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Had fissure and then laser surgery still in pain
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Surgery Recovery
Question #23093
128 days ago
437

Had fissure and then laser surgery still in pain - #23093

Yashita

Had fissure and then laser surgery but still pain and discomfort since 6 months infact more than that , when willIheal , how willIheal ,did everything,followed diet , also had consultation previouslyhad medicines from ayurveda prandagutika and udramarut churna it backfired and caused lot of burning and heating , castor oil also made heating anddiscomfortvomitish and nauseous nothing worksit's too much

Age: 24
Chronic illnesses: Anal fissure
300 INR (~3.51 USD)
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Doctors’ responses

Avoid spicy, oily and processed food. Increase intake of raw vegetables and fruits. Regular use of buttermilk. Amroid oint for local application after taking steam. Tab.Erandbhrushta haritaki 0-0-3 with lukewarm water at bedtime

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HELLO YASHITA, AFTER FISSURE SURGERY(LASER SPHINCTEROTOMY), MANY PATIENTS CONTINUE TO FEEL -BURNING PAIN->DUE TO PITTA DUSHTI AND NERVE SENSITIVITY -TIGHTNESS OR SPASM->DUE TO VATA AGGRAVATION IN ANAL REGION -UNHEALED MICRO-ULCERS OR FIBROSIS->DUE TO POST TISSUE REGENRATION

THIS MEANS YOUR BODY STILL CONSIDERS THE AREA AS INJURED, AND DUE TO LOW RASA+RAKTA+MAMSA DHATU NOURISHMENT, THE TISSUES HAVE NOT REGENRATED FULLY. ALSO, YOU ARE HIGHLY PITTA SENSITIVE- SO HOT,USHNA , SHARP(TIKSHNA) HERBS OR OIL LIKE CASTOR, PRANSAGUTIKA, UDRAMRUTA AGGRAVATES YOUR SYMPTOMS INSTEAD OF HELPING

WHAT HAPPENS IN BODY’S HEALING PROCESS 1)HEMOSTASIS(STOP BLEEDING)- BLOOD CLOT FORMS LOCAL VASOCONSTRICTION = BUT IN YOUR CASE IT MAY BE DELAYED IF BLOOD QUALITY POOR

2)INFLAMMATION- WHITE BLOOD CELLS CLEAN DEBRIS= BUT DUE TO EXCESS PITTA IT CAUSES EXCESSIVE HEAT AND REDNESS IN YOUR CASE

3)PROLIFERATION- NEW TISSUE (GRANULATION)GROWS= IN YOUR CASE TISSUE DEPLETION DELAYES TISSUE GROWTH

5)MATURATION- TISSUE REMODELS SCAR FORM=BUT IN YOU FIBROSIS OR INCOMPLETE HEALING CAUSES PAIN

WHY HEALING IS DELAYED- DUE TO EXCESS PITTA POST-SURGERY- IT INCREASES HEAT AND INFLAMMATION= BURNING PAIN,IRRITATION

VATA SPASM OF ANAL SPHINCTER- MUSCLE TIGHTNESS AND DRYNESS=SHARP PAIN ON DEFECATION

AMA(TOXINS)ACCUMULATION- POOR DIGESTION AND TOXINS= CHRONIC INFLAMMATION,POOR HEALING

DHATUKSHAYA(NUTRITIONAL DEPLETION)- WEAK BLOOD AND MUSCLE TISSUE= DELAYED TISSUE REGENERATION

LOCAL FIBROSIS/SCAR- IMPROPER WOUND REMODELLING= CONTINUOUS DISCOMFORT, SENSITIVITY

THIS MEANS YOUR BODY’S NATURAL HEALING IS SLOWED BY PERSISTENT INFLAMMATION AND MUSCULAR SPASM HEALING CAN TAKE SEVERAL WEEKS TO MONTHS IF THE DOSHIC IMBALANCE IS NOT CORRECTED.

#GOAL OF TREATMENT IS AIMED AT 1)TO RELIEVE PAIN AND BURNING=PITTA SHAMANA(COOLING, ANTI-INFLAMMATORY) 2)HEAL MUCOSA AND FISSURE SITE= VRANA ROPANA(WOUND HEALING) 3)SOFTEN STOOL GENTLY= VATAANULOMANA(BOWEL REGULARIZING, NOT HARSH PURGATION) 4)NOURISH RECTAAL TISSUES=DHATU POSHANA+REJUVINATION 5)REMOVE POST-OPERATIVE FIBROSIS AND SPASM=BY CHANNELS SODHANA(PURIFICATION) + VATA HARA OIL MASSAGE

#INTERNAL MEDICINES(SAFE AND NON-HEATING IN YOUR CASE 100% EFFECTIVE)

DURATION=6-8 WEEKS AND CAN EXTEND UPTO 3 MONTHS

*MORNING EMPTY STOMACH 1)SHATAVARI GHAN VATI- 1 TAB WITH WARM WATER=BALANCES PITTA, HEALS MUCOSA, IMPROVES RASADHATU

2)AVIPATTIKAR CHURNA- 1 TSP WITH WARM WATER= ACIDITY+DIGESTION+MILD STOOL SOFTENING IF HEATING OCCURS->USE TRIPHALA CHURNA 1 TSP + COW GHEE AT BEDTIME INSTEAD

