HELLO MITHI,
You are 16 years old, hemoglobin 10 (low, mild anemia), vitamin D 18 (very low) and had gallbladder removed, and now experiencing -gas not passing easily -constipation 2-3 days without stool -black blood in stool occassionally -nausea, acidity, heaviness in stomach -ankle swelling
FIRST PRIORITY -Black stool with blood + swelling in ankles -> this may indicate internal bleeding or liver/kidney - related issues -This is not only digestive imbalance but could be serious, so please consult a gastroenterologist or physician immediately fro stool tests, ultrasound, and blood test (LFT, KFT, CBC, iron studies )
After gallbladder removal , digestive fire becomes weak, leading to indigestion, constipation , gas/boating
VATA AGGRAVATION= constipation, gas not passing. heaviness
PITTA IMBALANCE= acidity, nausea, blackish blood
KAPHA INVOLVEMENT= ankle swelling, sluggish digestion
DIET -take warm ,light, easily digestible foods= khichdi, moong dal, rice, lauki, tori -Avoid= fried, very oily, spicy, bakery, cold drinks, packaged food -Eat at regular times; don’t skip meals -drink warm water frequently avoid chilled
REMEDIES
-TRIPHALA POWDER= 1 tsp with warm water at night =helps constipation and detox
-HINGWASTAKA CHURNA= 1/2 tsp with first bite of good =improves gas passage
-JEERA + AJWAIN + SAUNF TEA= for bloating and nausea
-ALOE VERA PULP= 2 tsp in morning =for acidity and mild constipation
LIFESTYLE -walk for 15-20 min after meals -do pawanmuktasana, vajrasana daily= gentle yoga improves digestion and gas passage -sleep early, avoid late night screen use
MEDICATIONS
1) AROGYAVARDHINI VATI= 1 tab twice daily afte rmeals for liver support
2) AVIPATTIKAR CHURNA= 1/2 tsp with warm water before meals for acidity
3) PUNARNAVA MANDUR= 2 tabs twice daily for ankle swelling and low Hb
THANK YOU
DR. HEMANSHU MEHTA
Hello Mithi, I would recommend the following treatment for you - 1. Udaramrit vati -2-0-2 after meal 2. Gashar churna - 1 tsp with water before meal 3. Hingvashtak churna -1tsp with water at bedtime. Diet- Avoid peas, cauliflower , capsicum. Drink ajwain water throughout the day Take light and easily digestible meals. Avoid tea, coffee, alcohol. Yoga- Mandookasana,kapalbhati , vajrasana Lifestyle modifications - Walk for 30 minutes after dinner. Take proper sleep at night.
Follow these and you will definitely get results. Review after 15 days. Take care Regards, Dr. Anupriya
But can u tell me that but why there is difficult to pass gas and black stool
Hello mithi ,
I understand how uncomfortable and worrying these symptoms can feel. After gallbladder removal, your digestion can take time to adjust because bile, which helps digest fats, is no longer stored and released in the same way.
This can lead to gas, bloating, heaviness in the stomach, nausea, and acidity. Difficulty passing gas or stool may happen if your intestines are sluggish or irritated, and black blood in the stool can sometimes be due to minor irritation in the gut, but it can also signal bleeding in the stomach or intestines, so it needs careful evaluation immediately. Swelling in the ankle can be due to fluid imbalance, low protein, or vitamin/mineral deficiencies, especially since you have low hemoglobin (10) and vitamin D deficiency (18).
These symptoms cannot be ignored. You should see a gastroenterologist urgently for:
Stool examination and possibly colonoscopy or endoscopy Blood tests for anemia, liver function, kidney function, electrolytes Ultrasound if needed for fluid or intestinal issues
Meanwhile, supportive measures include:
Drink warm water regularly to help bowel movements Eat light, easily digestible meals (khichdi, dal, cooked vegetables, soups) Avoid oily, spicy, and heavy food Gentle walking can help stimulate bowel movement
Because of the black blood in stool and swelling, it’s important to get checked without delay, as these could indicate bleeding or other complications that need immediate attention.
