Persistent bloating and abdominal enlargement like you described, especially alongside confirmed conditions like endometrioma and mild chronic inflammation, calls for a comprehensive approach rooted in Ayurvedic principles. First, we need to think about the underlying dosha imbalances. In cases like yours, vata imbalance, especially in the lower abdomen, along with potential kapha aggravation due to the cyst, is something to consider. It’s also essential to focus on improving agni, or digestive fire, which can be adversely affected.
You’ve mentioned consuming clean diet and practicing yoga, which are good start. Now, let’s tweak few things. Try incorporating hing (asafoetida) in your meals, as it can help better regulate vata and reduce bloating. Just a pinch in your food can improve digestion. Also, consider drinking warm water with a bit of lemon and a piece of ginger in the morning; this can help stimulate agni.
For herbal remedies, continue with kachnar guggulu but consider adding trikatu (a combination of black pepper, long pepper, and ginger) to aid digestion. The tea made from fennel seeds post meals may also alleviate bloating. Additionally, there’s potential benefit from using castor oil for gentle abdominal massages to reduce vata and aid in discomfort; be cautious with pressure.
Your stress is understandable but enhancing mental calm through regular nadi shodhana (alternate nostril breathing) might help harmonize pranavayu (respiratory and circulatory forces) and improve the condition.
Lastly, since your main concern involves an ongoing medical condition, I’d recommend staying in close touch with a healthcare provider for regular check-ups, as specific interventions could be necessary. Ayurveda perfectly complements where modern medicine may not fully address visible symptoms, but keeping both perspectives integrated ensures comprehensive care.



