Hello, You’re dealing with chronic constipation + post infection bowel sensitivity + fissure, so treatment should be gentle, regular and non habit forming Avoid strong laxatives dependency (like frequent Kadukkai in high dose) About Kadukkai (Haritaki) -Good medicine , but NOT for daily high dose use -overuse-> loose stools + irritation (what you experienced) Use only -1/4 tsp at night with warm water, only when no bowel for 2 days Not as a daily habit Core Ayurvedic approach (fix root vata imbalance) Your pattern= vata aggravation in colon (apana vata disturbance) Morning (empty stomach) -Triphala churna= 1/2 tsp in warm water =mild regulator, not harsh After breakfast -Vilwadi gulika= 1 tab =stabilizes gut after infection Night (main key) -Gandharvahastadi kashaya= 15ml + warm water before bed =best for chronic constipation without dependency FOR FISSURE HEALING Continue what you’re doing but refine External -sitz bath 2 times daily not only night Apply -jatyadi taila (better healing then cream) -you can continue Anovate if pain is severe, but dont depend long term Internal support -Avipatikar Churna= 1/2 tsp at night with warm water if burnin sensation/pain present Diet very important- this is where you’re going wrong Your gut is still sensitive after infection-> avoid sudden heavy foods Avoid for now 1-2 months -biryani/ outside oily food -egg and non veg temporarily -bakrery , maida -spicy, fried Eat -warm foods only -rice + ghee very important for fissure -moong dal -boiled vegetables carrot, ash gourd, pumpkin -buttermilk daytime only not night Add daily -1 tsp ghee at night with rice or warm milk= softens stool naturally Bowel training very important -go to toilet same time daily morning -dont strain -even if no urge sit for 5-10 mins Your issue is long term functional ,not just constipation Avoid quick fixes like frequent haritaki- focus on daily gentle regulation + gut healing Do follow Hope this might be helpful Thank you
Hello Main cause of constipation and fissure is poor digestion Start with Heposem syrup 10ml twice daily after food with water will help improve your digestion. Pilogest capsules 1-0-1 will help heal Anal area. Jatyadi grith external application on affected area twice. Do sitz bath twice with few drops of betadine. Avoid spicy food, nonveg food if non-vegetarian. For constipation Tablet Triphala 0-0-2at bedtime with warm water Include cow’s ghee 2-4tsp in your diet. Include fresh green vegetables semi cooked or sauted in your diet.
