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Gastrointestinal Disorders
प्रश्न #36358
135 दिनों पहले
988

Best Remedies for Chronic IBS and Lactose Intolerance - #36358

JHILLY DASGUPTA

Which is the best for chronic IBS patients who are lactose intolerant with frequent gastric pain and dyspepsia: brahmi pearls or brahmi ghrita? What kind of dinner or food should one have to minimize gastric symptoms? Any supplement that can be taken after dinner to minimize gastric/IBS symptoms? The patient is already taking vizilac after breakfast and dinner as per doctor's prescription.

पेड
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इस स्थिति के लिए डॉक्टर द्वारा सुझाए गए उपचार

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डॉक्टरों की प्रतिक्रियाएं

Hello Jhilly, I can understand your concern regarding IBS (Irritable Bowel Syndrome) with lactose intolerance but dont worry we are here to help you out😊

✅ Choosing Between Brahmi Pearls vs. Brahmi Ghrita

❌ Brahmi Ghrita – Not suitable in your case, as ghee can worsen lactose-related symptoms and cause bloating or diarrhea.

✅ Brahmi Pearls (Brahmi capsules/tablets) – Safer and more effective for calming the mind and gut, as they don’t contain dairy.

Dose- 1 capsule twice daily after meals with warm water.

Benefit- Reduces stress-related IBS triggers, improves gut-brain connection, relieves anxiety, and enhances digestion gently.

✅ Ideal Dinner Plan for IBS + Lactose Intolerance

Dinner should be light, warm, freshly cooked, and mildly spiced. Avoid cold, heavy, or fermented foods.

✅ Recommended foods:

Soft khichdi (moong dal + rice + ghee substitute like sesame oil) Steamed vegetables (bottle gourd, ridge gourd, pumpkin, ash gourd) Rice gruel (kanji) with a pinch of cumin and ajwain Clear vegetable soup or thin dal soup

½ tsp Hing + cumin roasted in ghee substitute (cold-pressed sesame oil) before meals to reduce gas.

❌ Avoid:

Milk and dairy (including paneer, curd, butter) Wheat-based rotis at night (use rice instead) Raw salads, cabbage, cauliflower, beans Processed foods, sweets, cold drinks

✅ Post-Dinner or Bedtime Remedies to Reduce IBS Symptoms 👉 Bilwadi Churna Dose: ½ tsp with lukewarm water after dinner. Benefit: Reduces mucus, calms intestinal inflammation, and corrects stool consistency.

✅Additional Ayurvedic Recommendations

Take Vizilac as prescribed (supports good gut bacteria).

Practice deep breathing, meditation, or mild yoga daily — IBS often worsens with anxiety. Regular sleep and mealtime rhythm are very important. Warm water throughout the day; avoid cold water.

Wishing you a good health😊

Warm Regards Dr Snehal Vidhate

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आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
स्वीकृत प्रतिक्रिया

0 उत्तर

Between Brahmi pearls and Brahmi gritha , Brahmi pearls are safer Brahmi gritha contains medicated ghee which I turn is a dairy product And can aggrevate gastric symptoms Prefer light easy to digest foods Moong dal Khichdi plain rice with dal cooked vegetables Eat small portions slowly 2-3 hrs before bedtime

4451 उत्तरित प्रश्न
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आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
स्वीकृत प्रतिक्रिया

0 उत्तर

Morning (Empty Stomach)

Kutajghan Vati – 2 tablets with lukewarm water

Jeerakarishta – 15 ml with equal water after breakfast

After Breakfast

Vizilac capsule – 1 capsule

Sutshekhar Ras (Plain) – 1 tablet with honey

Lunch

Diet advice:

Soft-cooked rice + moong dal + lightly cooked vegetables

1 tsp ghee if tolerated

Avoid curd, milk, fried, spicy, or fermented food

Evening (Before Dinner)

Peppermint oil (enteric-coated) – 1 capsule (or Pudina Ark 15 drops in 20 ml water)

After Dinner

Vizilac capsule – 1 capsule

Arogyavardhini Vati – 1 tablet with lukewarm water

At Bedtime

Hingwashtak Churna – 1 teaspoon with warm water (if hyperacidity present, substitute with Avipattikar Churna)

Dietary & Lifestyle Advice

Early dinner before 7:30 PM

Avoid: milk, curd, cheese, raw salads, carbonated drinks, coffee, alcohol

Include: warm, freshly cooked meals; ginger–jeera–hing seasoning

Sip warm water throughout the day

Gentle walk for 10 minutes after meals

Optional Add-ons (if symptoms persist)

Iberogast drops – 20 drops in 20 ml water before meals × 3 daily

Liv.52 DS – 1 tablet twice daily after food

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आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
स्वीकृत प्रतिक्रिया

0 उत्तर

Brahmi pearls are more safer than Brahmi ghrita as you mentioned lactose intolerance.

