How to reduce left illiac fossa pains - #20919

Take Jeerakarishta 4ml with equal quantity of water after food twice a day Hinguvashtaka churna half teaspoon with warm water twice a day before food

Avoid spicy oily, bakery and dairy products. Regular exercise. Increase intake of raw vegetables and fruits. Cap.Florasante 1-0-1 Erandbhrushta haritaki 0-0-3 with lukewarm water at bedtime. Sy.Gason 15ml after meal

Sukumar gritha two spoons with warm milk two times a day Shiva kshara pachana churna half spoon with warm water before bed time

The persistent left iliac fossa pain you’re experiencing suggests a more complicated imbalance which might be entrenched over years. According to Ayurvedic principles, this involves not just digestive disturbances but potentially a deeper vitiation of Vata dosha, possibly even an obstruction or stagnation in the digestive tract. Given the symptoms like bloating, mucus in stool, and epigastric pains, it seems there might be weakened digestive fire, or ‘Agni’, along with ama (toxins) accumulation. While you’ve tried a wide range of interventions, let’s look into this systematically.

1. Dietary Adjustments: Focus on a Vata-pacifying diet. Opt for warm, cooked foods that are easy to digest such as soups, stews, and porridges. Favor moong dal over other pulses, avoid raw salads and cold foods, and ensure you’re regular with your meals. Incorporate ginger, black pepper, and cumin into your meals to support digestion, but avoid heavy, fried or processed foods.

2. Herbal Supplements: While you’ve used a few already, consider trying a combination that’s more specifically targeted. Use Ayurvedic herbs like Avipattikar churna before meals to balance pitta and enhance digestion. Since you have constipation tendencies, Haritaki can be particularly useful for clearing the bowels and reducing ‘fecal loading’ as observed in your CT scan.

3. Routine and Lifestyle: Follow a routine with regular meal and sleep times to stabilize your body’s rhythms. Gentle abdominal massage with warm sesame oil can help alleviate bloating and pain. Yoga poses like Pawanmuktasana (Wind Releasing Pose) and Ardha Matsyendrasana (Half Lord of the Fishes Pose) can aid in relieving abdominal discomfort.

4. Hydration: Keep well-hydrated with warm water throughout the day, you might also want to drink herbal infusions like cumin-coriander-fennel tea which aids in digestion and relieves bloating.

5. Mind-Body Connection: Consider stress as a contributing factor, it’s crucial for managing Vata dosha imbalances. Regular practices of meditation or pranayama (breathing exercises) like Anulom-Vilom (alternating nostril breathing) can provide significant relief.

6. Medical Follow-up: It is essential to continue working with healthcare professionals to ensure there are no severe underlying conditions, especially considering your long-term symptoms.

7. Triphala: As a broader digestional aid, Triphala can remain beneficial. Use it wisely as a mild laxative when required, preferably before bed with warm water.

Consistency in these practices is key, and it might take time to see significant improvement. Stay attuned to any changes in your symptoms and adjust your regimen as needed. If the pain becomes more severe or changes in nature, do not hesitate to seek immediate conventional medical evaluation.