*AFTER MEALS(TWICE A DAY AFTER LUNCH AND DINNER) 1)SUKUMAR GHRITA- 1 TSP WITH WARM WATER=ANTI-VATA, HEALS INTESTINAL LINING, LUBRICATES COLON, SUPPORTS MILD PURGATION

2)YASTIMADHU GHAN VATI- 1 TAB WITH WARM WATER= POTENT ANTI-INFLAMMATORY FOR MUCOSAL HEALING,AND IT REDUCES BURNING

3)(OPTIONAL) KAMADUDHA RASA(MOTI YUKTA)- 1 TAB= IF STILL EXPERIENCING HEART BURN,NAUSEA,BURNING RECTUM

#SOOTHING HOME REMEDIES

*FEENEL+CORIANDER INFUSION=TWICE A DAY BOIL 1 TSP FENNEL+1 TSP CORIANDER SEEDS IN 2 CUPS WATER->REDUCE TO 1 CUP->SIP WARM

BENEFITS- REDUCES PITTA,SUPPORTS DIGESTION,RELIEVES BURNING

#EXTERNAL APPLICATION- VERY IMPORTANT=TWICE DAILY(AFTER MORNING BATH+BEFORE BED)

1)JATYADI TAILA -WASH AREA GENTLY WITH WARM WATER -APPLY 5 ML USING CLEAR FINGER OR COTTON BUD(NOT INSIDE THE CANAL) -IF TOO SENSITIVE:-SOAK A SMALL COTTON BALL IN THE OIL AND PLACE AT ANAL OPENING(REMOVE AFTER 15-20 MIN)

2)TRIPHALA SITZ BATH -BOIL 1TSP TRIPHALA CHURNA IN 1.5 L WATER-> REDUCE 1 L -LET IT COOL TO WARM -SIT IN IT FOR 15 MIN -DO TWICE DAILY-ESPECIALLY BEFORE BEDTIME

#DIET=YOU MUST STRICTLY FOLLOW A PITTA-PACIFYING, ANTI-CONSTIPATION,MUCOSA-HEALING DIET

EAT- -COWGHEE- ATLEAST 1 TSP WITH MELS-HEALS TISSUES+SOFTEN STOOLS -WARM,SOFT FOOD=LAUKI,MOONG DAL,RICE,KHICHDI -COOKED APPLES AND PEARS, SOAKED FIGS -MUNAKKA(RAISINS)- NOURISHES GUT AND PREVENT HARD STOOLS -BUTTERMILK WITH CUMIN+CORRIANDER(AFTER LUNCH)-AIDS DIGESTION

#STRICTLY AVOID *HEATING FOODS -REDCHILLI, GARAM MASALA, FRIED ITEMS -TEA,COFFEE,SOFT DRINKS -TOMATOES,CURD ,SOUR FRUITS

*CONSTIPATING FOODS -BAKERY,MAIDA,FRIED SNACKS -EXCESS PANNER,DRY FOODS -NON VEG TILL HEALING IS COMPLETE

#LIFESTYLE AND YOGA DAILY -WALKING- 30 MINS IN MORNING+EVENING-KEELPS GUT MOTILITY HEALTHY -AVOID LONG SITTING- USE A DONUT CUSHION WHEN WORKING -STRESS RELIEF- LISTEN TO SOFT MUSIC, RELAXATION -SLEEP-10PM TO 6 AM