Avoid raw foods. It is better to use cooked ones. Always prefer to eat slight warm food. Early dinner also helps in gastric problems. Keep regular meal time almost before 8:00

1. Hinguvashtaka choornam 1/2 tsp with warm water before food twice a day. Preferably morning and lunch time. 2. Triphala choornam 1/2 tsp at night after food.

Take care, Dr. Shaniba

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आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।

0 उत्तर

Dear Jhilly Avoid oily, spicy, processed foods and bakery products. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Cap. Florasante 1-0-1 Tab. StopIBS 1-0-1 TAB. Yashtimadhu 2-0-2 Follow up after 10days

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आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।

0 उत्तर

Hello jhilly Dasgupta as you have mentioned lactose intolerant then Brahmi pearls would be more appropriate choice

Opt for easy digestible foods Lean proteins or fish Avoid raw or cruciferous vegetables that are hard to digest Limit intake of foods like garlic onions beans Since the patient already taking vizilac let her continue as it’s a pre- probiotic

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आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।

0 उत्तर

Take dadimaghirta 1tsp ,and bilwadilehyam 1tsp, Sutashekar ras gold 1tab bd, kutajaganavati 1tab bd enough

13412 उत्तरित प्रश्न
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Hi Jhilly, One of most important cause for IBS is stress in about 80% of cases. Other cause is the vitiation of digestive fire within and it hampers the digestion and metabolism. If it is the thing in your case then treatment would be according to that. You need to take oral medications as well as undergo Panchakarma therapy also. For medications take 1. Dadimashtaka churn 1tsp-0-1tsp with Buttermilk before food 2. Kaidaryadi kashayam 20ml-0-20ml with 20ml water after food 3. Brahmi Pearls 1-0-1 after food 4. Manasamitra Vatkam 1-0-1 After food

For Panchakarma procedures- Take Shirodhara with Tila Tail for 10 days (In this medicated oil is poured on forehead in the form of continuous stream for about 40-45 minutes). It relaxes mind and induce calmness.

Avoid outside food, always have home-cooked food. Avoid dairy products, spicy and oil foods.

Regards Dr Gursimran Jeet Singh MD Panchakarma

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आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।

0 उत्तर

Hello Jhilly You can take Brahmi pearls will not irritate your digestive system Avoid wheat and wheat products Have soft khichdi (made of rice and moong dal ) Vegetables like doodhi, french beans, … which are soft and easily digestible with mild spicy if you prefer or else bland diet will be good. Curd rice is also a good choice. Have buttermilk with pinch of asafoetida black salt and roasted jeera powder after lunch daily. Take kamdudharas moti yukta 1-0-1 after food with water.

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आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।

0 उत्तर

HELLO JHILLY,

Irritable bowel syndrome (IBS) is a chronic functional bowel disorder. It causes -frequent abdominal pain or cramps -bloating and gas -irregular bowel habits- alternating loose motion and constipation -discomfort after eating certain foods

Lactose intolerance means the intestine lacks enough lactase enzyme to digest milk sugar (lactose). when lactose-rich food is eaten, it ferments in the gut , producing gas, acidity, pain, and loose stool

So, this combination causes -frequent gas, bloating -abdominal cramps -dyspepsia (indigestion) -intolerane to dairy products -mental stress and fatigue

In Ayurveda , this condition corresponds to “Grahani dosha” , mainly due to Agni dushti (weak digestive fire) and vata-pitta imbalance

ROOT CAUSES -irregular meals, eating late or too fast -spicy, oily, fermented foods -overthinking , anxiety, lack of sleep -excess tea, coffee, junk food

TREATMENT GOALS -strengthen digestive fire -correct grahani -intestinal tone -remove toxins -balance vata and pitta doshas -restore gut flora and calm the mind-gut axis -prevent recurrence

INTERNAL MEDICATIONS

1) BRAHMI PEARLS= 1 cap at bedtime for 3 months =calms the nervous system, reduces anxiety- triggered IBS symptoms, improves sleep, relieves gut tension (Avoid Brahmi ghrita due to lactose intolerance)

