Constipation bloating gas abd fissure issues - #23107

Pathya- eating small meals Drink water after meals Apathya- avoid heavy spicy hot oily food Avoid anxiety stress etc Avoid day sleeping heavy meals at night Avoid supresssion of natural urges

🍀 Avoid hot and spicy foods

🍀 Avoid constipation, curd and oily foods, bakery, maida

🌸 Drink butter milk , goats milk

🌸 Onion , nellika, fibre rich food, sitz bath

Medicines : INTERNAL

1. Chiruvilwadi kashayam 15ml + kankayanam gulika 1 tab with boiled hot water morning and evening before food ( empty stomach)

2. Kaishora gulgulu gulika - 2 - 0 - 2 after food with hot water

3 shaddaranam choornam - 1 tspn with butter milk morning and night before food.

4. Mahathikthakam ghrtam - 10 ml at night after food.

5. Radix tab - 1 twice daily after food 

Medicine : EXTERNAL

If you suffering fissure problems like pain , discomforts

1. Anal pichu : shatadhouta ghrtam - apply before and after defecation

2. Triphala choornam put boiled hot water - sitz bath

Check : Hb , RBS

    Thank you 😊

Take liv 52 1-0-1 after food with water Avipattikar tablet 1-0-1 after food with water Avoid spicy fried processed junk foods

Thank you for sharing your concerns Your symptoms suggest chronic PITTA -VATA imbalance For relief Take Avipattikara churna-1/2 with water before meals Triphala guggulu-one tablet twice daily after food with warm water Abhaya aristha-4 teaspoon with equal quantity of water twice daily after food If you have of loose stools while travelling then you can take either Tab sporlac Or kutaja than vati -before travelling

Avoid oily, spicy fermented food Avoid stress Stay hydrated Drink buttermilk with roasted cumin powder with pinch of rock salt after meals Do Pranayam Yoga Sanana Can apply JATYADI TAILAM WITH COTTON over the anus/ fissures

HELLO SHWETA

PRIMARY CONCERN-(1 YEAR+) -chronic constipation -gas and bloating -anal fissuring(recurring) -food sensitivity(outside/spicy foods worsen her condition) -fear of travel due to urgency -skin hypersensitivity, urticaria(vata-pitta involvement)

#PROBABLE AYURVEDIC DIAGNOSIS -pakvashayagata vita with pittanubandha -Grahani dosha(chronic gut disturbance) -Bhagandar Poorva Aastha-if fissure is recurrent -vata-pitta prakopa with raktadusti-urticaria, fissure -manasik bhaya/jignaasa- psychosomatic fear of emergency bowel episodes during travel

#TREATMENT PROTOCOL- RESTORATIVE AND MAINTENANCE

1)Avipatikar churna- 1 tsp with warm water after lunch and dinner for 2 months= corrects pitta, reduces acidity, supports bowels

2)Triphala guggulu- 2 tabs after meals for 2 mnths= reduces inflammation, heal fissure

3)Kutajghan vati- 2 tabs before breakfast and dinner- for 2 months= stabilises bowel, prevents bloating

4)Sanjivani vati- 1 tab morning empty stomach-45 days= amapachak, deepan pachan

5)Gulkand+Isabgol= 1 tsp each in milk bedtime- ongoing= fissure soothing, gentle laxative

6)Draksharista+kumaryasava- 10 ml each mixed in water= after meals for 1 month= for gut soothing pitta shaman

#EXTERNAL TREATMENT

-Jatyadi ghrita rectal application- twice daily, especially after defecation -Sitz bath- warm water with triphala decoction daily for 15 minutes -Oil massage using dhanwantaram taila on abdomen, thighs and lower back-3times/week.

#DIET

INCLUDE -moong dal khichdi with ghee -lauki,parwal,tori,pumpkin -steamed rice, whole wheat roti -cow ghee 1 tsp daily -fresh buttermilk with jeera and mint -soaked raisins, figs -herbal tea- fennel, cumin,licorice

AVOID -spicy/oily -brinjal,potatoes -maida,bakery -red chillies, pickles -curd at night -raw sprouts -coffee, carbonated drinks

*FASTING SHOULD BE AVOIDED. EAT SMALL, WARM MEALS EVERY 3-4 HOURS

#LIFESTYLE AND MIND MANAGEMENT

TRATAKA(candle gazing)- daily at night=focus, anxiety relief

NADI SODHANA PRANAYAM- 10 min in morning and evening = balances vata and pitta

BHRAMARI+SHEETALI- 5 min= calms digestive heat

WALKING AFTER MEALS- 20-30 MINS = supports digestion

AVOID SCREEN TIME POST-SUNSET- daily= improves gut-brain axis

FOOT MASSAGE WITH GHEE/OIL- night= calms vata, improves sleep

#SUPPORTIVE ADD-ONS(AS NEEDED)

1)YASTIMADHU TAB- 1 tab daily- for acidity and skin 2)PANCHATIKTA GHRITA GUGGULU- 1 tab daily if fissure inflammation is high 3)SHANKHA VATI- sos for bloating/gas on travel days 4)GANDHARVAHASTADI KASHAYA- 10 ml if constipation is very hard and painful

