Struggling with Severe Constipation and Anal Fissures - #40477
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 stoolsWhat changes have you noticed in your diet or lifestyle recently?:
- No changesHow often do you experience anal fissures?:
- Occasionally, 1-2 times a monthइस स्थिति के लिए डॉक्टर द्वारा सुझाए गए उपचार


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
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.
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.
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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