Concern About Long-Term Constipation and Possible Solutions,Seeking Causes and Treatment Options - #24846

Namaste Deepika 🙏, Thank you for sharing your concern so clearly. What you're describing sounds like chronic constipation with possible anal fissure, which is common when hard stools repeatedly stretch or injure the anal lining. This condition can deeply affect comfort, confidence, and daily life , but dont worry we are here to help you out 😊 **Ayurvedic Perspective** This condition is likely due to: 1 Apana Vata imbalance (governs elimination) 2 Mandagini (low digestive fire) 3 Controlling natural urges or irregular eating/sleeping patterns If not addressed, it can lead to: 1 Anal fissure (Parikartika) 2 Painful defecation 3 Incomplete evacuation **Ayurvedic Management Plan** 1️⃣ Internal Medicines (under guidance): 1 Soornadi lehyam 1 tsp , morning empty stomach followed by warm water (This will heal the anal canal) 2 Chiruvilwadi ks tab 2-0-2 (after food twice daily )(this will helps to reduce this associated symptoms) 3 Abhayarishta – 30 ml at bedtime (This will relieve your constipation) SOS MEDCINE- Anuloma DS 1 tab (even if constipation persits ) > These help soften stool, strengthen digestion, and regulate Apana Vata 2️⃣ External Care for Anal Pain / Fissure: 1 Jatyadi ghrita application around anal opening after passing stool (soothes and heals minor tears) 2 Sitz bath (warm water + Nimba + Aragwadha powder)- take 3 gm of Nimba powder and Aragwadha powder in 3 litre of water , boil and reduce to half , pour in a basin and sit in the basin for 20 mins daily After this dry the area and apply jathyadi ghrita around anal region 3️⃣ Dietary Changes (Very Important) ✅ Include: • Warm water (sip throughout day) • Ghee in meals (acts as natural lubricant) • Soaked raisins, figs, prunes • Moong dal khichdi, cooked vegetables (bottle gourd, pumpkin, spinach) • Buttermilk with roasted cumin ❌ Avoid: • Dry, cold, fried foods • Constipation-causing items like maida, pizza, bakery products • Red meat, excess tea or coffee • Skipping meals or eating late at night ** Lifestyle Tips:** • Establish a regular toilet routine — sit at the same time daily • Avoid straining — it worsens fissures • Practice Anulom Vilom pranayama to regulate Vata • Gentle walk after meals helps bowel movement You’re not alone , constipation with fissure is a common and very distressing condition. With proper Ayurvedic medications and lifestyle changes as i mentioned most patients find relief without needing surgery. Wishing you comfort and relief from constipation and pain Warm regards, Dr. Snehal Vidhate