HELLO NISHA,
-you are 19 years old and have been struggling with IBS-D for 9 months with frequent uncontrollable loose stools -In Ayurveda this is often referred to as pravahika or grahani roga. It’s mainly caused by an imbalance of vata dosha, sometimes combined with Pitta dosha -Vata aggraation causes irregular, frequent bowel movements, cramping, bloating and gas -Pitta aggravation can make stools watery, burning, or slightly yellowish -Chronic diarrhea can make you mentally disturbed, anxious, depressed and socially withdrawn, which further worsens your digestive problem.
KEY POINTS TO REMEMBER -IBS-D is functional, meaning there’s no infection or structural damage, but the gut is overly senstive -Stress, anxiety, and irregular eating habits worsen symptoms
TREATMENT GOALS -stop frequent diarrhea and control loose stools -improve digestion and nutrient absorption -balance vata and Pitta dosha in the gut -strengthen intestines -reduce mental stress that triggers bowel symptoms -restore normal social and mental life
PHASE WISE TREATMENT PROTOCOL
PHASE 1= SHAMAN (control and stabilisation phase) GOAL= stop uncontrolled diarrhea, reduce frequency of stools, relieve abdominal cramping, gas, and urgency
-KUTAJGHAN VATI= 2 tabs twice daily after meals
-BILVA AVALEHA= 2 tsp with warm water 2 times/dy
-NAGARMOTH POWDER= 1 tsp with warm water after meals
-DHANIA WATER= 1/2 cup 2-3 times/day
LIFESTYLE -eat small, warm, cooked meals -avoid cold, raw, spicy, oily foods -rest well, reduce stress and anxiety
EXTERNAL THERAPIES -warm oil massage with sesame oil to calm vata
DURATION= 2-3 weeks until diarrhea stabilizes
PHASE 2= PACHANA AND GRAHANI STRENGTHENING (digestive strengthening phase)
GOAL= improve digestion, enhance nutrient absorption strengthen intestines, reduce bloating and gas
-BILVA AVALEHA= continue
-KUTAJ GHAN VATI = continue
-JEERA OR SAUNF POWDER= 1/2 tsp after meals for boating
-TRIPHALA CHURNA= 1/2 tsp with warm water at night only if stools are not loose
LIFESTYLE -follow regular meal timings -chew food properly -moderately daily exercise- gentle walking or yoga
EXTERNAL -oil massage with sesame oil continue
DURATION= 3-4 weeks until digestion strengthens and bowel frequency normalises
PHASE 3= RASAYANA AND PREVENTION PHASE GOAL= prevent relapse, strengthen immunity, improve mental health, and restore normal social life
- BILVA AVALEHA= 1 tsp/day
-TRIPHALA CHURNA= 1/2 tsp at night 4-5 times/week
-GUDUCHI GHAN VATI= 2 tabs in morning for immunity
-ASHWAGANDHA= 1 tsp with warm milk if stress, anxiety, or depression present
LIFESTYLE -regular sleep and meal routine -continue meditation, pranayam, yoga -avoid stress triggers and irregular food habits
YOGA AND PRANAYAM -pawanmuktasana= reduces gas and bloating -vajrasana= aids digestion if done after meals -ardha matsyendrasana= stimulates intestines -shavasana= relaxes mind and body
PRANAYAM -Anulom vilom = balances vata, calm mind -bhramari= reduces anxiety and stress related diarrhea -deep abdominal breathing= stimulates gut muscles gently
DIET -warm, cooked meals-rice, khichdi, moong dal, soft vegetables -cooked fruits= apples pear -warm milk with turmeric or ginger -small amounts of gheee for gut lubrication
AVOID -raw salads, cold foods, iced drinks -spicy, fried, oily foods - excess sour fruits mango, papaya if diarrhea worsens -caffeine, carbonated drinks, alcohol
EATING TIPS -eat slowly, chew well -have small , frequent meals -avoid late night heavy meals
HOME REMEDIES -warm water with 1/2 tsp ginger powder after meals= helps digestion -roasted cumin or coriander seeds powder- reduces bloating -banana porridge= mild, binding for loose stools -rice water binds stool, prevent dehydration
1) CONSISTENCY IS KEY= follow diet, lifestyle and medicines for 6-8 weeks to see results
2) MENTAL HEALTH MATTERS= anxiety and stress directly affect bowel function.