Warmly, Dr. Karthika
Difficulty in passing stool may be due constipation. Black stool can be due to iron supplements,bismuth containing medications , dietary factors. IF YOU ARE HAVING ABDOMINAL PAIN, FOUL SMELLING STOOL THAT IS BLACK IN COLOUR, IT INDICATES UPPER GI TRACT BLEEDING,YOU SHOULD TAKE THE FOLLOWING TESTS- 1. FECAL OCCULT BLOOD TEST 2. CBC to rule out anemia 3. Colonoscopy
Your experiencing difficulty of passing gas, constipation, acidity, and black tools due to digestive imbalance and possible irritation in the stomach immediate medical evaluation is important to rule out any internal bleeding
As you are mentioning that you are passing black stool, that should be ruled out properly to know for any internal bleeding … Once check stool for occult blood If it’s negative we can start treatment
Hello Mithi Start with Tablet Liv-52 1-0-1 after food with water Hingvastak churan 1tsp with buttermilk after lunch daily Divya udaramrit vati 1-0-1 After food with water Avoid processed fatty fast sugary street foods Do pranayam lom -vilom bhastrika bhamri 5-10mins daily twice
1.Hingwashtak churna 1 tsp with warm water just before meals twice daily 2.Triphala churna 1 tsp with warm water bedtime 3.Pippalyadi asava 20 ml with 20 ml water twice daily
Diet Recommendations - Eat warm, cooked meals: khichdi, moong dal, rice, steamed veggies - Use digestive spices: cumin, ajwain, fennel, ginger - Avoid cold, raw, fried, and spicy foods - Drink jeera water or ginger-fennel tea after meals - Include ghee in small amounts—it soothes the gut and helps pass stool
Lifestyle Tips - Vajrasana after meals for digestion - Pawanmuktasana and Supta Baddha Konasana for gas relief - Abhyanga (oil massage) with warm sesame oil on abdomen and legs - Gentle walking after meals
Need personal consultation
HELLO MITHI,
1) AFTER GALLBLADDER REMOVAL (Cholecystectomy) -The gallbladder stores bile (a digestive juice from the liver) and releases it when you eat fatty food. -After removal, bile flows continuously in small amounts. This can disturb digestion and cause: —gas, bloating —indigestion and acidity —constipation or irregular bowel habits
2) YOUR CURRENT SYMPTOMS -Difficulty passing gas + constipation-> Vata imbalance (air movement blocked) -Black blood in stool-> possible upper digestive tract bleeding (like ulcers, gastritis) or partially digested blood from intestines -Heaviness, nausea, acidity-> weak digestive fire and ama (toxins) -Sweeling of ankles-> possible fluid retention , may be linked to liver/kidney strain
Because of black stool + swelling, you must also rule out serious medical conditions (like ulcers , liver disease, varices)
TREATMENT GOALS -Improve agni(digestive fire)-> to digest food properly, reduce heaviness -Remove ama (undigested toxins)-> which causes gas, bloating, nausea -Correct vata movement (vatanulomana)->to pass gas and stool easily -Stop bleeding safely -Reduce swelling-> improve liver/kidney function and circulation -Prevent recurrence with proper, diet, lifestyle, yoga and pranayama
INTERNAL MEDICATIONS
1) HINGWASTAKA CHURNA= 1/2 tsp with warm water after meals for 6 weeks =improves digestion, relieves gas, reduces bloating
2) AVIPATTIKAR CHURNA= 1 tsp with warm water before meals for 6 weeks =controls acidity, relieves nausea, balances pitta
3) TRIPHALA CHURNA = 1 tsp with warm water at bedtime for 3 months =gentle laxative, regulates bowel movement, detox
4) PUNARNAVA MANDUUR= 1 tab twice daily after meals for 3 months =reduces swelling/edema, improves liver and kidney
5) KUTAJRARISHTA= 2 tsp with equal water twice daily after meals for 6 weeks =controls diarrhoea/ bleeding, heals intestines
6) SUTSEKHAR RAS= 1 tab twice daily after meals for 4 weeks =for acidity, nausea, gastritis like symptoms
ACTIVE BLEEDING= take LODHRA CHURNA= 1 tsp twice daily
EXTERNAL TREATMENTS
ABDOMINAL FOMENTATION= warm ajwain, hing pottali (cloth bundle heated on pan) placed on stomach for 10-15 min-> relieves trapped gas
OIL MASSAGE= gentle sesame oil massage over abdomen and legs-> improves circulation, reduces swelling
DIET -Eat light, warm, freshly cooked food only -mung dal khichdi, rice gruel, vegetable soups, -steamed bottle gourd, pumpkin, ridge gourd, spinach, carrots -buttermilk with roasted cumin + rock salt
-Spices useful= hing, ajwain, cumin, coriander, black pepper small quantity
AVOID= oily, fired, spicy, junk, packaged , cold drinks, alcohol, excess coffee/tea
DRINK warm water instead of cold
LIFESTYLE AND YOGA -eat at regular times, avoid late nights dinners -sit quietly for 5 min after meals, then walk slowly -do not suppress natural urges - gas, urine, stool -sleeep early, wake up early
YOGA (gentle, daily 20-30 min) -pawanmuktasana= improves gas movement -vajrasana after meals 5 min= aids digestion -setu bandhasana= strengthens abdomen -Shavasana= for stress releif
