From what you have described, your system has gone through too many treatments in a short time Panchakarma, repeated vermox/albendazole/ ivermectin cycles to big vastis back to back and continuous Triphala Fever, bloating, becoming soft after vasti shows that the abdomen had long standing vata kapha trapping, but they cleansing was repeated without restoring strength. Your gut lining and skin immunity have become more sensitive. That is why the hitching around the anal area, especially after bathing, keeps returning, even after anti paracytic medicines
In Ayurveda, this pattern fits with stubborn vata kapha imbalance along with low Agni and irritated colon mucosa … After repeated antihelmintics the parasites maybe weekend, but this skin around the anus becomes hypersensitive dry, and the microbiome becomes disturbed. This creates forced by teaching, even if worms are almost cleared. You need to stabilise the colon now, not cleanse again What is likely happening? The big vastis softneed your bloating because vata mood temporary, but your Agni did not rebuild Triphala every day after panchakarma continues to keep the colon in mild cleansing mode, which irritates an anal skin for some people Repeated worm medicine, disturb local Flora when you bathe warm water increases blood flow and irritated nerve endings, create itching, even if worms are minimum The hitching cycle continuous because the meko is dry and inflamed, not because of active, heavy infestation
What you can do now for 20 to 25 days, Stop Triphala for now give your colon a break Start gandharvahatitaki avaleha-1 teaspoon at night with warm water It reduces bloating without scrapping the colon harshly For the itching- pat dry completely Apply Jatyadi tailam-around the annual region This removes the irritation cycle and restore the skin barrier To rebuild gut,immunity start in Bilvadi lehya-1 teaspoon twice daily after meals For parasites (last cycle, only do not repeat this repeatedly Take vidanga churna -of teaspoon with warm water at morning for five days, then stop it This is safer forever, then repeated chemical antihelminthics Diet for next 30 days Warm, fresh, simple food Avoid raw salads fruits at night cold drink, bread, oats, excessive triphala Bring Carom- cumin - fennel water If bloating increases, then you can take Hingwastaka churna of teaspoon with water before means It will reduce within 5 to 7 days once the skin barrier is restored Bloating should settle within 10 to 14 days Stability will return within 3 to 4 weeks if no more cleansing is done
From what you have mentioned, the bloating, improving after two large enemas show your intestine were holding a lot of stagnation, but the recurring anal itching after bath point strongly toward ongoing parasite irritation plus an irritated sensitive lining, so continuing multiple anti were medicines back to back and actually in flame, the anal skin and worsen vata in the colon at this state, the best approach is to stop all deworming for now calm the gut take a gentle bubble regulation like small dose of triphala only at night Apply oil like coconut oil or castor oil around the anal area. After bathing, keep the area completely dry drink, warm water. Avoid raw foods and after one week of settling down, you can repeat a single short course of one anti parasite, medicine do not mix many together, like you can take vidangasava 20 ML with equal water after meals for 10 days
Cannot get vidagansava wherr live…i have ivermectin mebendazole albendazole corom triphala neem thanks
Ivermectin mebendazole albendazole all are allopathic medicines You can try vidangasava churna which is aviliable in this platform instead vidangasava if it’s not available
Hello I completely understand your concern. Chronic bloating and recurring skin itching after treatment can be distressing — especially when you’ve already tried multiple therapies. But dont worry we are here to help you out😊
✅ AYURVEDIC TREATMENT PROTOCOL
✅INTERNAL MEDICATION
1. Arogyavardhini Vati – 1 tab twice daily after food with warm water – improves liver function, enhances digestion, and removes Ama toxins.
2. Krimighna Vati – 1 tab twice daily after food – acts as an Ayurvedic antiparasitic and relieves itching and perianal discomfort.
3. Triphala Guggulu – 1 tab twice daily after food – reduces bloating, relieves intestinal inflammation, and supports detoxification.
4. Avipattikar Churna – ½ tsp with lukewarm water before meals twice daily – helps balance excess Pitta and relieves hyperacidity and bloating.