3) HYDRATION= drink plenty of warm fluids to prevent dehydration
4) AVOID SELF EXPERIMENTATION
5) PATIENCE= Ayurveda works gradually, improvement may start in 2-3 weeks, but full effect takes 6-8 weeks
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Avoid oily, spicy and bakery products. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Regular use buttermilk. Cap. Florasante 1-0-1 Tab. StopIBS 1-0-1 FOLLOW UP AFTER 4WEEK
Hello Nisha, IBS not only affects the body, but also the mind, social life and everything. Don’t worry, follow this treatment plan - Treatment - Kutaj ghanvati -2-0-2 after meals. Ushirasava+ Kutajarishta -2tsp each with equal amount of water twice a day after meals.
Diet that is beneficial - .Grains- old shaali rice, daliya . Lentils- moong dal,masoor dal . Vegetables - Parwal, Bitter gourd,Ash gourd,Bottle guard , raw banana cooked as vegetable . Fruits - Ripe Banana , Bel, Jamun . Drink green coconut water,Bel juice. .Curd and buttermilk is beneficial. .Fresh Bel sharbat is beneficial.
Food to be avoided - .Maida . Lentils- Chana dal,Matar, urad dal . Fruits - Grapes, Jackfruit . Vegetables - Spinach,leafy vegetables.
Follow this treatment plan and you will get results.Review after 10 days. Regards, Dr. Anupriya
Also, follow these for reducing stress - . Walk for 30 minutes after 20 min gap after dinner. . Stress management -Through meditation, yoga, walking and journaling . Foot massage with warm coconut oil for better sleep.
No need to worry dear 😊
First of all avoid excessive spicy, sour,salty food etc.
And 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 4.Tab. stop IBS 1-0-1
Follow up after 1 month.
You’ll definitely get desired results 😊
Take care😊
Kind Regards, Dr.Isha Ashok Bhardwaj.
1.Kutajghan Vati 2 tab twice daily with buttermilk 2.Grahani kapat rasa 2 tab twice daily with butter milk 3.Bilva churna 1 tsp twice daily with buttermilk
- Avoid Triggers: Spicy, fried, cold, or processed foods. Also avoid skipping meals or eating late at night.
- Yoga & Pranayama: Gentle poses like Balasana (child’s pose), Apanasana, and breathing exercises like Anulom Vilom help regulate digestion and calm the mind.
Diet Tips for IBS-D - Warm, cooked meals: Khichdi, moong dal, rice, and boiled vegetables. - Buttermilk with roasted cumin: Soothes the gut and improves digestion. - Pomegranate juice: A natural remedy for diarrhea and inflammation. - Avoid dairy, gluten, and raw salads (unless well tolerated).
Start with Tablet Liv-52 1-0-1 after food with water Kutajarist 10 ml twice daily after food with 20ml. Water Bael syrup 2tsp in a glass of water once daily Avoid milk, wheat and wheat products Take buttermilk with pinch of asafoetida black salt and roasted jeera powder after lunch daily. Avoid nonveg food if you are non-vegetarian.
In the case of IBS-D, we first need to focus on balancing your agni or digestive fire, and rectify any dosha imbalances, particularly the Vata dosha which often plays a major role. Diet plays a crucial part: avoid cold, raw foods and opt for warm, freshly cooked meals. Include soothing foods like cooked apples or pears in the morning, and steamed or sautéed vegetables seasoned with cumin, coriander, and fennel. These spices gently stimulate digestion and reduce Vata disturbance.
Probiotics, sourced naturally from fermented foods such as yogurt or buttermilk, can help balance gut flora. Try to consume freshly prepared buttermilk made by churning yogurt with an equal amount of water, ideally during lunch. Moderation is key; too much dairy might aggravate symptoms, while buttermilk is usually easier to digest.
Set regular meal timings as irregular eating may worsen symptoms. Chew your food slowly and mindfully. Avoiding common irritants like caffeine, fried foods, and overly spicy dishes will also aid digestion. While each individual’s response to foods can be different, maintaining a journal of your meals and symptoms might help identify specific triggers.
