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Managing Anal Fissure and Constipation with Diabetes and High Blood Pressure
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Gastrointestinal Disorders
प्रश्न #37277
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Managing Anal Fissure and Constipation with Diabetes and High Blood Pressure - #37277

Client_161652

Anal fissure and constipation diabeties and bp patient tobacco chewing and insomnia lowhb using pand d last 25 yeras

How long have you been experiencing anal fissures and constipation?:

- More than 6 months

What is your typical daily water intake?:

- Less than 1 liter

Have you made any dietary changes recently?:

- No changes
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डॉक्टरों की प्रतिक्रियाएं

Avoid addiction if any. Avoid oily spicy and processed foods. Regular exercise. Increase intake of raw vegetables and fruits. Drink sufficient quantity of water. Tab. Erandbhrushta haritaki 0-0-2 With lukewarm water at bedtime. Amroid ointment for local application. Tab.Amroid 2-0-2 Follow up after 2weeks

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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
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Thank you for reaching out and trusting this platform with your health issues. Considering the multiple factors you have mentioned- chronic anal fissure long-term constipation, diabetes, high blood pressure, low haemoglobin, tobacco, chewing for 25 years, insomnia, and low water intake, your bodies under significant stress and gentle multi approach is needed Your anal fissure and constipation are likely aggravated by dryness in the colon, low fibre intake, dehydration and vata imbalance, compounded by systemic information from Tabako, diabetes, and poor sleep Low haemoglobin and chronic tobacco use also reduce ceiling capacity and can prolong Fissure recovery Increase water in gradually, at least 2 L per day. Warm water is preferable. Include include oats, fruits,soaked chia seeds or flax seeds Avoid hard dry foods Include ghee or olive oil in diet Quit tobacco Triphala churna-1 tsp with warm water at night Punarnavadi mandura 1-0-1 Medha vati 1-0-1 Saraswathi aristha 10-0-10 ml Abhaya aristha 10-0-10 ml Jatyadi taila - ext appn Drink warm milk with a pinch of nutmeg at night Try to maintain a daily routine for bowel movement Practice pranayama meditation regularly

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Managing these conditions requires a focused approach that combines dietary, lifestyle and herbal interventions. For anal fissures and constipation, focus on softening the stools and improving your digestion. Taking warm water early in the morning can help stimulate your digestive fire. Include fibrous foods like whole grains, fruits, and vegetables, but ensure these are cooked well to ease digestion. Methi (fenugreek) seeds soaked overnight can be consumed with water to aid in bowel movements. Triphala churna, a classic Ayurvedic formulation, is beneficial for constipation - take a teaspoon with warm water before bed.

Your diabetes and high blood pressure require dietary management as well. Avoid processed sugars, excessive salt, and fried foods. Eating at regular intervals helps in maintaining your blood sugar levels. Include spices such as cinnamon and fenugreek in daily meals, as they’re beneficial for regulating blood glucose. Incorporate yoga and pranayama, like alternate nostril breathing, into daily routine - these help reduce stress, improving both BP and insulin sensitivity.

For insomnia, establish a calming nighttime routine. Avoid electronics before bed and drink a cup of warm milk with a pinch of nutmeg to promote sleep. You might want to reduce or quit tobacco, as it can aggravate your conditions. Consider consulting with a professional to help with this.

Regarding the long-term use of any allopathic medication, it’s important to consult a physician for regular check-ups. Low hemoglobin levels might indicate an underlying issue such as anemia. Increase intake of iron-rich foods like green leafy vegetables, jaggery, and raisins. Additionally, take precautions by consulting a healthcare provider for guidance tailored specifically to your needs, considering your complex conditions. Always make changes gradually, and under professional supervision when necessary.

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आपका व्यक्तिगत उपचार तैयार है
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Addressing anal fissures and constipation, especially for someone managing diabetes and high blood pressure, requires a holistic approach. First, understand that these conditions often correlate with a Vata imbalance, particularly impacting the colon and nervous system. Long-term tobacco use compounds the issue, affecting circulation and nervous stability, which could contribute to insomnia.

To begin, incorporate a simple warm, high-fiber diet to ease constipation and improve digestive health—think cooked vegetables like carrots, beets, and spinach, alongside whole grains such as quinoa or brown rice. Hydration is critical, so encourage drinking warm water throughout the day as it aids in flushing out toxins and alleviating constipation.

Consider Triphala, an essential Siddha-Ayurvedic remedy that gently promotes bowel movement while nourishing the digestive tract. Use it by mixing half a teaspoon with warm water before bedtime. Dosage may vary depending on tolerability, so it might be wise to start with a smaller quantity.

