burping, motility issue, ibs, bowel moment not regular - #27312

Avoid addiction if any. Avoid oily, spicy and processed foods. Increase intake of raw vegetables and fruits. Regular use of buttermilk. Cap. Florasante 1-0-1 Tab. Stop IBS 1-0-1

HELLO DEAR,

start taking these medications,

1.Bilwa choorna 1tsf twice in a day with buttermilk. 2.Grahnikapat ras 1-0-1 3.kutajghanvati 2-0-2(for loose stool)

*Daily drink a glass of buttermilk+roasted cumin powder just after having meal 4 times in a day. Take care😊

Dear Yousuf,

Thank you for sharing your concerns in detail. Your symptoms of frequent burping, fatigue after bowel movements, slow motility with incomplete evacuation, frequent washroom visits, occasional loose stools, and lactose intolerance suggest a Vata–Pitta imbalance with weak Agni (digestive fire) and possible Ama (toxin) accumulation in the gut. This is further complicated by a degree of intestinal irritation and irregular colon motility.

The intolerance to milk and dairy indicates impaired digestion of Madhura rasa (sweet taste) substances and weak grahani (small intestine strength). Ayurveda’s approach will be to rekindle Agni, clear Ama, stabilize Vata in the colon, and regulate bowel rhythm.

Recommended Investigations

1. CBC – to rule out anemia. 2. Serum Vitamin B12 & D3 levels. 3. Thyroid profile (TSH, T3, T4). 4. Stool routine & occult blood test (if diarrhea persists).

Internal Medicines

Stage 1 – Gut Detox & Agni Deepana (First 2 weeks)

1. Triphala Churna – 1 tsp at bedtime with warm water (mild colon cleansing, improves motility). 2. Hingvastak Churna – ½ tsp with first bite of food, twice daily (relieves gas & bloating). 3. Kutajghana Vati – 2 tabs twice daily after meals (for diarrhea control & gut lining support).

Stage 2 – Grahani Strengthening & Vata-Pitta Balance (From week 3 onwards)

1. Dadimashtaka Churna – ½ tsp twice daily with warm water after meals (improves digestion, prevents fatigue post-bowel). 2. Bilwadi Churna – 1 tsp with buttermilk (avoid dairy milk) once daily (supports bowel regulation). 3. Pippalyasava – 20 ml with equal warm water after lunch & dinner (Agni stimulant, reduces Ama).

External & Supportive Practices

Abhyanga (oil massage) with warm sesame oil over abdomen in clockwise direction, 10 min daily before bath.

Hot fomentation over stomach if cramps or bloating.

Diet & Lifestyle Tips

Avoid:

1. Milk, curd, paneer, cheese (due to lactose intolerance). 2. Excess wheat, refined flour, bakery foods. 3. Cold drinks, ice creams, fermented food, junk food. 4. Eating late at night or irregular meal timings.

Include:

1. Light, warm, freshly prepared food (khichdi, moong dal, rice, steamed vegetables). 2. Buttermilk (diluted, churned, without salt at night). 3. Jeera, ajwain, saunf water after meals. 4. Seasonal fruits like pomegranate, papaya, ripe banana (avoid raw salads at night). 5. Small amount of cow’s ghee with rice or roti daily for lubrication.

Lifestyle:

1. Fix regular meal timings. 2. Eat only when hungry; avoid overeating. 3. Chew food well; avoid rushing meals. 4. Practice Anulom Vilom pranayama daily (10 min). 5. Ensure 7–8 hrs of sleep; avoid late nights.

With consistent practice, this plan will aim to reduce your burping and fatigue, regulate bowel frequency, strengthen digestion, and gradually restore balance in your gut.

Please feel free to share updates for follow-up and adjustment of medicines.

