Irritable bowel syndrome. Dysenergya defactiion. Colonoscopy normal. - #33468

Dear Sachdeva ji Your symptoms suggest that the bowel moment is not fully coordinated, which in Ayurveda can be due to vata imbalance, leading to dryness and sluggish Apana vata… Over use of laxative can further weak the natural urge Strengthening digestion, lubricating the colon and regularising vata can bring relief Take Triphala churna 0-0-1 with warm water at bedtime Abhaya aristha 15-0-15 ml with warm water Chitrakadi vati 1-0-1 Castor oil can be taken half teaspoon with warm milk, weekly ones at bedtime Take warm, freshly cooked food with ghee, avoid dry and cold foods, drink warm water and have regular meal timings, gentle abdominal massage with warm sesame oil and a short walk after meals will also help regulate bowel moments Practice pranayama, meditation

1. Abhyarishta 15ml + 15 ml water after food at night 2 .avpattikar churan 1/2 tsp with luke warm water before food BD 3 . Shankh vati 2 bd after food 4 . Panchamrit parpati 2 pinch twice a day with luke warm water 5 . Jeerakadya arishta 15 ml + 15 ml water after food twice a day

Diet and regular excercise

Follow up after 7 days

Regards Dr Yash batra

Hello Dr. Sachdeva ji,

Thank you for sharing your detailed history. I understand how frustrating and uncomfortable chronic constipation with incomplete evacuation can be, but don’t worry we are here to help you out😊

✅WHY IT HAPPENS

Chronic constipation habits - long years of straining weakens rectal reflex. Pelvic floor dysfunction - improper contraction/relaxation. Anxiety & depression - affect gut-brain axis (stress worsens IBS). Laxative dependence - makes colon “lazy,” reducing natural urge. Older age (66 yrs) - muscle tone and nervous system coordination reduce.

✅AYURVEDIC PLAN OF TREATMENT

✅INTERNAL MEDICATION

1. Triphala Churna (at night, 1 tsp with warm water/milk) – regulates bowel movement naturally, also calms mind.

2 stresscom 1-0-1 after food – for anxiety, depression, and insomnia (improves gut-brain axis).

3 Abhyaristha 20 ml at bed time

✅LIFESTYLE AND EXERCISE

Pelvic floor relaxation instead of only Kegel → too much tightening can worsen; focus on deep breathing, diaphragmatic relaxation while passing stool.

Abhyanga (warm oil massage with sesame oil) + Basti (medicated enema therapy) in Ayurveda are highly effective for Apanavata.

✅DIET TIPS

Warm, freshly cooked, easily digestible meals. Fiber in moderation (too much raw salads/beans worsen bloating in IBS). Cooked vegetables, moong dal khichdi, ghee for lubrication. Avoid excessive tea, coffee, cold food, bakery items. Drink warm water through the day.

Your problem is functional, not structural – so it is reversible with retraining and Ayurvedic Vata-balancing therapies.

Basti chikitsa (medicated enema) is the most effective Ayurvedic treatment for this, as it directly strengthens colon and Apana Vata.

Wishing you a good health😊

Warm Regards Dr Snehal Vidhate

Don’t worry Take bilwadilehyam 1tsp bd, kutajarista 20ml bd, chaturmukh ras 1tab, Pancharista 20ml bd

Hello Sachdeva ji, Treatment - 1.Abhyaristha -4tsp with 4tsp lukewarm water twice a day after meal 2. Arogyavardhni vati -2-0-2 after meal 3.Triphla churna - 1 tsp with lukewarm water at bedtime.

Diet- 1.Eat fibre rich food like salad, fruits,whole grains. 2.Eat apples, orange,oats, soaked and peeled almonds. 3.Adequate amount of water. 4.Avoid items made of maida like bread,buns,pizza, noodles, packaged snacks. 5. Drink hot milk daily. 6. Drink 2-3 glasses of warm water empty stomach. 7. Always take warm and freshly prepared food. 8. Avoid fried food,spicy ,oily ,fast food.

Yoga- Mandookasana, vajrasana, kapalbhati, malasana.

Lifestyle modifications - Don’t ignore constipation problem as it can to many diseases in the future.

Walk for atleast 30 minutes after dinner. Exercise and do yoga daily. Follow these and you will definitely get relief. Review after 1 month. Take care Regards, Dr. Anupriya

Hi D R sachdeva this is Dr vinayak as conscidering your problem no need to worry * just follow the proper diet and sleep pattern * use some warm water for drinking when ever you feel indigestion Rx- kutaja arista 10ml + Abhayarista 10ml both mix take after good daily twice T Arogyavardini 1-0-1 after food just follw only this if any issue kindly let me know

HELLO D.R. SACHDEVA,

You have been told you have dyssyenergic defecation which means: -Your bowel (colon ) produces stool normally -But the muscles of your pelvic floor and anus do not relax and contract in the right coordination when you try to pass stool, -so stool comes part way, then “goes back in”, leading to incomplete evacuation

This is not a structural disease (since colonoscopy is normal), but a functional problem (muscles and nerves not working in harmony).

