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Long-term IBS Management and Treatment Options
Gastrointestinal Disorders
Question #52180
53 days ago
770

Long-term IBS Management and Treatment Options - #52180

Client_5b9dfd
$3.51

Ibs last 20 year alternate रेगुलर active last 4 month Symptoms motion like patla पेस्ट two time morning only Kutaj not suitable for me. Bilwadi churna panchamrit kashayam और Dipan pachan की कोई भी aushadhi kam नहीं kar rhi सभी ayurvedic dawa kha kar देख ली कोई result नहीं swarn parpati भी केवल ramosetron tab joint antiemeatic है kam kar rhi है

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Doctors' responses

—आपकी बात से लग रहा है कि आपको लंबे समय से Irritable Bowel Syndrome (IBS) है—और अभी पिछले 4 महीनों से symptoms ज्यादा active हो गए हैं, खासकर सुबह 2 बार पतला पेस्ट जैसा motion। आपने काफी Ayurvedic treatments (Kutaj, Bilwadi churna, Panchamrit kashayam, Deepan-pachan drugs, Swarn parpati) try कर लिए हैं और फायदा नहीं हुआ, लेकिन Ramosetron + antiemetic से राहत मिल रही है। 👉 यह case “IBS-D (diarrhea predominant)” का लग रहा है, और chronic होने की वजह से इसे सिर्फ Ayurvedic digestion medicines से control करना मुश्किल हो सकता है। – so consult with allopathic physician also Along with can take ayurveda medicine Rx- 1) Rx Dadimashtaka Churnam 3 gm BD after food with buttermilk 2)Vilwadi Gulika 1 tab BD after food 3)Vaiswanara Churnam 2 gm morning empty stomach 4)Dhatriloha 1 tab BD after food — Pathya Light diet (khichdi, daliya, buttermilk) — Apathya Milk, spicy, fried, tea empty stomach – Note Continue Ramosetron Follow up : 4 weeks


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1.chitrakadi vati 1-1 before meal twice a day 2.bilwadi guliaka both 1-1 before meal twice a day 3.mustakarishta 4tsp+4tsp water after meal twice a day 4.dadimashtak churna 1 tsp after meal with leukwarm water 5.buttermilk+roasted cumin seeds+ rock salt after lunch daily diet plays an important role in it… pathya- moong dal khichadi boiled veges rice with buttermilk pomegranate apathya- friedfoods excess tea or coffee spicy food cold drinks packed and junk foods


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When a condition continues for such a long duration and does not respond to common medicines like Kutaj deepana pachana formulations or even Swarna Parpati it shows that the issue is not only weak digestion but also increased sensitivity of the intestines and irregular bowel control The fact that only Ramosetron is giving relief indicates that bowel movement is fast and reactive so the approach should be to stabilize and calm the gut rather than stimulating digestion strongly You may take Dadimashtaka Churna half teaspoon twice daily after food with warm water which helps in improving stool consistency in a gentle way Mustakarishta fifteen ml with equal water twice daily after food helps regulate bowel frequency and reduces intestinal irritation Kutaja Arishta fifteen ml with equal water twice daily after food can help in improving stool consistency and reducing bowel frequency when used in an appropriate dose Food plays a major role avoid raw foods excess fiber cold items milk heavy combinations and irregular meal timing prefer warm soft freshly cooked food like rice with moong dal pomegranate and thin buttermilk with roasted cumin Morning bowel frequency in IBS is often linked with increased gut reflex so maintaining a calm routine after waking and not repeatedly going to the toilet helps in gradually training the bowel


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1) takrarishtam- 15 ml with 15 ml water once daily around 11 am


