How to get regular and complete bowel movement

Question

From childhood i am suffering from constipation but it is ocassionnaly happened and before 3 year I feel low urge to go and incomplete bowel habits the i started taking triphala tablet it work for 2 month and when I stop it come back irregular bowel movement then after some time a pain startedin abdomen I consut a allopathic gastroenterologist take colonoscopy is clear and fatty liver or ulcer and h pylori is find in stomach then I take treatment for 1 and half year other issuesin stomachis gone but constipationor irregularor incomplete bowel movement not gone I take ayurvedic treatmentfrom various doctor can't help like chitrakadi vati arogyavardhini vati avipattikar hingwashtak churna triphala churna also aggrevate my symptoms or triviavlleham , gulkand , abhyaristha and so many probioticar fail what to do I don't know I don't have more money for doctor and I can't suffer my family more I think It's my Life ending.....

Dr. Arun Desai · Accepted Answer

Hello Abhay Rajput

" NO NEED TO WORRY "

" I WILL HELP YOU UNDERSTAND AND RECOVER WITH UR CHRONIC CONSTIPATION ISSUES SAFELY EFFECTIVELY PERMENANTLY "

" I can understand ur concern and anxiousness regarding Constipation and its affecting ur Quality of Life"

• UR ISSUES

Chronic Constipation Irregular Bowels Habits Incomplete Evacuation Declined Urge to pass stools Since 3 Yrs

MEDICAL HISTORY

Childhood Constipation Fatty Liver H Pylori Gastritis treated Earlier Colonoscopy normal No Growth

PAST TREATMENT DETAILS

Consulted Multiple Drs 
Allopathic Treatment Probiotics Antibiotics Laxative helped Temporary 
Ayurvedic like chitrakadi vati arogyavardhini vati avipattikar hingwashtak churna triphala churna also aggrevate my symptoms or triviavlleham , gulkand , abhyaristha helped Temporary 
Anxiety Frustration Helpless

MY ASSESSMENT

Looks Ur Are Vata Prakrit and Vata Imablance since childhood .

Above Causes+ Vata Prakriti + Vata Imablance+ Krura Koshta  + Agni Imbalance---> malagni Imablance  + Ama ( Toxins) Accumulation ---> Apana Vata  Keldak Kapha Imablance in Intestines ---> Dry intestine Weak Gut Motility ---> Constipation Bloating Gas + Brain Gut Imbalance + Nervous System Imablance----> Stress psychological emotional distrubance

• PROBABLE CAUSES

Lack of water Fibers intake , Dehydration,Dry items Bakery Mixtures ,Wheat Maida products , Suppressing Toilet Urges, Prolonged Holding Toilet Urges ,Sedentary Lifestyle Lack of Physical Activities Exercise, Mechanical Obstruction like Internal Hemorrhoids , IBS C type ,Stress  Mechanical Obstruction like Internal Hemorrhoids Rectal Polyp Etc

• WHY MEDICINE R NOT WORKING ?

COMMON DR'S MISTAKES

*  WRONG SELECTION OF AYURVEDIC MEDICINES - U have Extreme Intestinal Dryness and u r taking laxative (Triphala Abhayrista) which are causing more dryness so it will work for few days and once further Intestinal dryness becomes More u need stronger than previous laxative and treatment going on wrong way 
* ALLOPATHIC MEDICINE FAILURE - Not Treating Root causes and they never advise other Modification in diet lifestyle etc

COMMON PATIENT'S MISTAKES

* ONLY RELYING ON MEDICINES - Only Dependent and Habitual on Medicine and Not Doing necessary changes in Diet Lifestyle Physical Activities Stress etc other factors 
* NOT SHOWING COMMITMENT FOR LONG TIME - Usually Patient's Won't Take Follow Ups and Share regular necessary updates with Dr and Also feel lazy and inconvenient in doing all diet lifestyle Modifications claming Busy can't do this & that

