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

1) Erand bhrishta haritaki- 1 tsf 1 hr before food 2 times with warm milk

2) Sukumar ghrita-20 ml+ yava kshara 500 mg+ saindhava-500mg- after food 2 times with warm water

Diet and Lifestyle:

Pathya

Take 500ml of water early morning and walk for 10 minutes to relieve gas and stimulate Vata to induce urge to pass stool.

Eating freshly cooked food is helpful. Spices like cumin seeds, coriander, turmeric powder, fennel and asafetida are good as they make the food easily digestive.

Proper chewing of food is very important.

Take plenty of leafy vegetables and salads.

Drinking a glass of warm milk at the time of going to bed helps in evacuation, the next morning. In case of severe constipation, mixing two tea spoonful of castor oil in the milk is very helpful. Whole grain bread can be taken. Unpolished rice can be taken moderately.

Drink a glass of water upon waking, just after visiting bathroom.

Dry fruits like raisins, dates or the morning. figs to be soaked overnight and eaten in

Include more fruits in your daily diet helps (grapes-lemon-apples-banana-oranges, etc.)

Eat steamed fresh vegetables.

Green leafy veggies may be balanced for Vayu doshas by cooking with ginger, cumin, coriander and asafetida.

Eating papaya before or after meals is helpful in relieving constipation.

Regular physical exercise is also important for having clear bowels. One should try to have relaxed mind, free from anxiety, stress, etc.

Apathya

Pasteurized milk.

Cooked eggs.

Overcooked Meats.

Refined starch.

Avoid eating lor of spices, fried food, frozen food and food/drinks with preservatives, don’t suppress natural urges.

Avoid spicy, dairy and bakery products. Regular exercise. Increase intake of raw vegetables and fruits. Drink sufficient quantity of water. Tab Erandbhrushta haritaki 0-0-2 With lukewarm water at bedtime.

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).