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Struggling with Severe Constipation and Anal Fissures
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Gastrointestinal Disorders
प्रश्न #40477
91 दिनों पहले
516

Struggling with Severe Constipation and Anal Fissures - #40477

Ujwala

Iam 43 years old.Pure vegetarian.Not taking any spicy food and also not taking outside from last 10 years.Since from my childhood I have poor digestion and facing constipation problem.Whenever constipation issue, iam taking ducoflex tablets for temporary relief from last 5 years atlest once in 10 days.But since from last year my constipation problem severity got increased and frequently my stool is becoming so hard.Because of this iam facing anal fissures.Now from last 8 months iam taking allopathic treatment. Iam using cintodac tablet daily before breakfast and Duphalac syrup, Cremafin plus syrup, Softovac SF powder before bedtime from last 8months. Eventhough iam using these allopathic medicines sometimes atleast once in week iam facing severe constipation and taking anema at hospital.Eventhough iam taking allopathic medicines my constipation problem is repeating and because of this my anal fissures is recurring.But during my menstrual days iam not facing any constipation problem.Soon after completing my menstrual days again my constipation triggers. My endoscopy results are as follows. Tiny mucosal breaks seen in Esophagus (Distal). Mucosa inflammation seen in stomach(Antrum). Mild abnormalities (Grade A Esophagus,mild gastritis). Colonoscopy results are as follows. Blackish pigmentation seen in Transverse colon, Hepatic flexure, Ascending colon. Moderate (Melanosis coli indicating chronic laxatives use) Iam not having any sleep issues. Iam taking daily 4 liters of drinking water. And doing walking for atleast 30 minutes daily.I have week immune system frequently getting cold if exposure to cool weather.Since my child hood iam not taking food which is placed in fridge.Iam taking fresh and homemade and easily digestible food only.Taking papaya and other fruits daily. Please help me in this regard

How would you describe the severity of your constipation?:

- Moderate, regular hard stools

What changes have you noticed in your diet or lifestyle recently?:

- No changes

How often do you experience anal fissures?:

- Occasionally, 1-2 times a month
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डॉक्टरों की प्रतिक्रियाएं

Thank you for sharing your health concerns. Your pattern shows, long-standing weak digestion, dryness in the colon and irritation in the upper stomach because of many years of stimulant. Laxatives the colon has become less response. You on its own, which is why even with Duphalac cremafin and softovac The relief is irregular the improvement during menstrual days, confirmes that the colon becomes soft when vata reduces so the main work is to maintain that softness throughout the month with gentle medicines, lubrication, and calming effect on the stomach

Based upon the report and symptoms , I would start you on a very simple and safe Ayurvedic treatment Avipattikara churna half teaspoon with water before lunch and dinner Gandharvahasthadi kashyam 15 ML with warm water at night Gashara churna half teaspoon daily with warm water Tab Nityam one tablet at bedtime When the fissure is active or painful do sitz bath for about 15 to 20 minutes daily followed by Jatyadi taila application Include Ghee soaked figs black raisins in diet, avoid dry food at night, drink plenty of water, regular walking With consistent use for 8 to 12 weeks The bowel slowly regain its natural tone, and the need for harsh laxatives gradually reduces

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Dr. Manjula
I am a dedicated Ayurveda practitioner with a deep-rooted passion for restoring health through traditional Ayurvedic principles. My clinical approach revolves around understanding the unique constitution (Prakruti) and current imbalance (Vikruti) of each individual. I conduct comprehensive consultations that include Prakruti-Vikruti Pareeksha, tongue examination, and other Ayurvedic diagnostic tools to identify the underlying causes of disease, rather than just addressing symptoms. My primary focus is on balancing the doshas—Vata, Pitta, and Kapha—through individualized treatment plans that include herbal medicines, therapeutic diets, and lifestyle modifications. I believe that healing begins with alignment, and I work closely with my patients to bring the body, mind, and spirit into harmony using personalized, constitution-based interventions. Whether managing chronic conditions or guiding preventive health, I aim to empower patients through Ayurvedic wisdom, offering not just relief but a sustainable path to well-being. My practice is rooted in authenticity, guided by classical Ayurvedic texts and a strong commitment to ethical, patient-centered care. I take pride in helping people achieve long-term health outcomes by integrating ancient knowledge with a modern, practical approach. Through continuous learning and close attention to every detail in diagnosis and treatment, I strive to deliver meaningful, natural, and effective results for all my patients.
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Hello, Please meet a ayurveda doctor who is specialized in ayurveda surgery called shalyatantra. He/she can help you to guide you through more appropriately after a thorough examination. There is a very effective parasurgical procedure which helps to address the fissure. Till then please start with the following: 1. Bahusala gulam 1 tsp at bed time with water.

Take care, Kind regards.

