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General Medicine
Question #36312
120 days ago
578

I have constipationunable to het fresh st one tim - #36312

Smita

I have constipation(unable to het fresh st one time), fatigue and weakness in body, Also ulcer issues since last 6 months

Age: 35
Chronic illnesses: Constipation
PAID
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Doctors' responses

Don’t worry take Sutashekar ras gold 1tab bd, swadista virechana churnam 1tsp with lukewarm water enough

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Take mahatikta ghuth 10 ml empty stomch morning Take erandbrushth harde at night 2 tab Take livton 2 tab bd Take gulcid 2 tds Take bliis 2 bd

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Ulcer where? If mouth than chew 1. Yastimadhu ghan vati 2 tab 4 to 5 times a day For constipation 1. Tab vasulax 2 HS - this if you have good amount of body weight 2. Gandharhastadi eran tail 2 tsp with warm water at bed time - this if you have less body weight 3. Tab ashvagandha 2BD A F

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Start on Ashwagandha cap 0-0-1 Triphala churna 1 tsp with warm water at night Avipattikara churna 1/2-0-1/2 before meals with water What type of ulcer - is it mouth/ stomach/ duodenal??

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Start with Tablet Liv-52 1+0-1 after food with water Harde tablet 0-0-2 at bedtime with warm water Ashwagandha churan 0-0-1tsp at bedtime with warm water. Kamdudharas moti yukta 1-0-1 after food with water. Take Isabgol powder plain 2tsp in the evening in a glass of water.

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Dear Smita Avoid oily, spicy and processed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Tab. Yashtimadhu 2-0-2 Tab. Shatavari 2-0-2 Erandbhrushta haritaki 0-0-2 With lukewarm water at bedtime.

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Internal medication: 1)Triphala ghrit 1 tsp before food twice a day with lukewarm water 2)Ashwagandha churn 1 tsp after food twice a day wih lukewarm milk 3)Haritaki churn 1 tsp before dinner with lukewarm water. 4)yavani ark 3 ml after food twice a day with water

including habits:

Eat healthy food, leafy vegetables, fruits daily walking at least 15-30 min. proper sleep, stress free life yoga meditation

Avoiding habits:

Late night phone laptop use, spicy food, over eating, heavy diet.

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Hello Smita,

I can understand your comcern regarding — constipation, fatigue, weakness, and ulcer issues but dont worry we are here to help you out😊.

✅AYURVEDIC PLAN OF TREATMENT

✅For Constipation Relief

1. Triphala churna – 1 tsp with warm water or milk at bedtime. ( Gentle colon cleanser; regulates daily bowel movement.)

2. Gandharvahastadi taila – 1 tsp with warm water before sleeping (if severe). ( Balances Vata, lubricates intestines, relieves dryness.)

✅ For Ulcer & Acidity

1. Dadimadi ghrita – Take 1 tsp internally twice daily with warm milk. ( Soothes stomach lining and heals ulcers.)

2. Avipattikar churna – ½ tsp with water before meals twice a day. ( Neutralizes excess acid and relieves burning.)

3. Yashtimadhu churna – ½ tsp with milk twice daily. (Promotes healing of gastric mucosa.)

✅ For Fatigue & Weakness

1. Ashwagandha churna – 1 tsp twice daily with milk or warm water. ( Boosts strength, relieves fatigue, balances stress.)

✅ DIET MODIFICATION

✅ Include -

Warm, freshly cooked foods: khichdi, moong dal soup, ghee, rice. Cooked vegetables like pumpkin, bottle gourd, ridge gourd. Drink lukewarm water throughout the day. Take buttermilk with roasted cumin powder and rock salt after lunch.

❌ Avoid Tea, coffee, spicy, sour, and fried foods. Packaged or cold foods, late-night eating. Skipping meals or irregular eating times.

✅ Daily Routine Tips

Drink 1 glass of warm water with lemon or ghee every morning. Take 15–20 minutes walk after dinner daily. Apply castor oil on navel and soles at night for Vata pacification. Ensure sound sleep and manage stress with gentle yoga or pranayama (Anulom Vilom, Sheetali).

