At 13 years of age, routine “stomach cleansing” should be done very carefully in Ayurveda. Kaayam Tablet is a strong laxative formulation and may cause abdominal cramps, loose motions, dehydration, or weakness in some children, especially if digestion is otherwise normal. Since she already had mild reactions with Castor Oil in the past, it is better not to use strong purgation regularly without medical advice. A healthy child with good appetite and no digestive complaints usually does not require yearly cleansing. Instead, for gentle bowel support you may prefer: Warm water in the morning Fiber-rich diet and fruits
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