Help with constipation and blood during passing stool - #26461
Namaste doctor, I would like your Ayurvedic guidance for my friend. Male(age 27) weight-68 Here are his symptoms: He has been experiencing constipation for the last 8 months. He goes to the bathroom 3–4 times a day, but still feels his bowel is not fully cleared. He spends about 40 minutes in the toilet each time. About once a month, he notices a small amount of blood during bowel movements. He eats spicy food and non-veg daily. His digestion feels sluggish overall. We’re not sure if this could be piles (arsha) or something else. Kindly guide us. Could you please tell- What is the main reason behind this condition. What are the lifestyle changes he needs to adopt and Diet, Thankyou 😊
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Doctors’ responses
Avoid addiction if any. Avoid spicy, oily and processed food. Regular exercise. Increase intake of raw vegetables and fruits. Drink sufficient quantity of water. Regular use of buttermilk. Tab.Erandbhrushta haritaki 0-0-2 with lukewarm water at bedtime
Don’t worry Laisa, First of all avoid excessive spicy,sour,oily,fried food etc. **Drink sufficient amount of water. **Daily drink a glass of buttermilk just after having meal thrice in a day. **And For constipation, Use PANCHSAKAR CHOORNA 1TSF AFTER HAVING MEAL B.D. follow up after 15 days.
Hello, 1. As you are saying your friend is facing the issue since 8 months, please look into what changed lifestyle-wise and diet wise in last 12 months. 2. How is his appetite, sleep quality, exercise routine, stress levels, hydration? And also is it appropriate to ask what is his profession. answer to 1 and 2 help to address the concern more appropriately. However you can think of adopting the following:
1. Triphala churnam one teaspoon with warm water at bed time. 2. Lifestyle changes- a. If his profession involves long sitting hours ask him to take a break and take a short stroll once in a hour. b. Regular physical exercise of his choice for an hour daily in a fixed time. c. Complete dinner before 0700/make a point that, there is a gap of 3 hours between dinner and going to bed. d. Maintain a strict going to bed and waking up routine.
2. Diet- 1. Hydrate with 2 liters of warm water by sipping throughout the day 2. Soak dry grapes/raisins in water overnight; drink the water as the first thing in the morning, everyday. 3. Have soup and salad for dinner 4. Completely avoid spicy food and masala s in the food 5. Avoid eating out, eating processed food-deep fried food. 6. Avoid red meat. and if he likes to have nonveg let him consume for lunch(no red meat) 7. Add fruits of all variety to daily diet. Take care. Kind regards.
My friends appetite and sleep is normal about 8-9hours.He has a desk job mostly sitting for hours I just wanted to make sure if it’s piles or any other disease.
Hello, To diagnose in that way it requires a physical examination. Please visit nearby ayurveda physician so that proper diagnosis can be done. Take care. Kind regards.
Given the symptoms shared, it sounds like your friend may be dealing with a case of constipation, potentially linked to Vata imbalance, which is common in such situations. The presence of blood could indicate the possibility of hemorrhoids (arsha), though it’s essential to have this confirmed by a medical professional to rule out other issues. The habitual consumption of spicy and non-vegetarian food might aggravate pitta dosha, which could contribute to these disturbances.
In terms of identifying the main reason, sluggish digestion often points to an imbalance in agni (digestive fire). Eating heavy, spicy food regularly can overwhelm the digestive system. In Ayurveda, the ama (toxins) buildup can be common in such instances, further exacerbating constipation.
For lifestyle changes, consider these adjustments: Encourage regular sleep patterns – going to bed and waking up early helps regulate body rhythms. Implement a daily routine that includes exercise; gentle yoga or a brisk walk can be quite effective. Hydration is also key; lukewarm water helps stimulate digestion and should be consumed regularly throughout the day.
Diet-wise, increasing fiber intake is essential. Try to include fresh fruits like apples, pears, and prunes, and integrate vegetables such as spinach and broccoli to enhance fiber content. Limit or avoid spicy and fried foods, and minimize red meat intake. Instead, incorporate easily digestible proteins like lentils and chickpeas. Warm, home-cooked meals with mild spices such as cumin and coriander can support digestion.
Additionally, triphala churna is often recommended in Ayurveda for its gentle laxative properties. It might be beneficial to take a teaspoon with warm water before for bedtime. However, if the symptoms persist or worsen, especially with bleeding, seek medical attention promptly to ensure there’s no severe underlying condition.
Finally, developing habits such as not rushing toilet time and maintaining a relaxed posture can aid in natural bowel movements. I hope these recommendations provide some clarity and direction for managing the symptoms.
From an Ayurvedic perspective, the symptoms you’re describing hint at an imbalance, likely involving Vata dosha, often aggravated by irregular diet and lifestyle choices. Constipation indicates dryness and hardness of stools, commonly linked to Vata disturbance. The feeling of incomplete evacuation and presence of blood could suggest issues like arsha (piles) due to Pachaka Pitta imbalance as well, aggravated by digestive fire (agni) weakness.
First, your friend should seek evaluation by a healthcare professional to rule out any severe conditions, especially since there’s blood present. If piles are suspected, timely medical intervention is crucial.
Regarding lifestyle changes, he should prioritize routine and moderation in daily activities, focusing on adequate rest. Encourage regular exercise like walking or yoga to help regulate bowel movements. Warm baths can soothe the anal area and improve circulation. Stress management techniques, such as pranayama and meditation, are beneficial to balance Vata.
Dietary changes are equally important. He should reduce spicy foods, fried items, and red meats, which can aggravate Pitta. Introduce fiber-rich foods like whole grains, leafy greens, and vegetables to soften stools. Warm, cooked meals are easier to digest than raw or processed foods. Ghee (clarified butter) can be included in moderation to lubricate the intestines. Ensure plenty of water throughout the day, especially warm water in the morning.
Herbs to promote digestion and relieve constipation include Triphala powder — a teaspoon mixed in a cup of warm water before bed helps support bowel regularity.
Avoid dependence on habitual laxatives, which can weaken gut function long-term. Instead, focus on nurturing digestion and eliminating toxins with mindful eating and regular meal timing. Always tailor activities to individual tolerance levels and adjust as needed.

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