*SIMPLE YOGA(5-10 MINS ONLY) -BALASANA(CHILDS POSE) -VAJRASANA AFTER MEEALS -ANULOM VILOM-5 MINS DAILY

WHAT TO DO IF? -IF STOOLS IS STILL HARD=ADD SOAKED FIGS OR 1 TSP ISABGOL+1 TSP GHEE AT BEDTIME

-PAIN GETS WORSE=INCREASE SITZ BATH TO 3 TIMES DAILY+APPLY YASTIMADHU GHRITA IN PLACE OF JATYADI TAILA

-FEELING BLOATED- ADD HINGWASTAKA CHURNA 1/2 TSP WITH GHEE IN LUNCH

#EXPECTED TIMELINE FOR RELIEF

WEEK 1-2=. RELEIF FROM SHARP PAIN, SLIGHT REDUCTION IN BURNING

WEEK3-4= REGULAR STOOL, LESS BURNING,BETTER HEALING SEEN

WEEK 6-8= NEARLY PAIN FREE, TISSUE HEALING COMPLLETE

MONTH 3 ONWARDS= FULL STRENGTH RECOVERY,NO RECURRANCE WITH DIET MAINTENANCE

EMERGENCY DOCTOR VISIT -BLEEDING DOES’NT STOP -PAIN INCREASES WITH SWELLING OR FEVER -NEW LUMP OR PUS DISCHARGE APPEARS

THIS ALL MAY INDICATEINFECTION OR ABSCESS

DO FOLLOW CONSISTENTLY 100% RELIEF YOU WILL GET

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR.MAITRI ACHARYA

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Dr. Dhriti Khandelwal
I am a compassionate and results-driven professional in holistic healthcare, committed to delivering patient-centered care through an integrative approach. With strong proficiency in general surgery and a deep-rooted understanding of Ayurvedic principles, I specialize in both surgical interventions and conservative management of surgical and lifestyle-related disorders. My expertise includes treating a wide spectrum of general surgical conditions such as hernia, appendicitis, pancreatitis, gallbladder diseases, liver disorders, breast conditions, varicose veins, wound care, diabetic ulcers, and gastrointestinal cancers, including those of the rectum and anal canal. I place a strong emphasis on adopting conservative and minimally invasive procedures whenever possible, balancing modern surgical methods with Ayurvedic healing techniques. I am equally experienced in managing chronic lifestyle disorders like diabetes, hypertension, and thyroid dysfunction through personalized wellness plans and Panchakarma therapies. My goal is always to support patients in achieving long-term health and balance, not just temporary relief. With extensive experience in surgical diagnostics and post-operative care, I bring a precise, evidence-based approach to clinical practice. I have successfully completed two research projects under the Central Council for Research in Ayurvedic Sciences (CCRAS), Ministry of AYUSH, New Delhi, which have further enhanced my ability to blend research-backed modern insights with time-tested Ayurvedic traditions. My commitment lies in addressing the root cause of disease through holistic strategies, empowering patients through lifestyle guidance, and ensuring sustainable outcomes with minimal pharmaceutical dependency.
126 days ago
5

Hii Yashita I totally understand the kind of suffering you’re going through b’cz of having specialization in this field I get to help many such patients daily.

- Please have lighter and fibrous meals (that doesn’t mean raw veggies) - Practice taking fresh buttermilk with your meals adding little cumin powder, mint but do not take at night - Avoid sprouts, oats, cornflakes, heavy and junk - Brisk walking after meals - Maintain your circadian rhythm (early to bed and waking up before sunrise) - Take ghee with your food (but ensure the source of it) take 2 tsp ghee with warm milk at night - For quick relief with your burning problem: Please do Sitz bath daily twice at least Apply Yashtimadhu oil frequently in local area (you can also apply it just before defecation followed by sitz bath and reapplication) - Practice Kegel’s exercise while you do sitz bath and you can do at bed time also. Feel free to ask any details further Hope you get well soon.

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Apply kasisadi oil on anal region Take pilex 1-1-1 after food with water Take triphala tablet 0-0-2 at bedtime with water Avoid spicy fried foods. Have Green vegetables and fresh <link removed>clude butter milk with pinch of asafoetida black salt and roasted jeera powder daily in the afternoon with lunch Do sitz bath once daily with warm water putting betadin few drops.

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Dr. Bindiya R Patel
I specialize in Ayurveda and Acupressure, with a deep-rooted passion for holistic healing. My approach integrates traditional Ayurvedic principles with Acupressure and Yoga to offer patients a complete path to wellness—focusing not just on symptom relief, but on identifying and treating the root cause of disease. I strongly believe in minimal use of medication and emphasize therapeutic lifestyle modifications tailored to each individual’s prakriti (constitution) and condition. My clinical philosophy centers around disease prevention, sustainable recovery, and overall health restoration. Whether it is managing chronic conditions or supporting acute issues, I aim to guide my patients with simple yet effective treatment plans that align with natural healing processes. In every consultation, I encourage a balanced routine, dietary awareness, and stress management techniques rooted in ancient Ayurvedic wisdom. As a Certified Garbhasanskar Coach, I also specialize in prenatal wellness. I provide emotional, physical, and dietary guidance to expectant mothers, supporting them through each stage of pregnancy. My role includes structured counseling sessions that nurture not only maternal health but also the development of a healthy, emotionally balanced child. I work with patients who seek natural, drug-free treatment options and are open to transforming their health through mindful living. My goal is to empower individuals with the knowledge and tools they need to take charge of their well-being in a sustainable and holistic manner.
128 days ago

Hi Yashita Post Fissure surgery, there will be discomfort while passing stools , symptoms like pain and burning sensation may be felt. They can last for 2-4 weeks post surgery. But in your case, its been 66 months and symptoms still persists. Hence I suggest you to get it examined locally by the doctor who performed the surgery to rule out ant infection. As infection can reoccur post surgery , so treatment can be done accordingly. For symptomatic relief you can follow below mentioned remedies: 1.Tab Sutashekhar 1 tab thrice a day before meals with warm water. 2.Kasisadi Taila- Apply locally . A medium sized cotton ball is dipped in this oil , apply 2 times a day after passing stools. Duration: follow the treatment for 2 weeks. Dietary recommendations: Consume soft liquid diets like khichdi, dalia, pongal, fruits juices buttermilk . Avoid hard and dry foods that are difficult to digest and may cause constipation and further worsen your symtpoms . Avoid fatty foods, junk foods. Include vegetables, fibrous foods.

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Sometimes post anal fissure surgery can perform discomfort…so please take proper rest and follow dietary rules… Take…DIVYA ARSHOGRIT TAB =2-2 TAB BEFORE MEAL TWICE DAILY