✅ Panchakarma for Chronic Relief

If symptoms persist beyond 2–3 months, visit an Ayurvedic centre for

Mridu Virechana (mild purgation therapy) – clears toxins and relieves constipation. Takra Dhara or Shirodhara – for ulcer and stress-related digestive imbalance. Basti therapy (oil enema) – best for long-term constipation and fatigue.

Wishing you a good health😊

Warm Regards Dr Snehal Vidhate

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Maintain healthy lifestyle and food HABBITS…consume fibre rich diet and keep body hydrated…

Take… Livogrit tab =2-2 tab before meal twice daily

PHYTER TAB TRIPHLA GUGULU=2-2 tab after meal twice daily

ABHYARISTA=3 TSP AT BED TIME WITH WATER…

DO REGULAR KAPALBHATI PRANAYAMA

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Haritaki churna 1 tsp with warm water at bed time Ashwagandhadi lehyam 1 tsp with warm milk at bedtime Drink plenty of liquids coconut water buttermilk Avoid spicy sour fried fermented foods

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Hi Smita, it is due to weak digestive fire within you. Firstly thie digestion must be corrected and then to start with medications that help you with weakness and fatigue. Start with - 1. Syp Liv 52 DS 1tsp-0-1tsp after food 2. Shaddharan Gulika 2-0-2 before food 3. Avipattikar powder 1tsp-0-1tsp After food 4. Vasulax tab 0-0-2 at Night with warm water for 5 days Continue first two medications for 1 month and then stop it. Stop the 3rd medication after 2 weeks. After One month Start with 1. Swamla Compound (Gold) 1tsp empty stomach with luke warm milk daily for 2 months.

Regards Dr Gursimran Jeet Singh MD Panchakarma

Take this for

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HELLO SMITA,

You have -long standing constipation - difficulty or incomplete evacuation of stool -fatigue and weakness low energy, dullness -ulcer/acidity problems- burning sensation, sour belching, discomfort in stomach These are interlinked and indicate vata-pitta imbalance with agni mandya (weak digestive fire)

1) WEAK DIGESTION FIRE -when your digestive fire becomes weak, food isn’t digested properly This leads to formation of Ama (toxins or undigested residues)- sticky material that clogs the intestines

2) VATA DOSHA AGGRAVATION -when Ama accumulates and intestines dry up due to irregular food, stress, or dehydration, vata increases. This causes dryness, irregular bowel movements, gas and hard stool-> constipation

3) PITTA DOSHA AGGRAVATION At the same time, poor digestion and stress aggravate pitta, causing excess acid production This leads to ulcer, burning, sour taste, acidity, and irritation in the stomach

4) SECONDARY EFFECTS Because of chronic indigestion and toxin accumulation -nutrition is not properly absorbed-> fatigue and weakness -Mind becomes restless and dull-> stress, anxiety, disturbed sleep

TREATMENT GOALS -remove toxins -regulate bowel -heal ulcers and acidity -improve strength -prevent recurrence

INTERNAL MEDICATIONS

1) TRIPHALA CHURNA= 1 tsp with warm water at bedtime for 3 months =mild laxatives, cleanses colon, balances vata

2) ABHYARISHTA= 20 ml with equal water after dinner for 2 months =improves bowel movement, relieves chronic constipation

3) AVIPATTIKAR CHURNA= 1/2 tsp before meals with warm water for 8 weeks =reduces acidity balances pitta

4) SHATAVARI CHURNA+ ASHWAGANDHA CHURNA= 1 tsp each twice daily with milk for 3 months =heals ulcers, nourishes mucosa and improves strength, boosts energy, reduces fatigue, calms vata

5) CHYAWANPRASHA= 1 tsp morning empty stomach = rejuvination immunity, strength

IF CONSTIPATION IS SEVERE -CASTOR OIL= 1 tsp with warm milk once a week

DIET TO BE FOLLOWED PROPERLY

GRAINS= rice white or red, oats, quinoa, broken wheat, soften roti with ghee =easily digestible, soothing to intestines, grounding for vata