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Given your persistent constipation issues and history with anal fissures, it’s crucial to address the problem’s root cause through an Ayurvedic approach. You’re already on the right track with a vegetarian diet and avoiding refrigerated food and , which aligns well with Ayurvedic principles. However, there’s more you can try to tackle the underlying digestive imbalance.

First, assess your dosha. Constipation typically relates to a Vata imbalance. In accordance with Ayurveda, incorporating warm, moist, and grounding foods can help pacify Vata dosha and relieve constipation. Try to incorporate cooked vegetables, such as squash, carrots, and sweet potatoes, as well as whole grains like quinoa and rice into your daily meals. Ghee or sesame oil can be added to food for their lubricating cahracteristics, benefiting both digestion and elimination.

Herbal remedies can complement your diet. Triphala is often recommended in Ayurveda for constipation—take 1 teaspoon with warm water before bed. Aloe vera juice, taken in the morning on an empty stomach, can also help ease stool passage. However, since you’re already experiencing some characteristics of gastritis, starting with small dosages is wise and should be incorporated gradually to your regimen.

Addressing your mention of frequency with allopathy, it’s important to balance these treatments. If possible, consult with an Ayurvedic doctor who can expertly navigate between allopathic and Ayurvedic treatments.

Yoga can also be beneficial. Poses such as Pavanamuktasana (Wind-Relieving Pose), and Supta Baddha Konasana (Reclining Bound Angle) can promote digestion and alleviate Vata dosha imbalances.

Lastly, stress management techniques such as deep breathing exercises and meditation can be invaluable. Stress tends to exacerbate Vata and digestive issues, so creating a calm mind helps.

Since you mentioned improvements during your menstrual cycle, this indicates a potential link with hormonal changes; maintain an open line of communication with healthcare professionals, integrating Ayurvedic wisdom with medical advice.

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Your situation indeed requires attention. Let’s take a closer look at the root causes from an Ayurvedic perspective and some simple dietary and lifestyle adjustments that may aid you. Your issues with constipation could be indicative of an imbalance in the Vata dosha, along with low Agni, the digestive fire, which seems to be the case here despite your otherwise good practices.

1. Diet Adjustment: Regardless of eating fresh and homemade food, it’s important you include more natural lubricating and vata-pacifying foods. Add ghee to your meals, as it helps in softening stools naturally. Include more whole grains like quinoa, millets and practice a daily intake of cooked vegetables like carrots, beets, and squash.

2. Herbal Aids: For immediate relief and long-term health, consider using Triphala powder. It’s quite beneficial for regularizing bowel movements, taken a teaspoon with warm water before bed. Another recommendation is Avipattikar churna, which can improve digestive balance before meals, if compatible with your specific condition.

3. Lifestyle Measures: Since constipation eases during your menstrual cycle, hormonal changes might also play a role. You could try a gentle abdominal massage with warm sesame oil to help regulate Vata and ease tension.

4. Reduce Dependency on Laxatives: Chronic use of allopathic laxatives could be depleting your nadis and sapta dhatus, leading to weakened tissue systems. Gradually reducing dependency while introducing Ayurvedic practices can help.

5. Sleep and Stress Management: While you mentioned no sleep issues, checking for stressors and incorporating stress-relieving practices such as meditation or yoga can be beneficial.

6. Professional Consultation: While these suggestions are general, given the complexities involved, please see a local Ayurvedic practitioner who can offer a more personalized plan, especially concerning the mucosal breaks and colon pigmentation you noted.

Remember, gradually transition from current medications to avoid sudden changes. Immediate medical attention should still be priority if symptoms worsen.

