hello mangalam ,
I understand how frustrating it feels when your digestion is weak and constipation keeps coming back. It can make you feel tired, uncomfortable, and even affect your mood and daily routine. What’s happening in your body is that the food you eat isn’t being digested properly, and some waste is staying in your intestines longer than it should. This slows down your energy, makes your bowel movements irregular, and sometimes causes bloating or discomfort. The good news is that this is very common and it can be managed effectively with proper care.
The first step is to cleanse your digestive system gently. This will help remove the toxins and give your digestive fire a chance to strengthen. Once your digestion is working better, we’ll add medicines that help your intestines move regularly and improve absorption of nutrients, so you feel more energetic and lighter. Alongside the medicines, small changes in your diet and daily habits will make a big difference.
Eating warm, cooked foods instead of raw or oily foods, drinking plenty of warm water, walking a little after meals, and keeping stress low will all support your digestive system.
During this process, it’s important to notice your bowel movements, appetite, energy levels, and sleep, because these will tell us how well the treatment is working. If constipation, bloating, or discomfort persists despite following the plan, we can consider additional therapies later to support your bowel movements further.
Remember, this plan works best when you follow it consistently and observe how your body responds. With patience and proper care, your digestion can become strong again, your energy can improve, and your bowel habits can normalize.
Treatment Plan: 1. Ama Pachana (Digestive Cleansing – First 3–5 days) Trikatu Churna – 1 g with warm water, 2 times daily before meals.
2. Internal Medications (After Ama Pachana, for 4–6 weeks) Chitrakadi Vati – 1 tablet after breakfast and 1 tablet after lunch. Haritaki Churna – 3–5 g with warm water before bedtime. Dashmoolarishta – 15 ml after lunch with equal water.
3. Supportive Panchakarma / Kriya if needed Mild Basti therapy can be considered later if constipation persists after 6 weeks.
4. Diet & Lifestyle Guidance Eat cooked, warm, easily digestible food. Include fiber from vegetables, but cooked well. Drink warm water throughout the day. Avoid fried, oily, cold, and junk foods. Light walking 10–15 minutes after meals helps bowel movement.
5. Investigations (if required) Routine CBC, LFT, RFT, blood sugar to rule out other issues. Stool routine if constipation persists.
Do’s and Don’ts : Do eat warm, cooked meals. Do drink plenty of warm water. Do walk after meals. Don’t eat fried or oily food. Don’t skip meals. Don’t consume cold beverages or ice cream. Don’t delay bowel movements. Do take medicines regularly as prescribed. Do maintain stress-free lifestyle. Do follow up after the first course (4–6 weeks).
Follow-up: After 4–6 weeks to review progress, adjust medicines, and consider Basti if needed.
Warm regards, Dr. Karthika
HELLO MANGALAM,
-You are 23 years old and facing chronic constipation, weak digestion, poor tolerance to fatty foods,fissure, low energy -In Ayurveda, this points to Agni-mandya (weak digestive fire) and vata aggravation (especially apana vata in the colon) -When vata increases in the intestines, peristalsis (the natural movement of the gut) becomes irregular or very weak. This causes -incolplete digestion of food (leading to heaviness, fatigue, low energy) -hard, dry stools leading to fissure and pain -less ability to digest oily/heavy foods
In Simple words -Your digestive fire is low, so food is not properly digested -The “wind element” in your intestines is high, so motion is irregular, stool is hard, tissue develops -This combination creates a cycle= weak digestion-> constipation-> fissue-> fear of passing stool-> more constipation