DIVYA AROGYAWARDNI VATI DIVYA PHYTER TAB KAISHORE GUGULU=2-2 TAB AFTER MEALS TWICE DAILY…

JYATADI OIL…FOR ANAL APPLICATION AT NIGHT…

PLEASE AVOID RED CHILLY/PROCESSED FOOD/MAIDA …

TAKE FIBRE RICH FOOD… CONSUME 3-4 LITRES WATER PER DAY

REGULAR DO KAPALBHATI PRANAYAMA

YOU CAN EAISLY CURED

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Dr. Harshita Hyati
I have gained comprehensive clinical experience through my internship and professional duties, which has laid a strong foundation for my medical practice. During my internship, I worked extensively across multiple departments, including casualty, general medicine, general surgery, and obstetrics & gynecology at the Government District Hospital, Gadag. This exposure allowed me to handle a variety of acute and chronic cases, sharpen my clinical assessment skills, and actively participate in patient management under the guidance of senior medical professionals. Following this, I served as a duty doctor at AYUSH Hospital, Gadag Betgeri, where I applied my Ayurvedic knowledge in a clinical setting and contributed to patient care in both outpatient and inpatient departments. I successfully completed 366 days of rigorous internship training at DGM Ayurvedic Medical College and Hospital, Gadag, where I was involved in patient evaluation, diagnosis, and treatment planning under supervision. My time there allowed me to integrate classical Ayurvedic principles with practical patient care while developing a keen understanding of hospital operations and multidisciplinary collaboration. These experiences have enhanced my ability to handle diverse medical conditions confidently while maintaining a patient-centered approach. I am dedicated to continuing my journey as an Ayurvedic practitioner with the same passion and commitment, focusing on delivering quality, evidence-based, and holistic healthcare.
128 days ago
5

Sitz bath daily twice Gandhaka rasayana 2 -0-2 Sukumara ghrita 2tsp daily night with warm milk

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Hello

Post Anal surgery it will cause little discomfort but after 6 months also u r facing this discomfort please go to the doctor and get it examined done.

Strictly follow the diet Avoid hard food ,oil process food processed food, spicy food ,heavy meal ,curd, dairy products,

Take fresh buttermilk before food everyday in the afternoon

Take good amount of fibre content vegetables Avoid brinjal potato sweet potato

1) apply shatadautha ghrita 2) triphala guggulu 1-1-1 after food 3) triphala choorna 0-0-1/2tsf with glass of hot water at bedtime

Thank you Dr.Nikitha

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Hello Yashita

"NO NEED TO WORRY "

" I WILL HELP YOU UNDERSTAND RECOVER & MANAGE POST FISSURE SURGICAL PAIN SAFELY EFFECTIVELY "

I can understand ur concern and Discomfort and its affecting ur Quality of Life

UR ISSUES

Post Surgical Chronic Pain - Since 6 Months +

PAST MEDICAL HISTORY

Laser Anal Fissure Surgery 6 + Months Back

PROBABLE CAUSE

* Post Surgical Anal Sphincter Muscle Spasm causing pain Discomfort many times /while Passing Stools * Post Surgical Nerve Irritation * Tissue Scaring leading tightness all time /durning passing stools * Chronic Recurrent Infections as areas become weak prone to cuts wound infect easily * Recurrent Constipation Bloating Irregular Bowels causing pressure pain * Recurrence of Anal Fissure Again * Improper Diet high Acidic Spicy Salty Sour Masala Fried Fast Juck Foods Bakery non veg Intake After Surgery * Poor Hygiene * Improper Post Surgical & Wound Care * Psychological Fear Anxiety leading high pain perception

WHAT U CAN DO NOW ?

* I Advice U to Reconsult Again with Surgeon who did Surgery and Get Physically Examined * Physical Examination will reveal the Present Status of Issues & cause Behind ur Pain as I said above * It’s Easy to Address the Issues Upon accessing correct Status * His Comments Opinion Adviced is Most Important

KINDLY REVIEW ME WITH UR SURGEON’S OPINION ADVICE & EXAMINATION DETAILS SO I CAN TREAT U WELL THROUGH AYURVEDA

AYURVEDIC APPROCH

High Vata Pitta Rakta Mamsa Ama ( Toxins) Imbalance Accumulation Post Surgery At Anal area leading Vrana Shoth ( Swelling ) at Anal region causing Discomfort (Anal Pain Spasm Burning) & Delayed Healing Process ( Wound healing Healthy Granulation New Tissues Formation Fibrosis Scarring ) Vata Causes Pain Spasm Wound Deformity Pitta Causes Burning Inflammation Irritation Ama Indigestion Delayed Healing

WHY CASTOR OIL PRANADA GUTIKA UDARKALP CHURNA AGGRAVATED PAIN ?

* Anal Fissure has High High Pitta Vata Imablance leading high heat at Anal Levels * All These Medicine are Hot In Potency has Ushna ( hot ) Teekshna ( Sharp) and Ruksha ( Dry) properties which Aggravates Pitta Vata Causes Dryness Obstruction which are Opposite to Anal Fissure pain so not suited to you .

HOW AYURVEDA HELPS U IN PRESENT SITUATION ( TILL U SHARE ME UR SURGEON OPINION)

* Helpful in Relieving Pain Inflammation Burning and Ease * It Helps to heal the wound * It helps Proper Digestion Gut Motility Imablance and Easy expulsion of Passing Stools which ease u * Helps to Relax and Relieve Spasm post Surgery

BEST RESULT ORIENTED AYURVEDIC MEDICINES IN MY CLINICAL PRACTICE

U MUST TRY

EASY TO DO,QUICK SUITABLE SOLUTION , MINIMUM MEDICINE MAXIMUM BENEFITS WITH COMFORT

* Aloe Vera Juice 30 ml -0- 30 ml on empty stomach with 1 Glass of Normal Water * Tab.Kamdudha Ras Mukta Yukta 2 -0-2 Before Food * Cap.Soreheal 1 -0- 1 After Food * Tab Peedantak Vati 2 -0- 2 After Food * Sukumar Ghritam 1 Tsf -0- 1 Tsf Night After Food Preferably with Luke Warm Water * Local Application Jatyadi Ghritam + Shatadhouta Ghritam Local Application over Pain & Burning areas * Sitz Bath - Neem leaves 30 in Number + Triphala Powder 2 Tsf in water for Sitz Bath

HOW MUCH TIME IT TAKE TO HEAL?

