IBS and Fishers problem and also constipation l - #36491

Avoid addiction if any. Avoid oily, spicy and processed foods. Regular exercise. Increase intake of raw vegetables and fruits. Cap. Florasante 1-0-1 Tab. Stop IBS 1-0-1 REGULAR USE OF BUTTERMILK. FOLLOW UP AFTER 10DAYS

Start on Avipattikara churna 1/2-0-1/2 tsp before meals Triphala churna 1 tsp with warm water at night Abhaya aristha -4 tsp with equal warm water after meals Avoid spicy sour fermented foods Drink plenty of liquids butter milk coconut water barley Include seasonal fruits and cooked vegetables in diet

Hello Jatin, I can understand your symptoms regarding Irritable Bowel Syndrome (IBS), anal fissure, and constipation — together this indicates an aggravated Vata and Pitta dosha, especially in the Pakvashaya (colon region).but dont worry we are here to help you out😊

✅AYURVEDIC PLAN OF TREATMENT

✅INTERNAL MEDICATION

1 Triphala churna – 1 tsp with warm water at bedtime (mild laxative, clears toxins). (If fissure pain is severe, prefer Isabgol husk 1 tbsp in warm water at night instead — softer effect).

2 Kutajghan Vati – 2-0-2 after food (for IBS-type loose motions and gut inflammation).

3 Abhayarishta (20ml with equal water after lunch & dinner)

✅ EXTERNAL CARE (Local care for Fissure):

After each bowel movement, apply Jatyadi Taila locally — helps heal fissure.

Sitz bath: sit in warm water + pinch of turmeric + rock salt for 10–15 mins daily.

✅ For Abdominal Pain (IBS spasms)-

Take Hingwashtak Churna – ½ tsp with warm water before meals twice daily.

✅AYURVEDUC DIET CHART for IBS + Constipation + Fissure

Your food must be light, freshly cooked, warm, and unctuous (slightly oily) —to pacify Vata and prevent dryness of the colon.

✅Morning (on waking)

Drink 1 glass lukewarm water with 1 tsp ghee or a few soaked raisins. Optional- 5–7 soaked black raisins + 2 soaked almonds.

✅ Breakfast (8–9 am)

Moong dal khichdi, rice gruel (kanji), or vegetable upma with ghee. Herbal tea with ajwain or cumin seeds. Avoid bread, milk, and processed cereals.

✅ Lunch (12:30–1:30 pm)

Soft rice + moong dal + ghee + cooked vegetables (bottle gourd, ridge gourd, pumpkin, ash gourd). Buttermilk (lukewarm, churned with roasted cumin & pinch of hing). Avoid curd, fried foods, and raw salads.

✅ Evening (4–5 pm)

Herbal tea with fennel or ginger. Roasted makhana or poha with ghee.

✅ Dinner (7–8 pm)

Light khichdi or vegetable soup with moong dal. 1 tsp ghee before bed with warm water (keeps stools soft).

❌ Foods to Avoid

Avoid Reason

Spicy, sour, fried food Tea, coffee, carbonated drinks Red chili, pickle, vinegar Milk, cheese, curd Raw vegetables, cabbage, beans Alcohol, smoking

✅ Foods to Include

Ghee (1–2 tsp daily) Moong dal, rice, oats Cooked vegetables Pomegranate, banana, papaya Jeera, ajwain, hing

✅ Lifestyle & Home Remedies

Regular warm water intake – every 2 hours small sips. Abhyanga (oil massage) – warm sesame oil on abdomen and legs daily before bath. Avoid suppressing natural urges. Walk 15–20 mins after meals. Avoid long sitting or straining at stool.

✅ Yoga & Pranayama

Pawanmuktasana, Apanasana, Supta Baddha Konasana – relieve gas & constipation.

Anulom Vilom, Bhramari – calm mind and gut.

