Improving Stool Consistency and Gut Health

Question

how can i improve my gut natural motility & gut natural parasitic movement so my stool consistency improved as sausage shape(banana shape) stool. actually i am not constipated but stool consistency is bad like sticky and thin and oily stool is pure problem. i have some intestine heat and stomach heat issue as vatta pitta prakrit person. skinny slim and tall. i am trying so many ayurvedic medication under NIA jaipur ayurvedic doctor guidence like harad churna with ghee or warm milk,Triphala powder with milk or water, amaltas powder and avarampoo kudineer kashyam, 5mg isabgol husk with warm water & milk & other medication. allopathic medication like elafixir 5mg, prucalpuride 5mg and sodium duscofate, senna extract 30mg, milk of magnesia, sodium picosulphate, peg3350(polythileine glycol). The problem is that all these medicines thin the stool and draw water into the intestines which is only helpful for hard stools & naturally constipated people but it gives me diarrhea & upset stomach.
and my previous ayurvedic doc advised me against hot herbs medication like chitrakadi vati, agnitundi vati because i get stool mucus and diarrhea. however in the morning usually takes me like 2 hours to clear my bowels and the stool consistency is sticky and mushy oily thin. and I have noticed that when the stool is firmed up like Banana or sausage then it comes out in less time without straining, in summer when I drink BAEL(BEL) with water juice then I get perfect sausage banana shape stool but after the bael season is over & even bael churna & pishti not effective except fresh fruit so the gurgling sound in the stomach & passing of thin sticky oily stool troubles me a lot in the morning as described. I never tried Takrarishta because I am afraid of stomach heat and gurgling sounds felt due to pitta and vata prakriti. Ayurvedic doctors say that there is heat in the large intestine, the food is not digested properly, that is why you have this problem & Allopathic doctors say that heat is obvious an issue but apart from this there is also less good gut bacteria so hence the gut lining is irritated & the test scores show that the levels of B complex, iron, platelet and testosterone hormones are also very low, this is also a reason. and I feel that according to doctors of both systems, all the reasons are responsible, that is why there is stomach heat and gurgling sound and stool consistency is very bad & that is why the absorption of food is not proper due to which there is B complex, iron and other hormones imbalance and due to this there is weight low, low energy, bad mood also. although i am following strict regular vegen high fiber and low carb diet as i am already aware about food and nutrition science. problem is doctors can't be serious about my main concern that is stool shape because when my stool consistency has been improved my stomach clear easily as my intestine evacuate stool easily. so how i can improve my stool consistency. 
Please understand the problem properly and suggest a solution to the problem.

Dr. Narendrakumar V Mishra · Accepted Answer

Dear Neeraj
Eat banana regularly. 
Cap. Florasante
1-0-1
Regular use of buttermilk. 
Avoid late night dinner. 
Follow up after 10days

Dr. Manjula · Answer

To address your concerns about stool consistency, it’s essential to balance your Vata-Pitta constitution and address the root issues of digestive heat and imbalance. Since you're already taking various medications, let's focus on natural and dietary approaches.

First, consider focusing on a diet that soothes both Vata and Pitta doshas. Since you mention heat in the intestines, consuming cooling and grounding foods can be beneficial. Include more sweet, bitter, and astringent tastes in your meals. Avoid excessively spicy, sour, and salty foods that can aggravate Pitta.

Increase consumption of foods like cooked vegetables (such as zucchini, carrots, and squash), well-cooked rice, and oats. These are gentle on the digestive system and can help in forming well-shaped stools. Incorporate good quality oils like ghee and coconut oil, known for their soothing and nourishing properties.

Hydration is key. Drink lukewarm water throughout the day to promote healthy digestion and support the body's natural motility. Avoid ice-cold drinks which can disturb Agni (digestive fire).

Try incorporating buttermilk into your diet. It's calming for Pitta, supportive of gut bacteria, and aids digestion. Making Takra, which is a diluted yogurt drink, might help in managing your digestive heat concerns. But ensure it's well balanced – add a pinch of roasted cumin powder and rock salt to taste.

Practicing yoga asanas focusing on digestive health — like Pawanmuktasana and Savasana — can support the movement and help balance Vata. Regular pranayama, especially Sheetali and Sheetkari, can also help cool Pitta heat.

Incorporate specific herbal remedies like Guduchi (Tinospora cordifolia) known for its cooling properties, and two teaspoons of soaked overnight fennel seeds water can be taken in the morning on empty stomach to soothe Pitta while enhancing digestion.

For improving gut bacteria imbalance and nutrient absorption, a probiotic supplement might be helpful, focusing on including natural sources like fermented foods can be integrated gradually. If hormone levels are of concern, consulting a practitioner for a more focused approach can be of help.

Always consult your physician before trying new supplements or significant dietary changes, especially given your unique constitution and ongoing medications.

Dr. Surya Bhagwati · Answer

Focusing on your Vata-Pitta constitution and the issues you've described, let’s address the root causes to improve your stool consistency. Your current approach using both Ayurvedic and allopathic medication highlights an imbalance in your doshas, particularly related to digestive heat and gut motility.

Start with Mukkuti (biophytum sensitivum) which is known to balance Pitta and can help soothe your gut without adding heat. Prepare a simple concoction by boiling a few leaves in water and drinking it once daily.

Switch to Dashamoola in a decoction form, which is cooling and anti-inflammatory. Take about 50 ml of the decoction once a day. It can help to reduce the intestinal heat and normalize motility without overstimulating the bowels.

Incorporate Takra (buttermilk), as its properties pacify Pitta and Vata both. Make it by whisking together a small amount of unsalted yogurt with four times the water, adding a pinch of cumin and coriander powder. Take this after lunch in small sips.

Ghee is beneficial for alleviating Vata-induced dryness and can contribute to better stool formation. Use one teaspoon of warm ghee on an empty stomach in the morning, but avoid if it increases Pitta symptoms.

Triphalarishtha is a liquid preparation and can be taken in small amounts at night to gently maintain balance and improve gut flora without introducing excess moisture.

For diet, continue with fiber but ensure you balance it with grounding, naturally astringent foods that reduce stool liquidity. Avoid extremely fatty or oily foods just till balance is restored, as these aggravate Vata and Pitta.

Finally, make sure yo drink comfortably warm water throughout day. Cold liquids can aggrevate Vata and impair digestion, while consistent warmth aids in smoother digestion.

Without fail, if there's no sign of improvement or if symptoms grow severe, it's crucial to get thoroughly evaluated by an Ayurvedic specialist or gastroenterologist. These suggestions aim to restore balance, but closely monitor your response to changes and adapt as your condition improves.

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