Hello Bhavani I’m truly glad to hear that your pain and bleeding have completely subsided — that’s an excellent sign of healing and a positive response to your Ayurvedic treatment.
✅ CURRENT RECOMMENDATION
Since your condition has improved significantly:
1. Continue the same dose (2-0-2) for one more week (total 3 weeks). ( This helps ensure complete healing of the fissure and stabilizes the tissue strength.)
2. After 3 weeks, reduce to maintenance dose: 1 tablet twice daily (1-0-1) after meals for next 2 weeks.
3. Continue Triphala Churna at bedtime with warm water for 1–2 months to maintain soft bowel movements and prevent constipation. 4. Gradual tapering ensures no rebound irritation or recurrence.
✅DIET AND LIFESTYLE CONTINUATION
✅ Include:
Warm water throughout the day to aid digestion. Cooked vegetables, ghee, buttermilk, and fiber-rich foods (lauki, spinach, papaya). A teaspoon of ghee before lunch and dinner to lubricate the intestines. Continue Triphala Churna or Avipattikar Churna nightly if stools become hard.
❌ Avoid:
Spicy, sour, fried, or dry foods. Straining during defecation. Long sitting hours without movement. Alcohol, caffeine, or excessive bakery products.
✅ LIFESTYLE RECOMMENDATIONS
Regular morning walk or light yoga (Pavanmuktasana, Vajrasana after meals).
Warm sitz bath with Triphala decoction or plain warm water once daily for 10–15 mins to keep the anal region relaxed and clean.
Maintain regular sleep pattern and hydration.
✅ FOLLOW-UP PLAN
If no symptoms return after 4 weeks, gradually stop the tablets but continue Triphala for bowel maintenance.
If any discomfort, dryness, or occasional itching persists, continue 1 tablet at night (0-0-1) for another 2 weeks.
Yes, you can safely continue the same dose for one more week, then reduce to 1-0-1 for maintenance over the next 2 weeks. Your healing is progressing beautifully — just maintain regular diet, hydration, and Triphala at night for sustained results.
Wishing you a good health😊
Warm regards, Dr Snehal Vidhate
Yes continue also take triphala Guggulu 1tab bd and triphala kashaya for sitzbath and apply sunarin ointment Externally
Dr.RC BAMS,MS(AYU) ANO RECTAL SURGEON
HELLO,
CURRENT STATUS -pain and bleeding = resolved -bowel habits= improved -other symptoms= none
You are in the healing and maintenance phase
MEDICATIONS CONTINUATION If you’ve been taking 2 tablets twice daily (2-0-2) for 15days and are symptoms free -next2 weeks= you can safely reduce the dose to 1 tab twice daily (1-0-1)after meals -this helps maintain healnig while preventing recurrence and allows your body to gradually taper down the herbal intensity
if you feel absolutely symptoms-free and your digestion feels balanced, you can even reduce to 1 tab after dinner only in the 4th week- but only if stools remain soft and no strain is felt
2) TRIPHALA CHURNA Continue triphala churna with warm water at bedtime- it keeps bowels soft, prevents recurrence, and gently detoxifies the colon
-If stools become too loose, reduce to 1/2 tsp instead of 1 tsp
DIET AND LIFESTYLE Keep following pitta pacifying and fiber rich diet -warm, freshly cooked meals ; avoid spicy, fried, or very sour foods -include ghee in meals 1/2 tsp with rice or roti - it lubricates intestines -drink warm water throughout the day -avoid sitting for long hours, take shorts walks after meals
LOCAL CARE If you feel dryness or mild discomfort -Apply jatyadi taila or panchavalkala decoction before or after passing stool for local healing
After completing 4 weeks -If still symptom free, discontinue tablets but continue triphala for another month -If any strain, dryness or itching recurs- return to 1-0-1 dosage for 10 more days
DO FOLLOW
HOPE THIS MIGHT HELPFUL
THANK YOU
DR. MAITRI ACHARYA
You can continue the current dose (2-0-2) for another 2 weeks, making it a total of 4 weeks. After that, reduce to 1-0-1 for maintenance, provided symptoms remain resolved.
🌿 Supportive Ayurvedic Medicines (Optional Add-ons) If you wish to enhance healing and prevent recurrence, consider adding: - Triphala Churna – Continue at bedtime with warm water. - Abhayarishta – 15–20 ml after meals with equal water, if constipation persists. - Jatyadi Taila (external) – Apply locally if there’s residual discomfort or dryness. - Gandhaka Rasayana – 1 tab twice daily for 2–4 weeks (if itching or inflammation was present earlier).
🍽️ Diet & Lifestyle Tips - Avoid spicy, oily, and deep-fried foods. - Include ghee, boiled vegetables, and fiber-rich fruits. - Stay hydrated and avoid straining during bowel movements. - Warm sitz baths with Triphala decoction can be soothing.
Since you are feeling better, need to continue the same medicine and dosage for 6 weeks, You can also do sitz bath , put 2-3 drops of betadine in warm water in a tub, sit for 10 mins wah the anal area and apply jatyadi oil. Avoid spicy fried foods, street foods. Avoid nonveg diet.
Since you’ve noticed significant improvement with the current regimen, it indicates your body responded well to the treatment so far. Pain and bleeding stopping is a good sign. You can continue with the same dose (2-0-2) for another 2 weeks, making it a total of four weeks. This helps to consolidate the benefits you’ve gained and addresses any underlying imbalances. After four weeks, it’s generally advisable to taper down. Transitioning to a maintenance dose of 1-0-1 can prevent recurrence.
However, while continuing this treatment, ensure you keep following a balanced diet which you mentioned had positive effects. Include fiber-rich foods like fruits, whole grains, and vegetables, to help prevent further issues. Adequate hydration is crucial, particularly with the intake of Triphala Churna, which can be continued at night with warm water. This facilitates smoother digestion and promotes gut health.
Implementing certain lifestyle habits like not sitting for prolonged periods, gentle yoga, or walking daily could support circulatory health, particularly in your lower body.
It’s important to note that individual responses may vary. If any new symptoms occur, or if the pain or bleeding returns, reassessment would be necessary. In that case consulting with a healthcare provider is recommended. Since you’ve already had such improvements, sticking to the plan while monitoring closely should keep you on the right track.
As pain and bleeding has reduced instead of 2 tablets you can switch to 1 tablet twice daily N you can continue triphala churna
Based on the remarkable progress you’ve experienced with the current regimen for your anal fissures and piles, it’s promising to hear that the pain and bleeding have subsided. The use of two tablets twice a day, alongside Triphala Churna at night, seems to be supporting your recovery well. This suggests a balance between your doshas and the diet adjustments has enhanced your body’s healing processes - a good sign that your agni or digestive fire is also stable.
Continuing this dosage for another two weeks could be beneficial, though it’s ideally best to slightly adjust the plan if you notice particular improvements or interactions. Normally, after 4 weeks, you may consider transitioning to a maintenance dose of one tablet twice a day (1-0-1), but this step is dependent on how your body continues to respond to the herbs.
Nonetheless, while Ayurvedic principles greatly emphasize gradual and sustained healing, you should also observe how your body feels and any subtle changes in symptoms. Monitor any variation in bowel movements, discomfort, or unusual symptoms, and make sure your diet remains rich in fiber, hydrating, and supportive of your ongoing recovery.
If after two more weeks on the current dosage you feel stabilized, transitioning to a reduced dose is reasonable. Always best to consult directly with your practitioner to address any specific needs or uncertainties, ensuring safety. If any new symptoms arise, it’s essential to get a clinical opinion immediately.