Wishing you a good health😊

Warm Regards Dr Snehal Vidhate

HELLO JATIN,

You mentioned -IBS (irritable bowel syndrome) -Anal fissue -constipation -Duration = 3-4 months -Symptoms= abdominal pain, irregular motions, discomfort

According to ayurveda -Your digestive fire- which is responsible for proper digestion and absorption- has become irregular due to improper eating habits, stress, or irregular sleep -This leads to accumulation of Ama (toxins)- half digested waste products that disturb intestinal function -As a result, vata dosha (the energy controlling movement in the body) becomes imbalanced- causing costipation, dryness, pain and fissue -sometimes, Pitta dosha also increases- leading to burning sensation, acidity, irritation of the anal region etc

So, your problem is a vata-pitta imbalance with weak agni(digestive fire) and mild accumulation of ama

In classical Ayurvedic terms, this condition is a mix of -Grahani dosha (IBS-like) -Parikartika (Anal fissure) -Vibandha (constipation)

TREATMENT GOALS -restore agni -balance vata-pitta -regularise bowel movements -heal fissure -prevent recurrence -calm the mind

INTERNAL TREATMENT

1) AVIPATTIKAR CHURNA= 1 tsp with warm water, after lunch and dinner for 2 months = reduces acidity, balances pitta, improves digestion

2) ABHYARISHTA= 20 ml with equal water after meals for 3 months =best for constipation and regular bowel movement

3) KUTAJGHAN VATI= 2 tabs twice daily after meals for 2 months =controls irregular stool and IBS symptoms

4) TRIPHALA CHURNA= 1 tsp with warm water at bedtime =gentle colon cleanser, antioxidant

5) PANCHASAKAR CHURNA= 1 tsp with warm water at night for 2 weeks then stop =stronger laxative, clears ama

6) AROGYAVARDHINI VATI= 1 tab twice daily after meals for 1 month =corrects liver and gut metabolism

7) GANDHAK RASAYANA= 2 tabs daily for 1 month =helps fissure healing and pitta control

EXTERNAL TREATMENT

1) SITZ BATH= sit in a tub of warm water with triphala decoction for 15 min twice daily =relieves pain, promotes fissure healing

2) TAILA APPLICATION= apply Jatyadi taila locally =anti inflammatory, wound healing

3) MASSAGE= daily massage with warm sesame oil on abdomen and legs =balances vata, improves digestion

LIFESTYLE AND DAILY ROUTINE -wake up early before sunrise -drink warm water with lemon or ghee to stimulate bowels -maintain regular eating and sleeping times -avoid suppression of natural urges- especially stool and gas - do not sit for long hours, take small walks after meals -manage stress through meditation, reading, and relaxed breathing -sleep 7-8hours, preferably by 10 pm

YOGA ASANAS -vajrasana= aids digestion -pawanmuktasana= relieves gas and bloating -bhujangasana= tones abdominal organs -paschimottanasana= improves bowel movement -trikonasana= strengthens intestines

PRANAYAM -Anulom vilom= balances vata and pita, calms mind -bhramari= reduces stress and anxiety major IBS trigger -Sheetali= cooling, releievs pitta aggravation -Kapalbhati= enhances digestive fire

DIET -warm, freshly cooked food -moong dal, rice, ghee, soups, boiled vegetables -cumin, coriander, fennel, ajwain, hing- improves digestion -ripe banana, papaya, apple, pomegranate in moderation -buttermilk with roasted cumin and rock salt -small quantity of ghee daily lubricates colon

AVOID -cold,refrigerated or leftover food -spicy, sour, fried, fermented foods -maida, red chilli, pickles, vinegar -caffeine, alcohol, smoking -irregular eating, skipping meals -heavy pulses like chana, rajma, urad cause gas

HOME REMEDIES

1) ISABGOL= 1 tsp with warm water at bedtime =natural laxative, smooth stool passage

