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Gynecology and Obstetrics
Question #33177
104 days ago
514

which medicine for adhsives after hysterectomy - #33177

michele weiss

Namaskaram, I had a hysterectomy in 2011, very successfully. But throughout the years, lots of complaints surfaced in the belly and pain in the vagina. My doctor says it's probably adhesives, but in the West we don't have treatment for that. What can I do? I'm also at home now for the past 3 years due to pelvic problems and bonetumor. I can not work and have no money, so I will choose a free consultation. Thank you Michèle

Age: 58
Chronic illnesses: PTSS, heart palpitations since 2011
PAID
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Doctors' responses

Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
103 days ago
5

Thank you for sharing about your condition Michele… Pain after ectomy can often be from adhesions, which are bands of scar tissues, pulling on internal organs. These causes belly, pain, vaginal pain, and stiffness, and they do not always show. Upon scans, the best approach is to keep the area soft, improve blood flow, and calm nerve irritation.

You can gently massage your lower abdomen and lower back with warm sesame oil daily Keep a warm water bag for about 10 to 15 minutes This pain over time Try taking 1 teaspoon of light, warm castor oil at night weekly. Once this will help you in clearing the bowels and reduce the pressure in the pelvis Internally, you can take Dashamoola aristha-4 teaspoon with equal quantity of water twice daily after food Yograj guggulu- Giloyghan vati -one tablet, eat twice daily after food with warm water Ashwagandha churna-half teaspoon with warm milk at night Eat warm, cooked meals with a little Ghee or coconut oil. Avoid very dry Or raw foods Practice pranayama, Yogasana daily

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Hello Michele

Thank you for sharing your detailed health background. I understand how difficult it must be to live with post-hysterectomy adhesions, pelvic pain, and other chronic issues.But dont worry we are here to help you out😊

✅ Understanding Post-Hysterectomy Adhesions

After abdominal or pelvic surgery (like hysterectomy), scar tissue can form inside. These are called adhesions.

Adhesions can bind together organs and tissues that normally should be separate leading to pelvic pain, bloating, vaginal discomfort, and restricted movement.

In Western medicine, adhesions are often left untreated unless they cause severe bowel obstruction (then surgery may be needed). But surgery can also create new adhesions leading to a cycle.

✅ AYURVEDIC PLAN OF TREATMENT

✅INTERNAL MEDICATION

1 Varunadi Kashayam 15ml-0-15ml +45 ml water after food – helps in breaking fibrous adhesions and reducing pelvic congestion.

2 Kanchanara Guggulu 2-0-2 after food – reduces fibrous tissue, cysts, adhesions.

3 Ashwagandha capsules 1-0-1 after food – for Vata balance, pain, and emotional stability (also supports PTSS recovery).

✅EXTERNAL THERAPIES

1 Castor oil hot fomentation (apply warm castor oil pack over lower abdomen 3–4 times/week). This softens scar tissue and reduces adhesions gradually.

2 Abhyanga (warm sesame oil massage) on lower abdomen, lower back, and thighs.

✅DIET AND LIFESTYLE

Take warm, light, digestible food (soups, khichdi, steamed vegetables).

Avoid cold, dry, raw foods (salads, cold drinks, frozen food) – they aggravate Vata and worsen adhesions.

Add turmeric + ginger + garlic in cooking natural anti-fibrotic & anti-inflammatory.

Keep bowel movements regular with Triphala (1 tsp at night with warm water).

✅YOGA AND GENERAL PRACTICE

Avoid heavy exercises, but mild movements help keep adhesions from tightening.

Supta Baddha Konasana,Setu Bandhasana

Deep abdominal breathing (pranayama) – reduces pain perception and relaxes adhesions.

Adhesions after hysterectomy are difficult in Western medicine,

Simple home remedies like castor oil packs + Triphala + warm Vata-pacifying diet can give relief.

Internal medicines like Kanchanara Guggulu + Varunadi Kashayam are helpful for long-term management.

