Constipation lasting many weeks - #34607

Hey

Rx 1.Abhyarishta 20 ml with 20 ml water twice daily after meals 2.Eranda bhrishta haritaki 1/2 tsp with warm water at bedtime 3.Isabgol (Psyllium Husk) 1-2 tsp at night or early morning with milk

External Therapies - Abhyanga (Oil Massage): Daily massage with warm sesame oil, especially over abdomen (clockwise) and lower back. - Castor Oil Packs: Apply warm castor oil over abdomen, cover with cloth, and rest for 30 minutes—stimulates Apana Vayu.

Diet & Lifestyle Tips - Include: Warm soups, ghee, soaked prunes, stewed apples, barley, and cooked vegetables. - Avoid: Cold/raw foods, dry snacks, caffeine, and irregular meal timings. - Spices: Use cumin, ajwain, ginger, and fennel to stimulate digestion. - Hydration: Sip warm water throughout the day; avoid cold drinks.

Gentle Movement - Yoga Poses: Pavanmuktasana, Bhujangasana, Vajrasana after meals. - Pranayama: Anulom Vilom and Bhramari to calm Vata and support gut-brain axis.

WARM REGARDS DR.ANJALI SEHRAWAT

Hello I can understand your concern about chronic constipation but dont worry we are here to help you out😊

✅ Chronic Constipation in Your Case (45 yrs, DM & Heart stent)

You have constipation persisting for weeks after catheterization and stimulant laxative use. The issue is not just stool hardening but colon motility + Vata imbalance + loss of natural bowel reflex due to long bisacodyl use.

✅ Daily Routine to Regulate Bowels

✅ Morning

1. Wake up early (Brahmamuhurta, around 5:30–6 am) – Helps regulate Apana Vata and supports elimination.

2. Warm water with ghee – Take 1 glass warm water with ½–1 tsp cow’s ghee. – If very dry constipation: add 2–3 soaked black raisins.

3. Abhyanga (oil massage) – Warm sesame oil massage on abdomen (clockwise), lower back, and feet. – Improves circulation and bowel motilit

4. Mild Yoga & Breathing – Pawanmuktasana, Vajrasana after meals, Anulom Vilom. – Stimulates bowel movement naturally.

5. Breakfast (light & fibrous) – Oats porridge with dates/figs – Or vegetable upma with bottle gourd/spinach – Avoid very dry foods like toast alone.

✅ Midday Main Meal (Pradhana Bhojana) – Rice/chapati with dal, cooked vegetables (bottle gourd, ridge gourd, spinach, pumpkin), little ghee. – Add buttermilk with roasted cumin.

Medicine - – Avipattikar Churna (½ tsp with warm water) before meal, if acidity + constipation both present.

✅ Evening

Warm herbal tea (ginger–fennel–ajwain) to keep Agni kindled.

Light snacks (steamed veg, fruit like papaya/pear/banana if suitable for sugar control).

✅ Night

1. Dinner (before 8 pm) – Light khichdi with ghee + vegetables – Avoid curd, red meat, bakery items.

2. Bedtime Medicine – Triphala powder 1 tsp in warm water (prefer powder over tablets). – If stools remain very dry/hard → mix Triphala + 1 tsp Isabgol husk in warm water.

3. If Constipation is very stubborn – Once a week: 1–2 tsp Eranda Taila (castor oil) in warm milk at night.

✅AYURVEDIC MEDICATION

Triphala Churna 1 tsp with warm. Water at bed time – Daily bowel regulator.

Avipattikar Churna ½ tsp with warm water before nfood – If constipation with acidity/bloating.

✅DIET MODIFICATION

✅ Include

Warm water, ghee, sesame oil, papaya, figs, soaked raisins, dates, bottle gourd, ridge gourd, spinach, ash gourd, barley, oats. Cooked, slightly oily, warm meals.

