Improving Stool Consistency and Gut Health

Question

how can i improve my gut natural motility & gut natural parasitic movement so my stool consistency improved as sausage shape(banana shape) stool. actually i am not constipated but stool consistency is bad like sticky and thin and oily stool is pure problem. i have some intestine heat and stomach heat issue as vatta pitta prakrit person. skinny slim and tall. i am trying so many ayurvedic medication under NIA jaipur ayurvedic doctor guidence like harad churna with ghee or warm milk,Triphala powder with milk or water, amaltas powder and avarampoo kudineer kashyam, 5mg isabgol husk with warm water & milk & other medication. allopathic medication like elafixir 5mg, prucalpuride 5mg and sodium duscofate, senna extract 30mg, milk of magnesia, sodium picosulphate, peg3350(polythileine glycol). The problem is that all these medicines thin the stool and draw water into the intestines which is only helpful for hard stools & naturally constipated people but it gives me diarrhea & upset stomach.
and my previous ayurvedic doc advised me against hot herbs medication like chitrakadi vati, agnitundi vati because i get stool mucus and diarrhea. however in the morning usually takes me like 2 hours to clear my bowels and the stool consistency is sticky and mushy oily thin. and I have noticed that when the stool is firmed up like Banana or sausage then it comes out in less time without straining, in summer when I drink BAEL(BEL) with water juice then I get perfect sausage banana shape stool but after the bael season is over & even bael churna & pishti not effective except fresh fruit so the gurgling sound in the stomach & passing of thin sticky oily stool troubles me a lot in the morning as described. I never tried Takrarishta because I am afraid of stomach heat and gurgling sounds felt due to pitta and vata prakriti. Ayurvedic doctors say that there is heat in the large intestine, the food is not digested properly, that is why you have this problem & Allopathic doctors say that heat is obvious an issue but apart from this there is also less good gut bacteria so hence the gut lining is irritated & the test scores show that the levels of B complex, iron, platelet and testosterone hormones are also very low, this is also a reason. and I feel that according to doctors of both systems, all the reasons are responsible, that is why there is stomach heat and gurgling sound and stool consistency is very bad & that is why the absorption of food is not proper due to which there is B complex, iron and other hormones imbalance and due to this there is weight low, low energy, bad mood also. although i am following strict regular vegen high fiber and low carb diet as i am already aware about food and nutrition science. problem is doctors can't be serious about my main concern that is stool shape because when my stool consistency has been improved my stomach clear easily as my intestine evacuate stool easily. so how i can improve my stool consistency. 
Please understand the problem properly and suggest a solution to the problem.

Dr. M.Sushma · Accepted Answer

Thank you for explaining your situation so clearly 
You have done an excellent job of observing your digestion and identifying how changes in stool consistency affect your energy mood and nutrient absorption 
I understand how distressing it can be to feel that your system is never quite settled especially when both ayurvedic and allopathic approaches have given only partial relief 
From what you have mentioned 
Sticky oily thin stools intestinal gurgling and excess heat- your colon appears to have a disturbed mucosal balance not enough healthy mucus to bind waste properly yet excess irritation and inflammation that makes stools slippery and incomplete 
Vata in the intestines is overactive 
Pitta is high
And your gut bacteria seem depleted so stool lacks bulk and consistency 
The goal is to restore microbial health cool and nourish the colon and re establish a rhythmic lubricated movement- not forced stimulation 
Take
Kutaja ghan vati 1-0-1
Bilvadi churna 1/2-0-0 with warm water
Drakshadi aristha 15-0-15 ml with equal water
Amla juice 15 ml every morning on empty stomach 
Drink buttermilk daily with pinch of rock salt and cumin powder
Kanji fermented red rice water
Take warm lightly spiced freshly cooked foods
Small amount of cow ghee Rest well
Avoid excessive lentils soy chickpeas raw sprouts 
Avoid fruits immediately after meals
Drink warm water 
Avoid strong laxatives senna or magnesium salts completely- they thin the stool and harm long term motility 
Do Yogasanas pranayama 
Walking regularly 
Check your b complex and iron once your stool pattern gets improved

Dr. Narendrakumar V Mishra · Answer

To address the stool consistency concerns, we should consider a multilayered approach, looking at your prakriti and the possible imbalances. Your constitution being Vata-Pitta predisposes you to digestive issues, often linked with heat and dryness. First, since you've mentioned sticky, thin, and oily stools, there needs to be a focus on balancing both the digestive fire and introducing mucilage to stabilize stool formation without inducing diarrheal effects.

