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Gastrointestinal Disorders
Question #17883
267 days ago
342

Tum - #17883

Claire

For the past three months, my stomach has not been feeling normal. Some days I wake up with a weird heavy sensation in my belly, like my food is just sitting there and not digesting properly. Other times, I feel a burning sensation, especially after eating spicy food. I don’t have severe pain, but this discomfort has become a daily issue. A friend mentioned it could be something related to tum, but I don’t even know exactly what that means. I’ve tried avoiding spicy foods and drinking warm water, but the problem keeps returning. Along with the tum discomfort, I’ve also noticed that my digestion has become unpredictable. Sometimes I feel constipated, while other days I have loose motions. I don’t understand what’s causing this fluctuation. My appetite has also changed – some days I feel extremely hungry, and other days I have no desire to eat anything. I used to enjoy my meals, but now, even after eating, my stomach feels unsettled. I’ve heard that Ayurveda has good remedies for tum issues and digestion. Are there specific herbs or Ayurvedic treatments that can help regulate digestion? I have read about Triphala and Ajwain, but I don’t know if they would work in my case. Are there other herbal remedies or oils that can help with this kind of issue? Also, I have noticed that when I am stressed, my tum issues seem to get worse. Could stress be playing a role in this? If so, does Ayurveda suggest any ways to manage stress while improving digestion? Another thing I want to ask is about detox – some people say that a proper Ayurvedic detox can help reset the stomach and improve digestion. Would that be useful for tum problems, or should I focus more on long-term dietary changes? How long does it take for an Ayurvedic treatment to show improvement in tum issues? Do I need to make any permanent changes to my eating habits? Also, does Ayurveda suggest certain foods to completely avoid for good digestion? I am open to trying natural methods, but I want to make sure I follow the right approach.

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Doctors' responses

Dr. Harsha Joy
Dr. Harsha Joy is a renowned Ayurvedic practitioner with a wealth of expertise in lifestyle consultation, skin and hair care, gynecology, and infertility treatments. With years of experience, she is dedicated to helping individuals achieve optimal health through a balanced approach rooted in Ayurveda's time-tested principles. Dr. Harsha has a unique ability to connect with her patients, offering personalized care plans that cater to individual needs, whether addressing hormonal imbalances, fertility concerns, or chronic skin and hair conditions. In addition to her clinical practice, Dr. Harsha is a core content creator in the field of Ayurveda, contributing extensively to educational platforms and medical literature. She is passionate about making Ayurvedic wisdom accessible to a broader audience, combining ancient knowledge with modern advancements to empower her clients on their wellness journeys. Her areas of interest include promoting women's health, managing lifestyle disorders, and addressing the root causes of skin and hair issues through natural, non-invasive therapies. Dr. Harsha’s holistic approach focuses on not just treating symptoms but addressing the underlying causes of imbalances, ensuring sustainable and long-lasting results. Her warm and empathetic nature, coupled with her deep expertise, has made her a sought-after consultant for those looking for natural, effective solutions to improve their quality of life. Whether you're seeking to enhance fertility, rejuvenate your skin and hair, or improve overall well-being, Dr. Harsha Joy offers a compassionate and knowledgeable pathway to achieving your health goals.
267 days ago
4.83

It sounds like you’re experiencing digestive discomfort that could be related to an imbalance in your stomach and digestive system, which could be referred to as “tum” or more commonly, digestive issues in Ayurveda. In Ayurveda, digestion (Agni) plays a crucial role in overall health, and imbalance can lead to symptoms like bloating, acidity, irregular bowel movements, and loss of appetite. Herbs like Triphala and Ajwain are indeed great choices for improving digestion and regulating bowel movements. Triphala helps detoxify the body, improve digestion, and relieve constipation, while Ajwain is known for its carminative properties that reduce bloating and indigestion. Other helpful herbs include Ginger, which stimulates digestion, Cumin, which improves stomach function, and Fennel, which can reduce gas and bloating. As for oils, Castor oil can help with constipation, and Sesame oil can be massaged on the belly to improve digestion.

Stress can significantly impact your digestive health, leading to fluctuations in appetite, constipation, and diarrhea, as you’ve noticed. Ayurveda suggests incorporating stress-reducing practices like meditation, Pranayama (breathing exercises), and Abhyanga (self-massage) with calming oils like Lavender or Brahmi to help soothe the nervous system and support better digestion. A detox could be beneficial to reset your digestion, especially if you feel that your digestive fire (Agni) is weak, but it’s important to do it under guidance to avoid aggravating your system. Long-term dietary changes are also essential, focusing on light, easy-to-digest foods, and avoiding heavy, greasy, and spicy foods.