Anxiety, depression, and poor sleep worsen this condition, because the gut and brain are deeply connected.

In Ayurveda , this matches with Apana vata disturbance (the vata sub dosha that governs downward movement : stool, urine, menses, childbirth)

When Apana Vata is blocked or moving in the wrong direction, you feel -constipation or incomplete stools -bloating/heaviness in lower abdomen -strain while defecation -anxiety, insomnia, mood disturbance

TREATMENT GOALS -Normalize Apana Vata-> regulate downward flow -Lubricate the intestine-> make stool soft, smooth passage -Retrain bowel coordination-> through diet, yoga, and relaxation of pelvic muscles -Correct gut-brain axis-> reduce anxiety and improve sleep -strengthen digestion-> prevent toxin (ama)buildup

INTERNAL MEDICATIONS

1) TRIPHALA CHURNA= 1 tsp at bedtime with warm water =gently cleanses bowels, balances vata-pitta, non habit forming

2) ABHYARISHTA= 20 ml with equal warm water after dinner =a classical formulation for chronic constipation, works by regulating apana vata

3) GANDHARVAHASTADI TAILA= 10 ml with warm milk at bedtime, once a week =stronger bowel lubricant helps release blocked apana vata

4) AVIPATTIKAR CHURNA= 1 tsp before meals if acidity, bloating, or indigestion present

5) BRAHMI VATI= 1 tab at bedtime =to calm anxiety, improve sleep

DURATION= usually 2-3 months continuous therapy

DIET -warm, soft, oily foods = moong dal khichdi , soups, upma, rice with ghee -cooked vegetables= pumpkin, bottle gourd, ridge gourd, beetroot -fruits= papaya, ripe banana, figs, soaked raisins, prunes - dairy= warm milk with ghee at night

AVOID -dry, rough, cold foods -chips, popcorn, excessive salads, beans without soaking -excessive tea, coffee, alcohol -overly spicy, fried food

LIFESTYLE AND DAILY PRACTICES -BOWEL TRAINING= sit for motion daily at the same time (morning after warm water). Do not strain hard, be patient

-WARM WATER SIPPING= start dat with 2-3 glasses warm water

-REGULAR SLEEP= sleep early (10-11pm), wake early. Avoid screens before bed.

-STRESS MANAGEMENT= daily relaxation, meditation, journaling

YOGA ASANAS -pawanmuktasana -Malasana -Vajrasana after meals helps digestion -Bhujangasana

PELVIC FLOOR RETRAINING -Ashwini mudra= gentle coordination + relaxation of anal muscles (focus more on relaxation) -Avoid overdoing kegel tightening (as it worsens dyssynergia)

PRANAYAMA -Anulom vilom=balances vata pitta -Bhramari= reduces anxiety and improves sleep -Sheetali/sheekati= if acidity and heat are present

HOME REMEDIES -warm milk with 2 tsp ghee at night -soak 6-8raisins or 2 figs overnight eat in morning -1 tsp castor oil in warm milk once a week -ginger + ajwain tea after meals if bloating

INVESTIGATION -Colonoscopy already normal -Anorectal manometry= to confirm dyssynergia -Ultrasound abdomen

Your problem is functional, not structural, which is why medicines like laxatives give only temporary relief

Ayurveda works by -restoring natural coordination of Apana vata -lubricating and cleansing the bowel gently -correcting digestion and mental stress together

With diet + lifestyle + internal medications + yoga gradual but steady improvement happens. Patience is key- usually 2-3 months of consistent treatment shows good results

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Hello. A small change in your daily diet combined with some medication will give you relief from your condition.

✔️ Do’s: ✔️ Millet roti Buttermilk (daily include in your meal) Moong dal (green and yellow both are ok) Cow Milk Cow Ghee (daily 3-4 spoons only) White butter (makhan) All fruit vegetables Leafy vegetables (except methi and dil)

🧘‍♀️ Yogasan : 🧘‍♀️

1. Bhujangasana (Cobra Pose) 2. Dhanurasana (Bow Pose) 3. Ardha Matsyendrasana (Half Lord of the Fishes Pose) 4. Paschimottanasana (Seated Forward Fold) 5. Halasana (Plow Pose) 6. Sarvangasana (Shoulder Stand Pose) 7. Matsyasana (Fish Pose) 8. Supta Matsyendrasana (Reclined Spinal Twist) 9. Surya Namaskar

🧘‍♀️ Pranayam : 🧘‍♀️ 1. Anulo Vilom 2. Bhramari 3. Kapalbhati 4. Shitali 5. Sitkari

❌ Donot’s: ❌ Tea Coffee Addictions Dals (except moong) Sour Packed food Processed food Achar (pickles) Papad Fried food Wheat

💊 Medication: 💊

Syp. Kutajarishta 2 tsp twice a day before food Cap. Mebarid (S.G.Phytopharma) 2 caps twice a day before food Tab. Arogyavardhini Vati 2 tabs twice a day before food. Tab. Ampachak Vati 2 tabs twice a day before food.