Wishing you a good health

Warm Regards Dr Snehal Vidhate

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Start with Cap Evanova 1-0-1 after food with water Kanchanar guggul 1-0-1 after food with water Do abhyangam ( full body massage) with warm sesame oil or coconut oil Take warm food and warm water through out the day.

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After any abdominal or pelvic surgery adhesions commonly form as the body heals These adhesions can connect organs or tissues that are normally separate causing pulling sensation, stiffness, bloating, pelvic or abdominal pain and restricted moment. According to Ayurveda. This is due to vata getting lot in the area, creating dry stiffness and discomfort while complete removal of adhesions literally is slow, we can focus on improve circulation reducing vata and preventing further stiffness. So daily life becomes manager To support naturally Take panchatikta gritha 1-0-0 tsp Stri rasyana vati 1-0-1 Kanchanar guggulu 1-0-1 Dashamoola aristha-15-0-15 ml with water early morning with warm water You can try Matta basti at nearby Panchakarma Centre Gentle yoga and moments like pelvic floor, exercise exercises, he rotation supported, bridge, pose and lying butterfly pose can be done In diet, include ghee soak almonds, Coconut water, and barley water This measures gradually make adhesions more flexible, reduce pain, improve circulation and help and comfort, even if they do not completely remove this Car issue following a consistent daily routine with this practice can bring meaningful relief and improve quality of life

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Addressing adhesions naturally, particularly after a hysterectomy, requires a gentle, holistic approach that considers your overall health and current conditions. Ayurveda offers several remedies that might help in reducing the discomfort and managing symptoms associated with adhesions.

Start with dietary and lifestyle practices that balance Vata dosha, as surgeries and associated concerns often aggravate Vata. Incorporate warm, cooked foods, using spices like ginger, turmeric, and cumin, which can help improve digestion and reduce inflammation. Warm herbal teas such as ginger tea or fennel tea can also be soothing and supportive. Ensure meals are regular and taken in a calm environment to support your digestive fire (agni).

Herbs like Ashwagandha and Shatavari can help in tissue healing and rejuvenating the body. Ashwagandha strengthens and calms the body, while Shatavari is particularly helpful in reproductive organ healing. You can take them in powder form with warm milk or water. Begin with a small dose, about 1/4 teaspoon, and observe how your body responds.

Abhyanga, or self-massage with warm sesame oil, gently applied to the abdomen, helps in softening tissues and improving circulation. Do this daily, ideally morning, followed by a warm bath to further relax muscles and tissues.

Pranayama, especially Anulom Vilom (alternate nostril breathing), can be beneficial in calming the mind and nervous system, encouraging the body’s natural healing processes. Practicing gentle stretching exercises or yoga postures, specifically designed to relieve pelvic tension, should also aid in comfort.

It is crucial to maintain regular bowel movements, ensuring your diet includes sufficient fiber, and appropriate hydration, to keep Vata in balance. Trifala, a classical Ayurvedic formulation, is effective in gently supporting bowel health.

Before starting any herbal supplements or significant changes, it is wise to consult with an Ayurvedic practitioner, ensuring that they conform with any other treatments or conditions you have.

Consider these suggestions keeping in view your body’s current state and energy levels, ensuring that any practice doesn’t cause additional discomfort or strain. If pain persists or intensifies, seek further professional medical advice, as any persistent abdominal pain should not be taken lightly.

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Adhesions can be troublesome and lead to discomfort, especially after surgery like a hysterectomy. In Siddha-Ayurvedic perspective, we focus on addressing underlying vata imbalances which often contribute to post-surgical complications like adhesions. To help manage this, consider introducing a regimen centered around ingredients known for their vata-pacifying properties.

Start by incorporating castor oil internally and externally, as it serves as a mild laxative and helps with softening tissues. Consume half to one teaspoon with warm water in the morning on an empty stomach, twice a week. This can assist in maintaining tissue flexibility and minimizing pain. Externally, massage the affected area gently with warm sesame oil, which enhances circulation and helps reduce stiffness.