PRANAYAM (10-15 min daily) -Anulom vilom= balance vatapitta -Bhramari= calms mind, reduces acidity -Avoid very forceful pranayam like kapalbhati until digestion improves
HOME REMEDIES -Ajwain + black salt= 1/2 tsp ajwain roasted, mixed with pinch of black salt, chew after meals -Ginger tea= fresh ginger boiled in water, sip warm before meals -Warm water + lemon (mild) in morning-> improves digestion avoid if acidity severe -Isabgol husk with warm water at night-> relieves constipation
INVESTIGATIONS NEEDED 1) Upper GI Endoscopy= to check stomach/duodenal ulcers, bleeding source 2) Liver function test= bilirubin, enzymes 3) Kidney function test= creatinine, urea, electrolytes 4) Ultrasound abdomen= check liver, bile ducts, pancreas 5) STOOL TEST= confirm bleeding
-Your digestion issues are mainly due to vata imbalance + weak agni after gallbladder removal -Ayurvedic treatment aims to rekindle digestion, balance vata, cleanse toxins, stop bleeding, and reduce swelling
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Digestive issues after gallbladder removal is not uncommon, as the body adjusts to changes in digestion. The gallbladder stores bile, which aids in fat digestion, and its removal can lead to digestive disturbances. Post-surgical, the liver secretes bile directly into the intestines, which might cause diarrhoea, but in your case, constipation, bloating, and gas retention might occur as your system tries to adapt.
Your symptoms of constipation, the presence of black blood in your stool, heaviness, and swelling in the ankles, suggest a need for comprehensive evaluation. The presence of black blood may indicate gastrointestinal bleeding, which requires immediate medical attention. Black stool could be a sign of bleeding in the upper gastrointestinal tract, potentially exacerbated by medications or dietary irritants.
To address your digestive issues safely, consider these Ayurvedic recommendations alongside conventional treatment:
1. Dietary Adjustments: Opt for easily digestible foods. Consume warm, cooked meals like soups and stews. Include ghee or clarified butter in meals, which can aid digestion.
2. Herbs: Incorporate digestive-aiding herbs like ginger and hing (asafoetida) to support digestion. Brew a cup of ginger tea before meals to kindle agni, or the digestive fire.
3. Avoid raw and oily foods as they can aggravate vata, leading to gas retention. Limit dairy if it exacerbates your symptoms.
4. Hydration: Maintain adequate hydration, sipping warm water throughout the day which may help in relieving constipation.
5. Movement and Routine: Gentle yoga poses like Pavanamuktasana (Wind-Relieving Pose) can help release gas. Establish a consistent meal schedule to regulate digestion.
Remember, any new or worsening symptoms, especially the presence of blood in the stool, warrant immediate medical evaluation. While Ayurveda offers supportive remedies, the symptoms you’re experiencing need professional medical assessment without delay to ensure there’s no underlying condition needing conventional intervention.
The issues you’re facing seem to point towards a disturbance in digestion and circulation, potentially related to your gallbladder removal and nutrient imbalances. These symptoms are important and suggest that you might need a thorough medical evaluation, especially concerning black blood in stool which can be serious.
From a Siddha-Ayurvedic perspective, these problems likely reflect imbalanced doshas, particularly vata, leading to disturbed agni (digestive fire). After gallbladder removal, the body can have difficulty managing fats, affecting digestion. Weak digestion might cause gas, bloating, and difficulties with regular bowel movements.
First, focus on rekindling the agni. You can incorporate triphala churna. Take about 1 teaspoon of triphala powder with warm water at bedtime to promote regular bowel movements. Ensure your diet includes warm, light, and easily digestible foods like soups, rice, and well-cooked vegetables. Avoid heavy, spicy, and oily foods that could aggravate the condition.
For the nausea and acidity, chewing 5-6 leaves of fresh basil can calm your stomach. Include cumin and fennel teas post meals to ease digestion and help the passage of gas. Maintain hydration, but avoid drinking large amounts of water during meals.
It’s also crucial to address your vitamin D deficiency. Sun exposure for about 15-20 minutes daily and dietary sources like fortified products or supplements can help.
The swelling in the ankle and other symptoms might involve circulatory issues or imbalances in the dhatus. It’s advisable to consult a healthcare provider urgently to rule out any serious underlying conditions, particularly relating to the bleeding and swelling.
Don’t worry take chitrakadivati 1tab bd, Pancharista 20ml bd, arogya vardini vati 1tab bd enough
