How to dealt with Lower anterior resection'S Syndrome - #19476
AoA, Respected Doctor, I have been battling cancer since October,2023, During my treatment I went through neoadjuvant therapy, illeostomy anterior resection for tumor removal(27march,2024), then adjuvant therapy and reversal of illeostomy (5th july 2024) . In short, I completed my rectal cancer treatment 9 months ago. However, I am still experiencing constipation, obstruction in the colon, and excessive gas. I spend 2 hours in the washroom, and clustering has become a major issue. Despite taking numerous medications as per my doctor's recommendations, I haven't seen any improvements. My social life and quality of life have been severely impacted, and I'm unable to go to work or participate in social activities due to these issues. Curren symptoms are; 1) flatulence (excessive gas) 24 hours 2) Clustering 3) Bowl obstruction/ contipation taking too much time in toilet to pass stools 4) got diarrhea and anal fissure, felt too much burning in anus and its around skin while taking laxatives and stool softners like, LIlac syrup, dupulic, movcal sachet or skilax drops. Kindly guide me and tell me comprehensive treatment for it
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I’m sorry to hear about the challenges you’re facing post-cancer treatment. To provide a more effective Ayurvedic treatment plan, I would need to understand more about your current lifestyle, diet, and stress levels. Could you share your daily eating habits and what types of foods seem to trigger or worsen your symptoms? How much physical activity do you engage in daily? Additionally, it would be helpful to know about any recent tests or investigations related to your digestive health, such as imaging or stool analysis, and if there are any underlying conditions affecting your digestive system. Understanding your sleep patterns and emotional well-being would also help in crafting a holistic treatment plan.
From an Ayurvedic perspective, your symptoms suggest an imbalance in Vata dosha, which governs the movement and elimination in the body. When Vata is aggravated, it can lead to constipation, bloating, and gas. Herbs like Triphala and Ashwagandha may help to regulate bowel movements and improve energy. Ajwain (carom seeds) can ease bloating and gas. For the anal fissure and burning sensation, soothing herbs like Ghee or Aloe Vera might provide relief. Alongside these, Dhanwantharam Oil can be used for gentle abdominal massages to aid digestion.
To better understand your post-cancer digestive issues, I need some additional details. What does your daily diet consist of? Do your symptoms worsen after consuming spicy, oily, or dairy foods? How much water do you drink daily, and do you feel dehydrated? Do you experience bloating along with pain or cramps? Are you physically active, and do you engage in regular walking or exercise? After your ileostomy reversal, have you noticed specific foods or situations that trigger your symptoms? Have any recent blood tests or colonoscopy reports shown inflammation or narrowing in the colon? Regarding clustering, do you pass small amounts of stool multiple times, or do you feel incomplete evacuation?
For home remedies, try starting your day with a glass of warm water mixed with a teaspoon of ghee to lubricate the intestines and ease stool passage. Consume light, easy-to-digest meals like khichdi (rice and moong dal porridge) with a pinch of ajwain (carom seeds) and hing (asafoetida) to reduce gas. Avoid processed, fried, and spicy foods, as they can worsen irritation. Soaked raisins and figs in the morning can help soften stools. Triphala churna (1 teaspoon) at bedtime with warm water can aid digestion and bowel movement. Drinking jeera (cumin) or fennel tea after meals can also reduce bloating and discomfort. Gentle abdominal massage with warm castor oil may help relieve obstruction. Light physical activity, such as walking for 15-20 minutes after meals, can improve digestion.
Please share your response to these remedies so that further Ayurvedic guidance can be provided.
Apply dark blue colour around the left thumb.where The last line is there. Sky blue colour stomach reflex that is when your ring finger touches your lower palm where the finger ends that is the stomach reflect just put round colour It should be applied for 4 hours preferably day time It will help you in constipation and indigestion Let me know the result after 3 days
Lower Anterior Resection Syndrome can be tough, and the combination of constipation, obstruction, and gas could be really effecting your day. So, with Ayurveda, we always start by understanding the person’s dosha balance. Here, after surgery, there’s likely an imbalance in Vata, which governs movement and elimination.
First, let’s try to soothe that Vata. Think of your diet, going for warm, cooked foods. Avoid anything too raw, cold, or overly spicy — they’re often irritating to the colon. When cooking, try adding ghee, a soothing fat that’s good for digestion. Simple spices like cumin, coriander, and fennel can help manage gas.
Herbal teas and decoctions work wonders too, you know. Sip a mild tea with ajwain and a pinch of asafoetida (hing) post meals to help with gas. And Triphala might be helpful, especially before bed, it’s gentle on the system and helps balance bowel movement with time.
Your routine is important too. Washed-out, erratic daily patterns like rushing meals or eating late dinners dampens Agni (digestive fire) and disturbs the natural rhythms. Fixing your meal times and including light physical activities, even a short walk post meals, can help strengthen Agni.
And don’t underestimate the power of Pranayama. Practicing gentle breathing techniques can be calming, particularly ones like Anulom Vilom or sitting with deep abdominal breaths. These practices also aid digestion and can gently nudge stool movements along.
But, really, keep track of your symptoms. Anything worsening, especially obstruction, needs immediate medical attention. Ayurveda complements but doesn’t replace essential medical check-ups. Checking in with your doctor about these persistent problems — it’s a must!
Above all, nurturing your own patience and being kind to your body as it relearns its workings after such major changes is key. Be in tune with what feels right, and remember, healing is a journey.

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