7 Days -14 Days - Pain Burning Reduces Motion becomes Normal 14 Days -28 Days - Comfortable Ease in Work 30 - 40 Days - Wounds heals & Heads towards recovery 60 Days + - Complete Recovery

INSTRUCTIONS MUST TO FOLLOW

• Drink Plenty of Water Fluids Fibers Approximately 3 Liters Per Day • 100 Steps Walking After every meal • Eat Chew Food Nicely.Eat With Calm Mind without Distractions like eating and seeing TV • Avoid Overeating Frequent Eating. • Avoid Afternoon Sleep • Hing Jeera Ajawain Sounf Mulethi Water Decoction Once Daily • Take 1 Tsf Pure Cow Ghee with ¼ Glass of water Evening • Eat 2 Ripen Bananas at Night • Avoid Excessive Stimulants like Tea Coffee Carbonated Beverages Excessive Sweets Packed Canned Foods • Avoid Spicy Salty Sour Masala Fast Foods Bakery excessive tea coffee No Afternoon Sleep • Timely Food Timely Sleep • Avoid Mental Stress Overthinking • Totally Avoid outside foods • Practice Dhyan Meditation Daily • Avoid Straining while Passing Stools • Don’t Hold Stools Urges

DAILY DIET PLAN ( DIET AS MEDICINE TO RECOVER FAST )

NORMAL DIET ( Less Oily, Less Spicy Sour Salty, Well Cooked )

* BREAKFAST - Rava Ragi Bajra Oats Items Upma Kheer / 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 Healthy Nutritious Well Cooked Steamed Light for Digestion All Green leafy vegetables Salads Sprouts Fruits Soaked Dry fruits (Kishmish Khajoor Anjeer) fibers Plenty Of Water Fluids intake Luke Warm Water to Drink Fresh Butter Milk

DON’TS :- Restrict Heavy for digestion Excessive Acidic Salty Sour Spicy Fried Oily Junk food Food Bakery Foods Wheat Maida Udad items Fermented Foods Excess Tea Coffee Avoid Rajma Chole Curd Paneer Cream Sweets

LIFESTYLE MODIFICATIONS Rest Good Sleep Lifestyle Physical Activities Timely Food Intakes Sleep Early Wake Early Avoid Sedentary Lifestyle

YOGA Shitali Pranayam Panvanmuktasan Utkatasna Malasan

EXERCISES Walking Mild Mobility Exercise etc

ANTISTRESS Dhyan Meditation

REGARDS

Dr Arun Desai

God Bless You 😊🙏

If you have any questions u can ask me.I will Answer u to level of your satisfaction.U have Text Option here.

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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
125 days ago
5

Dear yashitha, I understand, how exhausting your journey has been even after surgery and medicines. Pain burning can continue if pitta and vata are still aggravated You require gentle cooling support

Take Yasthimadhu churna 2 gm+ Shatavari churna. 2 gm Along with warm water twice daily after food Apply jatyadhi taila externally twice daily with cotton Triphala churna-1 teaspoon with warm water at night Avipattikara churna-half teaspoon with water before meals Do sitz bath with lukewarm water three times daily

Eat soft, warm food like moong dal Ghee rice aah gourd pumpkin Avoid spicy, sore oil, food, tea, coffee

Healing, take time, but it is possible You have to use this at least for three months to see the changes

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Dr. Hemanshu Mehta
I’m Dr. Hemanshu, a second-year MD scholar specializing in Shalya Tantra (Ayurvedic Surgery), with a focused interest in para-surgical interventions such as Agnikarma, Viddhakarma, and Kshara Karma. My academic and clinical journey is rooted in classical Ayurvedic surgical wisdom, complemented by a modern understanding of patient care and evidence-based approaches. With hands-on training and experience in managing chronic pain conditions, musculoskeletal disorders, hemorrhoids, fistula, and other ano-rectal conditions, I provide treatments that emphasize both relief and long-term wellness. I am deeply committed to offering individualized treatment plans that align with the patient’s prakriti (constitution), disease progression, and lifestyle factors. I believe healing is not limited to procedures alone; it also requires compassion, communication, and continuity of care. That’s why I ensure each patient receives personalized guidance—from diagnosis and therapy to post-treatment care and preventive strategies. I also incorporate Ayurvedic principles like Ahara (diet), Vihara (lifestyle), and Satvavajaya (mental well-being) to promote complete healing and not just symptomatic relief. Whether it's managing complex surgical cases or advising on conservative Ayurvedic therapies, my goal is to restore balance and improve the quality of life through authentic, safe, and holistic care. As I continue to deepen my clinical knowledge and surgical acumen, I remain dedicated to evolving as a well-rounded Ayurvedic practitioner who integrates traditional practices with modern sensibilities.
124 days ago
5

HELLO YASHITA,

You have been going through so much pain for such a long time. Anal fissures-especially chronic or post surgical ones- can be incredibly stubborn and emotionally drainage.

