Obstructive Deflcation Syndrome with Spastic pelvic floor muscles - #26432

It sounds like you are experiencing a complex set of symptoms that can be challenging to manage. From an Ayurvedic perspective, it seems there is a significant vata dosha imbalance affecting the colon and nervous system, leading to unpredictable bowel movements and the symptoms you’re describing.

Firstly, dietary changes are fundamental. Avoid foods that are cold, dry, and heavy as they can aggravate vata. Opt for warm, cooked meals rich in fiber like oatmeal, soups, and stews. Use spices like cumin, coriander, nutmeg, and ginger to aid digestion and calm the digestive fire. Ghee or sesame oil can be very beneficial in soothing the intestines and softening stools.

Pranayama and yoga should also become a regular part of your routine. Specific practices such as alternate nostril breathing, Dirga Pranayama (Three-part breath) can help calm the mind and balance vata dosha. Gentle yoga poses like Pavanamuktasana and Paschimottanasana, help in increasing circulation to the pelvic region and ease bowel movements.

For topical relief, applying warm castor oil on the abdomen (especially around the navel) can help alleviate pain and discomfort. Daily self-massage (abhyanga) with warm sesame oil balances vata and reduces muscular tension.

An Ayurvedic formulation like Triphala can be taken with warm water at bedtime to aid in regular bowel movements. However, it’s essential to consult with a trained Ayurvedic practitioner before beginning any herbal supplements.

Stress and anxiety worsen your symptoms, so incorporating a routine of meditation or mindfulness exercises can significantly help. Ensure adequate hydration and regular sleep patterns to further support your body’s healing process.

Given the complex nature of your symptoms, it’s crucial to work closely with both your medical team and a qualified Ayurvedic practitioner to create a personalized, comprehensive management plan. Always seek immediate medical attention if symptoms escalate or if new concerning symptoms appear.

It seems your symptoms are rooted in a complex interplay of digestive and nervous system issues, particularly affected by your doshas balance. From a Siddha-Ayurvedic perspective, it looks like an imbalance in vata dosha may be causing irregular bowel movements and the spastic pelvic floor muscles. Also, the erosive gastritis suggests aggravated pitta, while your dorsal neuralgia indicates potential involvement of nervous marma points.

To start addressing this, I recommend incorporating a few practices gradually. To calm vata, try Abhyanga, the practice of self-massage with warm sesame oil, particularly focusing on the abdomen and lower back, to gently invigorate and regulate the nadis. Do this before bathing in the morning.

Engage in pranayama known as Nadi Shodhana (alternate nostril breathing) to balance prana flow, perhaps after waking up, which might help with any nervous tension impacting muscle control.

Dietary modifications are also crucial. Focus on warming, easily digestible foods like cooked vegetables, lentil soups, and kichadi, avoiding anything too spicy, fried, or raw which aggravates vata and pitta. Triphala can be helpful before bedtime—start with a small amount, about 1/4 teaspoon in warm water.

It’s necessary to treat the root by eliminating ama (toxins) from your system, and easing digestion using herbs like Aswagandha and Guduchi. Nonetheless, given ongoing unresolved issues, involving other dimensions possibly like dorsal afflictions, collaborate with a multidisciplinary team, including conventional practitioners if needed. It’s vital to ensure a holistic approach that’s suited for complex conditions such as yours.