1. **Dietary Recommendations:** Consider incorporating soothing and cooling foods in your diet, such as cooked vegetables like zucchini, carrots, and sweet potatoes, which help balance pitta. Incorporating ghee can help promote a stable stool consistency by providing lubrication. Avoid excessive raw salads; these tend to increase Vata and make digestion harder.

2. **Buttermilk/Takra**: Do not shy away from trying takrarishta, though it may be perceived as heating. Properly churned buttermilk (takra) is actually tridosha-balancing and can improve gut flora and soothe the gut lining. Take it after lunch with a pinch of cumin for best effects, observing how it impacts the gut over a week.

3. **Mukul Myrrh (Guggulu):** Guggulu, due to its balancing nature, might help in supporting stool formation and reducing gut irritation. Medohar Guggulu or Triphala Guggulu can be considered under practitioner guidance.

4. **Stress Management:** Pranayama and simple yoga asanas like Pavanmuktasana can decrease Vata aggravation, assisting in proper digestive processes. Consider Aparigraha as a mental practice for stress reduction, which subtly affects digestion.

5. **Probiotics and Prebiotics:** Focus on enhancing gut bacteria by including prebiotics-rich foods such as banana (in moderation given your constitution), oats, and flaxseeds. Ensure B complex rich foods and possibly a supplement as guided by a qualified physician.

6. **Herbal Assistance:** Continue your occasional intake of Bael juice; its cooling properties are optimal for your condition. Bibhitaki, known to firm stools, can be integrated with Triphala.

It's important to work closely with your Ayurvedic practitioner, regularly reviewing the response to these lifestyle and dietary adjustments to tailor them optimally to your bodily constitution. Balancing digestive fire and support for healthy gut flora will be central to attaining consistent improvement in stool formation.

Dr. Maitri Bhavesh Kumar Acharya · Answer

Your concerns about stool consistency, especially given your Vata-Pitta prakriti and dietary habits, are quite valid. The discomfort from erratic bowel movements can significantly affect quality of life. To address the underlying root causes, understanding the interplay of intestinal heat, poor digestion, and nutritional deficiencies is crucial.

Firstly, considering your Vata-Pitta constitution, it's important to harmonize both doshas. You might benefit from reducing excessive pitta while nurturing Vata's grounding. Since Bael fruit has worked well for you but is seasonal, an alternative would be to focus on pacifying the heat and supporting absorption gently.

1. **Diet Adjustments:** Even with a high-fiber diet, balance is key. Introduce cooling, nourishing foods like coconut water and coriander seed water, which can aid in digestion without worsening heat. Cook nuts or seeds lightly before consumption, focusing on more digestible forms.

2. **Probiotic Support:** The mention of an imbalance in gut bacteria suggests a probiotic might be beneficial. Consider introducing a natural, plant-based probiotic source like fermented vegetables (kimchi or sauerkraut in small amounts to not aggravate stomach heat) or consult about Ayurvedic preparations like Mathulunga Rasayanam which supports gut flora.

3. **Enhancing Digestion:** Taking half a teaspoon of Ajamoda (Ayurvedic celery seed) with warm water before meals can aid digestion without overly aggravating your Pitta. This should help in encouraging more natural bowel evacuation and promoting a banana-shaped consistency.

4. **Strengthening Agni**: Since overly aggressive heating medications like Chitrakadi Vati caused discomfort, consider Pippali (long pepper). Small quantities can effectively enhance Agni without intensifying heat. Mix a pinch in honey and take it with milk, being alert to any increase in symptoms.

5. **Adequate Hydration**: Prioritize consistent hydration, but avoid cold beverages. Opt for warm fluids that support your internal thermal balance.

6. **Routine & Lifestyle**: Avoid any drastic variance in meal timings or sleep patterns, as Vata dominance often makes sensitive to irregularities.

Lastly, given nutritional imbalances (low B complex, iron), integrate dietary sources like moringa powder or supplement with herbal formulations rich in these nutrients. But proceed gently and ascertain reactions, reinforced by professional Ayurvedic consultation to further refine treatment.

Remember, each body responds uniquely, so it's important to tweak these recommendations based on how your system reacts, always prioritizing comfort and balance.

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