WHY PAIN PERSISTS EVEN AFTER LASER SURGERY? 1)persistent sphincter tightness->poor blood flow ->slow healing.

2)Nerve hypersensitivity post surgery->pain even without visible fissure

3)Residual inflammation in the rectal mucosa.

4)Digestive disturbance even slight acidity, IBS, or constipation->aggravates

5)Ayurvedic meds were too ushna(heating) for your pitta-predominant Prakriti.

YOU NEED A PITTA-PACIFYING MUCOSAL-SOOTHING PROTOCOL-NOT DEEP CLEANSING- lets avoid ushna(heating) herbs, oils or laxatives. NO PRANDAGUTIKA, NO UDRAMRUT CHURNA, NO CASTOR OIL

SAFE AYURVEDIC PLAN FOR YOU DURATION- 6-8 weeks all herbs must be taken with lukewarm water or cows milk

1)Avipattikar churna- 1/2 tsp after lunch and dinner= soothes acidity, reduces pitta, and supports bowel movement

2)Shatavari capsule- 500 mg twice daily after meals with milk= deeply cooling, helps tissue repair

3)Triphala+Yashtimadhu mix- 1 tsp at bedtime with lukewarm water=gentle laxative+ mucosal healing

LOCAL TREATMENT(TOPICAL+SITZ BATH)

1)Sit bath with triphala decoction daily once or twice

2)Yastimadhu ghrita fichu -soak sterile cotton in ghee apply externally or gently insert if tolerated. -helps healing of micro-wounds , reduces inflammation , no burning.

3)Tender coconut water-1 glass to keep pitta and gut cool.

DIET PLAN(STRICT BUT HEALING)

AVOID -tea/coffee -spices-especially chilli, mustard, black pepper -sour foods-curd,tamrind, tomatoes -fried food -bakery items

INCLUDE -warm khichdi, steamed veggies -cow ghee daily- 1 tsp with rice -soaked raisins and almonds-peeled -chamomile tea at night

GENTLE LIFESTYLE -never suppress urges to pass gas or stool -avoid sitting too long on hard surfaces -mild walking after meals -ashwini mujra-gentle anal sphincter tightening and relaxing- helps improve blood flow.

Do follow

thank you

DR. HEMANSHU MEHTA

613 answered questions
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In situations like these, experiencing persistent pain and discomfort even after surgery can be understandably frustrating. With Ayurvedic guidance, it’s important to address this cautiously, given your hypersensitivity to past remedies. It seems like there might be an underlying pitta imbalance, which can cause excessive heat and inflammation.

First, let’s consider dietary adjustments to help cool down this pitta. Avoid overly spicy, sour, salty, and deeply fried foods, as they can aggravate the heat. Favor cooling and soothing foods like cucumber, melon, leafy greens, and whole grains. Include more coconut water, which helps to balance pitta with its sweetness and cooling nature.

For local relief, try applying a cooling mixture externally. Aloe vera gel is an excellent option — apply it gently to soothe and heal the affected area. Adding a pinch of turmeric can be beneficial, given its anti-inflammatory properties, but ensure there’s no added irritation.

Internally, aim to strengthen the digestive agni gently. You might try a simple decoction of coriander seeds and cumin seeds, which you can sip throughout the day. Take coriander and cumin in equal parts, boil them in water, and then strain — drink the water warm but not hot.

Yoga and meditation can also help manage stress and support healing. Gentle poses like legs-up-the-wall (Viparita Karani) can improve circulation and provide relief. Regular meditation may reduce stress-related components of pain.

If symptoms persist, consult an Ayurvedic practitioner for a panchakarma cleanse, ensuring it’s tailored to your condition. Given the persistent issues you’re facing, reevaluation by a healthcare professional for further treatment or diagnostic evaluation might also be warranted.

Safety and addressing your needs carefully must remain the focus while navigating towards comfort and healing.

