You’re mostly on point, kashaya vasti is indeed an Ayurvedic enema using herbal decoctions, and it can be very effective in dealing with accumulated ama (toxins) that might be linking to your back pain and bloating issues. The preparation of kashaya vasti can indeed be personalized, depending on individual constitutions (prakriti), dosha imbalances and specific health conditions. It involves a mix of herbs boiled in water to make a decoction or “kashaya,” and sometimes ingredients like honey, salt, or oil are added. The herbs used in the mix are often tailored for the individual. Your vata dosha might be a culprit here, causing dryness and stiffness.
Preparation before the therapy absolutely matter. Generally, you might be advised to follow a light diet for few days before the treatment. Foods that are easy to digest, like kichari (a mix of rice and lentils) or simple soups, help prep your digestion. They might recommend a period of snehana (oil intake or massage) or swedana (sudation or sweating therapy) to further prepare your body by softening the tissues and moving the ama towards the gut.
Considering your sensitive digestive system, mention this to the practitioner performing the treatment. They might adjust the preparation accordingly, perhaps choosing gentler herbs or refining the decoction. Avoid heavy, spicy and oily foods before the treatment. Alcohol, caffeine, and stress are also better steered clear of.
Experiences can vary, but many people notice some relief from symptoms quite soon after the treatment, sometimes within a few days. You might feeling lighter, less bloated, or even notice a change in pain. Some variability’s always there though, so individual response can differ.
Clinics and practitioners can have slightly various approaches based on the training, tradition they follow or even the region in India they’re from. But the core principles usually stay consistent. You’re on the right track by asking these questions; being informed will help you feel more comfortable with the process.



