cecal spasm, leftover gut sensitivity from past inflammation, or chronic issues with how your colon moves things along.

But since your pain sticks to the right iliac area and has dragged on so long, it’s important to make sure nothing else is going on—like chronic appendicitis, inflammation around the ileo-cecal region, food intolerance, or an imbalance of gut bacteria. If no one’s checked for these yet, it’s worth ruling them out.

AYURVEDIC UNDERSTANDING

From an Ayurvedic perspective, your symptoms connect closely to Grahani Roga and Pakvashaya-gata Vata, which point to a Vata–Pitta imbalance.

Here’s why: Your pain eases after you go to the bathroom (classic Vata), and your bowels swing between being blocked and loose (shows your digestive fire—Agni—isn’t steady). That reflux you feel once a week? Pitta’s involved too.

What’s Causing This?

At the root, your digestive fire is weak and unpredictable. Toxins (Ama) are probably building up. Vata’s getting stirred up in your large intestine, which leads to those sharp, spasmodic pains and your bowel habits bouncing all over the place.

Just treating the pain won’t fix this. We need to work on strengthening your digestion (Agni) and calming down Vata.

Ayurvedic Treatment Plan

INTERNAL MEDICATION (Shamana) These are gentle on Your gut and not habit-forming.

- Bilva Avaleha: 1 tsp after meals, twice daily with lukewarm water. It helps regulate your bowels—whether you’re constipated or have diarrhea.

- Hingvashtaka Churna: ½ tsp before meals, twice daily with warm water or ghee. Great for gas, spasms, and that right-sided pain.

- Kutajarishta: 15 ml with equal water after lunch and dinner. Helps control diarrhea and strengthens your intestines.

- Avipattikar Churna: ½ tsp at bedtime. Eases reflux and keeps Pitta in check without stirring up Vata.

Panchakarma Therapy (Highly Recommended)

If you’re still struggling after trying medicines, Panchakarma can help—especially Matra Basti or Anuvasana Basti using Dashamoola Taila or Sahacharadi Taila.

This approach works wonders for stubborn right iliac pain and unpredictable bowels. It’s one of the best therapies for the kind of Vata imbalance you have.

DIET PLAN This Matters Most

Avoid: - Raw salads - Bakery stuff - Cold food and drinks - Tea, coffee - Spicy, fried, or fermented foods - Eating at random times

Instead, stick with: - Warm, freshly cooked meals - Rice gruel, moong dal - Buttermilk with roasted jeera - A little ghee - Cooked veggies like bottle gourd, ridge gourd, or carrot

Eat at the same times every day—your gut craves routine.

LIFESTYLE

- Don’t hold in natural urges - Aim to sleep by 10:30 pm - Try gentle walks after eating - Practice Pawanmuktasana, sit in Vajrasana for 10 minutes after meals, and do Anulom Vilom pranayama

Check These Out (if you haven’t already) If you haven’t done them yet, these tests can help rule out other causes: - Abdominal ultrasound - Colonoscopy (if your doctor advises) - Stool exam - CBC, CRP blood tests

This kind of problem responds really well to Ayurvedic treatment, and you can get lasting relief if you stay consistent. Don’t try to self-medicate or keep switching treatments.

Warm regards, Dr Snehal Vidhate

12035 answered questions
28% best answers
Accepted response

0 replies

SEVERE RIGHT ILIAC ABDOMINAL PAIN THAT HAS BEEN PRESENT FOR TWO YEARS AND RELIEVES AFTER DEFECATION ALONG WITH ALTERNATING CONSTIPATION AND DIARRHOEA AND OCCASIONAL REFLUX IS A VERY CLASSIC PATTERN AND IT IS IMPORTANT TO UNDERSTAND THIS PROPERLY RATHER THAN TREATING IT AS SEPARATE SYMPTOMS

THE FACT THAT THE PAIN REDUCES AFTER PASSING STOOL STRONGLY INDICATES THAT THIS IS A FUNCTIONAL BOWEL DISORDER RATHER THAN A STRUCTURAL EMERGENCY IN MOST CASES IT POINTS TOWARDS A CHRONIC COLON DYSFUNCTION WHERE GAS STOOL AND SPASM ACCUMULATE IN THE RIGHT LOWER ABDOMEN AND CREATE INTENSE PAIN WHICH TEMPORARILY RELIEVES ON EMPTYING