Incorporate cooked foods that are warm, moist, and easily digestible to keep vata in balance. Favor foods like soups, stewed fruits, and hearty grains. Adding spices such as ginger, cumin, and turmeric can support digestion and further mitigate vata aggravations. Keep overly dry, cold, or rough foods to a minimum, as they potentially vitiate vata, exacerbating symptoms.

Regular gentle yoga practices focusing on twisting postures and forward bends can aid in maintaining pelvic region flexibility and circulation. However, always proceed with caution and consult with a yoga practitioner familiar with post-hysterectomy recovery, to ensure you’re not overexerting.

Given your bone tumor and pelvic issues, it’s vital to consult with an Ayurvedic practitioner for a tailored approach. Also, consider seeking a professional medical opinion to proceed safely. Always prioritize current medical advice alongside these traditional practices for comprehensive care.

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HELLO MICHELE,

WHAT ARE ADHESIONS? -After a hysterectomy (removal of uterus) , the body heals by forming scar tissue -sometimes, this scar tissue grows as fibrous bands (adhesions) inside the abdomen or pelvis -These bands can “stick” organs together (intestine, bladder, vaginal vault, pelvic wall)

WHY DO THEY CAUSE PAIN? -Adhesions pull on tissues and nerves-> causing pelvic/abdominal pain, vaginal pain, and sometimes digestive problems (constipation, bloating) -They don’t always show on ultrasound or X-ray, so diagnosis is often by exclusion and symptoms

WHY DIFFICULT TO TREAT? -In western medicine, adhesions can be removed only by surgery (which may cause new adhesions again) -No oral medicine can dissolve scar tissue completely -The focus is usually on symtpom control (pain relief, mobility, improving quality of life)

AYURVEDIC VIEW -Adhesions are like “granthi” (fibrotic knot) and “vrana shesha” (scar remnants) -Main dosha involved :- vata (causing pain, pulling, dryness) and kapha (causing fibrotic thickening). -Sometimes Pitta (inflammation , burning) may also play a role

GOAL IS NOT TO REMOVE AHDESIONS BUT TO -Reduce pain and inflammation -soften and loosen fibrotic tissue -improve digestion and circulation (to stop further adhesion formation) -rejuvinate pelvic tissues for long term relief

INTERNAL MEDICATIONS

1) KANCHANAR GUGGULU= 2 tabs twice daily after meals =softens fibrotic tissues, balances kapha, useful in growths/adhesions

2) TRIPHALA GUGGULU= 2 tabs at night =mild detox, reduces ama (toxic residue), helps bowel movement, supports anti-fibrotic action

3) DASHMOOLA KASHAYA= 25ml + equal water twice daily before meals =relieves vata pain, inflammation in pelvic region

4) HARIDRA + GUDUCHI CAPSULES= 500 mg each daily =strong anti-inflammatory, healing

5) CASTOR OIL= 1 tsp in warm milk once weekly =mild laxative, reduces pelvic stiffness, adhesions

DURATION= 3-6 months minimum

EXTERNAL THERAPIES

1) OIL MASSAGE= with Sahacharadi taila over lower abdomen and lower back =improves circulation, reduces stiffness

2) CASTOR OIL PACK (home remedy) -warm castor oil applied on a cotton cloth, kept on lower abdomen with hot water bottle for 20 minutes, 3-4 times/week =softtens adhesions, improves blood flow

DIET -prefer warm, soft, easily digestible foods -khichdi, vegetables soups, warm milk with turmeric -ghee 2 tsp daily->lubricates tissues, balances vata -spices= cumin, ginger, turmeric, ajwain-> aid digestion

AVOID -cold, dry, raw foods -salads, bread, crackers -excess sour, spicy, fried food (irritates pitta and vata) -carbonated drinks and processed foods

LIFESTYLE -Keep abdomen warm avoid exposure to cold air -gentle movements daily, avoid excessive bed rest -avoid constipation- always keep bowels soft (with triphala, flax seeds, warm water)