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Dr. Ayush Bansal
I am an Ayurveda doctor with about 1 yr of hands on clinical practice, still learning everyday from patients and the science itself. My journey started as a VOPD doctor with Hiims Hospital under Jeena Sikho Lifecare Ltd. For 6 months I was into virtual consultations, understanding cases online, preparing treatment protocols and doing follow ups to track progress. That phase trained me well in quick patient assesment and also in explaining Ayurveda in a way that fit with modern expectations. I dealt with many chronic and acute cases during that time.. things like gastric issues, joint pain, stress related complaints, skin problems. The remote setting forced me to sharpen my diagnostic skill and rely more on careful history taking, prakriti analysis, and lifestyle understanding. After that, I moved to a Resident Doctor role at Chauhan Ayurved and Panchkarma Hospital, Udaipur. This was very different.. more practical, hands on, and really grounded me in classical Panchakarma. I was actively part of planning and performing therapies like Vamana, Virechana, Basti, Abhyanga, Shirodhara, and other detox and rejuvenation procedures. Many patients came with long standing spine issues, metabolic disorders, skin complaints, or hormonal imbalance and I got to see how tailored Panchakarma protocols and lifestyle advice together can bring changes that medicines alone couldn’t. Working closely with senior consultants gave me better clarity on safety, step by step planning and how to balance classical texts with practical hospital settings. Now, whether in OPD consultations or Panchkarma wards, I try to meet patients with empathy and patience. I focus on root cause correction, using herbs, diet, daily routine guidance, and therapy whenever needed. My belief is that Ayurveda should be accessible and authentic, not complicated or intimidating. My aim is simple—help people move towards long term wellness, not just temporary relief. I see health as balance of body, mind and routine.. and I want my practice to guide patients gently into that space.
5
167 समीक्षाएँ
Dr. Snehal Vidhate
I am Dr. Snehal Vidhate, born n brought up in Maharashtra—and honestly, for as long as I remember I’ve felt this pull towards Ayurveda. Not the fancy version ppl throw around, but the deep, real kind that actually helps ppl. I did my BAMS from YMT Ayurvedic Medical College in Kharghar. That’s where I got my basics strong—like really studied the shastras, understood prakriti, doshas, the whole deal. Not just crammed theory but started to see how it shows up in real lives. After finishing BAMS, I got into this one-year certificate course at Rashtriya Ayurveda Vidyapeeth, Delhi—honestly a turning point. I was super lucky to learn Kerala Ayurveda from my Guru, Prof. Dr. G.G. Gangadharan. He’s got this way of seeing things... simple but deep. That time with him taught me more than any textbook ever could. It kinda reshaped how I look at health, healing n how precise Ayurveda can be when you respect its roots. Right now I’m doing my MD in Panchakarma from SDM Ayurveda College, Bangalore. This place is like a hub for serious Ayurveda work. The Panchakarma training here? Super intense. We go deep into detoxification & rasayana therapy—not just theory again, but hands-on. I’m learning to blend classical techniques with today’s clinical demands.. like how to make Vamana or Basti actually doable in modern patient setups. My current practice is really about merging tradition with logic. Whether it’s chronic skin issues, gut problems, stress burnout or hormone stuff—my goal is to get to the root, not just hush the symptoms. I use Panchakarma when needed, but also a lot of ahara-vihara tweaks, medhya herbs, sometimes just slowing ppl down a bit helps. I really believe Ayurveda’s power is in its simplicity when done right. I don’t try to fix ppl—I work *with* them. And honestly, every patient teaches me something back.
5
561 समीक्षाएँ
Dr. Anjali Sehrawat
I am Dr. Anjali Sehrawat. Graduated BAMS from National College of Ayurveda & Hospital, Barwala (Hisar) in 2023—and right now I'm doing my residency, learning a lot everyday under senior clinicians who’ve been in the field way longer than me. It’s kind of intense but also really grounding. Like, it makes you pause before assuming anything about a patient. During my UG and clinical rotations, I got good hands-on exposure... not just in diagnosing through Ayurvedic nidan but also understanding where and when Allopathic tools (like lab reports or acute interventions) help fill the gap. I really believe that if you *actually* want to heal someone, you gotta see the whole picture—Ayurveda gives you that depth, but you also need to know when modern input is useful, right? I’m more interested in chronic & lifestyle disorders—stuff like metabolic imbalances, stress-linked issues, digestive problems that linger and slowly pull energy down. I don’t rush into giving churnas or kashayams just bcz the texts say so... I try to see what fits the patient’s prakriti, daily habits, emotional pattern etc. It’s not textbook-perfect every time, but that’s where the real skill grows I guess. I do a lot of thinking abt cause vs symptom—sometimes it's not the problem you see that actually needs solving first. What I care about most is making sure the treatment is safe, ethical, practical, and honest. No overpromising, no pushing meds that don’t fit. And I’m always reading or discussing sth—old Samhitas or recent journals, depends what the case demands. My goal really is to build a practice where people feel seen & understood, not just “managed.” That's where healing actually begins, right?
5
530 समीक्षाएँ

नवीनतम समीक्षाएँ

Christian
4 घंटे पहले
Thanks for this advice! It really cleared things up for me. I'll go with the AVP one and try your suggestion. Appreciate it!
Thanks for this advice! It really cleared things up for me. I'll go with the AVP one and try your suggestion. Appreciate it!
Hailey
7 घंटे पहले
Thanks for the clear and detailed advice! Really appreciate the step-by-step on using neem oil. I feel more confident managing this now. 😊
Thanks for the clear and detailed advice! Really appreciate the step-by-step on using neem oil. I feel more confident managing this now. 😊
Dylan
8 घंटे पहले
Really appreciate the detailed response! The insight on Ayurveda options was super helpful for us. Exactly what we needed to hear, thanks!
Really appreciate the detailed response! The insight on Ayurveda options was super helpful for us. Exactly what we needed to hear, thanks!
Landon
10 घंटे पहले
Thanks a ton for the clear, detailed advice! Feel more confident managing these symptoms now. Appreciate the practical tips!
Thanks a ton for the clear, detailed advice! Feel more confident managing these symptoms now. Appreciate the practical tips!