2) ALOE VERA JUICE= 2 tbsp on empty stomach =soothes gut, heals mucosa

3) GHEE + WARM MILK= 1 tsp ghee in milk at night =lubricates colon, releieves fissure

4) COCONUT OIL (external)= apply gently after cleaning =heals fissure, releievs pain

5) JEERA- AJWAIN- SAUNF WATER= sip after meals =aids digestion, reduces bloating

Ayurveda views your condition not as a disease to suppress, but a signal from your body asking for balance and respect

Healing will come to -regulating digestion -restoring vata pitta balance -cleansing toxins -healing fissuetissue -maintaining calmness of mind

You can expect complete relief and long term gut stability

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

IBS =referd as irritable bowl syndrome when food not digested or absorbed well in intestinal mucosa …stool consistency is sometimes mucoid and some times hard… It’s occures anorectal disorders like piles /fissures and fistula etc…

Management:-

Livogrit vital tab=2-2 tab after meal twice daily

CHITAKADI VATI=2-2 tab after meal twice daily

ISABGOUL HUSK =100GM Bel GIRI POWDER =100GM AMLA POWDER =100GM KAMDUDHA RAS 20GM …MIX WELL ALL OF ABOVE AND TAKE 1 TSP WITH LUKE WORM WATER AT BED TIME…

AVOID DAIRY PRODUCTS/ROTI AT NIGHT/GHEE/BUTTER ETC

DO REGULAR YOGA AND PRANAYAM KAPALBHATI AND BHRAMRI…

YOU CAN CURED DEFINITELY

Start with Tablet Liv-52 1-0-1 after food with water Abhayarist 15ml twice daily after food with 30ml. Water Avoid wheat and wheat products Avoid milk, but do have buttermilk with pinch of asafoetida black salt and roasted jeera powder after lunch daily Apply jatyadi oil on anal region twice daily. Do sitz bath twice with betadine solution.

Take Avipattikara churna half tsp before breakfast and dinner Triphala tab 2 tablets at night Arogyavardini vati -1 tablet after food Jatyadi taila - apply externally Do sitz bath 15 minutes in warm water twice daily 1 tsp of isabgol in warm water at bed time Avoid fried chili pickles refined flour cold drinks tea coffee bakery items Avoid sitting long and over straining Do vajrasana daily

1.Avipattikar churna 1 tsp with warm water empty stomach in the morning 2.Bael bowel wellness (himalaya) 2 tab twice daily with water after meals 3.Pylend syrup 2 tsp after meals twice daily 4.Sankha vati 2 tab twice daily with water after meals 5.Jatydai oil-apply at the fissure site twice daily

Add grains and legumes to your diet Add vegetables, fruits and spices Add Isabgol as natural support with milk Stay hydrated

Lifestyle Tips - 🛁 Sitz bath: Sit in warm water twice daily to soothe fissure pain. - 🚶‍♀️ Gentle movement: Walk briskly for 20 minutes morning and evening. - 🧘‍♀️ Yoga: Practice Pawanmuktasana, Vajrasana, Shavasana to ease digestion and calm nerves. - 🕯️ Stress relief: Do Anulom-Vilom and Bhramari pranayama daily. - 🛌 Sleep hygiene: Sleep by 10 PM, reduce screen time after sunset.

✔️ 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)

🧘‍♀️ 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

💊 Medication: 💊

Tab Liv 52 DS 1 tab twice a day before food Tab. Kutaj Parpati Vati 1 tab twice a day before food Tab. Ampachak Vati 2 tabs twice a day before food Syp. Abhayarishata 3 tsp twice a day before food

Tab. Shankhavati 2 tabs after food suck and eat

Bilagel 1tsp early in the morning with a cup of buttermilk

Tab. Gandharva Haritaki 3 tabs at bed time with a glass of hot water

U can start with Abhayarishtam 5ml with 10 ml of water after food twice a day Avipattikara churna half teaspoon with warm water twice a day after food Pilex tablet of Himalaya company 1-0-1 after food Bilwadi Avalehyam one teaspoon twice a day after food In diet take more of Freshly prepared food articles and the food articles which contains more of water content like Kichidi, gruels, porridges in morning and evening Take buttermilk daily along with lunch Afternoon lunch should contain atleast 3 kinds of vegetables