❌ Avoid

Cold water, dry/processed food, excess tea/coffee, refined flour, bakery, junk, excess red meat, alcohol. Frequent skipping of meals – worsens Vata.

✅ Special Considerations for You

Heart stent & aspirin- Avoid strong purgatives; stick to mild regulators (Triphala, fiber)

Diabetes: Choose fruits wisely (papaya, pear, figs in moderation, avoid mango/banana excess).

This way, you restore natural rhythm safely, keeping your heart and diabetes under control.

Wishing you a good health 😊

Warm Regards Dr Snehal Vidhate

I can understand how uncomfortable and frustrating. It must be to deal with constipation, especially after everything. You’re gone through recently with the catheter and medicine often when the bowel gets used to strong stimulant for a few weeks, it takes time to regain its own natural rhythm. What you’re feeling now is quite common, and it showed that the gut needs a little extra support to restore its natural strength and moment. According to Ayurveda, constipation is not just about the bowel alone, it reflects a deeper imbalance in digestion and fluid balance in the body. In your case. Since you have two diabetes and history of heart disease, there is a tendency towards dryness, weaker Ghat fire and reduced nerve activity in the intestine. This is why the magnesium oxide and triphala you are taking or only working like temporary aids, they move the bowels but they are not fixing the underlying issue. The focus has to be on strengthening your digestion, restoring lubrication and retraining the natural bowl reflex so that the body doesn’t stay dependent on external stimulants

Triphala 1 teaspoon warm water at night. Continue this for now, but overtime, reduce the frequency once year bowel become more regular, take it on alternate night instead of daily, so your gut begins to work independently Castor oil 1 teaspoon warm water, weekly ones can be taken. This is a gentle cleanser and lubricate. The intestine. Do not overuse it. Alovera juice 15 ML mixed with water to be taken on empty stomach

Drink warm water throughout the day, avoid cold water Use healthy fats like ghee with meals or olive oil

Include food that naturally promote easy bowel moment like steamed vegetables, pumpkin gourds spinach beats papaya,raisin

Minimise dry snacks, fried food, very spicy meals Fix a daily bowel routine-sit on the toilet at the same time, each morning, preferably after drinking warm water, even if motion does not come immediately, the body gradually learns to respond

Take a gentle walk for at least 10 to 15 minutes after meals If you practice the above, consistently for 4 to 6 weeks, then the bowel usually begins strength

You’re already using Triphala + magnesium oxide — good, but not fully fixing the cause. Here’s what can be considered (discuss with your vaidya/doctor before changes):

1. Gentle Bowel Regulators (non-habit forming)

Avipattikar Churna – balances Pitta + helps with acidity/constipation.

Isabgol husk (psyllium) – bulking fiber, safe with heart disease.

Castor oil micro-dose (1–2 ml with warm milk at night, once/twice weekly) – improves colon motility if tolerated.

Eranda Taila with Triphala Ghrita – sometimes prescribed in stubborn cases.

2. Nerve & Gut Strengthening

Since neuropathy may play a role:

Ashwagandha or Bala churna with ghee – nourish nerves.

Dashmoolarishta – supports pelvic nerves and Vata balance.

Abhyanga (warm sesame oil massage on abdomen + lower back) – stimulates bowel nerves.

3. Diet & Lifestyle Adjustments

Hydration: 2.5–3 L water, warm sips through the day.

Fiber mix: Oats, flaxseed, chia, leafy greens (but avoid excess raw if bloating).

Regular timing: Eat and attempt bowel movement at the same time daily.

Yoga for bowel movement: Pawanmuktasana, Vajrasana after meals, Malasana (squat pose), gentle Pranayama.

Avoid: Long fasting, very dry foods, excess cheese/meat (block bowel).

