hello Ji.,
Thank you for sharing your details. Since you are 77 years old, diabetic, and have recently undergone surgery for diverticulitis, your digestive system is still sensitive and needs gentle, well-monitored care. Let me explain this in a simple way.
After diverticulitis surgery, the intestines take time to heal. The digestive fire (Agni) usually becomes weak, leading to gas, bloating, or discomfort even with small dietary changes. In such a stage, strong or astringent herbs like Bel Patra (Bilva) can sometimes be harsh on the intestines. Though Bel Patra is useful in diarrhoea and for improving digestion, it is not suitable right now because it can increase dryness and slow bowel movement which may irritate a healing gut.
So, instead of Bel Patra, our goal should be to gently improve digestion, reduce bloating, and maintain regular soft bowel movements without strain.
1. Deepana–Pachana (first 4–5 days) (to strengthen digestion and reduce gas)
Amapachaka Vati – 1 tablet twice daily after meals with warm water
2. Internal Medicines (after day 5)
Hingvashtaka Churna – a small pinch with a spoon of warm ghee after meals (only if it suits you, start once daily)
Triphala Churna – ½ teaspoon with warm water at bedtime for easy bowel clearance
These are mild, safe, and suitable for diabetics when taken in proper dose.
3. Dietary Advice
Favourable foods: Warm, well-cooked, soft meals — rice gruel, moong dal soup, vegetable stews Add a few drops of ghee in each meal to avoid dryness Drink warm water in small sips throughout the day
Avoid: Raw fruits, salads, sprouts, and cold or refrigerated foods Fried, spicy, or sour dishes Overeating or long gaps between meals
4. Lifestyle Support
Take short walks after meals to help reduce bloating Avoid lying down immediately after food Keep meal timings regular and stress levels low Right now, your digestive system needs time to regain strength. Once your digestion becomes stable and your bowel movements are regular, we can reassess and modify medicines if required.
Please don’t worry this kind of post-surgical bloating is very common and responds well to mild Ayurvedic regulation. With careful dietary management and gentle digestive support, you’ll gradually feel more comfortable and balanced.
Warm regards, Dr. Karthika