• ONLY TAKING MEDICINE IS NOT SUFFICIENT. FOR SUCESCCFUL PERMENENT CURE U NEED

• IN MY CLINICAL PRACTICE I HAVE SEEN BEST PROMISING RESULTS BY COMBINING FOLLOWING TREATMENTS

" Ayurvedic Medicine+ Diet Modification+ Physical Activities Exercise+ Yoga+ Stress Management+ Lifestyle Modifications+ Urge Disciplines "

• IN MY CLINICAL PRACTICE 100 % SUCCESSFUL TREATMENT U MUST TRY ( U will Feel Improving Digestion Metabolism Bloating Gas Motion will be Ragular just in 24 days )

Adding Natural Fibers Juice 
* Aloe Vera Juice 2X ( Double Fiber) + 6 Teas spoons of Soaked Sabja seeds ( Krishna Herbals Pharma) 30 ml - 0- 30 ml on empty stomach with 1 Glass of Normal Water 
For Deepan Pachan
* Syrup.Drakshowin Special ( Dhootapapeshwar Pharma) 15 ml -0-15 ml Night After Food Preferably with 1 Glass of Luke Warm Water 
For Intestinal Dryness - 
* Sukumar Ghritam ( Kottakal Pharma) 1 Tsf -0-1 Tsf with 1 Glass of Luke Warm Water 
For Gut Cleanse 
*  Syrup.Gandharvahastadi Kashyam ( Kottakal Pharma) 15 ml -0 - 15 ml After Food
For Constipation 
* Eranda Tailam ( Pharma) 1 Tsf Night After Food Preferably with 1 Glass of Luke Warm Water.
For Brain Gut Axis Balance 
* Tab.Masnasmitra Vatakam ( Amrita Pharma) 1 -0-1 After Food

•  2 Ripen  Bananas to take at Bed Time 
• Drink Plenty of Water Fluids Fibers Juices intake approximately 3 Liters Per Day.
• Urge Disciplines Don't Overhold or Suppress Toilet Urges Go when get urges

NOTE - ADJUST DOSAGE OF ERAND TAILAM AS PER REQUIREMENT, LIKE INCREASE DOSE BY ½ TSF IN NOT WORKING IN DOSAGE GIVEN TILL FIND CORRECT DOSAGE,THEN CONTINUE SAME DOSAGE

• INSTRUCTIONS TO MUST FOLLOW

•  40 % Diet should be Fibers ( Leafy Vegetables Fruits Salads) 
• Drink Plenty of Water Fluids Fibers.
• 100 Steps Walking After every meal 
• Hing Jeera Ajawain Sounf Mulethi Water Decoction Once Daily 
• Eat 2 Ripen  Bananas at Night 
• Avoid Excessive Tea Coffee 
• Avoid Addictions like Smoke Alcohol Tobacco Tea Coffee if Any 
• Avoid Spicy Salty Sour Masala Fast Foods Nonveg Bakery excessive tea coffee No Afternoon Sleep 
• Timely Food Timely Sleep 
• Avoid Mental Stress Overthinking
• Totally Avoid outside foods 
• Avoid Overeating Frequent Eating Sleeping immediately after food

• NORMAL DIET

* BREAKFAST - Rava Ragi Bajra Oats Items/ Fruits Salads/ Home made Soups

* LUNCH - Ghee Applied Roti ( Non Gluten) Jwar/ Bajara/ Ragi + Leafy Vegetable like Palak Methi+ Green Salad Rayta + Any Sabji+ Fresh Butter Milk with Cream + Rice + Dal

* DINNER - Half of Lunch Quantity/ Fruits Salads/ Light Diet

• DO'S - Prefer Leafy Vegetable Fruits salads sprouts Fibers Juices Soaked Resins Sabja seeds Physical Activities Exercise Rest Good Sleep Urge Disciplines Soaked Sabja Seeds Wet kind of Dry Fruits Soaked Resins Kishmish Khajoor Anjeer

• DON'TS :- Dry Highly Acidic Spicy Salty Sour Masala Fast Juck Foods Bakery Maida Glutens Excessive Tea Coffee Late  Night Sleeps Stress Sedentary Lifestyle Avoid Dals chana chole pea Bread Bun Cake Bakery dry Mixtures Dry kind dry fruit ( Kaju badam Pista) wheat Maida Udad items

• EXERCISE - 6000 Steps pee day 100 Steps Walking After every meal Walking Gymnastics

• YOGA - Malasan Panvanmuktasan Kapalbhati Surya Namaskar

• ANTISTRESS REGIME - Dhyan Meditation.

