HELLO ARPITA,
Sukhsarakvatika in pregnancy:
Sukhsarakvatika is an Ayurvedic herbal remedy for chronic constipation. It usually consists of ingredients such as Haritaki (Terminalia chebula), Triphala, Amla, and mild mineral components in some cases. Although it is generally safe in adults who are not pregnant, there has not been good study regarding its use in pregnancy.
Hazards in pregnancy: Certain herbal laxatives can stimulate the uterus, risking contractions or miscarriage. Excessive intake can cause electrolyte imbalance or diarrhea, which can be hazardous to mother and baby. Long-term exposure data in pregnancy is not available, so it is not commonly advised.
Safer options for constipation during pregnancy:
Dietary modification (first-line treatment) Increase fiber: fruits, vegetables, whole grains, oats, and legumes. Add prunes, figs, and apples, which have laxative properties. Fluid and exercise Increase water intake (6–8 glasses/day). Gentle movements such as walking or prenatal yoga enhances bowel movement.
Pregnancy-safe laxatives Bulk-forming agents: psyllium husk (ispaghula)= 1 tsp at night with warm water -Triphala churna = 1 tsp with warm water at bedtime
Stool softeners: docusate sodium (only upon doctor’s advice). Osmotic laxatives: lactulose (short-term therapy, under medical guidance).
Warning: Do not use strong herbal laxatives and self-medicate during pregnancy. Even if Sukhsarakvatika was helpful prior to becoming pregnant, it is wiser to switch to non-stimulating, pregnancy-approved methods.
Advice: Discontinue Sukhsarakvatika as soon as you become pregnant. Prioritize diet, fluids, and minimal physical activity first.
THANK YOU
DR. MAITRI ACHARYA
Start with Triphala tablet 0-0-2 at bedtime with warm water Include fresh green vegetables in your diet Include fresh seasonal fruits and seasonal vegetables in your diet Adequate amount of water If with above you still feel constipated then add Shiva tablet 1 at bedtime with warm water.
You may go with Erandbhrushta haritaki.
Cipla - isabgol powder - 1/2 to 1spoon in warm water. Or Dabur Triphala churna- half/ full spoon in water.
Hello Arpita
I can understand your concern.— it’s important to choose Ayurvedic medicines very carefully during pregnancy or while planning to conceive, especially laxatives like Sukhsarak Vati, which contain strong herbs that may stimulate bowel and uterine muscles.
✅ About Sukhsarak Vati
Sukhsarak Vati is mainly used for chronic constipation, gas, and Ama-related issues.
It contains strong Deepana–Pachana and Virechaka dravyas (digestive and purgative herbs).
These can sometimes increase uterine activity, hence not considered safe during pregnancy or conception planning.
✅ Safer Ayurvedic Alternatives (Mild & Pregnancy-Safe)
These options are gentle, non-stimulant, and safe for regular bowel regulation:
1. Triphala Churna
Dose -1 tsp at bedtime with lukewarm water or milk.
Benefits- Mild natural laxative, improves digestion, detoxifies gently, supports reproductive health. Safe in preconception and pregnancy
2. Isabgol (Psyllium Husk)
Dose- 1–2 tsp in warm water at bedtime. Adds bulk, softens stool naturally. Very safe for long-term use and during pregnancy.
3 . Cow’s Ghee (Clarified Butter)
1 tsp in warm milk at night acts as a natural stool softener and nourishes dhatus. Very beneficial during conception and pregnancy.
✅SUPPORTIVE DAILY TIPS
Drink warm water throughout the day. Add soaked raisins or prunes to your diet. Include vegetable soups, ghee, and fiber-rich fruits (papaya, guava, figs). Practice gentle evening walk and Abhyanga (oil massage) to improve Apana Vata balance.
During pregnancy or planning phase, the goal is to keep Apana Vata calm and balanced — not strongly stimulated. Hence, avoid Sukhsarak Vati and prefer Triphala, Ghee, or Isabgol under guidance.
Wishing you a good health😊
Warm Regards Dr Snehal Vidhate
Can take Triphala churna in milder dose or triphala tab which is safer during pregnancy
When considering safer alternatives to Sukhsarak Vati during pregnancy, it’s essential to focus on gentle and natural options that can support digestion and alleviate constipation without causing harm. During pregnancy or while planning to conceive, the body is in a delicate state, so the focus should be on enhancing digestive health and maintaining regularity through safe interventions.
First, consider dietary modifications. Increase the intake of fiber-rich foods like fruits, vegetables, whole grains, and legumes. These foods naturally aid in regular bowel movements. Hydration is also crucial; ensure you’re drinking enough water daily to support digestive processes and soften stools. Warm water is often recommended over cold as it is better for Vata dosha balance, which is often implicated in constipation issues.
Triphala, an Ayurvedic herb, is a gentle option for promoting regularity. It can be taken in a small dose, maybe 1 teaspoon with warm water before bed, though you should consult with an Ayurvedic practitioner familiar with your health needs. It’s generally considered safe, but professional advice ensures it’s suitable for your specific constitution or any underlying imbalances.
Developing a consistent daily routine with set meal times supports digestive fire or ‘Agni’. Engage in light physical activities like walking or prenatal yoga, which can naturally help in bowel regularity and maintain overall health.
Instead of strong laxatives, prioritize relaxation techniques such as meditation or deep breathing to reduce stress, which can exacerbate digestive issues. With these changes, the body can adapt gently to new habits, improving digestive comfort during pregnancy or when planning to conceive. Always ensure you discuss any supplements or significant dietary changes with a healthcare provider to ensure safety for both you and the developing fetus.
Sukhsarak Vati, often used for treating constipation, contains natural herbal laxatives, but during pregnancy or when planning to conceive, it’s critical to choose gentler, safer alternatives. Our priority is to keep both mother and foetus healthy while managing digestion effectively.
First, consider Triphala as a natural and safer option. Triphala balances the vata dosha, helping maintain regular bowel movements without the strong effects some other formulations might have. You can take one teaspoon mixed with warm water before bedtime. It’s essential to use this consistently but moderately.
Second, dietary modifications can support digestion and prevent constipation. Incorporate fiber-rich foods like oats, whole grains, fruits (pears, prunes), and vegetables (sweet potatoes, carrots). Stay hydrated by drinking plenty of warm water throughout the day—not cold, as cold water may disrupt agni, your digestive fire.
Another approach is introducing ghee—a teaspoon in warm milk at bedtime can work as a mild, natural laxative while also nourishing tissues (dhatus). Ghee helps in enhancing ojas, which is vital during pregnancy.
Gentle abdominal massages with sesame oil, in a circular motion, can aid in moving vata downward, supporting regular bowel movements. Also, pranayama techniques such as deep breathing can help manage stress, another contributor to constipation.
Ensure regular movement, such as walking for 15-30 minutes daily. Exercise should be gentle, especially when pregnant or trying to conceive.
Lastly, if you have persistent symptoms, consultation with a healthcare provider is needed. They can give further personalized recommendations considering your specific constitution and health needs. Always ensure any remedy, even natural, is aligned with safe practice during pregnancy and conception planning.