PULSES/LEGUMES= split moong dal, massor dal, urad dal(in small quantity), green gram sprouts(lightly steamed) =moong is best- reduces gas and nourish tissue. cook with cumin , hing, ginger, to avoid gas

VEGETABLES= bottle gourd, ash gourd, pumpkin, ridge gourd, carrot, beetroot, sweet potato, cooked spinach, zucchini =soft, moist, vegetables reduces dryness. cooked and spiced lightly they help digestion

FRUITS= papaya, banana, (ripe), pomegranate, apple(steamed), figs, soaked raisins, dates =these fruits ease constipation and reduce pitta heavy.avoid cold fruits from fridge strictly take room temperature fruits

FATS= cow ghee 2-3 tsp daily, sesame oil in cooking, small amount of coconut oil =ghee is medicine here- it lubricates colon, strengthens digestion, calms acidity

DAIRY= warm milk with turmeric or nutmeg , panner(fresh not fried), homemade buttermilk(thin, spiced with cumin and coriander) =warm dairy soothes both vata and pitta . avoid sour curd at night

SPICES= cumin, coriander, fennel , ginger, ajwain, hing, black pepper, cinnamon =these spices help digest food, reduce gas and keep agni balanced

SWEETNERS= jaggery, small amount of raw honey (never heat honey), dates, raisins =natural and moistening- helps ease constipation. Not refined sugar

FLUIDS= warm water, jeera water, ajwain. water, ginger tea, fennel-coriander- cumin tea =sip throughout the day to flush toxins, reduce bloating and keep gut warm

GOLDEN RULE= eat warm, moist, well cooked, lightly spiced food, avoid dry, cold, and raw foods- they disturbs your gut further

FOODS TO AVOID STRICTLY

COLD FOODS= cold water, cold mil, fried fruits, ice cream =cold suppress digestive fire, worsens vata and increases acidity

RAW FOODS= raw salads, uncooked sprouts, uncooked vegetables =too rough and drying for your weak gut- leads to gas, bloating

SPICY/OILY= green chilli, red chilli, too much garlic, fried pakoras, samosa =increases pitta (acidity), weakness agni

HEAVY CARBS= bread, bakery, refined flour, noodles, pizza, biscuits =difficult to digest form toxins

DRINKS= carbonated soda, cold juices, canned drinks =gas forming disturbs gut balance

ANIMAL PROTEIN= egg (can use If boiled only occasionally), red meat strictly avoid =heavy and heating- not recommended in weak digestion

TOO MUCH ONION/GARLIC= avoid especially raw =very heating, disturbs pitta and causes gas

SPICES FOR DIGESTION use these spices regularly in your cooking to reduce gas, improves digestion and balance doshas HING= best for gas. use in dal and veggies AJWAIN= chew 1/2 tsp after meals with black salt JEERA= add to cooking or boil for water SAUNF= chew after meals or boil in tea GINGER= fresh ginger in meals, or ginger tea BLACK PEPPER= enhances digestive enzymes in small amounts CORIANDER= cools pitta, especially in teas

YOGA ASANA(start slow=20 min/day) -Pawanmuktasana= releases trapped gas from intestines -Vajrasana= stimulates digestion(after meals) -balasana= calms vata, relaxes abdomen -Apanasana= aids in bowel movement -Bhujangasana= opens abdominal area, improves digestion

PRANAYAM(daily 10 min after yoga) -Nadi sodhana= clears energy channels, calms mind -Bhramari= reduce stress and acid formation -Ujjayi = gently builds digestive fire -Avoid very breathing like kapalbhati for now, unless guided

LIFESTYLE RECOMMENDATIONS

wake up before sunrise= encourages bowel movement and clears toxins

Try to poop same time daily= trains body to empty bowels naturally

Abhyanga(oil massage )- 3 times/week= warm sesame oil calms vata and supports digestion

Gentle walk after meals= helps digestion and reduce gas(20-30 min post meals)