Tab. Shankhavati 2 tabs after food suck and eat like hajmola.

Tab. Prasham 2 tabs at bed time Sunthi sidha Castor oil 3 tsp at bed time with a cup of hot water

Note:

Buttermilk is like medicine for you. Whenever you feel like snacking buttermilk is the best option. Cucumber will also be very helpfull.

1.Sukumara Ghrita 1 tsp with Warm water or milk empty stomach in themorning 2.Abhayarishta 20 ml with 20 ml water twice daily after meals 3.Triphala Churna 1 tsp at bedtime with warm water

🍵 Herbal Teas & Decoctions - Ajwain + dry ginger + fennel tea: 1 cup after meal - Cumin + coriander + cardamom infusion: Morning sip

🧘‍♀️ Lifestyle & Yogic Support - Vajrasana after meals (5 mins) - Apanasana, Malasana, and Pawanmuktasana daily - Anulom Vilom + Bhramari pranayama (5–10 mins) - Avoid cold, raw, or heavy foods—favor warm, spiced, soft meals

Your symptoms suggest an imbalance of the Vata dosha, influencing bowel movements. This could be manifesting as Apana Vata disturbance, leading to issues with defecation. While Isabgol provides bulk, it might not be addressing the underlying Vata imbalance. Consider incorporating warm oil application onto your abdomen, such as a gentle massage with warm sesame oil. This can provide warmth and lubrication, easing the pathway for elimination.

Let’s delve into daily practices that might help. Try a morning routine of drinking warm water upon waking to stimulate the digestive tract. You might want to incorporate triphala, known for its balanced effects on all three doshas, as it can support regularity. Take about 1 teaspoon mixed in warm water before bed, cautiously at first, to observe impacts on your system.

Dietary approach naturally plays a crucial role. Favor warm, moist, cooked foods that are easy to digest, like soups and stews. Avoid too much dry, raw, or cold foods which might disturb Vata further. Adding spices like cumin, fennel, and ginger to meals can soothe digestion and promote movement. Ghee in moderate amounts can support lubrication and balance.

Regarding physical activity, focus exercises that gently stimulate the abdomen, like specific yoga poses: pavanmuktasana, or the wind-relieving pose, might offer relief. Regular practice of quiet, mindful breathing also aids in soothing your system.

It’s pivotal to maintain a regular routine, meal schedule and sleep pattern to anchor Vata dosha. However if symptoms persist or worsen, consulting with a healthcare provider for a comprehensive assessment ensures safety and appropriate action is taken. In acute situations, immediate medical assessment remains fundamental.

In your case, it seems like the issue can be linked to a condition known as dysenergic defecation, where the coordination between the abdominal muscles, diaphragm, and pelvic floor is disrupted. Although you mentioned your colonoscopy is normal, which rules out structural abnormalities, the problem lies in the functional aspect of your bowel movements. From a Siddha-Ayurvedic perspective, this condition may arise from an imbalance in the vata dosha, which governs movement and flow in the body, particularly the apan vayu, associated with downward movement of waste products.

To address this, dietary and lifestyle interventions can be beneficial. First, ensure your diet is rich in fiber from whole grains, fruits, and vegetables, but also includes healthy fats like ghee to lubricate the intestines and aid in easier passage. Avoid excessive cold, dry, and raw foods which disturb vata. Instead, lean towards warm, moist, and lightly cooked meals which are soothing to the digestive tract.

You might benefit from practicing daily Abhyanga (self-massage) using warm sesame oil to calm the vata dosha, especially focusing on the lower abdomen and lower back. This can be done before a warm shower in the morning. Additionally, triphala churna is a renowned herbal formulation that can support regular bowel movements by balancing vata and enhancing digestion when taken nightly with warm water.

Since you’ve been doing Kegel exercises, consider trying Ashwini Mudra, an exercise focused on the rhythmic contraction and relaxation of the anal sphincter. This can be practiced daily, but make sure to maintain a relaxed and comfortable posture during it. Lastly, incorporating breathing exercises like Anulom Vilom can also help restore balance to the nervous system and indirectly support bowel function.

Remember, if the problem persists or if you notice any changes, it is important to stay in touch with your healthcare provider to ensure comprehensive management and monitoring.