With kind regards, Dr. Sumi

Triphala churna- 1 tsp with warm water at night Hingwastaka churna-1/2 tsp with warm water after food Chitrakadi vati-1 tab to be chewed twice daily

HELLO YOUSAF ,

You are experiencing frequent burping, fatigue after bowel movements, slow bowel motility, incomplete evacuation requiring multiple trips to the bathroom, occasional diarrhea, irregular bowel habits, and difficulty digesting milk and milk products (lactose intolerance). These symptoms indicate that your digestive system is weakened, and there may be accumulation of toxins (Ama) and imbalance in your gut’s digestive fire (Agni). Slow motility and irregular bowel movements can also make you feel tired and bloated after using the bathroom. Milk intolerance suggests that your body is unable to properly digest dairy, which can worsen bloating, gas, and diarrhea.

Ayurveda focuses on strengthening digestion, improving bowel motility, and removing Ama to restore regular bowel habits and overall energy.

Treatment Plan:

1. Ama Pachana (First 3–5 days): Triphala Churna – 1 tsp with warm water before meals, to help cleanse the digestive tract and improve bowel motility.

2. Internal Medications (After Ama Pachana): Dadimadi Churna – 1 tsp twice daily with warm water, to reduce gas and improve digestion. Vishesh Ghanvati (or equivalent digestive tablets) – 1 tablet twice daily after meals, to strengthen Agni and normalize bowel function. Amlapitta Churna – ½ tsp with warm water after meals if acidity or burning sensation occurs.

3. External Care / Lifestyle: Gentle abdominal massage with warm sesame oil once daily to stimulate bowel movement. Take short walks after meals to help digestion and bowel motility. Avoid prolonged sitting immediately after meals.

Dietary Guidance: Avoid milk, cheese, ice cream, and other dairy products due to lactose intolerance. Eat easily digestible, warm, and cooked foods: rice, moong dal, khichdi, steamed vegetables. Avoid raw salads, cold drinks, oily and fried foods, and spicy foods that trigger gas and diarrhea. Include ginger, cumin, and fennel in cooking to improve digestion and reduce bloating. Drink warm water throughout the day to aid bowel movements.

Investigations:

Stool routine and culture to rule out infections. Complete blood count and thyroid profile if fatigue persists. Lactose tolerance or hydrogen breath test to confirm dairy intolerance.

Bowel, Micturition, Appetite, Sleep:

Track frequency and consistency of bowel movements. Maintain adequate fluid intake and observe if fatigue reduces as digestion improves. Ensure 7–8 hours of restful sleep.

If you follow this plan consistently for 4–6 weeks, your digestion will strengthen, bowel habits will normalize, gas and bloating will reduce, and energy levels should improve. Ayurveda works gradually, so patience and consistency are essential.

Warm regards, Dr. Karthika

HELLO YOUSUF,

You are experiencing -frequent burping -fatigue after passing stools -irregular bowel movements (sometimes constipation, sometimes diarrhea) -slow digestion or motility -multiple visits to the toilet daily -lactose intolerance (milk causing indigestion) These are symptoms of a weak digestive system , with imbalanced vata and Pitta doshas, and possibly ama (toxins from undigested food) building up in your system

In Ayurveda, this condition resembles “Grahani roga”, which affects the small and large intestines. It is caused when Agni(digestive fire) is weakened, and the intestines can no longer function properly. This results in -Incomplete digestion -formation of toxins(ama) -irregular and unformed stools -fatigue and nutrient malabsorption

TREATMENT GOALS -restore agni= strengthen the digestive fire -pacify vata and pitta= calm down the air and fire elements disturbing the intestines -remove ama= clear toxins from the system - normalize bowel movements= regulate frequency and consistency - prevent recurrence= build long term digestive resileience

INTERNALLY START WITH

1) HIGWASTAKA CHURNA= 1 tsp with warm water before meals =improves digestion, relieves gas and bloating

2) KUTAJGHAN VATI= 1 tab twice daily after meals =controls loose motions and strengthens intestines

3) TAKRARISHTA= 15 ml with equal water after meals =fermented buttermilk- based digestive; improves digestion and reduces toxins

4) BILWADI CHURNA= 1 tsp after meals with warm water =controls diarrhea and corrects intestinal function

5) AVIPATTIKAR CHURNA= 1 tsp at night with warm water =relieves acidity, supports regular bowel movements

6) ASHWAGANDHA CHURNA= 1 tsp in warm water at bedtime =reduces fatigue , strengthens body and nerves (can also be taken with almond milk)