Sun exposure= boosts vitamin D and improves agni

Meditate or listen to calming music= gut health and mind are deeply connected

Drink warm water through the day= keeps digestion flowing and clears toxins

SLEEP AND MENTAL WELL-BEING -vata increases with poor sleep. Get 7-8 hours of restful sleep -avoid screen time at least 30 mins before bed -evening milk with nutmeg or turmeric helps calm the system

FINAL ADVICE AND PRECAUTIONS -Avoid self medication with harsh laxatives- they worsen vata -always take herbal powders with warm water never with cold water -conitue triphala even after cure- it’s a rasayana for colon health -manage stress- emotional factors aggravate both vata and pitta -once digestion and energy improve, gradually shift o more fiber rich natural foods -maintain hydration with warm water not cold

Your condition is fully manageable with consistent Ayurvedic care The goal isn’t only to pass stool- it’s to restore digestive fire, balance doshas, and rebuilding strength. within 4-6 weeks, you should notice smoother bowel movement, less acidity and improved energy Continue dit and lifestyle discipline for long term stability and gut harmony

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Constipation, fatigue, and ulcers indicate a possible imbalance in your doshas, particularly Vata and Pitta. Let’s address the constipation first, as regular elimination is crucial for overall health. In Ayurveda, constipation is often linked to the dryness and irregularity of Vata dosha. To alleviate this, incorporate warm, oily, and easy-to-digest foods like stewed apples, oatmeal, and clarified butter or ghee in moderation. Avoid dry, rough, or cold foods as they may aggravate Vata. Drinking a glass of warm water with a teaspoon of ghee in the morning helps lubricate the intestines and promotes easy passage.

Consider taking Triphala, a well-known Ayurvedic formulation, before bedtime. Mix half a teaspoon of Triphala powder with warm water—this encourages regular bowel movements and is safe for long-term use. For fatigue and weakness, ensure your meals are nourishing and balance Vata and Pitta. Favor whole grains, well-cooked vegetables, and healthy fats like sesame or coconut oil. Avoiding stimulants, such as caffeine, which may exacerbate fatigue in the long run.

Regarding ulcers, which are often linked to excess Pitta, consume cooling and soothing foods. Aloe vera juice, taken one teaspoon daily, has a calming effect on the digestive tract. Herbal infusions with licorice root may also provide relief, but be cautious if you have high blood pressure. Practice stress-reducing techniques like yoga or meditation to calm the mind and balance Pitta.

Ensure adequate hydration; sip on warm water throughout the day. Sleep is critical to support healing, aim for 7 to 8 hours uninterrupted. If symptoms persist, consider consulting an Ayurvedic practitioner for a more tailored approach. Remember, these suggestions are supplementary and should be used alongside any existing medical treatments you may be undergoing.

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Constipation along with fatigue, weakness, and ulcer issues suggest an imbalance predominantly involving vata dosha, with possible involvement of pitta in the case of ulcers. Let’s address these through Siddha-Ayurvedic insights.

First, addressing constipation: Begin by including triphala churna in your daily routine. Take one teaspoon with warm water at bedtime. Triphala helps balance vata and promotes regular bowel movements. Additionally, ensure you hydrate well; drink warm water, and avoid cold beverages. Incorporate a tablespoon of ghee in your meals — it acts as a nice lubricant for the intestines. Avoid dry, processed, and cold foods as much as possible, as they can aggravate vata.

For fatigue and weakness, strengthen your agni (digestive fire) by drinking herbal teas containing ginger or cumin after meals. Add nourishing foods such as almond milk, dates, and whole grains like oats to build ojas, which supports overall vitality.

Regarding ulcer issues, avoid spicy and acidic foods to prevent pitta vitiation. Consume soothing herbs like licorice (yashtimadhu) powder; take a quarter teaspoon with honey once daily. Aloe vera juice can also be calming for the stomach lining.

If these symptoms persist or worsen, seek immediate medical attention to rule out any underlying conditions that might require more intensive treatment. Prioritize your safety and well-being in this regard.

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