5. Gandhak Rasayan – 1 tab twice daily after meals – purifies blood, reduces itching, and enhances skin immunity.
✅ EXTERNAL APPLICATION & HYGIENE CARE
1. Bathing – Use lukewarm water with 1 tsp neem powder or a few neem leaves boiled in it. Avoid hot water baths.
2. Post-bath care – Apply paste of neem + turmeric + aloe vera gel over the itchy area; this soothes irritation and prevents microbial growth.
3. If itching persists – Use Nalpamaradi Taila or Manjisthadi Taila for local application before bath (15–20 min) daily to purify skin.
4. Clothing hygiene – Use mild, non-synthetic undergarments; wash with neem-based detergent or a few drops of tea tree oil in rinse water.
5. Avoid scratching – it worsens irritation; instead, apply cold aloe gel for instant soothing.
✅ HOME REMEDIES
✅ For Bloating:
Boil 1 tsp ajwain + 1 tsp jeera + pinch of hing in 2 cups water; reduce to 1 cup, drink warm after meals.
Eat 1 tsp trikatu churna (sunthi + maricha + pippali) with honey once daily to enhance digestion.
Avoid drinking water immediately after meals.
✅ For Itching / Worm Infestation:
Drink 1 glass of warm water with 1 tsp neem leaf juice or ½ tsp turmeric powder empty stomach daily for 7 days.
Have papaya seeds (1 tsp crushed) with honey on an empty stomach once weekly — natural dewormer.
Include garlic and black pepper in daily diet — both act as natural Krimighna dravyas.
✅ DIET & LIFESTYLE RECOMMENDATIONS
Include:
Warm, freshly cooked, light foods (moong dal, rice gruel, bottle gourd, ridge gourd, carrots). Buttermilk with roasted cumin after meals to aid digestion. Herbal teas of fennel, ajwain, or coriander.
Avoid:
Cold drinks, fermented foods, refined flour, sugar, and dairy. Late-night eating, sleeping immediately after meals, and daytime sleep.
Lifestyle Tips:
Practice Laghu Udvartana (powder massage) once weekly to improve lymphatic flow and remove toxins. Gentle Anulom Vilom & Agnisar Kriya early morning improve digestion and gut motility.
With regular Ayurvedic therapy, you can expect relief in bloating and heaviness within 3–4 weeks.
Wishing you a good health😊
Warm regards, Dr Snehal Vidhate
You can start with triphala If choorna form 1 tsp with warm water at bed time
Thanks but difficult to get it shipped to Lebanon…
All the medications are classical only
Can you get single herbs in lebonon?
So that we can prepare TREATMENT plan accordingly
I have triphala ivermectin mebendazole albendazole corom, neem with brahmi, turmeric, sesame oil coconut oil , laxative, charcoal pills
Thank you God bless you🙏
Start with Tablet Liv-52 1-0-1 after food with water Apply coconut oil in anal region twice daily You have already taken so many anti wormin medicine, now not required.
HELLO,
You’ve had -persistent bloating for more than 6 months -itchy skin ,especially around the anal area after bathing -History of intestinal parasites, treated with several allpopathicmediicnes -Recently completed a 19 day Ayurvedic Panchakarma with vast ad are still taking triphala
According to Ayurveda, your symptoms show an imbalance mainly of -Vata dosha= causing gas, bloating, irregular bowel movements -Kapha dosha= causing heaviness, mucus, sluggish digestion -Pitta involvement= causing itching, burning or skin irritation
Additionally, due to long standing digestion issues and possible residual parasites, your system has built up ama- a kind of sticky toxin formed when food isn’t fully digested. This Ama, along with disturbed vata and kapha, creates gas, bloating, and irritation in the colon and skin
WHY THE ITCHINESS AFTER BATH? When parasites or residual toxins irritate the colon and anal region, warm water or soap during bathing can increase circulation and aggravate itching Sometimes after repeated anti parasitic use, the delicate skin and gut flora become irritated, leading to secondary fungal or bacterial itching
TREATMENT GOALS -cleanse the digestive tract gently- remove ama and residual parasites -restore strong digestion so that food digests completely -soothe and heal the intestinal mucosa after harsh medications -reduce local irritation and itching naturally -balance vata and kapha to prevent gas and bloating -rebuild gut flora and immunity to avoid recurrence