TREATMENT GOALS -Deepana- pachana(rekindling digestive fire)= improve digestion so that even simple foods are digested well -Anulomana (regular downward movement)= normalise apana vata so stool passes easily without straining -Mriduvirechana (gentle cleansing)= remove accumulated toxins and soften stool -Ropana (healing)= heal fissure, reduce pain, burning, and prevent recurrence -Rasayana (rejuvination)= restore pğhyscial + mental energy and prevent long term weakness
PHASE WISE TREATMENT MANAGEMENT
PHASE 1= AMA PACHANA (removing undigested toxins, stimulating digestion) why?= because right now your digestion is weak. If we directly give heavy laxatives or oily formulation, it may worsen your fissue
-HINGWASTAKA CHURNA= 2 gm with ghee before meals =to reduce gas, improve digestion
-AJAMODADI CHURNA= 2 gm after meals =to digest ama, stimulate ama
-TRIKATU CHURNA= very small pinch with honey once daily if there is heaviness, sluggishness, or kapha coating on tongue
DURATION= 2-3 weeks depending on response EXPECTED EFFECT= less bloating, improved appetite, lighter stool
PHASE 2= ANULOMANA (regulating bowel movement gently) why?= once digestion is stable, we help bowel movement without causing pain
INTERNALLY -TRIPHALA CHURNA = 1 tsp soaked in warm water overnight, drink in morning
-If constipation is still severe= ABHYAARISHTA= 20 ml with equal water after dinner
-Castor oil with warm milk= 2-3 ml once/twice a week at bedtime very lubricating, heals fissure
DURATION= 4-6 weeks EXPECTED EFFECT= softer stool, less strain, fissure relief
PHASE 3= ROPANA (healing fissure, strengthening colon) why?= once stool softens, fissure starts healing naturally . local care accelerates this
-Sitz bath daily= warm water + triphala decoction for 10-15 min -Local application= Jatyadi taila afte sitz bath -Gentle oil massage around anus with cow ghee or panchatikta ghee for lubrication
INTERNALLY
-GANDHARVAHASTADI KASHAYA= 20 ml with warm water =mild laxative, vata regulation
-ALOE VERA PULP with warm water in morning- heals mucosa, reduces dryness
PHASE 4= RASAYANA (rejuvination and prevention of recurrence) why?= to restore energy, immunity, and prevent constipation from returning
-CHYAWANPRASHA= 1 tsp daily =if digestion is strong
-ASHWAGANDHA LEHYAM= 1 tsp daily for energy, nervous system strengthening
-SHATAVARI GHRITA= 1 tsp if burning or acidity persists
DURATION= 2-3 months
LIFESTYLE RECOMMENDATIONS
DAILY ROUTINE -wake up early brahma muhurta= 5-6 am -drink 1 glass warm water -try to have bowel movement at same time daily -regular light exercise walk 30 min
-OIL MASSAGE= daily sesame oil massage, especially abdomen clockwise and lower back= improves vata balance
-AVOID suppression of urges like flatus, urine, stool= these aggravate fissue/constipation
DIET -warm, soft, light, lubricating food -moong dal khichdi with 1 tsp ghee -soft cooked vegetables - bottle gourd, ridge gourd, pumpkin, drumstick -stewed fruits= papaya, soaked raisins, figs, prunes -buttermilk with roasted cumin + rock salt
AVOID -dry, cold, fried food -excess maida, bread, biscuits -raw salads too rough, increase vata -too much spicy/sour foods irritates fissures
YOGA ASANA -vajrasana= sit after meals, aids digestion -pawanmuktasana= removes gas -malasana= squatting, strengthens pelvic floor -bhujangasana= improves digestion
PRANAYAM -Anulom vilom= balance vata -Bhramari= calms nervous system -avoid strong kapalbhati initially can aggravate fissure
HOME REMEDIES -1 tsp ghee in warm milk at night= stool softner -soaked raisins/ figs at bedtime= natural mild laxative -jeera-ajwain-fennel boiled water as daily sip drink -warm castor oil massage around anus for fissure
-Your condition is curable with Ayurvedic management because you are young, and the main issue is functional imbalance not structural damage -The approach is step by step- first kindle digestion, then regulate bowels, then heal fissure, then rejuvinate -patience is important= Ayurvedic treatment may take 2-3 months for lasting results, but it aims at root correction, not just temporary relief
DO FOLLOW COSISTENTLY
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Avoid oily, spicy and processed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Regular use of buttermilk. Tab. Arogyavardhini 2-0-2 Tab. Erandbhrushta haritaki 0-0-2 With lukewarm water at bedtime.