2) HINGWASTAKA CHURNA= 1/2 tsp with warm water after meals for 3 months =relieves gas, bloating, abdominal pain; strengthens digestion and regulates vata

3) JEERAKADYARISHTA= 15ml + equal water after meals for 3 months =enhances appetite, relieves dyspepsia, supports proper absorption

4) AROGYAVARDHINI VATI= 1 tab after dinner for 2 months =improves liver function and pitta balance , helps in acid reflux and metabolism

5) VIZILAC CAPSULE= 1 after breakfast and dinner =probiotic to balance gut bacteria and reduce IBS flares

EXTERNAL THERAPIES

1) WARM OIL MASSAGE with Sesame oil 3-4 times/week =calms vata, improves circulation, reduces anxiety and bloating

2) HERBAL PASTE ON NAVEL= with hing + ajwain + warm water during acute bloating = relieves abdominal cramps and gas

DIET -moong dal khichdi -steamed vegetables- bottle gourd, ridge gourd , pumpkin, Carrot -old rice, red rice, small millet -warm water or jeera coriander fennel infused water -light soups= lauki, ash gourd, carrot -small quantity of sesame oil or ghee substitute lactose free - herbal teas = mint, fennel or ginger -pomegranate, ripe banana small , apple boiled or stewed

AVOID -milk, panner, cheese, curd, butter (all lactose sources) -wheat, maida, bakery products at night -cold drinks, ice creams -fried, spicy, or sour foods -Pulses like rajma, chana, urad dal -coffee, excess tea, alcohol - fermented foods like dosa, idli during flare ups

SIMPLE HOME REMEDIES

1) JEERA-SAUNF-AJWAIN WATER =reduces gas, improves digestion- sip warm through day

2) HING AND ROCK SALT PASTE applied around navel in bloating

3) Warm water with 1 tsp aloe vera juice + pinch of cumin powder once daily- soothes acid reflux

4) Triphala powder 1 tsp with warm water at bedtime only if constipation id present

5) Soaked raisins 4-5 days every morning- gentle bowel regulator

LIFESTYLE MODIFICATIONS -Meal habits= eat at fixed times, chew slowly, avoid overeating or log fasting -Sleep= sleep by 10 pm , avoid phone/tv 1 hour before bed -Stress= practice meditation or journaling daily; IBS is highly stress-sensitive -Post meal habit= sit in vajrasana for 10 minutes after meals; aids digestion -Avoid= excess talking during meals, cold drinks, late night eating

YOGA ASANAS -vajrasana= immediately after meals -pawanmuktasana= releases trapped gas - apanasana= improves bowel movement -bhujangasana= strengthens abdomen -shavasana= relaxation

PRANAYAM -Nadi sodhana= balances nervous system -Bhramari= reduces axiety and gut irritability - sheetali/sheetkari= cooling, helpful in pitta- type IBS -deep diaphragmatic breathing- during abdominal pain

IBS is reversible and manageable once digestive fire is restore sand mind is calm The mind gut axis is key- anxiety directly worsens gut symptoms Healing requires consistent diet, regular habits, and stress reduction , not quick medicines Avoid constant switching of medications; stability is essential for gut to heal Overtime, the bowel regains its natural rhythm and lactose intolerance symptoms reduce as the gut strengthens

DURATION OF TREATMENT Initial improvement= 2-4 weeks Digestive stabilization= 3 months

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

12163 उत्तरित प्रश्न
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0 उत्तर

For chronic IBS patients who are lactose intolerant and experience gastric pain, dyspepsia, and bloating, Brahmi Pearls are generally a better choice than Brahmi Ghrita.

Ideal Dinner for IBS with Gastric Sensitivity - Base: Moong dal khichdi (with cumin, ginger, and ghee) - Add-ons: Steamed bottle gourd, ash gourd, or zucchini - Cooling chutney: Mint + coriander + roasted cumin - Avoid: Raw salads, dairy, spicy or sour foods, legumes (except moong), and fermented items Eat by 7 PM, chew slowly, and sit in Vajrasana for 5 minutes post-meal.

Supplements After Dinner (Safe with Vizilac 1.Dadimashtaka Churna 1/2 tsp with warm water before breakfast 2.Takrarishta 5 ml with 15 ml water after dinner

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आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।

0 उत्तर

For chronic IBS patients who are lactose intolerant and experiencing gastric pain and dyspepsia, choosing between Brahmi pearls and Brahmi Ghrita depends on individual digestion and lactose concerns. Brahmi Ghrita is generally made with ghee, which may be tolerable for those with lactose intolerance due to its low lactose content, but still requires cautious use. Brahmi pearls, however, are often in a capsule form which can be easier on digestion for those with intolerances.