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Namaste Main apki takleef samaj shaktu hu Apko 20 saalo se IBS hai aur abhi 4 months se jhada active ho gaya hai Aapne kafi ayurvedic medicines try kiya hai par apko rahat nhi mil payi Ye clearly batata hai ki apka IBS chronic aur resistant stage pai hai Par tension na le hum apko proper tarike se guide karenege ▪️Apki samaj ke liye Apko chronic Ibs hai ismai vata dosha ka dominance hoti hai aur Agni bhi disturb rehta hai Isiliye apko -patla, paste jaisa stool hota hai -morning mai 2 baar motion pass hota hai -Medicine ko response nhi kar pa rahe ho ▪️Apki tak kafi ayurvedic medicines apko rahat kyu nhi mili? Maine mostly deepana -pachana medicines hi diye gaye isase Temporary help mil jati hai Par Nervous sytem imbalanced rehta hai ▪️Sahi Ayurvedic Approach ➖Step 1 = Vata ko balance karna Ashwagandharistha 30 ml raat ko sone se pehle -1 tsp ghee daily le ➖Step 2 IBS specific. Kutaj apko suit nhi hua isiliye use kare -Dadimasthaka churna 1 tsp with warm water before lunch -Mustaristha 20 ml twice daily after food ➖Step 3 = Gut heal karna -Dadimadi ghrita 1 tsp morning empty stomach -Buttemilk with jeera powder after lunch ▪️mind aur gut ka connection Stress manage kare Stress ke wajse se bhi IBS trigger hota hai Daily anulom vilom kare ▪️Diet plan ❌Parhej kare -Kacha salads -tea or coffee -baher ka khana Shamil kare -warm aur taza khana khaye -dahi na khaye -Moong dal. Ka. Soup piye Khana bahot simple rakhe pehele 2 week ke liye ▪️Ramosetron ke bare mai -Abhi ke liye continue kare Achanak band karna acha nhi rahega Dhere se hum usko band kar denge Aapka case curable hain lekin complete treatment se hi rahat milegi Aapke ache sehat ke liye main kamana karti hu Warm Regards Dr Snehal Vidhate


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1.Grahani kapat rasa 1 goli din m 2 bar gungune pani k sath khane k bad 2.Shankha vati 1 goli din m 2 bar gungune pani k sath khane k bad 3.Dadimashtak choornam 1/2 chammach din m 2 bar garam pani k sath khane k bad 4.Mustarishta 20 ml matra m saman bhag pani k sath din m 2 bar khane k bad आहार और दिनचर्या---- - हल्का, सुपाच्य भोजन: मूंग दाल खिचड़ी, चावल का मांड, सूप। - खट्टा, तला-भुना, मसालेदार, और दूध/दुग्ध उत्पाद से परहेज़। - छोटे-छोटे भोजन दिन में 4–5 बार लें, भारी भोजन से बचें। - गुनगुना पानी पीते रहें, ठंडे पेय और फ्रिज का पानी न लें। - भोजन के बाद वज्रासन में 5 मिनट बैठें।


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your current pattern suggests chronic gut sensitivity with vata pitta imbalance where intestines are over reactive and not tolerating stronger medicines which is why multiple ayurvedic treatments have not given relief since ramosetron is helping you can continue it for symptomatic control and along with that shift to milder supportive medicines like dadimashtaka churna half teaspoon twice daily after food takra with a pinch of roasted jeera and rock salt after breakfast will support gut stability keep diet strictly light simple and warm avoid spicy oily raw and heavy foods as they increase intestinal irritation


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Start with Heposem syrup will help improve your digestion Vilwadil pills will help improve your intestine strength Asta churan will help prevent indigestion Dadimastak churan will help prevent loose stools. Soak Isabgol powder in curds and take 2tsp twice before food. Have buttermilk with pinch of asafoetida black salt and roasted jeera powder after lunch daily. Pomegranate juice q100ml. Twice will be beneficial. Have light easily digestible foods like khichdi, dal rice, soup, smashed vegetables in your diet.


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Need personal consultation for better examination and treatment


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Hello, I would like to suggest you that, meet a ayurveda doctor who has panchakarma treatment set up in his clinic. There are treatments like vasthi. When these are taken along with internal medications and strict diet-lifestyle corrections as prescribed by your doctor, you will sure the benefit. Take care, Kind regards.


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Hi Take grahani kapat rasa 1 bd bilwadi lehyam 1 tsp bd Tab alsarex 2 bd


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Namaste, 20 years long IBS with recent continuous symptoms and poor response to multiple Ayurvedic medicines shows that your case is chronic and sensitive, and needs a very individualized approach. Simple understanding: Your pattern (morning loose, paste-like stool, relief after that) suggests chronic gut sensitivity with vata-pitta involvement. Since many medicines (Kutaj, deepan-pachan, etc.) are not suiting you, your gut is likely overreactive, not just weak. Ramosetron helping means bowel sensitivity is high, not just digestion issue. About cure: Complete cure in such long IBS is difficult but good control is possible. Goal should be stability and symptom-free days, not aggressive treatment. Simple measures that may help: Avoid frequent medicine changes, it disturbs gut more. Take very simple, consistent diet (same type of food daily for some time). Avoid raw food, salads, excess spices, tea/coffee. Eat warm, soft, easily digestible food only. Maintain fixed routine for meals and sleep. Stress control is very important (IBS strongly linked to gut-brain axis). In your case, soothing and stabilizing approach is better than strong medicines. Ayurvedic medicines with dose and timing: Dadimadi Ghrita – 1 teaspoon, morning empty stomach Musta Churna – 1/2 teaspoon, after lunch and dinner Shankh Bhasma – 125 mg, after meals with honey or ghee These are generally milder and gut-stabilizing, not aggressive. Continue Ramosetron as advised by your doctor if it is helping. Improvement will be slow and gradual, so patience is required. Consult me for more advice and suggestions on the above medicines.