In terms of specific foods to avoid, it’s good to reduce processed and junk foods, too much dairy, and overly spicy or fried foods. Ayurveda also advises eating in a calm, mindful environment, chewing food well, and avoiding large meals late at night. Consistency with dietary adjustments, regular herbal support, and managing stress should help in gradually improving your digestion. Improvement can usually be noticed within a few weeks to a couple of months, depending on the severity and your consistency.

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It sounds like your digestion has become imbalanced, which Ayurveda often attributes to disturbances in Agni (digestive fire) and an accumulation of Ama (toxins) in the body. The heavy sensation, burning, and irregular bowel movements suggest fluctuations between Pitta and Vata imbalances. When digestion is weak, food doesn’t break down properly, leading to bloating and discomfort. On the other hand, excess Pitta can cause acidity and burning sensations. Since your symptoms vary, it’s essential to focus on balancing digestion naturally with the right herbs, foods, and lifestyle adjustments.

Ayurveda recommends Triphala (½ tsp with warm water at night) to regulate bowel movements and gently cleanse the digestive tract. Ajwain (carom seeds) with warm water after meals helps relieve bloating and heaviness. You can also try Licorice (Yashtimadhu) tea for soothing acidity and inflammation. If stress is worsening your digestion, Brahmi or Ashwagandha can help calm the mind and reduce its impact on your stomach. A daily routine with light, warm, and easily digestible foods is key—avoid excessive spicy, fried, and processed foods, as they can further aggravate Pitta and Vata.

A mild Ayurvedic detox (such as a few days of light khichdi fasting with herbal teas) can help reset digestion, but long-term dietary discipline is more important. Eating at regular times, chewing food properly, and avoiding distractions while eating can make a big difference. If stress is a major factor, Pranayama (breathing exercises) and meditation can help regulate your nervous system and, in turn, improve digestion. With consistent Ayurvedic care, you should notice improvements within a few weeks, but adopting a balanced diet and stress-free lifestyle will provide long-term relief from tum issues.

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Based on your symptoms—heavy sensation in the belly, burning sensation after eating, and unpredictable digestion—it’s likely that you are experiencing an imbalance in your digestive fire (agni) and may have a form of Agni Mandya (weak digestion). Your stress levels can certainly exacerbate these feelings, with both physical and emotional factors contributing to your condition.

Personalized Recommendations:

1. Dietary Modifications: - Eat Warm, Cooked Foods: Focus on well-cooked, warm meals to support digestion. Incorporate a kitchari made from rice and mung beans, seasoned with turmeric, cumin, and coriander. - Avoid Raw Foods and Heavy Foods: Minimize raw vegetables, dairy, and processed foods, which can burden digestion. - Spices for Digestion: Utilize digestive spices such as ginger, cumin, and ajwain in your meals. Ajwain can be taken as a tea: boil 1 teaspoon in hot water, strain, and drink before meals.

2. Herbal Remedies: - Triphala: Indeed, Triphala is beneficial for regulating digestion and can be taken at bedtime with warm water (1 teaspoon). It offers a gentle cleansing effect and balances constipation and diarrhea. - Ginger and Peppermint Tea: Brew fresh ginger with peppermint to alleviate bloating and improve appetite.

3. Stress Management: - Daily Practices: Incorporate practices like yoga, meditation, or pranayama (breathing exercises) for at least 20 minutes daily to manage stress levels. - Abhyanga (Self-Massage): Use warm sesame oil for self-massage before bathing; this promotes relaxation and aids digestion.

4. Detox Considerations: - A gentle Ayurvedic detox like a Panchakarma could be beneficial but is best conducted under professional supervision. Focus on a seasonal reset with kitchari or light soups for a few days, alongside herbal support.

5. Timing & Consistency: - Meal Timing: Eat regular meals at consistent times. Allow 3-4 hours between meals to aid digestion. - Symptomatic Improvement: Expect improvements in 2-4 weeks with consistent dietary changes and herbal remedies.

6. Foods to Avoid: - Fried, processed, or excessively spicy foods can worsen your symptoms. Avoid these along with excessive caffeine.

Conclusion: It’s crucial to listen to your body and adjust your approach based on its feedback. Make these changes gradually and keep a mindful note of how different foods and practices affect your digestion. If symptoms persist or worsen, consider consulting with a professional Ayurvedic practitioner for tailored support.

