Mild walking after every meals. Avoid dehydration. Intake more fibrous foods. Include more watery fruits and vegetables. Green leafy vegetables also give good results. – Intake 1/2 tsp of ajwain after every meals. – you can also add fried jeeraka and boil it in some water, intake after every meals. If these didn’t get result, add 1/2 tsp Triphala choornam with some water and give at night. Take care, If there is any queries consult personally Dr. Shaniba
First of all as you mentioned she have kidney issues it will be my advice to stop medicines. Be it allopathy be it ayurvedic all medicines have to pass the kidney to be eliminated through the body. Include medicines only that are given by her nephrologist and donot overload her kidney with more medications. For constipation: As she has a water intake limitation the constipation is a result of low water intake. Keep her adviced water intake in check. Give her soaked 2-3 black rasines twice a day. Give her a glass of water water or warm liquid as let her do these asan that will help : Kraunchasan, Malasan, Setubandhasan, Balasan. Castor oil Mix it in her roti ka aata and use it during bed time.
According to Ayurveda, her constipation and bloating are mainly due to aggravated Vata and weak Agni (digestive fire), which are common in diabetes, low energy, neuropathy, and kidney weakness. Because she has Stage 3a kidney disease, we should use only gentle medicines that improve digestion and bowel movement without causing dehydration or electrolyte imbalance. ----Safer supportive options: 1) Psyllium (Isabgol) 1 tsp at night with warm water 2) Small amount of Ghee at bedtime for dry constipation 3) Low-dose Triphala 1 tab at bedtime 4) Ajwain–jeera–saunf water after meals for bloating —Rx: (1) Isabgol) – 1 tsp HS with lukewarm water – 1 tab HS if constipation persists 2) Hingvashtak Churna – 1/2 tsp with first morsel of food BD 3) Ajwain + Jeera + Saunf boiled water after meals – 1 tsp HS with warm water 4) tab amyron aimil 2 tab twice daily after meal —Advice: Warm, light, easily digestible diet Avoid cold, heavy, fermented, gas-forming foods Daily mild walking after meals Avoid strong virechana/purgative medicines due to CKD Monitor bowel habits, swelling, urine output, and kidney parameters regularly
●Triphala powder • 1 teaspoon of Triphala • 1 cup of warm water • Soak for 5-10 minutes • Consume at night If you have frequent urination at night, take Triphala in the morning on an empty stomach. ●Why is fiber important? Fiber softens and makes stools more mobile. Include in your diet: • Porridge • Oats Wheat bran • Whole grains • Fresh fruits and vegetables Fiber + water = easier bowel movements. ●Castor Oil (in special circumstances) Method – • Ginger tea • Add 2 teaspoons of castor oil • Consume at night. Do not use regularly as it can be habit-forming. ●Use of Flaxseed At night • 1 teaspoon of flaxseed • Boil in 1 cup of water • Drink with the seeds. This lubricates and speeds up bowel movements. ●Kumari Saar - 15-20 ml of the juice, to be diluted in a glass of water and taken two times per day. Once empty stomach in the morning and second dose in the evening at least 1-2 hrs before dinner ●Isabgol (Psyllium Husk): A natural fiber that absorbs water to add bulk to stool, making it easier and softer to pass. It is typically recognized as gentle on the digestive tract. ●Erandabhrishta Haritaki: Haritaki powder prepared in castor oil, often used for managing chronic constipation. ●Hingwashtak Churna: A traditional ayurvedic compound often used for gas andbloating ●Preventing future constipation • Eating regularly Adequate water intake • Light exercise • Fresh, warm food • Reducing stress • A vata-friendly lifestyle
I must urgently correct the dosage of your planned protocol. While Chandraprabha Vati and Gokshuradi Guggulu are excellent classical choices for diabetic nephropathy to protect the kidney’s filtering units, giving her 4 tablets of each per day is too heavy for a kidney functioning at 50% capacity. Overloading a compromised kidney with high doses of herbal extracts will increase her fatigue and strain her liver. Furthermore, her bloating and bowel movements occurring only every other day are classic signs of Vata aggravation, heavily worsened by the diabetic neuropathy, which slows down the nerve signals to her colon (gastroparesis/diabetic enteropathy). We need a solution that clears the bowel without drawing excessive water into the colon, ensuring zero risk of electrolyte imbalance. 