I have severe abdomen pain since 10days - #26203

hello Rashmi ranjan, If all tests like ultrasound, urine, hernia, and hydrocele are normal, but you’re still experiencing persistent lower left abdominal pain, we need to approach this carefully — especially since you’ve taken Panchakola Churna for 20 days.

Panchakola Churna is deepana-pachana in nature — it increases digestive fire and reduces kapha-ama. But if it is overused or taken in high doses without balancing with snigdha (unctuous or soothing) support, it can aggravate Vata, especially Apana Vata, which governs the lower abdomen.

Symptoms of Apana Vata aggravation:

Gripping or stabbing pain in left lower abdomen Dryness in bowel movement Gurgling, gas, disturbed bowel rhythm Referred pain to the back or groin area

What You Should Do Now Stop Panchakola Churna immediately for now. The pain could very likely be due to Vata aggravation from excessive pachana herbs.

Start Vata-pacifying internal support: Sukumaram Kashayam – 15 ml with 45 ml warm water before meals, twice a day Hinguvachadi Churna – 1 tsp with warm water after meals Ashwagandha Avaleha – 1 tsp at bedtime with warm milk Trivrit Lehyam – 1 tsp once or twice a week at bedtime for mild virechana, if your digestion permits

External Care (Optional but Effective): Castor oil hot pack on lower abdomen 3 times/week Abhyanga (oil massage) with Bala Taila or Dhanwantharam Taila on lower abdomen and back, followed by hot water bath Diet Tips Avoid dry, spicy, sour, fermented foods Include warm rice, ghee, moong dal, cooked vegetables (pumpkin, bottle gourd) Drink warm water infused with ajwain or fennel Avoid late meals and irregular eating

Is Virechana Necessary Now? Not immediately. Virechana (therapeutic purgation) is ideal in Pitta or Kapha-related abdominal conditions. In your case, the issue seems more Vata-dominant. Doing virechana now without proper Vata balancing may worsen the pain.

Instead, focus on Vata shamana (soothing) through internal oleation (ghrita, lehyams) and correcting bowel movement gently.

If the pain does not reduce in 5–7 days, consult your Ayurvedic physician and discuss Basti therapy, which is more suitable in chronic Apana Vata-related issues.

This is manageable and reversible — don’t worry. Just stop what’s aggravating Vata and begin soothing measures. You’ll see relief soon.

If you have any doubts, you can contact me. Take care, Regards, Dr. Karthika

Since your tests are normal and yet the severe pain persists, it’s crucial to reevaluate your symptoms and recent practices. The left lower abdomen pain with radiation to the back suggests potential issues which could be related to digestive imbalance or vata disturbance. Panchakola churna, often used to stimulate digestion and relieve ama (toxins), might cause excessive dryness or irritation in some individuals, which could aggravate vata, leading to pain.

Before considering virechana (therapeutic purgation), it’s best to ensure that your symptoms are not due to any acute conditions that require immediate medical attention. Consult with your Ayurvedic practitioner to assess if virechana is suitable right now, given the present pain. If there are urgent symptoms like fever, vomiting, or sudden severe escalation in pain, immediately seek conventional emergency care.

In the meantime, some supportive Ayurvedic measures can be tried. Focus on calming vata and supporting the digestive system. Consume warm, cooked, and easily digestible foods like khichdi (rice and lentils) with ample ghee, which helps soothe and nourish. Ginger tea can aid digestion and reduce discomfort, but avoid in excess if it worsens the pain.

Consider applying a warm sesame oil or castor oil massage gently onto the affected area. This could calm vata and alleviate pain. Following this, a warm compress might help further relieve tension.

Additionally, evaluate your lifestyle for factors increasing vata, such as irregular meals, stress, or lack of sleep, and try to bring them into balance with regular routines.

Revisit your physician to discuss these treatments before taking additional or more invasive therapies like virechana. Your practitioner might modify dosage or method of any current regimen. Always prioritize safety, and ensure interventions fit your individual constitution and health status.