DON’T WORRY MANGALAM JI,
start taking, 1.Panchsakar choorna 1tsf twice in a day with Lukewarm waterafter having meal. 2.Abhyarishtam 15 ml with 30ml of lukewarm water twice in a day just after having meal.
Follow up after 15 days.
Take care😊
Kind Regards, Dr.Isha Ashok Bhardwaj.
Hingwastaka churna-1/2 tsp with warm water twice daily after food Chitrakadi vati-1 tab to be chewed twice daily Triphala churna-1 tsp with warm water at night Avoid oily spicy fried non vegetarian foods
Hello Mangalam,
I can truly understand your struggle—chronic constipation, weak digestion, low energy, and painful fissure together can make life very difficult. But dont worry we are here to help ypu out😊
✅GOAL OF MY TREATMENT-
☑️ Heal your gut lining. ☑️ Improve natural digestion. ☑️Make stools soft without straining. ☑️Reduce fissure pain & allow healing.
✅AYURVEDIC PLAN OF TREATMENT-
✅INTERNAL MEDICATION-
1 Avipattikar Churna – 1 tsp-0-1 tsp with lukewarm water before food relieves acidity, softens stool.
2 Kutajghan Vati – 2-0-2 after food fights gut infection & bloating.
3 Arshkuthar Ras – if fissure pain is severe, 1 tab twice daily with buttermilk.
4 Sooranadi lehyam 1 tsp bed time follwed by warm water ( for internal. Healing of fissure)
5 Triphala Churna – 1 tsp at night with warm water improves peristalsis, cleanses colon.
✅LOCAL APPLICATION
👉Sitz bath with Triphala decoction or warm water + turmeric reduces pain & infection around fissure.
☑️TRIPHALA DECOCTION SITZ BATH- Take 5 gm of Triphala powder in 3 litre of water, add 1 tsp of turmeric boil and reduce to half and pour in a tub and sit in the tub for 20 mins
👉Apply Jatyadi Taila after sitz bath -promotes fissure healing.
✅ DIET MODIFICATION
✅ INCLUDE-
Warm light foods (khichdi, moong dal soup, boiled veg with ghee). Buttermilk with roasted cumin & rock salt. Pomegranate, apple, papaya, figs, soaked raisins. 1 tsp cow ghee in warm milk daily → natural lubricant for intestine.
❌ Avoid: Fried, oily, spicy, junk food. Too much tea/coffee. Cold water & aerated drinks.
✅LIFESTYLE MODIFICATION TIPS
Drink warm water sip by sip throughout the day. Eat at fixed timings. Walk for 20–30 mins after meals → stimulates peristalsis. Practice Pawanmuktasana & Vajrasana (gentle yoga postures). Avoid suppressing natural urge to pass stool.
Mangalam ji, your gut can absolutely heal 😊. Right now, your system is just tired and weak—it needs gentle support, not harsh medicines.
👉 Many young patients like you have recovered completely with this holistic plan. Please don’t feel hopeless—your age is only 23, which means your body has excellent healing potential.
👉With 3–4 months of consistent care, you will notice smoother digestion, painless bowel movement, and better energy levels.
