How to treat chronic constipation that hasn't improved for over 2 years? - #54973

You appear to have Chronic Constipation (Vibandha), mainly due to Vata imbalance, likely from low fiber intake, low water intake, and sedentary habits. — understand with example -“Just like dry soil cracks when it doesn’t get water, your intestines also become dry when the body lacks enough water and fiber. So the stool becomes hard and difficult to pass.” -------Today: walk + warm fluids + wait (don’t overuse laxative again immediately)

—Prescription 1) Triphala Capsules – 2 cap or 3 g at bedtime with warm water 2) Syrup Alkacip – 10 ml twice daily after meals with water in mix 1/2 glass 3) Hingvashtak Churna – 1 tsp before meals twice daily with warm water 4) mahatrifla ghrit 1 tsf in warm milk at night –Abdominal oil massage (external) Oil: Sesame oil (Tila Taila) Frequency: Daily before bath (5–10 min gentle massage) –Advice Warm water intake throughout the day High fiber diet (fruits like papaya, vegetables, soaked raisins) —Avoid dry, fried, processed foods Daily walking 20–30 minutes Regular morning bowel routine (do not suppress urge) – follow up after 10 days

● Traditional Powder • Rock salt - 25 grams • Roasted celery seeds - 60 grams • Dried ginger powder - 60 grams • Large myrobalan - 150 grams. This mixture has been traditionally used for gas, indigestion, constipation, and gas-related disorders. Method of preparation: Thoroughly dry all the above ingredients and grind them into a fine powder in a clean grinder. Store the powder in a dry, glass bottle. In summer, take half to one teaspoon with buttermilk. It is considered more appropriate to take it half or a quarter of an hour before or after meals. ● Asparagus + Conch Shell Ash (Shishkha Bhasma) Method of consumption: Take asparagus powder - 1 teaspoon • Conch Shell Ash - a pinch of each with lukewarm water twice a day. Consuming this for about 2 weeks can help calm acidity and bile. ●Mulethi + Mishri (Roller Sugar) Method of Consumption • Mulethi Powder - 1 tsp • Reduces stomach irritation • Mishri Powder - 1/2 tsp. Mix both and take with lukewarm milk or water 1-2 times a day. This mixture is believed to help in: • Relieves acidity • Soothes throat and digestion ●Simple rules to reduce acidity • Eat meals on time. Limit spicy and fried foods. • Avoid lying down immediately after meals. • Drink plenty of water throughout the day. • Keep dinner light. These simple rules also contribute greatly to balancing Pitta ●When should one eat? Food should be eaten only after the previous meal has been completely digested. Symptoms: • A pronounced feeling of hunger • A light feeling in the stomach • A pronounced belching • A feeling of lethargy • A strong craving for food. Eating by the clock gradually imbalances the agni (fire). The root cause of most diseases is a weak agni. When agni is weak: • Food is not digested properly • Ama is formed • Gas, heaviness, skin diseases, and fatigue increase. When agni is balanced: • The body feels light • Energy is maintained. The skin, mind, and digestion all improve. What should be the recommended amount of food? Ayurveda says: Half of the stomach should be filled with food, one-quarter with water, and one-quarter empty. If the stomach is completely full, the agni (fire) doesn’t have space to function. This is why overeating leads to heaviness, laziness, and sleepiness. What is a paradoxical diet? Consuming certain foods together creates “paradoxical diets” in the body. For example: • Milk + salt • Milk + sour fruits • Heavy meals with fruits • Curd at night • Cold water immediately after meals. Such combinations cause illness gradually, not immediately. ● ●laxinol h Tablet - 1 tablet twice a day on an empty stomach ●Abhayarishta - 2 teaspoons with warm water three times a day after meals ●Gandharvahastadi Castor Oil - Use mixed with food ●Dadimashtak Churna - 2 teaspoons twice a day after meals