It’s not due to Trisha churna instead it’s due to laxative containing magnesium oxide , long term use may lead to dependency for bowel movement and sometimes will lead to electrolyte imbalances… so better to stop and once check your creatinine magnesium and thyroid levels Continue triphala - no harm taking that Meanwhile add Abhaya aristha- 4 tsp with equal quantity of water twice daily after meals Chitrakadi vati 1 tab to be chewed twice daily Drink warm water throughout the day Include fibre in diet

HELLO AARON,

You are experiencing chronic constipation that worsened after using stimulant laxatives (bisacodyl). Initially, your bowels moved due to the medicine, but once stopped, the natural bowel rhythm didn’t return. This is common because stimulant laxatives weaken the colon’s ability to push stool on its own.

FROM AN AYURVEDIC PERSPECTIVE -The main cause is vata imbalance, especially apana vayu (the edgy that controls downward movement of stool, urine, and reproductive functions) -Diabetes and urinary retention are often lined with vata-kapha imbalance and weakened agni (digestive fire) -Long term constipation can also cause toxins to accumulate, worsening your metabolism and affecting overall health

TREATMENT GOALS -restore natural bowel movement without dependence on harsh laxxatives -balance vata through oils, warmth, and regular routine -strengthen digestive fire so digestion and elimination improve naturally -protect heart and manage diabetes while treating constipation -detoxify body (toxin removal) and prevent further complications

INTERNALLY

1) TRIPHALA CHURNA= 2gm at night with warm water =mild laxative, cleanses colon, balances all 3 doshas

2) AVIPATTIKAR CHURNA= 3gm after meals if acidity/heat is present =reduces pitta, relieves acidity, aids vowel movement

3) GANDHARVAHASTADI ERANDA TAILA= 1 tsp in warm milk at night 1-2 times/week not more than that =gentle purgative, reduces vata, softens stool

4) isabgol = 2 tsp in warm water at night =adds bulk , eases evacuation, very safe with heart/diabetes

Avoid strong purgatives like senna, trivrut or high dose castor oil regularly because they may strain your system

LIFESTYLE CHANGES -Regular routines= sleep and meals at fixed times-> stabilises vata -mild exercise daily= walking after meals, yoga stretches. avoid heavy strain due to heart history -Warm baths : relax abdominal muscles and help vata -Toilet habits= don’t suppress urge. sit in squatting posture (use foot stool if needed) to naturally align rectum.

DIET -warm, soft, cooked foods- khichdi, mung dal, vegetable soups -fruits= soaked raisins, figs, papaya, pomegrante, ripe bananas -Oils= 1 tsp ghee or sesame oil in food helps lubricate intestines

AVOID -dry foods (crackers, bread, excess raw salads) -cold/refrigerated food, too much cheese, fried foods -heeavy non veg, alcohol, excessive caffeine

SPICES HELPFUL= cumin, coriander, fennel ,ajwain, ginger- - gently stimulate digestion

YOGA ASANAS -Pawanmuktasana -Malasana -Bhujangasana -Vajrasana after meals, aids digestion

PRANAYAM -Anulom vilom -Bhramari -Avoid kapalbhati or very forceful PRANAYAM, due to heart condition

HOME REMEDIES -warm water with soaked raisins in morning -1 tsp ghee in warm milk at night -soaked fenugreek seeds vernight- eat in morning -warm lemon water with a pinch of rock salt before breakfast -aloe vera pulp (fresh, small amount) if available

Constipation in your case is not just her stool but a part of deeper vata imbalance worsened by diabetes, heart condition and past laxative use. The Ayurvedic approach is holistic -Gentle internal herbs -lifestyle and diet to pacify vata -yoga and pranayam for bowel movement and relaxation

Over time 6-8 weeks, this plan should help restore your natural urges, reduce dependence on medicines and improve digestion

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Hello Aaron Do pranayam lom -vilom kapalbhatti bhastrika daily for 5-10mins twice Take tablet Nityam 0-0-1 at bedtime with warm water Tablet Liv-52 1-0-1 after food with water Take 1tsp castor oil in a Cup ofwarm water alternate day Include fresh green vegetables in your diet Follow up after 10days

Hello Aaron

Here are small changes you need to change in your routine and you will see changes in your condition.