Avoiding tobacco is paramount due to its negative impact on vascular health, increasing complications in diabetes and high blood pressure. For insomnia, establish a relaxing bedtime routine—perhaps incorporating Brahmi or Ashwagandha as these herbs are known for their calming properties and are traditionally used for promoting deep sleep. Mix a teaspoon of Brahmi powder in warm milk and have it before sleep.

Ensure regular physical activity that accommodates existing health conditions; gentle yoga or a short daily walk can enhance circulation and support digestive health. Monitor blood sugar levels regularly, adjusting dietary components as needed, to maintain proper diabetic control. For severe or recurrent anal fissures, seek medical consultation as surgical intervention might be necessary.

Lastly, it’s important to consider a professional consultation to adjust iron levels for low hemoglobin, potentially through medicated Ayurvedic formulations like Loha Bhasma along with dietary adjustments. Always consult with healthcare professionals to ensure that any supplementation aligns with ongoing medical treatments and conditions.

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Dr. Gursimran Jeet Singh
I am Dr. Gursimran Jeet Singh, born and raised in Punjab where culture and traditions almost naturally guided me toward Ayurveda. From very early days I felt more drawn to natural ways of healing, and this curiosity finally led me to pursue Bachelor of Ayurvedic Medicine and Surgery (BAMS) at Shri Dhanwantry Ayurvedic College, Chandigarh—an institution known for shaping strong Ayurvedic physicians. During those years I learned not only the classical texts and treatment methods, but also how to look at health through a very practical, human lense. For the past five years I worked in clinical practice, where patients come with wide range of concerns—from chronic digestion troubles to autoimmune illness—and I try to integrate both Ayurveda and modern medical knowledge to give them the most complete care I can. Sometimes western diagnostics help me to understand the stage of disease, while Ayurveda helps me design treatment that address root cause. This bridging approach is not always easy, but I believe it’s necessary for today’s health challanges. Currently I am also pursuing higher studies in Panchakarma therapy. Panchakarma is an area I feel very strongly about—it is not just detox, it is a whole system of cleansing, rejuvenation, rebalancing, and I want to deepen my expertise here. In practice, I combine Panchakarma with lifestyle guidance, diet planning, herbal remedies, yoga and mindfulness practices depending on what a patient actually needs at that moment. No two cases are same, and Ayurveda reminds me daily that healing must be personal. My approach is always focused on root-cause management rather than temporary relief. Diet, herbs, therapeutic oils, meditation routines, and simple daily habits—they all work together when chosen rightly. Sometimes results come slow, sometimes faster, but I try to keep care sustainable and compassionate. Helping someone regain energy, sleep better, or reduce pain, that is the real achievement in my journey. And I continue learning, because Ayurveda is deep, it doesn’t finish with one degree or one training, it grow with every patient and every experiance.My specialties lie in treating a range of chronic and lifestyle-related conditions using Ayurveda’s time-tested principles, tailored to each individual’s unique constitution (Prakriti). I have significant expertise in managing digestive disorders, such as irritable bowel syndrome (IBS), acid reflux, constipation, diabetes, obesity and inflammatory bowel diseases. I also specialize in addressing stress-related and mental health conditions, including anxiety, depression, insomnia, and burnout, which are increasingly common in today’s fast-paced world. By integrating therapies like Shirodhara (oil pouring on the forehead) to calm the nervous system, Abhyanga (herbal oil massages) to balance Vata dosha, and adaptogenic herbs like Ashwagandha and Brahmi, I help patients achieve mental clarity and emotional resilience. In the field of musculoskeletal and joint health, I excel in treating conditions like arthritis (rheumatoid and osteoarthritis), back pain, sciatica, and sports injuries. Using therapies such as Kati Basti (localized oil retention on the lower back) and potent anti-inflammatory herbs like Guggulu and Shallaki, I focus on reducing inflammation, improving joint mobility, and strengthening tissues. My treatments have helped many patients, particularly those seeking non-invasive alternatives, regain mobility and reduce pain through a blend of internal medications and external therapies. Skin disorders are another key area of my practice, where I address conditions like eczema, psoriasis, acne, and pigmentation issues holistically. By focusing on blood purification and balancing Pitta dosha and detoxifying Panchakarma techniques like Raktamokshana (bloodletting). My approach targets dietary and lifestyle triggers, offering sustainable results for clients who previously relied on temporary solutions like topical steroids. My dual expertise in Ayurveda and modern medicine allows me to create integrative treatment plans that are both effective and safe. I am deeply committed to patient education, empowering individuals to embrace Ayurvedic principles for sustainable health. Through this online platform, I am excited to offer virtual consultations, making the profound benefits of Ayurveda accessible to all. Whether you seek relief from a specific condition or aim to enhance overall vitality, I look forward to guiding you on your journey to balance and well-being with compassion and expertise.
