HELLO,
You are dealing with digestive irregularities (bowel issues) connected with Multiple sclerosis (MS)- a condition that affects the nervous system. MS can interfere with nerve signals to your intestines, making bowel movements inconsistent
FROM AN AYURVEDIC PERSPECTIVE, YOUR SYMPTOMS INDICATE -VATA IMBALANCE= causing dryness, irregular motion, gas and bloating -AGNI DUSHTI (disturbed digestive fire)= sometimes too weak-> costipation, sometimes overactive-> diarrhea -AMA (toxic buildup)= due to incomplete digestion, leading to swelling, heaviness, and irregular elimination -PITTA INVOLVEMENT may appear when you have diarrhea, burning, or acidic symtpoms
IN SHORT= your nervous system imbalance (vata) combined with digestive fire disturbance (agni) is creating this either or cycle - diarrhoea a followed by no movement
TREATMENT GOALS -regulate apana vata(the downward - moving energy controlling elimination) -Strengthen digestive fire gently without aggravating pitta -Remove ama (toxins undigested) from intestines and tissue -nourish and calm the nervous system (since MS involves myelin sheath damage, vata pacifying and rasayana therapy are essential) -stabilize digestion and absorption for long term health
LIFESTYLE RECOMMENDATIONS -keep a steady daily rouitne= regular sleep, wake up , and meal times help regulate apana vata -Avoid skipping meals or eating at irregular times -warmth is healing for vata - keep abdomen, feet, and lower back warm -Avoid cold exposure , air conditioning directly on the body, and cold foods -Do not suppress natural urges - urine, flatus, belching -Rest after meals for 15-20 min (do not sleep immediately ) -Sleep= maintain early bedtime before 10 pm, and 7-8 hors of quality sleep
DIET -prefer warm, cooked lightly spiced, and unctous food -avoid raw, dry, cold ,processed or fermented foods -drink warm water throughout the day, small sips at a time - Include ghee= nourishes intestines and calms vata -Avoid skipping meals or fasting too long
INCLUDE -GRAINS= oats, rice, wheat ,quinoa, barley -well. cooked -VEGETABLES= pumpkin, bottle gourd, ash gourd, carrot, beetroot, spinach (cooked, not raw) -FRUITS= ripe banana, papaya, stewed apple, pomegranate, figs, soaked raisins -PROTEINS= mung dal, well cooked lentils with ghee, small amounts of khichri -FATS= cow ghee, sesame oil, olive oil -SPICES= cumin, coriander, fennel ,ginger, ajwain -all enhance digestion
-AVOID= raw salads, cabbage, cauliflower, dry beans, cheese, caffeine, alcohol, sugar , fried food
HEALING FOOD -mung dal khichdi=1 cup rice + 1/2 cup mung dal + ghee + mild spices cumin ,ginger, turmeric- cooked soft, eaten warm. This is balancing, cleansing and nourishing at the same time
INTERNAL MEDICAITONS
FOR REGULATING DIGESTION AND APANA VATA
1) TRIPHALA CHURNA= 1 tsp at night with warm water =gently cleanses bowels, Balances Vata and pitta, prevents both constipation and loose motion
2) AVIPATTIKAR CHURA= 1/2 tsp before meals with warm water =regulates acid and helps mild diarrhea phases
3) HINGWASTANA CHURNA= 1/2 tsp with first bite of meal =reduces gas and bloating, improves digestio
FOR NERVOUS SYSTEM AND VATA CONTROL
4) ASHWAGADHA CAPSULES= 500mg cap twice daily with warm milk =strengthens nerves, calms anxiety, supports MS management
5) BRAHMI VATI= 1 tab twice daily after meals = improve coordination between brain and gut
6) DASHMOOLARISHTA= 20 ml after meals with equal water twice daily =Balances Vata and supports regular bowel movement
FOR NOURISHMENT AND REJUVENATION
7) CHYWANPRASHA= 1 tsp morning empty stomach with warm water or milk =enhances immunity, nourishes tissues, strengthens nervous system
DURATION= 6-12 weeks can be continue till 3 month
EXTERNAL TREATMENT
OIL MASSAGE= daily full body massage with KSHEERBALA TAILA -focus on lower abdomen , legs, and back -follow with a warm shower =calms vata, improve nerve conduction, aids bowel movement
GENTLE YOGA ASANAS -pawanmuktasana series= improves digestion -supta matysendrasana= aids bowel movement -setu bandhasana= strengthens abdomen -balasana= relieves bloating -shavsana= relaxation to reduce nervous strain
PRANAYAM -Anulom vilom= 10 min twice daily -bhramari= 5 min before sleep to calm the nervous system -deep abdominal breathing= focus on belly expansion and contraction
These practices improves gut- brain connection and regulate apana vata through the vagus nerve