Hi jatin ji,

1) trifla gugulu 2 tab after crush bd with Luke warm water after meal 2) avipatikarchurn churn 3gm bd before meal 3) abhyarisht 15 ml BD with equal amount of water after meal 4) isabgol husk 2 tsf at 5 pm with Luke warm water 5) jatyadi tail for local application 6) sitz bath

Follow up after 15 days

Dealing with IBS, anal fissures, and constipation can indeed be quite troublesome, especially with persistent abdominal pain for several months. In Ayurveda, these conditions usually relate to an imbalance in the Vata dosha, affecting the digestive system and leading to irregular bowel movements and other symptoms. Balancing Vata and improving the digestive fire, or agni, are crucial parts of managing these issues.

For diet, focus on incorporating warm, cooked, and easily digestible foods. Eating at regular times enhances your digestive routine. Favor foods like cooked vegetables – carrots, pumpkin, and squash, well-cooked rice or quinoa, warm soups, and stews. Add ghee to your diet, a soothing element for digestion. Avoid raw vegetables, beans, cabbage, broccoli, cauliflower which can aggravate Vata. Stay away from cold, dry, processed, and oily foods that can hinder digestion.

Herbal remedies can assist in managing your symptoms. Triphala churna, a combination of three fruits, is well-regarded for its digestive benefits. Take 1 teaspoon with warm water before bed. It’s gentle on the intestines and helps cleanse impurities. Meanwhile, Ashwagandha has soothing properties that calm Vata imbalances; take it in capsule form as per package instructions, usually twice daily.

Establishing a daily routine is another powerful tool in Ayurveda. Engage in light exercises like walking or yoga, focusing on gentle movements to stimulate digestion without stressing the body. Ensure sufficient hydration through warm water, aiding the softening of stools. Lastly, psyllium husks (isabgol) taken with warm water in the evening can promote regular bowel movements.

Avoid stressing over days where symptoms are worse. Maintain regular sleep and wake-up times; this routine supports the body’s natural healing processes. Should symptoms persist or worsen, seeking professional medical evaluation is pivotal to rule out other conditions and ensure that management strategies are comprehensive and effective for your personal situation.

Conditions like IBS, anal fissures, and constipation can indeed be burdensome. Addressing them requires understanding the root cause, usually stemming from imbalances in the vata dosha, and sometimes pitta. The diet plan should aim to pacify these doshas and balance agni, the digestive fire. Let’s start with some dietary adjustments and simple remedies you can incorporate into your daily routine.

For breakfast, consider easily digestible options like warm dosas made from fermented rice and lentils or kitchari. Avoid raw, cold, or reheated foods.

In your main meal, incorporate well-cooked vegetables like squash, carrots, or sweet potatoes cooked with digestive spices like cumin, coriander, and turmeric. Including ghee in small amounts can help lubricate the internal digestive paths. Reduce beans, onions, garlic, and heavy meats which might irritate the gut.

Hydrate with warm water throughout the day. Herbal teas with fennel, ginger, and ajwain can soothe digestive discomfort.

For herbal support, ‘Avipattikar Churna’ taken with warm water before meals may assist in balancing elevated pitta levels. ‘Triphala’ is excellent for regulating bowel movements due to its mild laxative effect—take as directed by a practitioner.

Limiting stress through practices like pranayama can also be critical as stress often exacerbates IBS symptoms. The Nadi Shodhana technique daily is beneficial.

However, I strongly recommend consulting a healthcare provider to ascertain the underlying cause and ensure no serious conditions are left unaddressed, particularly with extended periods of pain. This step is essential for your safety and well-being.