Dinner should ideally be light and easy to digest. Opt for cooked vegetables (like zucchini, carrots, or spinach), alongside cooked grains such as rice or quinoa. A simple moong dal khichdi can be soothing and nourishing. Avoid raw salads, heavy legumes, and particularly fried or spicy foods—they can agitate the digestive system.

Post-dinner, you might consider sipping on a cup of warm water mixed with a pinch of roasted fennel or a turmeric pinch, which is known to aid digestion. Herbal teas such as chamomile or ginger can also be calming. Supplements such as Trikatu churna might help improve digestion, but it needs to be taken with care due to its heating properties and consulting with an Ayurvedic practitioner is advised before use.

The continued use of Vizilac is important, as it supports gut health. Pay attention to portion sizes, and try eating at consistent times each day to regulate your digestive fire (agni). Practicing yoga or meditation can also help manage stress, a known aggravator of IBS symptoms. It’s always best to work closely with a healthcare provider to tailor suggestions as per individual needs and conditions.

Don’t hesitate to seek out in-person consultation, especially if new symptoms arise or existing ones worsen, ensuring comprehensive care for sensitive gastrointestinal issues.

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आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।

0 उत्तर

For chronic IBS combined with lactose intolerance, Brahmi pearls may be more suitable than Brahmi ghrita. Brahmi ghrita contains clarified butter, which might not be ideal due to potential lactose sensitvity. Brahmi pearls, having a more concentrated and lactose-free formulation, might be easier on digestion.

For dinner, you might want to focus on a light, easily digestible meal. Opt for khichdi made from moong dal and rice, with a bit of ginger and cumin for improving digestion. Avoid dairy and try plant-based options like almond or coconut milk. Include boiled vegetables like carrots or zucchini, avoiding those known to cause bloating such as cabbage or broccoli.

After dinner, Triphala can be beneficial to regulate digestion and support bowel movements. Take approximately half a teaspoon mixed with warm water or honey. Make sure to consult this with your healthcare provider, as you’re already on Vizilac and there should be no contradicting interactions.

In Siddha-Ayurvedic terms, try practicing deep-breathing exercises or yoga postures that aid in digestion, like Vajrasana. This can balance vata dosha, often aggravated in IBS cases leading to gas and discomfort.

Always consult your Ayurvedic practitioner before making adjustments to your regimen, especially due to chrony symptoms, ensuring a tailored plan for your prakriti and present condition.

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आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।

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ऑनलाइन डॉक्टर

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Dr. Haresh Patel
Doctor of Medicine in Ayurveda
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हमारी सेवा पर केवल योग्य आयुर्वेदिक डॉक्टर ही परामर्श देते हैं, जिन्होंने चिकित्सा शिक्षा और अन्य चिकित्सा अभ्यास प्रमाणपत्रों की उपलब्धता की पुष्टि की है। आप डॉक्टर के प्रोफाइल में योग्यता की पुष्टि देख सकते हैं।


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ऑनलाइन डॉक्टर

Online
Dr. Haresh Patel
Doctor of Medicine in Ayurveda
5.0441

नवीनतम समीक्षाएँ

Zoey
6 घंटे पहले
Thanks for the detailed reply! Your suggestions were really clear and easy to follow. I feel more at ease now, really appreciate it!
Thanks for the detailed reply! Your suggestions were really clear and easy to follow. I feel more at ease now, really appreciate it!
Grayson
6 घंटे पहले
Super helpful! Thanks doc for breaking down all the causes and treatment options for balanitis. It's so clear and easy to follow!
Super helpful! Thanks doc for breaking down all the causes and treatment options for balanitis. It's so clear and easy to follow!
Rachael
6 घंटे पहले
Thanks, doc! Really appreciate the easy-to-follow advice and the practical tips. It's exactly what I needed to get started.
Thanks, doc! Really appreciate the easy-to-follow advice and the practical tips. It's exactly what I needed to get started.
Benjamin
6 घंटे पहले
Thank you for the direct advice. Surgery wasn’t what I was hoping for but I trust your suggestion and will discuss with my doctor. Thanks a ton!
Thank you for the direct advice. Surgery wasn’t what I was hoping for but I trust your suggestion and will discuss with my doctor. Thanks a ton!