HOME REMEDIES -castor oil = 1 tsp with warm milk at bedtime once weekly for constipation -Ghee with warm water= 1 tsp ghee in warm water mroning and evening -Cumincoriader fennel tea= if it causes diarrhea, replace with only cumim+fennel in equal parta -SOaked black raisins 5-10 overnight- mild laxative, nourishing -A pinch of hing in food= reduces gas
Your digestive system reflects your inner balance. In MS, Nerve signals are irregular, and Ayurveda approaches this by stabilising vata and rejuvenating tissues
Patience is key- digestion and nerve balance return slowly, usually over 8-12 weeks of consistent rouitne , diet and medications
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Hello Start with Tablet Liv-52 1-0-1 after food with water, will help balance your digestive system Triphala tablet 1-0-1 after food with water Massage your body with ashwagandha+ kshirbala oil
Do pranamyam lom -vilom bhastrika bhamri 5-10mins daily twice
🌿 A steadier plan (safe to discuss with your doctor) 1. Pause the strong teas CCF (cumin–coriander–fennel) can be too stimulating right now. Use plain warm fennel water or cumin-only tea if you’d like something soothing. 2. Gentle daily routine Try to do this at the same time every day to retrain the bowel: Time What to do Morning ½–1 tsp ghee in warm water before breakfast. Then gentle clockwise abdominal massage for 5 min. Breakfast Warm porridge, rice gruel, or moong dal khichdi. Sit upright for 15 min afterward. Evening (if no BM for 2–3 days) 1 tsp psyllium husk (Isabgol) in a glass of warm water before bed. Still no relief after 3 days Ask your doctor about a gentle osmotic laxative (lactulose or polyethylene glycol). They draw water into the colon and rarely cause sudden diarrhea. 3. Food & fluid basics ✅ Prefer: Warm, well-cooked foods—soups, dal, soft rice, or oats. 1–2 Tbsp flaxseed meal daily for soft fiber. Small meals, eaten calmly. 🚫 Avoid: Raw salads, cold drinks, caffeine, and dairy except ghee. Big evening meals (you’re already timing this well). Sip warm water all day; cold fluids slow the bowel. 4. Other supportive steps Keep your abdomen comfortably supported and avoid tight waistbands. If mobility allows, try gentle side-to-side trunk rotations in your chair or bed; they stimulate the colon. Ask your care team about a scheduled bowel program—a predictable routine many people with MS use successfully. A probiotic (with Bifidobacterium and Lactobacillus) can help once things are calmer. 5. Medical checks to request Thyroid function Vitamin D, B12, and magnesium levels Review of any medications that slow gut motility ⚠️ Seek medical advice promptly if No bowel movement for > 5 days Severe swelling or pain Repeated watery diarrhea or signs of dehydration
Dont worry take bilwadilehyam 1tsp bd, chitrakadhi vati 1tab bd, swadista virechana churnam 1tsp with lukewarm water enough
Namaste Shullamit, I truly understand how distressing irregular bowel movements and digestive issues can be—especially when you’re already managing multiple sclerosis. But dont worry we are here to help you out😊
✅AYURVEDIC PLAN OF TREATMENT
✅INTERNAL MEDICATION
1 Triphala Churna – 1 tsp at bedtime with warm water or ghee – helps regulate bowels naturally.
2 Avipattikar Churna – ½ tsp before lunch and dinner with warm water – reduces acidity and bloating.
3 Hingvastak Churna – ½ tsp with the first bite of food – enhances digestion and reduces gas.
4 Pippalyasava – 10 ml after meals with equal warm water – improves Agni (digestive fire).
✅Shodhana (Mild Detox and Rejuvenation)
Since you’ve recently undergone Ayurvedic therapy, avoid strong purgation or Vasti now. Instead, support gentle elimination:
Take warm castor oil (1 tsp) in warm milk once a week at night to relieve constipation naturally.
Light Abhyanga (warm sesame oil body massage) 3–4 times a week helps pacify Vata and improves colon motility.
✅DIET MODIFICATION
Focus on Vata-pacifying, gut-soothing foods: Prefer warm, soft, oily, and easily digestible meals – like moong dal khichdi, rice gruel, and vegetable soups. Add ghee liberally—it lubricates the intestines and improves bowel regularity. Avoid cold, raw, dry, and fermented foods (salads, cold drinks, caffeine). Drink warm water throughout the day; avoid large gaps between meals. Include steamed apple, ripe banana, or soaked raisins for natural fiber and gentle laxation.
✅ LIFESTYLE AND HOME REMEDIES
Practice regular oil massage on the lower abdomen with warm sesame oil followed by a warm compress—improves Apana Vata.