WHEN BOWELS ALTERNATE BETWEEN CONSTIPATION AND DIARRHOEA IT MEANS THE DIGESTIVE SYSTEM HAS LOST ITS RHYTHM SOMETIMES IT HOLDS STOOL TOO LONG MAKING IT HARD AND PAINFUL AND at other times it pushes contents out suddenly causing loose motions THIS IRREGULARITY ITSELF CREATES PAIN GAS BLOATING AND REFLUX

FROM AN AYURVEDIC UNDERSTANDING THIS PATTERN IS SEEN WHEN THE DIGESTIVE FIRE IS UNSTABLE NOT WEAK AND NOT STRONG BUT IRREGULAR THIS LEADS TO INCOMPLETE DIGESTION FORMATION OF TOXIC RESIDUE AND ABNORMAL MOVEMENT OF GAS IN THE INTESTINES THE RIGHT ILIAC REGION IS A COMMON SITE WHERE SUCH PAIN GETS TRAPPED

REFLUX OCCURRING ONCE A WEEK SHOWS THAT THE PROBLEM IS NOT LIMITED TO THE LOWER GUT THE ENTIRE DIGESTIVE TRACT IS UNDER STRESS WHEN THE LOWER BOWEL IS IRRITATED IT OFTEN PUSHES PRESSURE UPWARDS RESULTING IN ACIDITY AND BURNING

MINOR DIETARY CHANGES ALONE ARE USUALLY NOT ENOUGH IN A CONDITION THAT HAS BEEN PRESENT FOR TWO YEARS THE BOWEL HAS LEARNT A WRONG PATTERN AND NEEDS GENTLE BUT CONSISTENT RETRAINING

THE MOST IMPORTANT STEP IS TO REGULARISE STOOL WITHOUT FORCING IT STRONG LAXATIVES OR FREQUENT PURGING MAKES THIS CONDITION WORSE OVER TIME

TRIPHALA IS USEFUL BUT IN SUCH CASES IT SHOULD BE USED CAREFULLY HALF TEASPOON AT NIGHT WITH WARM WATER IS USUALLY SUFFICIENT IF TAKEN DAILY IN HIGH DOSES IT CAN CAUSE DIARRHOEA AND INCREASE COLON IRRITATION

DIET MUST BE VERY SIMPLE AND PREDICTABLE AVOID RAW VEGETABLES SALADS SPROUTS FERMENTED FOODS BAKERY ITEMS EXCESS FRUIT AND MILK AT NIGHT EAT WARM COOKED MEALS AT FIXED TIMES DO NOT MIX TOO MANY ITEMS IN ONE MEAL RICE KHICHDI STEWED VEGETABLES MOONG DAL AND SOUPS ARE BEST AVOID TEA COFFEE CHOCOLATE AND VERY SPICY OR SOUR FOOD AS THESE TRIGGER BOTH PAIN AND REFLUX

VERY IMPORTANT DO NOT DRINK LARGE QUANTITIES OF WATER WITH MEALS SIP ONLY TOO MUCH WATER DILUTES DIGESTION AND INCREASES BLOATING

CHEW FOOD SLOWLY EAT IN A CALM STATE AND NEVER IGNORE THE URGE TO PASS STOOL HOLDING STOOL IS A MAJOR CAUSE OF RIGHT ILIAC PAIN

GENTLE WALKING AFTER MEALS IS GOOD BUT AVOID STRONG CORE EXERCISES OR INTENSE YOGA WHEN PAIN IS ACTIVE PRANAYAM SHOULD BE CALM AND SLOW NOT FORCEFUL

THIS TYPE OF CONDITION IMPROVES SLOWLY OVER WEEKS NOT DAYS THE GOAL IS NOT TO STOP DIARRHOEA ONE DAY AND CONSTIPATION THE NEXT BUT TO TRAIN THE BOWEL TO PASS SOFT FORMED STOOL DAILY WITHOUT STRAINING

IF PAIN IS SEVERE AND HAS BEEN PRESENT FOR TWO YEARS IT IS ALSO IMPORTANT THAT BASIC INVESTIGATIONS HAVE BEEN DONE TO RULE OUT CONDITIONS LIKE CHRONIC APPENDICULAR IRRITATION INFLAMMATORY BOWEL CONDITIONS OR STRUCTURAL ISSUES IF THESE HAVE ALREADY BEEN RULED OUT THEN FUNCTIONAL BOWEL MANAGEMENT IS THE RIGHT DIRECTION

WITH CONSISTENT DIETARY DISCIPLINE GENTLE REGULARISATION OF STOOL AND CALM DAILY ROUTINE MANY PEOPLE WITH THIS EXACT PATTERN DO EXPERIENCE SIGNIFICANT REDUCTION IN PAIN BLOATING AND REFLUX OVER TIME THE KEY IS PATIENCE AND AVOIDING OVER TREATMENT

