Since your tests are normal and yet the severe pain persists, it’s crucial to reevaluate your symptoms and recent practices. The left lower abdomen pain with radiation to the back suggests potential issues which could be related to digestive imbalance or vata disturbance. Panchakola churna, often used to stimulate digestion and relieve ama (toxins), might cause excessive dryness or irritation in some individuals, which could aggravate vata, leading to pain.
Before considering virechana (therapeutic purgation), it’s best to ensure that your symptoms are not due to any acute conditions that require immediate medical attention. Consult with your Ayurvedic practitioner to assess if virechana is suitable right now, given the present pain. If there are urgent symptoms like fever, vomiting, or sudden severe escalation in pain, immediately seek conventional emergency care.
In the meantime, some supportive Ayurvedic measures can be tried. Focus on calming vata and supporting the digestive system. Consume warm, cooked, and easily digestible foods like khichdi (rice and lentils) with ample ghee, which helps soothe and nourish. Ginger tea can aid digestion and reduce discomfort, but avoid in excess if it worsens the pain.
Consider applying a warm sesame oil or castor oil massage gently onto the affected area. This could calm vata and alleviate pain. Following this, a warm compress might help further relieve tension.
Additionally, evaluate your lifestyle for factors increasing vata, such as irregular meals, stress, or lack of sleep, and try to bring them into balance with regular routines.
Revisit your physician to discuss these treatments before taking additional or more invasive therapies like virechana. Your practitioner might modify dosage or method of any current regimen. Always prioritize safety, and ensure interventions fit your individual constitution and health status.