Daily routine: Sleep early, eat at fixed times, and avoid fasting or skipping meals.
Yoga: Gentle breathing practices like Anulom Vilom and Bhramari Pranayama calm the nervous system and regulate bowel function.
Warm herbal tea: Replace CCF tea with Ginger + Ajwain + Fennel tea, which is milder for Vata digestion.
✅ Simple Home Remedies
1. Aloe Vera Juice – 10 ml on empty stomach with lukewarm water to regulate bowels.
2. Soaked Raisins (10–12) overnight – eat in the morning to ease constipation.
3. Ajwain water – Boil ½ tsp ajwain in a cup of water, strain, sip warm after meals.
With consistent Ayurvedic regimen and gentle support for Vata, your bowel rhythm and digestion will gradually stabilize.
Wishing you a good health😊
Warm regards, Dr. Snehal Vidhate
Given your experience with multiple sclerosis and the digestive issues you’re facing. It is clear that your body is dealing with the reaction to the CCF tea While potentially a cleansing effect might be too harsh given your symptoms. It is essential to focus on healing your gut and fighting a balance that works for you. Incorporating gentle, easy to digest foods like khichdi and avoiding trigger foods that might exaggerate symptoms could be beneficial, warm teeth like ginger or fennel might help soothe your digestive system You might find it helpful to keep a food diary to track what works and what does not and adjust your diet accordingly. For your symptoms, you can start Haritaki churna 1 teaspoon with warm water at night Avipattikara churna half teaspoon before meals with water Remember, Patient and consistency are key. It might take some time to find the right balance, but with the right approach and support you work towards improving your digestive health.
1.Avipattikar churna 1/2 tsp with warm water after meals 2.Hingwashtak churna 1 tsp with warm water just before meals 3. Kutajghan Vati (for diarrhea episodes only)- 2 tab twice daily with water after meals 4.Dashmoolarishta 20 ml with 20 ml water twice daily after meals
🧘 Lifestyle & Dietary Tips - Avoid raw foods, cold drinks, and dry snacks - Favor warm, soft, cooked meals like khichdi, stewed apples, and soups - Add ghee to meals—it lubricates intestines and calms Vata - Eat at regular times, even if small portions - Gentle abdominal massage with warm castor oil or sesame oil may help stimulate peristalsis
Your situation with digestive issues amidst multiple sclerosis is quite complex, and addressing it requires a careful approach. With the symptoms you’ve described, it sounds like there might be an imbalance in your digestive fire (agni), which is crucial for proper digestion and absorption. In Ayurveda, irregular bowel movements such as constipation and diarrhea may be connected to Vata or Pitta imbalances. Here’s a practical, actionable plan to help you find some relief:
First, it’s recommended to address your diet since it has a significant impact on bowel movements. Aim for a Vata-pacifying diet incorporating warm, moist, cooked foods like soups and stews that are easy to digest. Avoid cold, raw, and excessively dry foods. Include vegetables like zucchini, squash, and carrots, which are gentle on digestion.
Next, consider incorporating triphala in your routine. It’s a classical Ayurvedic remedy known to support digestion and regular bowel movement. Take about half to 1 teaspoon of triphala powder with warm water, before bed. Do not overdo it though, as it can sometimes cause diarrhea.
For hydration, drink warm water throughout the day. Warm water supports digestion better than cold. You might want to start your day with a glass of warm water with a few drops of lemon juice, as it’s gentlely stimulating for the bowels.
Routine is important - stick to a consistent schedule for sleeping, eating, and bowel attempts. This helps regulate your body’s natural rhythms. Try not to skip meals, but keep them small and frequent.
Lastly, a gentle abdominal massage using warm sesame oil could promote digestion and relieve Vata. Massage your abdomen in a clockwise direction for 5-10 minutes daily.
Keep monitoring your symptoms, and if they persist or worsen, consult with a medical professional. It’s essential to adjust this advice according to your unique situation and any additional medical treatments you are receiving. Avoid delays in seeking necessary professional medical help where required.
Stop CCF tea immediately. 3 weeks is enough to see pattern – current approach is aggravating Vata (as dryness leads to constipation).
Internal Medicines 1 Triphala Churna: 1 tsp + warm water nightly 2 Avipattikar Churna: 3 gm before dinner 3 Bilwadi Churna: 1 gm morning with water 4 Dadimadi Ghrita: 5 ml morning with warm milk
External Care Nabhi Basti: 30 ml warm Dhanwantaram Tailam in navel , hold it for 20 min nightly.