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✓दवाइयाँ Panchamrit Parpati – 125 mg (¼ tablet) सुबह-शाम खाने के बाद (शुरू में कम डोज़) Kutaj Ghan Vati (not Kutaj churna) – 1 tablet सुबह-शाम (कम डोज़ से शुरू) Gangadhar Churna – 1–2 gm रात को गरम पानी के साथ Shankh Vati – 1 tablet दिन में 2 बार खाने के बाद ✓जरूरी सहायक उपाय Vajrasana – हर खाने के बाद 10–15 मिनट जरूर बैठें सिर्फ गरम पानी दिनभर पिएं (2.5–3 L) – छोटे-छोटे घूंट में रात का खाना 6:30–7 बजे तक हल्का (खिचड़ी/दलिया/सूप) दिन में 2 बार 10 मिनट अनुलोम-विलोम (धीरे-धीरे) No cold, no raw salad after 4 pm, no curd at night Regards Dr Gursimran Jeet Singh MD Panchakarma


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Hello, You IBS appears to be long standing IBS-D/grahani type condition with -loose thin stools in morning -chronic gut sensitivity 20 years -flare since last 4 months -poor response to many deepan- pachan medicines -kutaj not suiting you -only partial releif form Ramosetron This usually means -Chronic vata aggravation in colon -intestinal hypersensitivity -weak gut regulation -excess drying/heating medicines may now be aggravating rather than helpping After many medicines, the gut sometimes becomes over-irritated, so treatment should become -soothing -stabilizing -gut healing not aggressively digestive Important insight since kutaj not tolerated panchamrit kashayam not helping deepan pachan medicines ineffective You may have entered a vata dominant IBS phase, not kapha/ama phase anymore So repeated strong digestive medicines may worsen stool frequency Internal medicines 1) Gut stabilizing medicines -Dadimashtaka churna= 1 tsp after meals with warm water =better tolerated in sensitive IBS -Mustakarishtam= 15ml after lunch and dinner with warm water =helps IBS with loose stools + weakness 2) Gut nervous system connection very important Long term IBS often become nerve sensitive -Brahmi ghrita= 1 tsp at bedtime =calms gut brain axis Avoid overrushing these now excess -strong deepan - pachan medicines -frequent fasting -very spicy digestive powders Because your gut may already be over reactive Most important= diet discipline -soft rice + moong khichdi -pomegranate -small amount homemade curd -warm cooked food only Avoid -raw salads -excess tea/coffee -artificial sweeteners -protein powders -very high fiber suddenly Morning loose stool management On waking -sip warm water slowly -do not rush for tea immediately -eat breakfast at fixed timing daily Irregular timing worsens IBS greatl IBS and stress Even if digestion feels primary, chronic IBS strongly involves the nervous system -walking -breathing exercises -proper sleep help more than patients expect If not already done since symptoms are 20 years long Ensure at least once -colonoscopy if age appropriate -celiac screening -stool tests Esepcially if -weight loss -blood in stool -anemia -night symptoms Do follow Hope this might be helpful Thank you नमस्कार, ऐसा लगता है कि आपका आईबीएस लंबे समय से चला आ रहा आईबीएस-डी/ग्रहणी प्रकार का लक्षण है, जिसमें निम्नलिखित लक्षण शामिल हैं: - सुबह पतला और ढीला मल आना - 20 वर्षों से आंतों में लगातार संवेदनशीलता - पिछले 4 महीनों से लक्षणों में वृद्धि - कई दीपन-पाचन दवाओं से कोई खास आराम न मिलना - कुटज आपको रास नहीं आ रहा - रामोसेट्रॉन से केवल आंशिक आराम मिलना इसका आमतौर पर मतलब है: - बृहदान्त्र में वात का लगातार बिगड़ना - आंतों की अतिसंवेदनशीलता - आंतों का कमजोर