13602 answered questions
29% best answers
Doctor has prepared a treatment plan for you
Triphala Churna - Baidyanath
Accepted response

0 replies

1.Kutajghan vati 1 tab twice daily with water after meals 2.Mustakrishta 20 ml with 20 ml water twice daily after meals 3.Triphala churna 1 tsp at bedtime with warm water

🧘‍♀️ Diet & Lifestyle:

✅ Include: - Warm, freshly cooked meals (khichdi, moong dal, lauki, pomegranate) - Jeera-ajwain-saunf decoction after meals - Buttermilk with roasted jeera and rock salt (midday) - Ghee in small amounts to lubricate intestines

❌ Avoid: - Cold, dry, fried, or fermented foods - Milk, curd at night, raw salads - Long gaps between meals - Late nights and irregular eating

🧘‍♂️ Yoga & Pranayama: - Vajrasana after meals - Pawanmuktasana, Apanasana for gas and pain - Anulom Vilom, Bhramari for gut-brain balance

Warm Regards DR. ANJALI SEHRAWAT

12159 answered questions
27% best answers
Doctor has prepared a treatment plan for you
Sitaram Mustharishtam - Sitaram Ayurveda
Kutajghan Bati - Baidyanath
Triphala Churna - Dabur
Accepted response

0 replies

Go for USG ABDOMEN And take anuloman ds 1tab bd Abhayarista 20ml bd enough

16058 answered questions
33% best answers

0 replies

Hello, Please take the following along with the diet and lifestyle changes as listed below: Medicines: 1. Vayu Gulika 2----2----2 with cumin tea after each meal for 60 days. 2. Gandharvahastadi kashayam 15ml----0----15ml 45 minutes before breakfast and 45 minutes after dinner by adding 45 ml of boiled cooled water. for 15 days 3. Gandharvahastadi erandam 5ml with medicine no.2 45 minutes after dinner. for a5 days 4. Sukumara Rasayanam(vaidyaratnam) One teaspoon with warm water at bed time for 60 days.

Diet- 1. Freshly cooked warm food 2. Avoid raw food, processed food, out side food, deep fried food completely. 3. Drink 2 liters of boiled warm water a day. 4. Increase the vegetables and fruits in your diet 5. If you are a non vegetarian avoid for 60 days.

Lifestyle: 1. Moderate exercise everyday for 45 minutes to one hour 2. Avoid late night dinner;let there be a gap of 2 hours between dinner and going to bed.

Take care, Kind regards.

10668 answered questions
28% best answers

0 replies

Get your USG done For now You can take Hinghvastak+Ajmodadi churna -1 tsp BD Tab gasex -2 BD If constipated add Tab zandu nityam -1 at night If diarrhoea take kutajghan vati -2 - BD

604 answered questions
26% best answers

0 replies

Hi this is Dr soukhya have you done the USG abdomen and pelvis…if not do it …if yes then share reports…bcz it may have different reason … blindly should not try anything… should know proper reason behind the problem

115 answered questions
18% best answers

0 replies

Severe pain in the right iliac region for the last two years which reduces after defecation along with alternating constipation and diarrhea and weekly reflux suggests a functional bowel disorder with vata predominance and irregular digestive fire.

From an ayurvedic perspective this condition develops when digestion becomes unstable and gas accumulates in the colon causing pain spasm and reflux.

The relief after passing stools indicates trapped vata and incomplete evacuation rather than a structural issue .The alternating nature of constipation and loose stools points to disturbed gut rhythm and hypersensitivity of the intestines.

The primary aim of treatment is to regulate bowel movement calm intestinal vata strengthen digestion and reduce gas formation.

Food should be warm freshly prepared and easy to digest.

Avoid raw salads,cold foods,fried,spicy,fermented foods excess tea ,coffee,bakery items and packaged foods. Eat at regular times and avoid skipping meals… Prefer soft cooked rice ,moong dal,khichdi “,vegetable soups,cooked gourds,pumpkin carrot ,bottle gourd ,ghee and buttermilk.

Take hingwastak churna half teaspoon twice daily after meals with warm water

Triphala churna one teaspoon at night with warm water.

If reflux is prominent add avipattikar churna half teaspoon once daily after food

Drink warm water through the day and avoid large quantities at once walking after meals will help intestinal movement.

Avoid suppressing natural urges and avoid lying down immediately after eating.

This condition requires consistency and patience With proper dietary discipline stress management and regular bowel regulation symptoms usually reduce gradually.