Herbal support can be beneficial. Pippali (long pepper) and ginger tea, taken after meals, can enhance digestion and mitigate symptoms. Start with a small quantity to see how your system responds.
Apart from dietary changes, incorporate relaxation practices like yoga or guided pranayama (breathing exercises) which have shown positive effects on IBS symptoms. Regular practice can help regulate stress, which often exacerbates IBS. Consider practices such as Anulom Vilom and Bhramari which calm the mind and stabilize digestion. A good routine might be a daily practice in the morning and before bed.
Finally, given the distress this condition is causing you, it is crucial to continue consulting with a healthcare provider, both for the psychological and physiological aspects of the condition. IBS can have a significant mental health component, so consider seeking support from a mental health professional experienced in these areas.
Kutaja ghan vati - 1-0-1 if loose stools Avipattikara churna - 1/2-0-1/2 tsp before meals Brahmi vati 1-0-1 Chitrakadi vati 1-1-1 to be chewed
Avipattikara churna-1/2 tsp before meals Medha vati-1 tab twice daily after food with water Kutaja ghan vati -one tablet twice daily after food, if loos stool is present
IBS-D, or irritable bowel syndrome with predominant diarrhea, can be quite disruptive, especially at a young age. In Siddha-Ayurveda, such irregular digestive issues often relate to an imbalance in the Vata and Pitta doshas. Addressing this requires restoring balance through dietary adjustments, lifestyle changes, and specific herbal remedies.
First, focus on dietary habits. Avoid foods that aggravate Vata and Pitta, such as spicy, oily, or processed foods. Introduce a more sattvic diet rich in easily digestible items like rice, moong dal, and steamed vegetables. Eating at regular intervals can also help stabilize your digestive system. Avoid stimulants like caffeine and alcohol which can worsen your condition.
Incorporating certain herbs may offer some relief. Amla (Indian gooseberry) can help balance pitta and support digestion. Take amla juice or powder daily, but start with a small amount to check your body’s response. You might find buttermilk with a pinch of roasted cumin powder helpful after meals—it aids digestion and soothes the gut.
Practice regular yoga and meditation to ease mental stress, which often exacerbates IBS symptoms. Gentle asanas like Pawanmuktasana and Shavasana can be beneficial.
Finally, ensure your ‘agni’ or digestive fire is in good order. Triphala churna, taken nightly with warm water, can help maintain regular bowel movements without harsh effects. Always check with a healthcare provider knowledgeable about your health history before beginning new supplements.
Remember, these suggestions are supportive. If symptoms are severe or sudden changes occur, immediate medical consultation is crucial to rule out other conditions or complications. Taking a holistic and consistent approach will gradually improve the situation, but ongoing symptoms require professional assessment.
HELLO NISHA,
IBS-D (irritable bowel syndrome- diarrhea type) is very disgusting, especially when it affects both your body and mind. Ayurveda looks a it as “grahani”- a condition linked to weak digestion and aggravated vata-pitta doshas
LIFESTYLE
DIET DISCIPLINE -eat freshly cooked warm, light food -prefer rice, moong dal khichdi, boiled vegetables, pomegranate, buttermilk with roasted cumin -Avoid= cold drinks , coffee, excess milk, fried/oily , spicy , fermented foods -eat at regular times, avoid late night meals
DAILY ROUTINE -wake up early , do light yoga- pawanmuktasana, vajrasana , gentle pranayam- anulom vilom -walk after meals for digestion -adequate rest and avoid stress triggers since IBS worsens with anxiety
INTERNAL MEDICATIONS
1) KUTAJGHAN VATI= 1 tab twice daily afte rmeals =very effective for IBS-D
2) BILVADI CHURNA= 1 tsp with warm water rtiwce daily =helps regulate bowel movement
3) DADIMASTAKA CHURNA= 1 tsp with buttermilk twice daily =balances digestion, reduces bloating
4) MEDICATED BUTTERMILK with cumin and rock salt taken regularly
MIND BODY SUPPORT -Stress plays a huge role, try meditation, guided relaxation, chanting or journaling daily
THANK YOU
DR. HEMANSHU MEHTA