1. Adjusted Kidney Protocol Gokshuradi Guggulu & Chandraprabha Vati: Reduce the dosage to exactly 1 tablet of each, twice a day (total 4 pills a day, not 8). Give them 30 minutes after meals with a sip of water. This will gently reduce the microalbuminuria without toxicity. Aimil Amyron: Reduce to 1 tablet twice a day. Taking 4 a day is unnecessary and heavy on the gut, contributing to her severe bloating. 2. Constipation and Bloating (Kidney-Safe Solution) Eranda Bhrishta Haritaki Dosage: 1/2 to 1 teaspoon. Time: At night, 30 minutes before going to sleep. Vehicle: A small glass of warm water. It is the safest, most effective bowel regulator for CKD patients. Unlike Triphala or salts (which can spike potassium or sodium), it strictly lubricates the dry colon, repairs the damaged neuropathy nerves, and relieves the trapped gas without any electrolyte shifting. ✓Crucial Care Rules Avoid High Potassium Laxatives: Do not use over the counter Ayurvedic powders like Panchasakar Churna, Lavan Bhaskar or Isabgol (Psyllium husk). They either contain high salts that will raise her blood pressure and damage the kidneys, or they act as bulk-forming laxatives that will drastically worsen her bloating. ✓Since her kidneys are at Stage 3a, do not force her to drink excessive water to clear the constipation. She should only drink to satisfy her thirst. Over-hydration will cause fluid to accumulate around her ankles and lungs. Warm, Cooked Foods Only: Because her energy levels are low and her digestion is sluggish due to neuropathy, strictly avoid raw salads, raw sprouts, or heavy lentils (which are also high in potassium/phosphorus). Stick to warm, well-cooked, easily digestible meals. Regards, Dr. Gursimranjeet Singh MD Panchakarma
To protect her kidneys, diabetes should be kept under control She can add Glymin tablet 1-0-1 after food with water, along with other diabetes medicine taking. Chandraprbha vati 1-0-1 after food with water, Gokshura powder 1tsp -1tsp -0 after breakfast with water, Also Amyron is herbo mineral ayurvedic medicine, 2-0-2 is high dose for CKD patient .can take 1-0-0 after food with water. High dose with egfr- 51.3 is not advisable. This combination to start with. Later gradually can increase the dose if required. For bloating and constipation Start with Tablet Heposem 1-0-1 after food with water, will help improve digestion. Biogest tablet 1-0-1 after food with water will help prevent bloating Gandharvahastadi castor oil 10ml. After dinner with warm water , will relieve constipation . Restrict liquid and water to arround 1 litre. Only. Lessen intake of salt in your diet. Do pranayam lom -vilom bhastrika bhamri , kapalbhatti 5-10mins twice daily.
Hello dear, Managing Stage 3a Chronic Kidney Disease (CKD) alongside diabetic neuropathy requires a very cautious approach. In Ayurveda, this is often viewed as a complication of Prameha (diabetes) affecting the Vrikka (kidneys) and Vata Dosha. Regarding the current plan, Chandraprabha Vati and Gokshuradi Guggulu are traditional choices for urinary health, but because your mother has an eGFR of 51.3, you must ensure these are used under strict supervision to avoid any mineral buildup (like potassium or calcium) that the kidneys may struggle to filter. Ayurvedic Perspective on Bloating & Constipation In CKD, the downward movement of energy (Apana Vata) is often obstructed. This leads to Anaha (bloating) and Vibandha (constipation). The goal is to improve digestion (Agni) without dehydrating the body or over-burdening the kidneys with heavy minerals or salts. Prescription : For a patient with Stage 3a CKD, it is safer to use mild, herb-based carminatives rather than strong laxatives or those containing high salt/soda content. 1. Abhayarishtam Action: A mild fermented liquid that softens stool and aids bowel movement without causing electrolyte imbalance. Dose: 15–20 ml with an equal quantity of lukewarm water, twice daily after food. 2. Gandharvahasthadi Castor Oil Action: Specifically indicated for Vata disorders and safe for long-term mild laxation in chronic conditions. Dose: 5–10 ml mixed in a cup of warm water or warm milk at bedtime (start with a low dose). 3. Dhanwantharam Pills Action: Helps specifically with bloating and gas (Vayu) related to neuropathy and systemic weakness. Dose: 1 pill chewed or swallowed with warm water twice daily before food. Ensure she stays hydrated, but follow any fluid restriction guidelines provided by her nephrologist. While HbA1C 7.5 is better than 10, keeping the blood sugar stable is the most critical factor in preventing further kidney decline.
Add these 3 medicines 1. Sootsekhar rasa 2 BD Before meal 2. Sankha vati 2BD after food 3. Tab Dhanwantram 2BD after food This will clear all the bloating issues that she is having and also keep the acid secretion in check if no relief in 7 days we will revise medicine.