REGARDS

Dr Arun Desai

God Bless You 😊 🙏

If you have any questions u can ask me.I will answer to the level of your satisfaction.U have text option here.

Dr. Kahekashan Awatif Khanam · Answer

You have a Vata imbalance—particularly Apana Vata, which governs elimination.

The fact that Triphala worked for a while, but worsened later, and that stronger medicines like Chitrakadi Vati or Avipattikar made things worse, shows your agni (digestive fire) is low and unstable—not strong enough to handle herbs meant for stronger digestion.

You may also have intestinal dryness, anxiety, or nervous energy, which suppresses the natural bowel urge.
Past H. pylori, ulcer, and fatty liver suggest long-term gut inflammation, which requires deeper gut repair, not just laxatives.

A Simple but Powerful remady
1. Diet Reset (most important):
Your food must help lubricate, nourish, and calm the intestines. Do this for 6 weeks strictly:

Morning on empty stomach:

1 tsp cow ghee with warm water. If you can tolerate, soak 5 black raisins + 2 figs overnight, eat them in the morning.

Meals:
Manda or rice gruel with ghee, cumin, ginger, ajwain – easy to digest.
Moong dal khichdi with soft vegetables (bottle gourd, carrots, pumpkin).

Avoid: Maida.
Ayurvedic Medicines (Simple + Affordable)
Start this exact plan. Stick to it strictly for at least 60 days.

1. Sukumara Ghrita
Dose: 1 tsp (5 ml) on empty stomach in the morning.

Anupana (with ): Warm water or warm milk.

Benefits: Lubricates intestines, reduces Vata, strengthens pelvic organs, relieves incomplete evacuation.

Note: Start with 1/2 tsp for 3 days if digestion is weak, then increase.

2. Gandharvahastadi Kashayam (Vaidyaratnam or AVN brand)
Dose: 15 ml + 15 ml warm water, twice daily before meals.

Anupana: No need. Take it plain.

Benefits: Mild laxative + liver cleansing + Vata anulomana without aggravating Pitta. Safe for long use.

3. Yashtimadhu Churna (Licorice powder)
Dose: 1/2 tsp at bedtime.

Anupana: Warm milk or lukewarm water.

Benefits: Soothes intestinal lining, reduces acid, heals post-ulcer gut. Helps bowel movement indirectly.

4. Dashamoola Arishta
Dose: 15 ml + 15 ml water after dinner.

Anupana: Plain water.

Benefits: Balances Vata deeply, helps nerve-muscle coordination in the colon.

Optional (only if cost allows):
Bala Ashwagandhadi Taila – Abhyanga (Oil for massage)
Use: Massage lower abdomen and lower back daily before bath.

Benefits: Calms Apana Vata and relieves nervous tension in gut.

Strict Diet & Lifestyle Rules (Most Important)
Morning routine
Wake up before 6:30 am, drink 1 glass warm water with 1 pinch saindhav (rock salt).

Avoid cold water, tea, coffee on an empty stomach.

Walk 10 minutes daily post-waking.

Food habits
No raw salads, cold drinks, bakery, maida, or fried food.

Eat warm, light, freshly cooked meals only.

Use ghee generously in rice/roti.

Eat khichdi with ghee + jeera + ajwain 3–4 times/week.

Evening meal before 8 pm.
Late eating worsens Apana Vata and bowel function.

Mental Health Tip
You are not alone, and this condition is reversible. Your body is not broken—it’s imbalanced. Healing is slow but certain with the right support.