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Dr. Ayush Varma
I am an Ayurvedic physician with an MD from AIIMS—yeah, the 2008 batch. That time kinda shaped everything for me... learning at that level really forces you to think deeper, not just follow protocol. Now, with 15+ years in this field, I mostly work with chronic stuff—autoimmune issues, gut-related problems, metabolic syndrome... those complex cases where symptoms overlap n patients usually end up confused after years of going in circles. I don’t rush to treat symptoms—I try to dig into what’s actually causing the system to go off-track. I guess that’s where my training really helps, especially when blending classical Ayurveda with updated diagnostics. I did get certified in Panchakarma & Rasayana therapy, which I use quite a lot—especially in cases where tissue-level nourishment or deep detox is needed. Rasayana has this underrated role in post-illness recovery n immune stabilization, which most people miss. I’m pretty active in clinical research too—not a full-time academic or anything, but I’ve contributed to studies on how Ayurveda helps manage diabetes, immunity burnout, stress dysregulation, things like that. It’s been important for me to keep a foot in that evidence-based space—not just because of credibility but because it keeps me from becoming too rigid in practice. I also get invited to speak at wellness events n some integrative health conferences—sharing ideas around patient-centered treatment models or chronic care via Ayurvedic frameworks. I practice full-time at a wellness centre that’s serious about Ayurveda—not just the spa kind—but real, protocol-driven, yet personalised medicine. Most of my patients come to me after trying a lot of other options, which makes trust-building a huge part of what I do every single day.
4.95
20 reviews
Dr. Anirudh Deshmukh
I am Dr Anurag Sharma, done with BAMS and also PGDHCM from IMS BHU, which honestly shaped a lot of how I approach things now in clinic. Working as a physician and also as an anorectal surgeon, I’ve got around 2 to 3 years of solid experience—tho like, every day still teaches me something new. I mainly focus on anorectal care (like piles, fissure, fistula stuff), plus I work with chronic pain cases too. Pain management is something I feel really invested in—seeing someone walk in barely managing and then leave with actual relief, that hits different. I’m not really the fancy talk type, but I try to keep my patients super informed, not just hand out meds n move on. Each case needs a bit of thinking—some need Ksharasutra or minor para surgical stuff, while others are just lifestyle tweaks and herbal meds. I like mixing the Ayurved principles with modern insights when I can, coz both sides got value really. It’s like—knowing when to go gentle and when to be precise. Right now I’m working hard on getting even better with surgical skills, but also want to help people get to me before surgery's the only option. Had few complicated cases where patience n consistency paid off—no shortcuts but yeah, worth it. The whole point for me is to actually listen first, like proper listen. People talk about symptoms but also say what they feel—and that helps in understanding more than any lab report sometimes. I just want to stay grounded in my work, and keep growing while doing what I can to make someone's pain bit less every day.
0 reviews
Dr. Ayush Bansal
I am an Ayurveda doctor with about 1 yr of hands on clinical practice, still learning everyday from patients and the science itself. My journey started as a VOPD doctor with Hiims Hospital under Jeena Sikho Lifecare Ltd. For 6 months I was into virtual consultations, understanding cases online, preparing treatment protocols and doing follow ups to track progress. That phase trained me well in quick patient assesment and also in explaining Ayurveda in a way that fit with modern expectations. I dealt with many chronic and acute cases during that time.. things like gastric issues, joint pain, stress related complaints, skin problems. The remote setting forced me to sharpen my diagnostic skill and rely more on careful history taking, prakriti analysis, and lifestyle understanding. After that, I moved to a Resident Doctor role at Chauhan Ayurved and Panchkarma Hospital, Udaipur. This was very different.. more practical, hands on, and really grounded me in classical Panchakarma. I was actively part of planning and performing therapies like Vamana, Virechana, Basti, Abhyanga, Shirodhara, and other detox and rejuvenation procedures. Many patients came with long standing spine issues, metabolic disorders, skin complaints, or hormonal imbalance and I got to see how tailored Panchakarma protocols and lifestyle advice together can bring changes that medicines alone couldn’t. Working closely with senior consultants gave me better clarity on safety, step by step planning and how to balance classical texts with practical hospital settings. Now, whether in OPD consultations or Panchkarma wards, I try to meet patients with empathy and patience. I focus on root cause correction, using herbs, diet, daily routine guidance, and therapy whenever needed. My belief is that Ayurveda should be accessible and authentic, not complicated or intimidating. My aim is simple—help people move towards long term wellness, not just temporary relief. I see health as balance of body, mind and routine.. and I want my practice to guide patients gently into that space.
5
150 reviews
Dr. M.Sushma
I am Dr. Sushma M and yeah, I’ve been in Ayurveda for over 20 yrs now—honestly still learning from it every day. I mostly work with preventive care, diet logic, and prakriti-based guidance. I mean, why wait for full-blown disease when your body’s been whispering for years, right? I’m kinda obsessed with that early correction part—spotting vata-pitta-kapha imbalances before they spiral into something deeper. Most ppl don’t realize how much power food timing, digestion rhythm, & basic routine actually have… until they shift it. Alongside all that classical Ayurveda, I also use energy medicine & color therapy—those subtle layers matter too, esp when someone’s dealing with long-term fatigue or emotional heaviness. These things help reconnect not just the body, but the inner self too. Some ppl are skeptical at first—but when you treat *beyond* the doshas, they feel it. And I don’t force anything… I just kinda match what fits their nature. I usually take time understanding a person’s prakriti—not just from pulse or skin or tongue—but how they react to stress, sleep patterns, their relationship with food. That whole package tells the story. I don’t do textbook treatment lines—I build a plan that adjusts *with* the person, not on top of them. Over the years, watching patients slowly return to their baseline harmony—that's what keeps me in it. I’ve seen folks come in feeling lost in symptoms no one explained… and then walk out weeks later understanding their body better than they ever did. That, to me, is healing. Not chasing symptoms, but restoring rhythm. I believe true care doesn’t look rushed, or mechanical. It listens, observes, tweaks gently. That's the kind of Ayurveda I try to practice—not loud, but deeply rooted.
