Take swarnakravyadhi ras 1tab bd, yakrithplihatkachurna 1tsp, kumariasva 20ml bd, canconil 1tab bd, arogya vardini vati 1tab bd, punnarvadi Guggulu 1tab bd u ll get relief
In a patient with irreversible, but compensated, liver cirrhosis khayam tablet should be used with great caution or avoided as it can sometimes be too heating or strong for a sensitive liver for managing tight and in frequent stools safely. It is better to use mild liver, supportive Ayurvedic formulation that do not burden the liver effective alternative is triphala churna 1 teaspoon with warm water at bedtime it will easy bowel movement and improve natural peristalsis along with this can take Arogyavardini vati one tablet twice daily after meals. It supports liver detoxification without causing strain. You may also use Drakshadi avaleha 1 teaspoon twice daily to keep the liver, nourished and prevent dehydration of stools drink, warm water throughout the day, light meals with cooked vegetables, avoid raw salads, Savarkar and spicy food
Hello I completely understand your concern. Managing constipation in a patient with irreversible (compensated) liver cirrhosis needs great care — because the liver’s detoxifying ability is already compromised, and excessive or harsh purgatives can worsen weakness or electrolyte imbalance. But dont worry we are here to help you out😊
✅ About Khayam Tablet
Khayam tablet (a classical Ayurvedic laxative) is mainly used for chronic constipation and contains herbs like Senna, Haritaki, Amaltas, etc.
These herbs are strong purgatives (Rechaka Dravya), which can irritate the intestines and cause fluid-electrolyte imbalance — not advisable in liver cirrhosis, especially if the patient feels weak or has low albumin levels or ascites.
👉 Therefore, Khayam tablet is not recommended in compensated or decompensated liver cirrhosis,l
✅SAFER AYURVEDIC ALTERNATIVES
Instead of Khayam, prefer mild, nourishing laxatives that lubricate and cleanse the bowel naturally without dehydrating the system.
✅ Gandharvahastadi Kashayam 10–15 ml with equal water twice daily before food. Improves bile flow and mild constipation. Strengthens liver and spleen functions.
✅ Triphala Churna 1 tsp Triphala + 1 tsp cow ghee + warm water at bedtime. Promotes smooth evacuation and rejuvenates liver tissues.
✅DIET MODIFICATION
✅Include
Light, easily digestible meals: Mung dal khichdi, bottle gourd (lauki), ridge gourd (turai), pumpkin soup. Fruits: Papaya, ripe banana, figs, soaked raisins, black grapes. Use cow ghee daily (1–2 tsp) to lubricate intestines. Warm water through the day; avoid cold or carbonated drinks. Include herbal teas of jeera, coriander, fennel.
❌ Avoid
Fried, spicy, heavy, and oily foods. Excess salt and sour foods. Refined flour, bakery items, and red meat. Alcohol or any hepatotoxic drugs. Constipating items like cheese, curd, and dry foods.
✅ Lifestyle Recommendations
Maintain regular sleeping and eating times.
Gentle yoga and breathing practices like Pavanmuktasana, Vajrasana, and Anulom Vilom improve liver circulation.
Avoid fasting or long meal gaps — it aggravates Vata.
Gentle evening walks aid bowel movement and reduce stress on the liver.
✅FOR LIVER STRENGTHENING (Supportive Medications)
If your digestion is weak and liver function mildly deranged, the following can be supportive:
1. Liv 52 DS – 1 tablet twice daily after food 2. Arogyavardhini Vati – 1 tablet once daily after meals for 1 month (mild dose only).
-Avoid metallic or herbo-mineral preparations (like Tamra Bhasma, Swarnamakshika) without supervision in cirrhosis.
✅HOME REMEDIES
1. Warm water with lemon in the morning – stimulates bile and relieves mild constipation.
2. 2 tsp soaked raisins or 1 tsp soaked flaxseed daily at night – provides a mild laxative effect.
3. A glass of lukewarm milk with 1 tsp ghee before bed – softens stool naturally.
👉 Khayam tablet is not ideal for liver cirrhosis. Instead, use mild laxatives like Triphala , or Gandharvahastadi Kashayam, along with a Kapha–Pitta balancing diet and gentle lifestyle. The goal is to keep bowels soft and liver protected — without overburdening the system.
Wishing you a good health😊
Warm Regrads Dr Snehal Vidhate
