Lactulose Syrup

Question

I’ve been dealing with severe constipation for a while now, and nothing seems to help. No matter how much water I drink or how many fruits and vegetables I eat, my digestion is sluggish. A doctor recently prescribed lactulose syrup, saying it would soften my stool and make bowel movements easier. At first, it worked fine, but now I feel like I have to rely on it just to have a normal bowel movement.

I really don’t want to depend on lactulose syrup forever. I believe in natural healing, and I’ve read that Ayurveda has ways to restore digestion without needing medications. Are there any Ayurvedic herbs or remedies that work similarly to lactulose syrup, but without making the body dependent on them?

One thing I noticed is that when I take lactulose syrup, I get bloated and feel gassy. Is this common? Could it be that my digestion is weak, and my body isn’t processing it well? I’ve heard that weak Agni (digestive fire) can cause constipation, so should I focus on strengthening my digestion rather than just taking a laxative?

I also read that Triphala is a natural Ayurvedic remedy for constipation. Would it be a good replacement for lactulose syrup? If so, how should I take it—before bed, in the morning, or with warm water?

Another thing that concerns me is my diet. I don’t eat a lot of oily foods, and I mostly have a vegetarian diet. Still, I struggle with constipation. Could it be that I’m not eating the right types of fiber? What does Ayurveda recommend in terms of diet for someone who wants to stop taking lactulose syrup but still maintain healthy digestion?

I also noticed that when I’m stressed, my constipation gets worse. Could there be a connection between stress and digestion? If so, are there any Ayurvedic relaxation techniques or herbs that might help both my gut and my mind?

Doctor, I really want to stop taking lactulose syrup and find a long-term solution that doesn’t make me dependent on any medicine. What do you suggest? Should I change my eating habits, take herbal supplements, or follow a specific Ayurvedic routine?

Dr Sujal Patil · Answer

Chronic constipation is often linked to weak Agni (digestive fire) and Vata imbalance in Ayurveda. Lactulose syrup provides temporary relief but doesn’t address the root cause, and its bloating effect suggests that your digestion is weak. Instead of relying on laxatives, strengthening digestion and balancing Vata naturally is key. Ayurveda recommends Triphala, a gentle but effective remedy for constipation. Taking ½ to 1 tsp of Triphala powder with warm water or ghee before bed can regulate bowel movements without dependency. Another option is Isabgol (Psyllium husk) mixed with warm milk or water at night, which adds fiber and soothes the intestines.

Your vegetarian diet is good, but constipation can occur if fiber isn’t balanced with healthy fats and warm, moist foods. Ayurveda suggests ghee, sesame oil, or flaxseed oil to lubricate the intestines. Try adding soaked raisins, figs, or prunes to your diet for natural laxative effects. Avoid dry, cold, and overly processed foods, which aggravate Vata. Warm herbal teas like cumin, fennel, and ginger tea can improve digestion. Hydration is crucial, but sipping warm water throughout the day (instead of cold water) keeps digestion active.

Stress can slow digestion, leading to constipation. Ayurveda recommends Ashwagandha and Brahmi for calming the nervous system and improving gut function. Abhyanga (self-massage with warm sesame oil) and deep breathing (Anulom Vilom) help relax the body and promote regular bowel movements. A consistent daily routine, including waking up early, eating at fixed times, and light evening walks, helps regulate digestion. Transitioning from lactulose syrup gradually, while incorporating these Ayurvedic remedies, will help you achieve long-term digestive health naturally.

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