Wish you a Good health😊
Warm. Regards Dr Snehal Vidhate
Don’t worry take chitrakadivati 1tab bd, arogya vardini vati 1tab bd,Pancharista 20ml bd Enough
1) trivrit avleh 1 chamch garm pani ke sath ratko sote smya 2) cap. Amlicure ds 2 cap. Dinme tin baar 3) syp. Kumariasav 15ml+15ml lukewarm water subha sham khane ke baad
15 din ke liye lena h
Hi mangalam this is Dr Vinayak as considering your… * Take warm water… before food… *Avoid non veg and oily food for some time… Rx- T Anuloma ds only night after food with Luke warm water… SYP Abhayaarista 2tsp -0-2tsp before food T Sutashekara rasa… 1-0-1 after food… Follow this …you see changes…it any issue let me know…
1.Amapachak vati 2 tab twice daily, after meal 2.Triphala 2 tab with warm water at bedtimee’ 3.Hingwashtak churna 1/2 tsp with warm water just before meal twice dailyy 4.Ashwagandha capsules 2 cap twice daily with warm milk 5.Jatyadi tail-apply on the fissure area thrice daily
Adv: Avoid spicy food items Drink plenty of water Add fiber rich veggies anda salad to your diet
Start with Aarogyavardhini 1-0-1 after food with water Abhayarist 15ml twice daily after food with water Pilex cream local application on your anal region twice daily Triphala tablet 0-0-2 at bedtime with warm water Include seasonal fruits and seasonal vegetables in your diet Avoid processed fatty fast sugary fried street foods.
It sounds like your digestive fire, or agni, is weak. This can result in improper digestion and assimilation, leading to symptoms like constipation and fatigue. In Ayurveda, balancing agni is crucial for improving digestion.
First, incorporate warm, easily digestible foods into your diet. Preferably, start your day with a glass of warm water, which can stimulate digestion. For meals, try kitchari, a nourishing blend of mung dal and rice seasoned with cumin, ginger, and a pinch of asafoetida. This can be soothing and help improve peristalsis by nourishing the colon.
Avoid raw and cold foods, as they can dampen agni. Consume small quantities of warm food more frequently rather than having heavy meals. Including spices like fennel, cumin, ginger, and black pepper can enhance digestibility. You can add a teaspoon of ghee to your meals; it’s known to promote digestion and ease constipation without causing the oiliness that you find hard to digest.
Maintain hydration by drinking warm water through the day. Herbal teas made with ginger, fennel, and mint can aid digestion and reduce discomfort.
Since you’re experiencing constipation, taking triphala could be beneficial. It’s a gentle Ayurvedic formulation known for supporting digestion and bowel movements. Take half a teaspoon with warm water at bedtime. Avoid taking too much, as overuse might irritate the gut.
For the fissure, it’s important to ensure stools are soft. Applying coconut oil externally can provide relief during bowel movements and help the healing process.
Regular physical activity encourages peristalsis, so incorporating gentle yoga or walks after meals can be very helpful. Pranayama, especially deep breathing exercises, might also alleviate stress and provide mental clarity and energy.
If symptoms persist or worsen, consult an Ayurvedic practitioner or healthcare provider who can offer targeted interventions and ensure that you do not overlook any serious health issues.
It sounds like there may be an imbalance in your digestive system, specifically often related to a weak agni (digestive fire) and possibly altering vata dosha, which can lead to poor digestion and constipation. This can happen when the vata dosha, which governs movement in the body, becomes imbalanced, and affects your digestion and elimination.
First, addressing diet can be helpful. Try eating warm, cooked foods that are easier to digest—think soups, stews, and lightly cooked vegetables. Avoid raw, cold, or heavy foods like dairy or fatty, processed foods that are hard on digestion. Including warming spices like ginger, cumin, and ajwain in cooking can stimulate agni. Avoid skipping meals, and try to eat at regular intervals every day.
For constipation and improving peristalsis, you might consider triphala which is a traditional Ayurvedic formulation known to aid digestion and regulate bowel movements. Take one teaspoon with warm water at bedtime. Be consistent, as it can take some time for natural remedies to show effects.
You might try yagnyahvadi kashayam (a Siddha formulation) under supervision for further cleaning of digestive channels. Practicing gentle yoga or pranayama may help keep your bowels active by promoting circulation and reducing stress, which can impact digestion.
However, since you’ve mentioned that a previous medication caused uncomfortable side effects, it’s crucial to consult a healthcare professional to evaluate both your medication and any serious complications like fissures. Serious cases may require a more immediate intervention from a specialist — please seek professional guidance in person to prevent any further complications.