Dr. Surya Bhagwati · Answer

Take tablet Nityam 1-0-1 after food with water 
Night take 10ml. Of castor oil in a cup of warm water or milk
During the day have 2-3tsp of cow's ghee either on roti or rice

Dr. Maitri Bhavesh Kumar Acharya · Answer

HELLO ABHAY,
PRIMARY ISSUE-CHRONIC CONSTIPATION WITH LOW URGE,INCOMPLETE EVACUATION,IRREGULAR BOWEL MOVEMENT
DURATION- SINCE CHILDHOOD,WORSENED OVER PAST 3 YEARS
PAST DIAGNOSIS- H.PYLORI POSITIVE-NOW TREATED, FATTY LIVER, NO STRUCTURAL ISSUE IN COLONOSCOPY
TREATMENT TRIED- TRIPHALA,CHITRAKADI,HINGWASTAKA,AVIPATTIKAR,ABHAYARISTA ETC , PROBIOTICS, ALLOPATHIC GI MEDICATIONS
RESULT- TEMPORARY RELIEF OR AGGRAVATION
MENTAL STATUS- FRUSTRATED, EXHAUSTED,FEELING HOPELESS

YOU ARE LIKELY SUFFERING FRON VATA KAPHA DOMINANT CHRONIC PAKVASHAYAGATA VATA WITH AGNI MANDYA, LIKELY ACCOMPANIED BY A MILD FORM OF ANAHA AND APANA VAYU DUSTI,
1)WEAK APANAYA VAYU- RESPONSIBLE FOR DOWNWARD MOVEMENT, BOWEL URGE
2)INTESTINAL HYPO-MOTILITY WITHOUT STRUCTURAL CAUSE
3)LOW DIGESTIVE FIRE LEADING TO TOXIN ACCUMULATION
4)VATA BLOCKAGE+KAPHA OBSTRUCTION-LEADING TO IRREGULAR AND INCOMPLETE MOTION
5)NERVOUS SYSTEM AND GUT BRAIN AXIS IMBALANCE- OFTEN WORSENED BY EMOTIONAL STRAIN AND ANXIETY

TREATMENT GOAL SHOULD BE- RESTORE APANAYA VAYU AND DIGESTIVE FIRE
-HEAK INTESTINAL LINING
-NORMALIZE BOWEL MOTILITY AND URGE REFLEX
-RELIEVES MENTAL STRESS
-AVOID HARSH PURGATIVES OR IRRITANTS

TREATMENT PROTOCOL-
1)GENTLE DEEPANA-PACHANA+VATAHARA APPROACH
*MORNING EMPTY STOMACH-TAKE FOR 6 WEEKS
-DRAKSHASAVA- 10ML+DASHMOOLARISTA-10ML+EQUAL WATER-THIS RELIEVES VATA,TONES COLON,MILD DETOX+SUPPORTS LIVER

*AFTER LUNCH AND DINNER-
SUKUMAR GHRITA- 1 TSP WITH WARM WATER OR MILK-HELAS GUT REDUCES DRYNESS AND BALANCES APANA VAYU

*NIGHT BEFORE BED-
1 TSP GANDHARVAHASTADI ERANDA TAILA IN WARM WATER-MILD, SAFE FOR DAILY USE,RELIEVES VATA IN COLON, IF THIS IS TOO STRONG USE TRIVRIT LEHA-1/2 TSP WITH MILK

2)DIET PLAN(STRICT BUT NOURISHING)-FOLLOW THIS ATLEST 8 WEEKS
INCLUDE-
WARM MILK WITH AJWAIN
MOONG DAL KHICHDI WITH GHEE
STEAMED VEGGIES-BOTTLE GOURD, RIDGE GOURD, CARROT,BEETROOT ETC
CUMIN CORIANDER FENNEL WATER
BUTTERMILK WITH ROCK SALT AND JEERA AFTER LUNCH
GHEE-1TSP DAILY
SOAKED RAISINS FIGS DATES