5
131 समीक्षाएँ
Dr. M.Sushma
I am Dr. Sushma M and yeah, I’ve been in Ayurveda for over 20 yrs now—honestly still learning from it every day. I mostly work with preventive care, diet logic, and prakriti-based guidance. I mean, why wait for full-blown disease when your body’s been whispering for years, right? I’m kinda obsessed with that early correction part—spotting vata-pitta-kapha imbalances before they spiral into something deeper. Most ppl don’t realize how much power food timing, digestion rhythm, & basic routine actually have… until they shift it. Alongside all that classical Ayurveda, I also use energy medicine & color therapy—those subtle layers matter too, esp when someone’s dealing with long-term fatigue or emotional heaviness. These things help reconnect not just the body, but the inner self too. Some ppl are skeptical at first—but when you treat *beyond* the doshas, they feel it. And I don’t force anything… I just kinda match what fits their nature. I usually take time understanding a person’s prakriti—not just from pulse or skin or tongue—but how they react to stress, sleep patterns, their relationship with food. That whole package tells the story. I don’t do textbook treatment lines—I build a plan that adjusts *with* the person, not on top of them. Over the years, watching patients slowly return to their baseline harmony—that's what keeps me in it. I’ve seen folks come in feeling lost in symptoms no one explained… and then walk out weeks later understanding their body better than they ever did. That, to me, is healing. Not chasing symptoms, but restoring rhythm. I believe true care doesn’t look rushed, or mechanical. It listens, observes, tweaks gently. That's the kind of Ayurveda I try to practice—not loud, but deeply rooted.
5
621 समीक्षाएँ
Dr. Shaniba P
I am an Ayurvedic doctor, someone who’s pretty much built her clinical journey around natural healing, balance and yeah—just trying to help ppl feel a bit more whole again. I work mostly with conditions that kinda stay with people... like joint pain that won’t go away, periods all over the place, kids falling sick again n again, or just the kind of stress that messes up digestion n sleep n everything in between. A lot of my practice circles around arthritis, lower back pain, PCOD-ish symptoms, antenatal care, immunity problems in kids, and those quiet mental health imbalances ppl often don't talk much about. My approach isn’t just pulling herbs off a shelf and calling it a day. I spend time with classical diagnosis—checking Prakriti, figuring out doshas, seeing how much of this is physical and how much is coming from daily routine or emotional burnout. And treatments? Usually a mix of traditional Ayurvedic meds, Panchakarma (only if needed!!), changing food habits, tweaking the daily rhythm, and honestly... just slowing down sometimes. I’m also really into helping ppl understand themselves better—like once someone gets how their body is wired, things make more sense. I talk to patients about what actually suits their dosha, what throws them off balance, and how they can stop chasing quick fixes that don’t stick. Education's a big part of it. And yes, I’ve had patients walk in for constant cold and walk out realizing it’s more about weak agni n poor gut routines than just low immunity. Every case’s diff. Some are simple. Some not. But whether it’s a young woman trying to fix her cycles without hormones or a 6-year-old catching colds every week, I try building plans that last—not just short term relief stuff. Healing takes time and needs trust from both sides. End of the day, I try to keep it rooted—classical where it matters but flexible enough to blend with the world we're livin in rn. That balance is tricky, but worth it.
5
130 समीक्षाएँ

नवीनतम समीक्षाएँ

Gabriel
6 घंटे पहले
Really appreciated the detailed response. Thanks a ton for breaking it down so clearly, it's super helpful! Will definitely try the suggestions.
Really appreciated the detailed response. Thanks a ton for breaking it down so clearly, it's super helpful! Will definitely try the suggestions.
Leo
6 घंटे पहले
Thank you so much for the clear advice doc! Appreciate the detailed reccomendations, this looks really helpful!
Thank you so much for the clear advice doc! Appreciate the detailed reccomendations, this looks really helpful!
Liam
6 घंटे पहले
Thanks for the detailed advice! I love how the remedy involves both traditional and lifestyle suggestions. Really helpful 😊
Thanks for the detailed advice! I love how the remedy involves both traditional and lifestyle suggestions. Really helpful 😊
Noah
6 घंटे पहले
Thanks for the clear and detailed advice! Your remedies seem easy to follow, and it's reassuring to know there's a natural solution.
Thanks for the clear and detailed advice! Your remedies seem easy to follow, and it's reassuring to know there's a natural solution.