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Your symptoms indicate an imbalance in digestion and possibly an affection of your Agni (digestive fire). The sensations of heaviness, burning, and fluctuations between constipation and loose motions suggest an underlying disturbance in your digestive system, likely connected to stress. In Ayurveda, these issues can often be linked to a Vata-Pitta imbalance, exacerbated by stress factors.

Immediate Recommendations

1. Dietary Changes: - Warm, Cooked Foods: Focus on easily digestible, warm, and cooked foods such as khichdi (a mixture of rice and lentils) and soups. This helps soothe digestion. - Avoid Cold and Heavy Foods: Minimize raw foods, cold drinks, and heavy, oily, or fried foods, as they can aggravate your condition. - Spices: Incorporate gentle spices like cumin, coriander, and fennel in your cooking. These can stimulate digestion without adding to acidity.

2. Herbal Remedies: - Triphala: Take 1 teaspoon of Triphala powder at bedtime with warm water. It helps in regularizing bowel movements and improving overall digestion. - Ajwain (Carom Seeds): Chew about half a teaspoon of ajwain seeds after meals or infuse them in warm water and drink. This supports digestion and alleviates bloating. - Ginger Tea: Drink ginger tea (fresh ginger boiled in water) before meals to stimulate Agni and help with digestion.

3. Stress Management: - Breathing Exercises: Practice pranayama or deep breathing exercises for at least 5-10 minutes daily. They can calm your mind and improve digestion. - Mindfulness or Yoga: Engage in gentle yoga postures, focusing on stress-relief and relaxation.

Detoxification: A gentle Ayurvedic detox (Panchakarma) can be beneficial for resetting your digestive system, but it should be done under the supervision of a qualified professional. For now, maintaining a balanced diet and using herbal aids should suffice for improvement.

Timeline & Permanent Changes: You may begin to notice improvements within a few weeks of starting these practices, but full recovery could take longer and may require ongoing dietary adjustments. Avoiding heavy, processed, and spicy foods is advisable in the long term.

Food to Avoid: - Spicy, Fried, and Extremely Cold Foods - Caffeine and Carbonated Beverages - Processed and Sugary Foods

Incorporating this holistic approach should help alleviate your tum issues while managing stress effectively. Regular follow-ups on your progress are important. If your symptoms persist or worsen, consider consulting a healthcare professional.

1742 answered questions
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Thank you for sharing your concerns. Your symptoms suggest a possible imbalance in the digestive system (Agni) and may involve both Vata and Pitta doshas, contributing to the heaviness and burning sensations you’re experiencing. This could explain the fluctuations in your appetite and bowel movements, along with the way stress is impacting you.

Immediate Recommendations: 1. Dietary Adjustments: - Warm, Cooked Foods: Focus on light, easily digestible meals. Opt for steamed vegetables, khichdi (a mix of rice and lentils), and soups. Avoid raw foods, which can aggravate Vata. - Spices: Incorporate ginger and cumin while cooking to support digestion. These relieve gas and maintain digestive fire. - Avoid: Sidestep excess spicy, oily, and fried foods, as well as caffeine and chocolate, which can increase Pitta and aggravate your symptoms.

2. Herbal Remedies: - Triphala: Take 1 teaspoon of Triphala powder mixed with warm water before bed. It aids in regularizing bowel movements due to its gentle laxative properties. - Ajwain (Carom Seeds): Chew a pinch after meals or brew it into a tea with warm water and a little lemon. It helps in relieving bloating and improving digestion.

3. Stress Management: - Mindfulness Practices: Engage in stress-relief activities such as yoga, meditation, or deep-breathing exercises daily. This will help in calming the mind and lessening the impact on digestion.

4. Detox Approach: - Consider a gentle detox like Kitchari Cleanse (consuming khichdi for a few days) to reset digestion. This should be done under the guidance of an Ayurvedic practitioner for best results.

Long-term Management: - Regular Eating Schedule: Consistency is key. Eat at the same times daily to regulate Agni. Include breakfast, lunch, and a light dinner. - Foods to Avoid: Minimal sugar, processed foods, and excessive dairy, as these can lead to digestive disturbances. - Oils: Massage your abdomen with warm sesame oil to ease discomfort and boost circulation.

Duration for Improvement: Typically, with adherence to these practices, you may notice improvement within 2-4 weeks. Long-term changes to your eating habits are advisable for sustained health, as Ayurveda encourages preventative measures.

In conclusion, integrating these personalized Ayurvedic strategies should help in alleviating your discomfort. If symptoms persist or worsen, consider consulting an Ayurvedic physician for a comprehensive assessment and tailored treatment plan.