DURATION= 2 to 3 months minimum

YOGA AND PRANAYAM These help stimulate digestion, reduces stress and regulate gut motility -pawanmuktasana -vajrasana -apanasana -ardha matsyendrasana -bhujangasana -balasana

PRANAYAM (10-15 min) -Nadi sodhana= balances vata and pitta -Bhramari= reduces anxiety -Sheetali= calms pitta and acid

DIET PLAN FOR DIGESTIVE BALANCE -warm, cooked food only avoid cold and raw -moong dal , rice, lightly spiced vegetables -ghee = 1 tsp in meals improves digestion -stewed fruits apple, pear, banana- if suits -homemade soups- pumpkin, bottle gourd, ash gourd -buttermilk thin, not curd with roasted cumin and rock salt -herbal teas ginger, ajwain, cumin-fennel -almond or oat milk instead of diary

AVOID -milk and milk products due to lactose intolerance -cold drinks, ice cream, yogurt/curd -spicy, fried, fermented, or sour food -caffeine, carbonated drinks -refined flour, bakery items -raw salads and raw sprouts hard to digest

HOME REMEDIES

1) AJWAIN-JEERA TEA -1/2 tsp ajwain+ 1/2 tsp cumin + pinch of rock salt -boil in 2 cups water-> reduce to 1 cup -sip after meals- relieves gas and improves digestion

2) DRY GINGER POWDER + ROCK SALT -mix 1/4 tsp each -take before meals with warm water- enhances digestion

3) SOAKED RAISINS -soak 5-6 black raisins overnight, eat in the morning -natural mild laxatives and energy booster

4) ALOE VERA JUICE -15 ml aloe vera juice + warm water on empty stomach =reduces pitta and heals intestines

-Your condition is reversible and manageable with regular care -You do not need to depend on strong medications or antibiotics long term -Ayurveda believes in strengthening your own system, not just suppressing symptoms -Be pateint= healing may take 2 to 6 months but it will be deeper and long lasting -Avoid stress and overthinking- gut and mind are deeply connected -Track your diet and response- keep a food and bowel journal to identify triggers

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

1) jatiphaladi vati 500 mg 30 min before food with ghee 2) Bhunimbadi churna-3gm

2) Sutashekhara rasa-250mg Rasaparpati-250mg Kutaja tvak churna-1 gm -2 after eating half food 3 times a day with tandulodaka

3) Manasamrita vataka-2 tab 2 times a day after food 4) Mustakarishtha after food with water 3 times a day

Diet and Lifestyle:

Pathya

Ahara:

Annavarga-Sashti Shali, Jirna Shali, Masoora, Tuvari, Mudga Yusha, Lajamanda, Vilepi

etc.

Shakavarga- Changeri, Rambha Pushpa, Kamalakanda

Phalavarga- Rambha, Jambu, Kapittha, Dadima

Dugdhavarga- Aja or Gavya Dugdha, Dadhi, Takra, Ghrita

Tailavarga- Tila Taila

Vihara: Nidra, Vishrama, activities making mind happy

Apathya

Ahara: Atishita Jala, Dushta Jala, Guru, Snigdha, Drava, Ati Ruksha, and Saraka sub-stances, Viruddha Bhojana, Rasona, Patra Shaka, etc.

Vihara: Vegavidharana, Chinta, Shoka, Bhaya, Krodha, etc

Don’t worry take bilwadilehyam,sutashera ras with 1tab bd,kamadudaras muktayukta 1tab bd enough

Frequent burping, fatigue after bathroom visits, and irregular bowel movements indicate an imbalance in your digestive system. In Ayurveda these symptoms suggest a possible disruption in Vata and Pitta doshas, which govern the digestive processes. The lactose intolerance aspect restricts the consumption of dairy, again implying a need for adjustments in your diet and lifestyle.

Firstly, addressing diet, prioritize easily digestible foods. Include warm, cooked meals and emphasize vegetables like pumpkin, carrots, and spinach, which help balance your Vata. Avoid raw and cold foods as much as you can–these can aggravate your condition. Use spices like ginger, cumin, and asafoetida, to enhance digestion. Particularly, ginger tea can be very helpful when consumed about 30 minutes before meals to help stimulate the digestive fire (Agni).