YOGA ASANAS -Supta baddha konasana= relaxes pelvic muscles -Setu bandhasana= improves pelvic circulation -Marjaryasana/Bitilasana= gently mobilizes abdomen

PRANAYAM -Anulom vilom= balances nervous system -Bhramari= calming for PTSD/anxiety

INVESTIGATION -Ultrasound abdomen/pelvis -MRI pelvis -Basic blood tests= CBC, ESR/CRP -for bone tumor history-> follow up imaging as per oncologist advice

-Adhesions are not life threatening, but they can cause chronic pain and limit daily life

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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I am an Ayurvedic doctor, someone who’s pretty much built her clinical journey around natural healing, balance and yeah—just trying to help ppl feel a bit more whole again. I work mostly with conditions that kinda stay with people... like joint pain that won’t go away, periods all over the place, kids falling sick again n again, or just the kind of stress that messes up digestion n sleep n everything in between. A lot of my practice circles around arthritis, lower back pain, PCOD-ish symptoms, antenatal care, immunity problems in kids, and those quiet mental health imbalances ppl often don't talk much about. My approach isn’t just pulling herbs off a shelf and calling it a day. I spend time with classical diagnosis—checking Prakriti, figuring out doshas, seeing how much of this is physical and how much is coming from daily routine or emotional burnout. And treatments? Usually a mix of traditional Ayurvedic meds, Panchakarma (only if needed!!), changing food habits, tweaking the daily rhythm, and honestly... just slowing down sometimes. I’m also really into helping ppl understand themselves better—like once someone gets how their body is wired, things make more sense. I talk to patients about what actually suits their dosha, what throws them off balance, and how they can stop chasing quick fixes that don’t stick. Education's a big part of it. And yes, I’ve had patients walk in for constant cold and walk out realizing it’s more about weak agni n poor gut routines than just low immunity. Every case’s diff. Some are simple. Some not. But whether it’s a young woman trying to fix her cycles without hormones or a 6-year-old catching colds every week, I try building plans that last—not just short term relief stuff. Healing takes time and needs trust from both sides. End of the day, I try to keep it rooted—classical where it matters but flexible enough to blend with the world we're livin in rn. That balance is tricky, but worth it.
5
149 reviews
Dr. Shazia Amreen
I am Dr. Shazia Amreen, an Ayurvedic physcian with a little over 7 years of hands-on experience in clinical practice. I did my MD in Ayurveda from Government Ayurveda Medical College, Bangalore—and honestly, those years helped me go much deeper into the classical texts and the clinical ground. Not just theory... actual healing. Since 2017, I’ve worked closely with a diverse set of patients—from chronic gut problems to skin & hair concerns, musculoskeletal issues, hormonal imbalances, kidney stones, you name it. My core strength really lies in Panchakarma and gastrointestinal healing, where I don’t just jump into detox, but take time to see where the agni is, how deep the ama has gone, and whether the body’s ready to reset. I’m very rooted in classical assessment—looking at dosha imbalance, dhatu state, and prakriti before planning anything. But also, I keep it grounded in modern daily life. What’s the point of a great herbal blend if the person can’t sleep on time or digest their food properly, right? That’s why I focus big on Ahara-Vihara guidance. I don’t just hand over a diet list—I walk people through why those changes matter, and how to make them sustainable. In my practice, I often blend Rasayana chikitsa with basic lifestyle coaching, especially for cases like IBS, PCOS, eczema, migraines, or stress-triggered flareups. Each case is unique, and I don’t believe in repeating the same formula just because it worked for someone else. I also emphasize emotional reset, especially in long-standing chronic cases—sometimes people carry fear, shame, or frustration about their illness. I try to hold space for that too. Whether it’s someone coming in for general detox, a fertility consult, or just confused by their symptoms—I aim to build a plan that makes sense to them. It should feel doable. Balanced. And over time, it should make them feel like they’re coming back home to their own body. That’s the kind of Ayurvedic care I believe in—and try to deliver every single day.
5
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