नियमन - अत्यधिक सुखाने/गर्म करने वाली दवाएं अब मदद करने के बजाय स्थिति को और बिगाड़ सकती हैं कई दवाओं के बाद, आंतें कभी-कभी अत्यधिक चिड़चिड़ी हो जाती हैं, इसलिए उपचार इस प्रकार होना चाहिए: - आराम देने वाला - स्थिर करने वाला - आंतों को ठीक करने वाला न कि आक्रामक पाचन क्रिया पर ज़ोर देने वाला महत्वपूर्ण जानकारी: चूंकि: कुटज सहन नहीं हो रहा पंचामृत कषायम से आराम नहीं मिल रहा दीपन-पाचन दवाएं अप्रभावी हैं आप शायद वात प्रधान आईबीएस चरण में प्रवेश कर चुके हैं, कफ/अमा चरण में नहीं। इसलिए बार-बार तेज़ पाचन दवाओं का सेवन मल त्याग की आवृत्ति को बढ़ा सकता है। आंतरिक दवाइयाँ 1) आंतों को स्थिर करने वाली दवाइयाँ - दादिमाष्टक चूर्ण = भोजन के बाद 1 छोटा चम्मच गुनगुने पानी के साथ = संवेदनशील आईबीएस में बेहतर सहनशीलता - मुस्तकारिष्टम = दोपहर और रात के खाने के बाद 15 मिलीलीटर गुनगुने पानी के साथ = ढीले मल और कमजोरी वाले आईबीएस में सहायक 2) आंत और तंत्रिका तंत्र का संबंध बहुत महत्वपूर्ण लंबे समय से आईबीएस से पीड़ित लोगों में अक्सर तंत्रिका तंत्र संवेदनशील हो जाता है - ब्राह्मी घी = सोने से पहले 1 छोटा चम्मच = आंत और मस्तिष्क के बीच के संबंध को शांत करता है इनका अत्यधिक सेवन न करें: - अधिक मात्रा में दीपन और पाचन की दवाइयाँ - बार-बार उपवास करना - बहुत मसालेदार पाचक पाउडर क्योंकि आपकी आंतें पहले से ही अति सक्रिय हो सकती हैं सबसे महत्वपूर्ण = आहार अनुशासन - नरम चावल + मूंग खिचड़ी - अनार - थोड़ी मात्रा में घर का बना दही - केवल गर्म पका हुआ भोजन इनसे बचें: - कच्ची सलाद - अधिक चाय/कॉफी - कृत्रिम मिठास - प्रोटीन पाउडर - बहुत अधिक फाइबर अचानक सुबह दस्त की समस्या का प्रबंधन जागने पर - धीरे-धीरे गुनगुना पानी पिएं - तुरंत चाय न पिएं - प्रतिदिन एक निश्चित समय पर नाश्ता करें अनियमित समय पर नाश्ता करने से आईबीएस की समस्या बहुत बढ़ जाती है आईबीएस और तनाव भले ही पाचन क्रिया प्राथमिक समस्या लगे, क्रोनिक आईबीएस में तंत्रिका तंत्र भी महत्वपूर्ण भूमिका निभाता है - चलना - सांस लेने के व्यायाम - पर्याप्त नींद केवल रोगियों को ही नहीं, बल्कि अन्य लोगों को भी लाभ पहुंचाते हैं अपेक्षाएँ यदि अभी तक नहीं किया गया है चूँकि लक्षण 20 वर्षों से हैं तो कम से कम एक बार यह सुनिश्चित करें: - कोलोनोस्कोपी (यदि उम्र के हिसाब से उचित हो) - सीलिएक स्क्रीनिंग - मल की जाँच (Stool tests) विशेष रूप से यदि: - वज़न कम हो रहा हो - मल में खून आ रहा हो - एनीमिया (खून की कमी) हो - रात के समय लक्षण उभरते हों इन बातों का पालन करें आशा है कि यह जानकारी आपके लिए उपयोगी होगी धन्यवाद


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Nora
6 hours ago
This answer really cleared things up for me. The advice feels spot on, and I appreciate the clear explanation. Thanks for the help!
This answer really cleared things up for me. The advice feels spot on, and I appreciate the clear explanation. Thanks for the help!
Kayden
10 hours ago
Thanks for breaking it down so clearly! I was worried, but your explanation really helped me understand what steps to take next. Appreciate it!
Thanks for breaking it down so clearly! I was worried, but your explanation really helped me understand what steps to take next. Appreciate it!
Paul
15 hours ago
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Thanks! That was super helpful and clear. Your advice on what to try and avoid really resonated with me. Feeling more optimistic now!
Mateo
19 hours ago
Thanks a bunch! I found this answer super helpful - exactly the kind of practical advice I needed. Will def give those a try. 🌿
Thanks a bunch! I found this answer super helpful - exactly the kind of practical advice I needed. Will def give those a try. 🌿