For slow motility issues, a regular eating schedule is crucial. Try to have meals at the same time each day and avoid eating after sunset. This helps synchronize your body’s natural digestive rhythms. Start your day with a glass of warm water, which might aid bowel regularity. If you consumpte certain grains, stick to quinoa and amaranth; these can be easier to digest than wheat and barley. Avoid foods that aggravate diarrhea, such as high fiber and fried foods.

Implementing consistent exercise routines can improve your motility. Practices such as yoga and pranayama (breathing exercises) not only reduce stress that can impact digestion but also stimulate proper function of digestive organs. Consider poses like the Vajrasana post-meal to promote digestion.

Lastly, ensure you’re attending to any prolonged symptoms or severe cases, there might be an underlying condition that requires medical intervention. Be sure to engage a healthcare provider if symptoms persist unrelieved.

Your symptoms suggest an imbalance in the Vata and Pitta doshas, potentially affecting your digestive fire, or agni. The frequent burping, irregular bowel movements, fatigue after bathroom visits, and episodes of diarrhea are all indicators that your digestive system may need support to restore balance. Since you also have lactose intolerance, this needs careful consideration in your regimen.

First, focus on balancing your agni by consuming warm, cooked foods that are easy to digest, avoiding cold foods and drinks. Prioritize meals that are light yet nourishing, such as vegetable soups or stews cooked with digestive spices like ginger, cumin, and fennel. These can help regulate the digestive process and support better motility. Ginger, in particular, can be quite beneficial, so try sipping ginger tea before meals.

In terms of managing your lactose intolerance, substitute dairy with alternatives like almond or coconut milk, which are usually easier to digest. Avoid processed and heavy foods as they can aggravate both Vata and Pitta, causing further digestive distress and fatigue.

To manage the slow motility and irregular bowel movements, try Triphala churna—a traditional Siddha-Ayurvedic formulation known to gently cleanse the digestive system. You can take 1/2 teaspoon with warm water before bedtime.

Additionally, practice pranayama exercises such as Nadi Shodhana (alternate nostril breathing) to calm the nervous system and promote overall digestive health. If symptoms persist or worsen, it’s crucial to seek immediate medical attention to rule out other underlying concerns. Regular consultation with a healthcare provider ensures your approach aligns with your health needs.

1.Bilwadi churna 1/2 tsp with lukewarm water twice daily, after food 2.Grahani Kapat rasa 1 tablet twice daily with honey, after food 3.Abhyarishta 20 ml with 20 ml water twice daily, after meal

intake of buttermilk 2-3 times daily added with roasted jeera

HELLO YOUSUF

Your symptoms -frequent burping, irregular bowel, IBS- like features, lactose intolerance, sluggish motility, gastric issues

1) DIET -Avoid milk and milk products, fermented foods, excess oily/spicy food, cold drinks -Prefer= warm, light, easily digestible meals- khichdi, moong dal soup, vegetables soups -Spices= small amounts of cumin, fennel, ajwain, ginger helps digestion and reduce gas -Hydration= sip warm water or cumin- fennel water through the day

LIFESTYLE -Eat at regular times, avoid overeating -Walk 10-15 min after meals -stress management= yoga (pawanmuktasana, vajrasana after meals) -pranayam - anulom-vilom, kapalbhati gently -early bedtime, avoid late night meals

INTERNAL MEDICATIONS

-TRIPHALA CHURNA= 1 tsp at night with warm water =improves bowel clearance

-HINGWASTAKA CHURNA= 1/2 tsp with ghee before meals reduces gas and burping

-PANCHAKOLA CHURNA= 1/2 tsp with warm water after meals for sluggish digestion

-TAKRA (buttermilk) with roasted cumin and rock salt daily instead of curd

-ALOE VERA JUICE= 15 ml empty stomach soothes gastric mucosa

PANCHAKARMA IF FEASIBLE -Virechana = for chronic gastric issues and pitta imbalance -Basti therapy= highly effective in IBS/Irregular bowel

THANK YOU

DR. HEMANSHU MEHTA