AVOID- COLD WATER,FRIDGE ITEMS
MAIDA BAKERY PIZZA FRIED FOOD 
RAW SALAD,RAW SPROUTS
TEA/COFFEE
MILK AT NIGHT
MILK+FRUITS COMBO
REFINED OIL,CHEESE
BANANA
CURD AT NIGHT

*MEAL TIMING- 10 AM(BREAKFAST), 2 PM(LUNCH), 7PM(DINNER)

3)DAILY ROUTINE FOR VATA APANA BALANCING
WAKE UP BY 6:30 AM
WARM WATER WITH 1/4 TSP GHEE-STIMULATED APANA VAYU
MORNING WALK OR LIGHT SUN EXPOSURE-20 MIN
OIL MASSAGE WITH WARM SESAME OIL ON LOWER ABDOMEN AND BACK-3 TIMES/WEEK

4)YOGA+PRANAYAM=15 MIN DAILY
PAWANMUKTASANA
VAJRASANA AFTER MEALS
MALASANA
TRIKONASANA

PRANAYAM- BHRAMARI, ANULOM VILOM, SHEETALI

FOR STRESS CALMING-
AVOID PHONE BEFORE BED
SLEEP BEFORE 10:30 PM
APPLY COW GHEE ON SOLES AT NIGHT- CALMING

AVOID STRICTLY-
LONG TERM TRIPHALA USE-IT IS TOO DRYING FOR CHRONIC CONSTIPATION
CHITRAKADI, HINGWASTAKA,AVIPATIKAR-AGGRAVATE DRYNESS
OVERUSE OF SEENA BASED LAXATIVES
SKIPPING MEALS,FREQUENT FASTING
COLD DRINKS OR DAIRY AT NIGHT

OPTIONAL-
KUTAJAGHANA VATI- IF LOOSE STOOLS OR GUT IRRITATION OCCASIONALLY

THIS IS NOT HOPELESS CONDITION 
YOU CAN HEAL-BUT YOU NEED A GENTLE NOURISHHING, NON AGGRAVATING PLAN FOR FEW MONTHS
THIS IS BUDGET FRIENDLY MEDICATIONS PRESCRIBE BY ME DO FOLLOW 4 MEDICATION DAILY FOR 6 WEEKS

HOPE THIS MIGHT BE HELPFUL

THANK YOU

Dr. Ayush Varma · Answer

In Ayurveda, chronic constipation is often linked to an imbalance of the Vata dosha, which governs movement in the body, particularly in the colon. Since you have mentioned trying various treatments and symptomatic relief through triphala, it's important to focus on holistic approaches which includes diet, lifestyle, and specific remedy adjustments.

First focus on your diet, as meal habits can have substantial effects. Regularly include warm foods as these balance Vata, and avoid cold, dry, and raw foods. Start your day with a glass of warm water, perhaps adding a slice of lemon. Include cooked vegetables like carrots, peas, sweet potatoes, and green leafy vegetables. Avoid excessive caffeine and alcohol, they can be dehydrating.

Digestion plays a key role in Ayurveda, hence rejuvenating your agni (digestive fire) is crucial. Having ginger tea before meals can aid. Maintain a routine to eat at the same times each day, helping your digestion work efficiently.

Oil massage (Abhyanga) can be helpful; applying warm sesame oil to your abdomen and whole body before showering might help in balancing Vata. Aim for consistent, gentle physical activity, such as walking for 15-20 minutes daily.

Herbal remedies may still be useful, but you might want to adjust the approach. Since previous combinations were not effective, consider using a simple single herb approach: haritaki can be tried individually, but it works best when consumed with warm water at night.

However, do remember it takes time for natural treatments to take their full effect, so patience and consistency will be key. Minimize stress, as it is tied to Vata aggravation. Breathing exercises like pranayama can be calming and supportive to bowel function.

Finally, given your persistent symptoms, it's crucial to re-engage with medical professionals, as long-term imbalances might need careful and monitored treatment. Don’t hesitate to check for community or government resources that may offer reduced-cost medical care. Prioritizing your health also supports your family better in the long run.

How to get regular and complete bowel movement - #22885

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