#YOGA ADVISED- DAILY 30 MIN

WAKE UP(5MIN) -neck shoulder wrist ankle rotations -cat cow pose- 5 slow rounds

-pawanmuktasana- 3 rounds holdfor 30 sec -apanasana- 5 deep breathes per leg -supta matsyendrasana- 30 sec each side -ardha matsyendrasana- 40 sec * 2 sides -malasana- 1 min -vajrsasana+shashankasana- 5 deep breaths -bhujangasana- 5-8 breaths -viparita karani- 5-10 min

PRANAYAM-10 MIN -nadi sodhana- 5-7 rounds -bhramari- 8-10 rounds -mild kapalbhati- 3 rounds* 30 strokes -sheetali/sheetakari- 20 breathes -apana mudra(thumb+middle+ring finger touch)- hold during breathing

#LONG TERM ADVICE -panchakarma suggestion- basti therapy (mantra basti with anuvasana) in clinical setting for 7 days -maintain a fixed sleeping and eating pattern -avoid overthinking and suppression of natural urges -carry gulkand+tripahala powder mix while travelling as emergency aids -train mind and affirmations and controlled exposure therapy to remove travel fear

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR.MAITRI ACHARYA

Certainly understand these concerns. It sounds like you are dealing with a chronic issue of constipation, bloating, and anal fissures, which can be quite uncomfortable and concerning. Let’s look into some Ayurvedic principles that might help you find a sustainable solution.

First, constipation and bloating often indicate Vata dosha imbalance. This could suggest the digestion is not running smoothly, and your Agni (digestive fire) may be deficient. To support better digestion, begin your day with warm water, possibly adding a bit of lemon and honey—this can help stimulate the digestive system gently.

Incorporating foods that are warm, cooked, and oily can help pacify Vata. Avoid cold, raw, and dry foods which are harder to digest. Use spices like cumin, fennel, and ginger in your meals to support digestion and reduce bloating. Meals should be taken at regular, same intervals every day to establish routine and support consistency in digestion.

Fissure issues may derive from the strain during bowel movement. Triphala churn (powder) in warm water before bed can be gentle and effective. It’s key to stay hydrated, ensuring that you’re drinking water throughout the day, but avoid drinking too much during meals.

For dealing with anxieties around eating outside or traveling, Shankhapushpi or Brahmi might be useful as herbal nervous system supporters. They can help alleviate some stress related to these activities. Meditation and pranayama, like Nadi Shodhana, can also be powerful tools to calm the mind and assist with anxiety or fear of emergencies.

However, if the pain from the fissures is significant, or there is persistent bleeding, seeking immediate medical attention with a physician is recommended to prevent further complications. Your safety is always the priority. Maintain the changes consistently, and perhaps with a follow-up consultation, adjustments can be made for ongoing support.

NAMASTE SHWETA JI,

this appears to be chronic pitta-vata aggravated gastrointestinal disorder with associated anxiety and recurrent fissure and urticaria , pointing towards a gut-skin connection and mental stress involvement

ROOT CAUSES -indigestion leading to constipation -pittaja ahar-sevana= spicy, fried, tamsik food -chinta, asamay bhojana, irregular sleep -use of local antibiotic or related purgatives

AYURVEDIC TREATMENT PLANNED FOR YOU

1)TAKRARISTA- 20 ml+40 ml water after lunch and dinner= deepan pachan + grahani + pitta shaman

2)PICHAKARI GUTIKA- 2 tabs after meals= gut healing, fissure, bloating, mucous control

3)DADIMASTAKA CHURNA- 1 tsp with warm water twice daily after food= anti - gas, grahani support

4)SARIVADI VATI- 2 tabs twice daily after meals= for urticaria, pitta rakta sudhi

5)ASHWAGANDHARISTA- 15ml+water at bedtime= anxiety and gut brain axis calming

6)GULKAND+ISABGOL+MILK- 1 tsp+1tsp+1 glass at bedtime= for sooth bowel movement, cooling effect

#EXTERNAL APPLICATION -YASTIMADHU GHRITA- rectal application with cotton swab before bedtime -SPHATIK BHASMA + COCONUT OIL PASTE= apply externally twice daily for fissure soothing and anti inflammatory effect -CASTOR OIL+ERANDAMOOLA DECOCTION= for sit bath -DURING ACUTE FISSURE PAIN- Apply hingwastaka churna+ghee paste externally for soothing

FOR URTICARIA -NEEM TAILA application on rashes -IF SENSITIVE SKIN- sariva+ chandan powder paste with rose water -ITCHING- dusting tankan bhasma+rose powder blend

FOR MIND -BODY CARE -BRAHMI VATI- 1 tab at night= mind+gut calming -SMRITI SAGAR RAS- 125 mg with honey= once in morning(5-7 days course) -TAGAR CHURNA- 250 mg with warm water at bedtime- short course for anxiety

DIET INCLUDE -warm, soft food- khichdi, rice mung dal, mung yusha, larval etc -cow ghee daily -herbal tea- ccf tea-cumin-coriander-fennel -fresh buttermilk -no curd -soaked raisins, soaked almonds -light home cooked meals at fixed times

AVOID -Spicy,fried, fermented foods -bakery items, packaged snacks -curd,cold milk, ice cream -sour fruits like pineapple,orange -tea/coffee on empty stomach -late night meals , irregular eating times -anxiety triggering situation- control through breathing

YOGA AND LIFESTYLE

MILD YOGA- Pawanmuktasana, vajrasana, bhujangasana, anulom-vilom, bhramari, Sheetali -15 min walk after dinner -avoid sitting continuously for more than 45 min

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. HEMANSHU MEHTA