4952 answered questions
37% best answers

0 replies

Your symptoms strongly suggest chronic appendicitis, ileocecal inflammation, Crohn’s or IBS with right-sided predominance, 2 years severe pain is serious & needs urgent evaluation.

Consult gastroenterologist/surgeon TODAY – get: Abdominal ultrasound/CT scan Colonoscopy if needed Stool routine + calprotectin

Do NOT delay , chronic right iliac pain with alternating bowels can be early IBD or appendiceal issue.

Supportive Ayurvedic Plan

Medicines 1 Bilwadi Churna – 3 gm + warm water twice daily 2 Kutajarishta – 15 ml + 30 ml warm water after meals 3 Panchasakar Churna – 2 gm night with warm water 4 Kamadhudha Ras – 250 mg morning + night

Diet Eat: moong khichdi + ghee, thin buttermilk + roasted jeera, pomegranate Avoid: spicy/sour, fried, dairy (except ghee), raw salads, cold drinks

Daily Warm sitz bath 15 min evening Vajrasana 10 min after meals

See specialist first , this is not simple constipation. Start Bilwadi + diet today only if doctor approves.

Regards Dr Gursimran Jeet Singh MD Panchakarma

1945 answered questions
25% 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 fissures and internal piles when stool is hard and painful?
How to treat ongoing digestive problems and anxiety in a 40-year-old with Stevens-Johnson Syndrome?
What to do for frequent night bowel movements and back pain due to gas?
What to do for pain after morning bowel movement and feeling of incomplete evacuation?
Is it necessary to take aspirin for GERD treatment, and how does it affect my condition?
What to do for stomach discomfort and sour burps after loose motion last month?
How to treat ulcerative colitis after steroid tapering with mild mucus in stool?
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?
Can I eat banana and papaya together? What to do if I have gas and bloating?
What to do if I'm experiencing watery stools after taking Mi Sehat tablet daily?
What home remedies can help with difficult swallowing, acid reflux, and dry mouth?
How to treat frequent bloating and burning chest after spicy food?
How to treat acid reflux and chest burning every few days with home remedies?
What is the best Ayurvedic treatment for chronic gastritis and H. pylori infection with gas and constipation?
How to treat loss of appetite and bloating after endoscopy?
What to do for constipation and burning sensation in the mouth in a 94-year-old patient?
Is daily use of Shudhdhi Churna good for stomach relief?
How to treat pancreatitis and acidity with Ayurvedic medicine?
How to know if my anal pain and swelling is a fissure or piles?
What to do for my 17-year-old son who has stomach cramps and weight gain issues after eating?
What to do for chronic constipation and loss of appetite?
What to do for bloating and sour burps after loose motions for a month?
How to treat Crohn's disease and perianal fistula with Ayurveda for infection and digestive issues?
How to treat chronic constipation with redundant colon when triphala and laxatives aren't working?
How to use Kamdudha Ras for acidity issues that cause acid reflux?
Can Mukta Vati cause diarrhea after taking it for several months?
Can Ayurveda fully treat chronic severe constipation caused by dysnergic defecation type 4?
How to use Amlant for treating GERD and acidity - before or after meals?
What to do for excessive gas and heaviness in the stomach after eating?
What to do for severe bloating, left side stomach pain, and constipation?
How to treat chronic mouth ulcers and constipation with weak digestion?
What to do for stomach pain, tingling, and leg pain with a heavy feeling?
What to do for excessive gas and discomfort near the heart at night?
How to treat fermentation colitis and early vitiligo with Ayurvedic remedies?
How to improve sleep quality when I have IBS and have tried yoga and meditation?
What to do for gas issues and breathing problems after eating kala chana?
What causes black stains on my tongue and occasional constipation?
How to reduce acidity and heartburn naturally?
How to treat chronic acidity and weakness in an elderly patient with a history of duodenal ulcer?
How to treat my son's recurrent abdominal pain and inflammation after ultrasound findings of hepatomegaly and cystitis?
What to do if my stomach is not getting flat despite working out and eating healthy?
What Ayurvedic preparations can help my 82-year-old mother with blood during toilet due to piles and constipation?
How to treat Crohn's disease with a special diet for poor digestion and hemorrhoids?
How to treat constant bloating and heaviness in the stomach from a sedentary job?
Can I give Mustharishtam to my daughter for constipation and suspected worm infection?
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?
What dietary changes can help with stomach upset from boiled eggs, fermented soya beans, and moong sprouts?
How to treat constant hunger and difficulty in digestion in the morning?