INTERNAL MEDICATIONS
1)VIDANGA CHURNA= 1 tsp with warm water in morning empty stomach for 10 days =natural anti parasitic herb, kills intestinal worms and reduces itching from krimi
2) HINGWASTAKA CHURNA= 1/2 tsp before meals with warm water for 3 weeks = improves digestion, reduces gas, relieves bloating, pacifies vata
3) CHITRAKADI VATI= 1 tab twice daily after meals for 3 weeks =increases digestive fire, burns ama, clears toxins
4) TRIPHALA CHURA= 1 tsp at bedtime with warm water for 2 months =mild laxative, cleanses colon, improves absorptio
5) BUTTERMILK WITH CUMIN= half glass after lunch daily =helps digest fats, removes kapha, restores gut balance
IF BURNING OR ACIDITY DEVELOPS, REPLACE CHITRAKADI VATI WITH AVIPATTIKAR CHURNA= 1/2 tsp twice daily after meals
EXTERNAL APPLICATIONS AND SKIN CARE
1) NEEM - COCONUT OIL MIX -mix equal parts neem oil and coconut oil -apply lightly to itchy area after drying post bath -PURPOSE= antibacterial, antifungal, soothing
2) NEEM WATER WASH -boil a handful of neem leaves in 2 L of water for 10 mi -cool until lukewarm and wash all area after bath or before bed =prevet secondary infection and reduce inflamation
3) BATHIN ROUTINE -avoid strong soaps. use green gram flour or neem-turmeric herbal powder to cleanse body -dry the area throughly ; moisture worsen itching -wear loose, cotton undergarments
DIET -prefer warm, freshly cooked, light meals -include jeera, ajwain, hing, ginger, and turmeric only -use cow’s ghee in moderation- soothes vata and heals intestinal lining - drink warm water or cumin seed water throughout the day
AVOID -cold foods, and drinks -heavy dairy cheese, yogurt at night -fried, fermented or processed foods -excess sweets and white flour -raw salads and uncooked vegetables
LIFESTYLE ADJUSTMENTS -maintain regular meal timing, avoid skipping meals -avoid eating when stressed or before old food digests -sleep by 10:30 pm to balace hormonal cycels -avoid sitting long hours post meal- take short walks -reduce excessive sexual activity or stress during treatment phase, as they disturb apana vata
YOGA ASANAS -pawanmuktasana -vajrasana -trikonasana -setu bandhasana
PRANAYAM -anulom vilom= Balances Vata and pitta -bhramari= calms mind, reduces internal heat -kapalbhati= improves digestion
HOME REMEDIES -Ajwain tea= drink warm after meals -Cumin coriander fennel water= sip through day -Lemon-honey warm water in morning supports mild detox -triphala body scrub weekly to reduce skin irritation
Your body is recovering from both the effects of parasites and the deep cleansing panchakarma. some temporary imbalance and skin irritation are normal during this stage The key now is gentle rebalancing- not more aggressive cleansing
FOCUS ON -strengthening digestion -claming vata -healing the intestinal mucosa -keeping the anal region clean and dry - following a light, warm, nourishing diet
Within 6-8 weeks, bloating should reduce, bowel regularity improve, and itching subside
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Persistent bloating and itchy skin can relate to an imbalance in the doshas, potentially involving Vata and Pitta. After completing your treatment, it seems like you experienced some relief with Vasti, likely helping to pacify aggravated Vata. Triphala, a beneficial herbal formulation typically helps maintain digestive health and knows to clear ama, or toxins. However, in your case, the presence of parasites seems to be a complicating factor.
In terms of Ayurveda, it’s critical to look at strengthening your digestive fire, or Agni, which can be compromised by parasites and medication. Consider drinking warm water throughout the day, adding spices like ginger, cumin, and fennel to your diet, which can gently enhance Agni. Simple meals, like a warm vegetable soup or kichadi, might be helpful, as they aid in smoother digestion without adding load to your system.
