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