5
129 reviews
Dr. Keerthana PV
I am an Ayurvedic doctor who kinda grew into this path naturally—my roots are in Kerala, and I did my internship at VPSV Ayurveda College in Kottakkal, which honestly was one of the most eye-opening stages of my life. That place isn’t just a college, it’s a deep well of real Ayurveda. The kind that’s lived, not just studied. During my time there, I didn’t just observe—I *practiced*. Diagnosing, treating, understanding the patient beyond their symptoms, all that hands-on stuff that textbooks don’t really teach. It’s where I learned the rhythm of classical Kerala Ayurveda, the art of pulse reading, and how Panchakarma ain’t just about detox but more about deep repair. I work closely with patients—always felt more like a guide than just a doctor tbh. Whether it's about fixing a chronic issue or preventing one from happening, I focus on the full picture. I give a lot of attention to diet (pathya), routine, mental clutter, and stress stuff. Counseling on these isn’t an ‘extra’—I see it as a part of healing. And not the preachy kind either, more like what works *for you*, your lifestyle, your space. Also yeah—I’m a certified Smrithi Meditation Consultant from Kottakkal Ayurveda School of Excellence. This kinda allowed me to mix mindfulness with medicine, which I find super important, especially in today’s distracted world. I integrate meditation where needed—some patients need a virechana, some just need to breathe better before they sleep. There’s no one-size-fits-all and I kinda like that part of my job the most. I don’t claim to know it all, but I listen deeply, treat with care, and stay true to the Ayurvedic principles I was trained in. My role feels less about ‘curing’ and more about nudging people back to their natural balance... it’s not quick or flashy, but it feels right.
5
130 reviews
Dr. Maitri Bhavesh Kumar Acharya
I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.
5
375 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
79 reviews
Dr. Snehal Tasgaonkar
I am an Ayurvedic physician with around 7 yrs clinical experience, though honestly—feels like I’ve lived double that in patient hours. I studied from a govt. medical college (reputed one) where I got deep into classical Ayurvedic texts n clinical logic. I treat everything from chronic stuff like arthritis, IBS, eczema... to more sudden conditions that just pop up outta nowhere. I try to approach each case by digging into the *why*, not just the *what*. I mean—anyone can treat pain, but if you don’t catch the doshic imbalance or metabolic root, it just comes bak right? I use Nadi Pariksha a lot, but also other classical signs to map prakriti-vikruti, dhatu status n agni condition... you know the drill. I like making people *understand* their own health too. Doesn’t make sense to hand meds without giving them tools to prevent a relapse. My Panchakarma training’s been a core part of my work. I do Abhyanga, Swedana, Basti etc regularly—not just detox but also as restorative therapy. Actually seen cases where patients came in exhausted, foggy... and post-Shodhana, they're just lit up. That part never gets old. Also I always tie diet & lifestyle changes into treatment. It’s non-negotiable for me, bcs long-term balance needs daily changes, not just clinic visits. I like using classical formulations but I stay practical too—if someone's not ready for full-scale protocol, I try building smaller habits. I believe healing’s not just abt treating symptoms—it’s abt helping the body reset, then stay there. I’m constantly refining what I do, trying to blend timeless Ayurvedic theory with real-time practical needs of today’s patients. Doesn’t always go perfect lol, but most times we see real shifts. That’s what keeps me going.
5
89 reviews
Dr. Prasad Pentakota
I am Dr. P. Prasad, and I’ve been in this field for 20+ years now, working kinda across the board—General Medicine, Neurology, Dermatology, Cardiology—you name it. Didn’t start out thinking I’d end up spanning that wide, but over time, each area sort of pulled me in deeper. And honestly, I like that mix. It lets me look at a patient not just through one lens but a whole system-wide view... makes more sense when treating something that won’t fit neatly in one category. I’ve handled everything from day-to-day stuff like hypertension, diabetes, or skin infections to more serious neuro and cardiac problems. Some cases are quick—diagnose, treat, done. Others take time, repeated check-ins, figuring out what’s really going on beneath those usual symptoms. And that’s where the detail matters. I’m pretty big on thorough diagnosis and patient education—because half the problem is ppl just not knowing what’s happening inside their own body. What’s changed for me over years isn’t just knowledge, it’s how much I lean on listening. If you miss what someone didn’t say, you might also miss their actual illness. And idk, after seeing it play out so many times, I do believe combining updated medical practice with basic empathy really shifts outcomes. Doesn’t have to be complicated... it just has to be consistent. I keep up with research too—new drugs, diagnostics, cross-specialty updates etc., not because it’s trendy, but cuz it’s necessary. Patients come in better read now than ever. You can’t afford to fall behind. The end goal’s the same tho—help them heal right, not just fast. Ethical practice, evidence-based, and sometimes just being there to explain what’s going on. That’s what I stick to.
5
458 reviews
Dr. Narendrakumar V Mishra
I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.
5
822 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
142 reviews

Latest reviews

Carter
1 hour ago
Really appreciate the detailed response! Felt reassured with such clear advice, and the lifestyle tips were super helpful too. Thanks!
Really appreciate the detailed response! Felt reassured with such clear advice, and the lifestyle tips were super helpful too. Thanks!
Luke
1 hour ago
Thanks for the useful advice! Your tips on yoga and pranayama really gave me hope. Appreciate the encouragement!
Thanks for the useful advice! Your tips on yoga and pranayama really gave me hope. Appreciate the encouragement!
Andrew
4 hours ago
Thanks a ton, this was super helpful! Your advice feels so practical and actionable, def gonna try these tips out. Appreciate it!
Thanks a ton, this was super helpful! Your advice feels so practical and actionable, def gonna try these tips out. Appreciate it!
Penelope
7 hours ago
Thanks a ton for such a detailed response! Your advice was super clear and has definitely helped me understand what's going on. Feeling hopeful!
Thanks a ton for such a detailed response! Your advice was super clear and has definitely helped me understand what's going on. Feeling hopeful!