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I am an Ayurvedic doc trained mainly in Shalakya Tantra—basically, I work a lot with issues of the eyes, ears, nose, oral cavity, head... all that ENT zone. It’s a really specific branch of Ayurveda, and I’ve kind of grown to appreciate how much it covers. I deal with all kinds of conditions like Netra Abhishyanda (kinda like conjunctivitis), Timira and Kacha (early or full-on cataract), Adhimantha (glaucoma stuff), Karna Srava (ear discharge), Pratishyaya (chronic colds n sinus), Mukhapaka (mouth ulcers), and even dental stuff like Dantaharsha (teeth sensitivity) or Shirashool (headaches & migraines). I use a mix of classic therapies—Tarpana, Nasya, Aschyotana, Karna Purana, even Gandusha and Dhoomapana when it fits. Depends on prakriti, the season, and where the person’s really struggling. Rasayana therapy and internal meds are there too of course but I don’t just throw them in blindly... every plan’s got to make sense to that individual. It’s kind of like detective work half the time. But honestly, my clinical work hasn't been just about Shalakya. I’ve got around two yrs of broader OPD experience where I’ve also handled chronic stuff like diabetes, thyroid issues, arthritis flares, PCOS, IBS-type gut problems, and some hormonal imbalances in women too. I kind of like digging into the layers of a case where stress is playing a role. Or when modern bloodwork says one thing, but the symptoms are telling me something else entirely. I use pathology insights but don’t let reports override what the patient's body is clearly saying. That balance—between classical Ayurvedic drishtis and modern diagnostic tools—is what I’m always aiming for. I also try to explain things to patients in a way they’ll get it. Because unless they’re on board and actually involved, no healing really works long-term, right? It’s not all picture-perfect. Sometimes I still re-read my Samhitas when I'm stuck or double check new case patterns. And sometimes my notes are a mess :) But I do try to keep learning and adapting while still keeping the core of Ayurveda intact.
5
38 reviews
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
353 reviews
Dr. Shaniba P
I am an Ayurvedic doctor, someone who’s pretty much built her clinical journey around natural healing, balance and yeah—just trying to help ppl feel a bit more whole again. I work mostly with conditions that kinda stay with people... like joint pain that won’t go away, periods all over the place, kids falling sick again n again, or just the kind of stress that messes up digestion n sleep n everything in between. A lot of my practice circles around arthritis, lower back pain, PCOD-ish symptoms, antenatal care, immunity problems in kids, and those quiet mental health imbalances ppl often don't talk much about. My approach isn’t just pulling herbs off a shelf and calling it a day. I spend time with classical diagnosis—checking Prakriti, figuring out doshas, seeing how much of this is physical and how much is coming from daily routine or emotional burnout. And treatments? Usually a mix of traditional Ayurvedic meds, Panchakarma (only if needed!!), changing food habits, tweaking the daily rhythm, and honestly... just slowing down sometimes. I’m also really into helping ppl understand themselves better—like once someone gets how their body is wired, things make more sense. I talk to patients about what actually suits their dosha, what throws them off balance, and how they can stop chasing quick fixes that don’t stick. Education's a big part of it. And yes, I’ve had patients walk in for constant cold and walk out realizing it’s more about weak agni n poor gut routines than just low immunity. Every case’s diff. Some are simple. Some not. But whether it’s a young woman trying to fix her cycles without hormones or a 6-year-old catching colds every week, I try building plans that last—not just short term relief stuff. Healing takes time and needs trust from both sides. End of the day, I try to keep it rooted—classical where it matters but flexible enough to blend with the world we're livin in rn. That balance is tricky, but worth it.
5
130 reviews

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Joshua
12 hours ago
Super helpful advice! Felt a bit lost with all these symptoms but your suggestions are really clear and reassuring. Thanks a bunch!
Super helpful advice! Felt a bit lost with all these symptoms but your suggestions are really clear and reassuring. Thanks a bunch!
Gabriel
22 hours ago
Really appreciated the detailed response. Thanks a ton for breaking it down so clearly, it's super helpful! Will definitely try the suggestions.
Really appreciated the detailed response. Thanks a ton for breaking it down so clearly, it's super helpful! Will definitely try the suggestions.
Leo
22 hours ago
Thank you so much for the clear advice doc! Appreciate the detailed reccomendations, this looks really helpful!
Thank you so much for the clear advice doc! Appreciate the detailed reccomendations, this looks really helpful!
Liam
22 hours ago
Thanks for the detailed advice! I love how the remedy involves both traditional and lifestyle suggestions. Really helpful 😊
Thanks for the detailed advice! I love how the remedy involves both traditional and lifestyle suggestions. Really helpful 😊