Diet (Vata-Pacifying) Give only: Khichdi (moong dal + rice 1:2) + 1 tsp ghee × 2 meals. Stewed apple with cinnamon (morning). Buttermilk (diluted + cumin) after lunch. Warm water sip every 30 min (2 L). Avoid completely: CCF tea, raw salads, beans, caffeine. Eating after 5 PM.
Lifestyle Vajrasana 5 min after meals. Gentle abdominal massage (clockwise) with sesame oil 5 min daily. Sleep 10 PM – 6 AM.
Regards Dr Gursimran Jeet Singh MD Panchakarma
Managing digestive issues alongside a condition like multiple sclerosis requires careful balancing of approaches that work for both your gut health and overall condition. When it comes to the erratic bowel movements you’re experiencing, it’s possible your body’s agni (digestive fire) might be disrupted, leading to either sluggish or overly active digestion. In Siddha-Ayurvedic terms, your symptoms could align with an imbalance of vata, which governs movement and rhythm in the body, including digestion.
To help stabilize your bowel movements, consider focusing on routine and warmth. Try incorporating warm and easily digestible foods, such as well-cooked rice and lentils with a small amount of ghee. Avoid raw vegetables and heavy, greasy foods, which may aggravate vata and lead to further discomfort. Drinking a little warm ginger tea just after meals may help enhance your digestive fire and support regular bowel movements.
Creating a consistent, gentle routine can also support your digestive health. Try to incorporate a short period of abdominal self-massage; using warm sesame oil and applying it in a circular motion around your navel can stimulate digestive power and ease discomfort.
While implementing these changes, it’s crucial to monitor your symptoms closely. Severe constipation or frequent diarrhea that persists can indicate more serious underlying issues. Therefore, it’s important to keep your healthcare provider in the loop with any significant changes or ongoing problems in your digestive health.
Maintain your focus on routine and warmth, and be patient as the body works towards balance. Continued observation and adjustment, alongside professional support, will underline a more stable digestive path.
Follow some simple lifestyle changes and dietary changes and you will see results for your problem.
✔️Do’s✔️ Drink buttermilk daily. Eat freshly cooked food. Drink warm water. Lunch and dinner on fixed timings. 100 steps after every meal. If possible dinner as early as 7-8 pm. Limit intake of water. Drink only when you feel too thirsty.
🧘♀️ Yogasan : 🧘♀️ 1. Pawanmuktasana 2. Bhujangasana 3. Dhanurasana 4. Paschimottanasana 5. Ardha Matsyendrasana 6. Vajrasana 7. Supta Matsyendrasana
🧘♀️ Pranayam: 🧘♀️ 1. Bhramari 2.Bhasrika 3.Kapalbhati 4.Jyoti Tratak 5. Anulom Vilom
❌Don’ts:❌ Packed and processed food. Ready to eat items. Oily and spicy food. Sour and fermented products. Dals (only moong dal can be eaten) Besan Raw vegetables and sprouts Curd Reduce dairy intake. NonVeg food
💊Medication 💊
Tab. Ampachak Vati 2 tabs twice a day before food. Tab. Suthshekhar Ras 2 tabs twice a day before food Tab. Kutaj Parvati Vati 1 tab twice a day before food Syp. Amlapitta Mishran 2 tsp as the first bite of your meal.
Tab. Shankhavati 2 tabs immediately after food suck and eat twice a day.
Tab. Gandharva Haritaki 3 tabs at bed time with hot water
HELLO,
AYURVEDIC MANAGEMENT
1) GENTLE DAILY ROUTINE -warm water sipping throughout the day to stimulate digestive fire -regular meal times - same time every day, light dinner before 6-7 pm -avoid long gaps between meals, choose small, digestible portions
DIET -soft warm moist foods -khichdi, soups , broth - stewed apples or pears -cooked vegetables= zucchini, carrots, spinach -healthy fats= ghee 1 tsp with warm rice , olive oil -spices= ginger, cumin, fennel, coriander
AVOID -cold foods/drinks -raw salads -very spicy foods -heavy legumes -excess caffeine -processed foods
GENTLE REMEDIES FOR CONSTIPATION -1 tsp ghee in warm water at bedtime- lubricates intestines -soaked raisins or prunes in the morning- softens stool naturally -warm ginger tea once daily- light not strong Avoid strong laxatives or herbal cleansers especially given MS and mobility
TO CALM DIARRHEA EPISODES -sip coriander + fennel tea very mild -eat simple foods= rice porridge, plain khichdi -add a pinch of cinnamon to warm water to ease cramps
LIFESTLE FOR MS- related VATA IMBALANCE -warmth over cold exposure -gentle belly oil massage warm sesame oil -very light breathing practices -deep belly breathing 5-7 min -no forceful pranayam
THANK YOU
DR. HEMANSHU MEHTA