✔️ Do’s: ✔️ Millet roti Buttermilk (daily include in your meal) Moong dal (green and yellow both are ok) All fruit vegetables Leafy vegetables (except methi and dil) Liquid diet like gravy sabji or dal or soups

🧘‍♀️ 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 10. Malasan (Squats Pose)

🧘‍♀️ 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 Avoid dairy completely Non veg products Avoid drinking water immediately after food. Keep a gap of atleast 30 mins.

💊 Medication: 💊

Tab. Live 52 DS 1 tab twice a day before food. Tab. Ampachak Vati 2 tabs twice a day before food. Syp. Abhayrishta 3 tsp twice a day before food.

Castor oil 3 tsp at bed time with a glass of hot water

Should be take panchasakar churna 1tsp with lukewarm water,ichabedi ras 1tab bd enough

U can start with Dashamoola hareetaki tab 1-0-1 after food Avipattikara churna half teaspoon with warm water twice a day before food Chandraprabha vati tab 1-0-1 after food

Constipation can persist when an underlying imbalance isn’t addressed. It seems that the root cause might be more related to a disturbance in Apana Vata, responsible for elimination functions. Magnesium oxide and Triphala are good choices for general support, but deeper intervention might be necessary. First, focusing on your diet is essential. Prioritize warm, cooked foods—soups, stews, and kitchari are highly recommended due to their ease on digestion and natural lubricating properties. Avoid cold foods, raw foods, and heavy to digest items like processed foods or excessive dairy.

Ensure adequate hydration. Warm water with a pinch of cumin or ginger throughout the day could improve digestion and Vata balance. A teaspoon of ghee in a glass of warm milk before bedtime might help soften stools due to its lubricating properties. Regular meals maintain the rhythm your body thrives on; aim for consistency in meal timings.

Consider practicing pawanmuktasana yoga asana, which often helps stimulate the intestines and alleviate constipation. Alternating between walking briskly for 20 minutes and gentle yoga (focusing on asanas that aid digestion) can stimulate gut motility. Everyday routine incorporating these aspects may contribute to long-term improvement.

Finally, if constipation persists despite all these measures, it may be worth consulting with an ayurveda practitioner in person to assess any deeper imbalances or conditions needing more tailored approach or Panchakarma therapy. Be sure to consult with your healthcare provider before making significant changes to your health routine, especially considering your condition.

Constipation can be complex, especially if it’s been ongoing. In this case, given your recent health issues and treatments, your system might be a bit out of balance. According to the Siddha-Ayurvedic approach, it’s crucial to address the root cause, often linked to Vata dosha imbalance and weak Agni (digestive fire).

Firstly, you might benefit from a daily routine which includes Abhyanga, an oil massage that can help in grounding Vata. Using sesame or castor oil, apply it on your entire body. Follow it with a warm bath to enhance relaxation.

Addressing your diet is key too. Favor warm, cooked foods that are easy to digest. Include ghee in your meals as it can help lubricate the intestines. Avoid cold, raw, or difficult-to-digest foods like raw salads and processed foods, which can aggravate Vata.

Hydration is crucial — drink warm or room-temperature water throughout the day to keep the system moist and moving. Adding a pinch of rock salt to your water can help further.

Triphlā is often beneficial in balancing doshas and supporting digestion. Continue it but ensure you’re taking it in suitable amounts, perhaps 1-2 grams with warm water before bed, but moderation is important.

Additionally, practicing yoga asanas like Pavanamuktasana, Cat-Cow stretch, and seated forward bends may help stimulate digestion and bowel movements.

If constipation persists despite following these remedies or you notice alarming symptoms like severe abdominal pain or significant changes in bowel habits, seeking immediate medical attention is vital as more serious underlying factors could be at play.