Can I take Livosin syrup continuously for 5 months for fatty liver and occasional right side stomach pain?
How to treat loose motion and stomach pain after eating for the last three days?
Can I use Dabur Ampachak Kadha with Triphala tablets for digestion?
What to do if my bilirubin is still high and urine is yellow after jaundice treatment?
How to treat chronic constipation caused by opiates and holding back during construction work?
Can I take Patanjali's Mukta Pisti with honey before bed for my duodenal ulcer and stomach pain?
What alternative tablets can I take for IBD while on cortirowa od, Pankreoaflat, and messacol?
What to do if I feel bloated, nauseous, and feverish after taking Krishna Ayurvedic digestive juice for three days?
How to treat stomach gastritis when acid reflux is not controlled for three years?
How to treat sticky stool and digestive issues after 8 months of Ayurvedic treatment?
How to treat persistent stomach pain after years of masturbation?
What to do for my 75-year-old parent with stomach bloating, water retention, and loss of appetite?
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 cure piles caused by long sitting at work?
What to do for rectal pain after bowel movements and breakfast with lower back pain?
How to treat gastritis caused by H. pylori with cloves?
How to treat rectal tenesmus after bowel movements?
What foods should I avoid for stomach acidity, burning sensation, and acid reflux?
What to do for stomach pain and gas after going to the bathroom twice in the morning?
Can I use full fat milk for acid reflux while trying to gain weight?
What to do for gas, bloating, and constipation that I've had for 20 years?
What to do for vomiting, nausea, and acidity during pregnancy at 13 weeks?
What to do if I feel weak and have frequent burping throughout the day?
How to treat bloating, brain fog, and foot bulging due to Lax hiatus grade 1?
Can I use herbal drugs for chronic gastritis while taking Sucrafil gel and Vonoprazan?
What to do for IBS and night pain with urinary burning, hair fall, and left side back pain in the morning?
Can I take Dabur Ampachak Kadha with Avipattikar and Triphala for burning sensation after bowel movement?
What is causing my terrible gas, leg pain, and heavy head with bloating?
How to treat ulcerative colitis with Ayurveda when experiencing mucus in stool and abdominal cramps?
How to treat burning sensation in stomach and mouth after eating for a year?
Can I treat multiple gallbladder stones without surgery?
How to treat mucus in stool for IBS after Panchakarma treatment?
How to treat erosive gastritis and duodenitis with excessive gas and bloating?
What to do for pain after bowel movement and feeling of incomplete evacuation?
What to do if I have constipation and blood in stool after lymphadenopathy treatment?
How to treat severe pain and burning sensation that requires DSR every day for 6 years?
How to treat constant abdominal pain with acidity and heaviness in the stomach?
How to treat constipation and incomplete bowel and bladder emptying in a 22-year-old female?
What causes transparent mucus in stool after bowel movements?
Can I take Livcon and Assicon syrup for gastritis and IBS with upper stomach pain?
How to use Ayurvedic remedies for unformed stool and low libido after antibiotics?
What to do for small bleeding and burning sensation after using the toilet for piles and fissure?
How to treat gas, acidity, bloating, and belly fat with high blood pressure and anxiety?
What to do for bloating, brain fog, and foot bulging with brown coating on tongue?
How to treat indigestion and pebble poop stool with Anuloma DS?
What to do for my 60-year-old wife who has weight loss and digestive issues?
What to do if I see blood with stool after kshar sutra treatment for piles?
What to do for gas, dizziness, and sweating after eating with low blood pressure and vomiting?
What to do for recurring mouth ulcers and stomach burning after eating?
How to treat lower back pain with leg soreness and bloating in a 46-year-old woman?

Doctors online

Latest reviews

Robert
2 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!
Zara
2 days ago
Thanks for the detailed advice! Your suggestions on diet and stress really made a difference for me. Appreciate the clear guidance!
Thanks for the detailed advice! Your suggestions on diet and stress really made a difference for me. Appreciate the clear guidance!
bankey
2 days ago
Thanks Dr Shashank Aggarwal. I used ayurvedic medicine and Diet prescribed by you and many many relief in my Ulcerative Colitis problem.
Thanks Dr Shashank Aggarwal. I used ayurvedic medicine and Diet prescribed by you and many many relief in my Ulcerative Colitis problem.
Natalie
2 days ago
Your answer was exactly what I needed, thanks! It was clear and really helped me decide on a path forward with ayurvedic treatment.
Your answer was exactly what I needed, thanks! It was clear and really helped me decide on a path forward with ayurvedic treatment.