Regarding the itchiness, especially post-bath, this could align with heightened Pitta, needing cooling and soothing. Applying coconut oil before your shower can help protect the skin. Further, using an oatmeal water bath, mixing a handful of ground oatmeal in your bath water, can be soothing and reduce itchiness.
When managing parasites, it’s important that you complete the medication courses as prescribed and follow up with a healthcare practitioner to ensure full resolution. Additionally, garlic and neem, both recognized for their anti-parasitic properties, can be introduced cautiously under professional guidance.
Given the redundancy of strong medications in a short period, I advise to monitor your symptoms closely and see a physician specializing in parasitic infections to confirm the right treatment plan and dosages is maintained and your condition thoroughly assessed.
Internal Medicines 1 Triphala Churna: Continue 3 gm night with warm water. 2 Vidanga Churna: 3 gm morning with warm water (anti-parasitic). 3 Kutajarishta: 15 ml + 45 ml water after lunch & dinner. 4 Avipattikar Churna: 3 gm before dinner (bloating). 5 Kamadhudha Ras (plain): 125 mg twice daily with water (to pacify itch + Pitta).
External Applications Anal Area: Jatyadi Ghrita → apply after bath & bowel → twice daily. Sitz Bath: Triphala + Neem Kwath (10 gm each in 2 L warm water) → sit 10 min nightly.
Diet Give only: Moong khichdi + 1 tsp ghee. Buttermilk with roasted jeera. Pomegranate, papaya.
Avoid completely: Bathing in hot water → use lukewarm. Spicy, fried, dairy.
Lifestyle Wear cotton underwear; change twice daily. No scratching – use soft cloth. Sleep 10 PM – 6 AM.
Monitoring Itch & bloating log: Daily. Stool for ova/parasites: After 30 days. If itching >7 then see proctologist.
Regards Dr Gursimran Jeet Singh MD Panchakarma
Your persistent bloating and itchiness indicate an underlying imbalance that needs meticulous attention. Bloating often results from agni (digestive fire) disturbances, particularly aggravated by improper diet or digestion-related dosha imbalances. Itchy skin post-vermox could signal your body’s detox effort or a deeper pitta imbalance due to heat localization.
To address bloating, focus on settling your agni. Try taking ginger tea before meals to stimulate digestion. Grate fresh ginger and boil it in water for about 5-7 minutes. Alternatively, a mix of a pinch of salt with ginger juice right before eating can also invigorate agni. Manage meals with warm, cooked foods; avoid raw or cold meals to stabilize digestion.
The itchiness near the anal area indicates potential ama (toxins) buildup or a kapha excess. Dry brushing your skin before baths can invigorate circulation and reduce kapha. Use a natural, soft-bristle brush, making gentle strokes toward the heart. This practice assists the lymphatic system in clearing stagnation.
For parasites, remember these treatments can stress your body. A decoction of neem leaves once a day could continue to help purify and restore balance, but be cautious not to overdo internal antiparasitics without consulting a professional directly.
Despite these practices, if itchiness or bloating persist or worsen, consult a physician. They are key to ruling out more severe underlying conditions. Avoid self-prescribing multiple medications as it can risk adverse effects. Keep hydrated, rest, and support your system with calming routines.
HELLO,
AYURVEDIC MANAGEMENT
1) IMPROVING DIGESTION AND REDUCING TOXINS
-use gentle carminative herbs to improve digestive such as -trikatu= 1/2 tsp with warm water before meals
-jeera ajwain fennel tea after meals -warm water instead of cold
MANAGEMENT OF PARASITES
-VIDANGA CHURNA= 1 /2 tsp with warm water in morning
-neem churna= 1 tsp with warm water in morning
-garlic include 2-3 clove daily
SKIN ITCHING AFTER BATH -apply coconut oil or sesame oil before bath -use lukewarm water -use mild unscented soaps
If itching recurs after anthelmintics you must consider -skin dryness -irritation -residual parasite symptoms -anal dermatitis
lifestyle -regular meals, avoid skiping -gentle yoga= pawanmuktasana, vajrasana after meals -stress reduction practice pranayam, meditation
THANK YOU
DR. HEMANSHU MEHTA
