1.Triphala churna 1 tsp at bedtime with warm water 2.Gandharvahastadi Kashayam 20 ml with 20 ml water twice daily after meals 3.Tab Nityam 1 tab at bedtime with warm water
🌸 Supportive Routine - Diet: Add more warm, oily foods—ghee, sesame oil, soaked raisins, figs, papaya. Avoid dry, cold, and processed foods. - Hydration: Drink warm water through the day. - Lifestyle: Gentle yoga asanas (pawanmuktasana, vajrasana after meals) help bowel movement. - Oil massage: Abhyanga (warm sesame oil massage) calms vata and supports digestion.
Sat Sri Akal Paaji, tusi medicines shuru kro eh vaalia and let me know kive rehndi a improvement. You will be fine.
Medicines 1 Abhayarishta – 20 ml + 40 ml warm water after dinner 2 Panchsakar Churna – 3 gm + warm water at bedtime 3 Avipattikar Churna – 3 gm before dinner with warm water 4 Shatavari Kalpa – 10 gm night with warm milk
Daily Must-Do Vajrasana 10–15 min after every meal (most important – relaxes pelvic floor) Warm water + 1 tsp ghee morning empty stomach No straining – sit only when strong urge
Diet Have moong khichdi + ghee, papaya/pomegranate, thin buttermilk + roasted jeera
Avoid completely: maida, bakery, tea/coffee excess, cold drinks, late dinner
Regards Dr Gursimran Jeet Singh MD Panchakarma
Take anuloman ds 1tab bd, chitrakadhi vati 1tab bd, Pancharista 20ml bd enough u ll get results
Dr RC BAMS MS
This is a very long standing constipation and not a simple digestion issue When stools are soft but still difficult to pass it usually means dryness and weakness of the rectum and anal canal which is a vata dominant condition
That is why you feel the urge many times 4 to 5 visits but only a small amount comes out with straining Occasional Triphala does not help in such old cases because it stimulates the bowel but does not provide lubrication or nerve strength
This condition needs lubrication and vata balancing not strong laxatives
What you can do is Take 1 teaspoon of pure ghee daily at morning with warm water Erandbrisht Haritaki -1 teaspoon with warm water can be taken at night
Avoid straining Go only when the urge is natural
Eat warm cooked food Avoid dry foods like biscuits bread toast Avoid curd at night
As your water intake is adequate so this is not dehydration It is internal dryness developed over many years
This problem is treatable but it needs regular routine not occasional medicines
Hello, Your symptoms of long-standing constipation (many years) with severe straining, frequent urge (4–5 times/day) but incomplete evacuation, and soft stools that are still difficult to pass, suggest chronic outlet constipation.
Because this has been present for 40–50 years, the problem is not stool hardness, but poor rectal propulsion, weakened defecation reflex, and dryness of colon nerves and muscles. That is why Triphala gives only partial or temporary relief.
🔎 Recommended Investigations (Strongly advised due to long duration) Colonoscopy (if not done in last 5–10 years) Thyroid profile (TSH) Serum electrolytes Fasting blood sugar Ultrasound abdomen (if bloating / discomfort)
💊 Internal Medicines Phase 1 – Restore Bowel Reflex & Reduce Straining (30 days) 1.Abhayarishta – 20 ml + equal water, after dinner, daily 2.Gandharva Haritaki Churna –½ tsp with warm milk at bedtime, daily 3.Eranda Taila (Castor oil) – 1 tsp with warm milk, twice weekly only (not daily) 4.Hingwashtak Churna – ¼ tsp with warm water before lunch, daily
Phase 2 – Colon Strengthening (60–90 days) (Prevents relapse) 1.Ashwagandha Churna – ½ tsp with warm milk at bedtime 1.Dashamoola Haritaki Avaleha – 1 tsp at bedtime, alternate days 3.Triphala – ❌ Not daily ✔ Only once or twice a week if needed
🌿 Most Important External Therapy Matra Basti (Oil enema) – Highly effective • Oil: Sesame oil or Ksheerabala Taila • Quantity: 50–60 ml • Time: Morning, empty stomach • Frequency: Daily for 7 days → then twice weekly 👉 This is the gold-standard treatment for decades-old constipation. (If hospital not possible, a trained Ayurvedic therapist can guide.)
🥗 Diet & Bowel Training (Crucial) ❌ Avoid • Excess tea/coffee • Dry food, biscuits, bakery • Forcing or straining • Sitting too long on toilet ✅ Include • 1–2 tsp cow ghee daily • Warm cooked food • Stewed vegetables • Warm water on waking
Bowel Habit Training • Fixed toilet time (morning after warm drink) • Do not strain >5 minutes • Foot stool under legs (squatting posture)
🧘🏻♂️ Yoga & Physical Support • Pawanmuktasana • Malasana (if possible) • Gentle abdominal massage clockwise • Daily walking
🕉️ Prognosis & Follow-up • Straining reduces: 2–3 weeks • Complete evacuation feeling: 4–6 weeks • Long-term control requires Basti + oil + routine
✨ Very old constipation is reversible, but laxatives alone will not work. Colon lubrication and nerve support are essential.
With warm regards, Dr.Sumi MS(Ayu)
I CAN UNDERSTAND HOW FRUSTRATING AND EXHAUSTING THIS PROBLEM HAS BEEN FOR YOU ESPECIALLY WHEN IT HAS BEEN PRESENT FOR SO MANY YEARS AND HAS NOW BECOME WORSE
FROM AN AYURVEDIC VIEW THIS TYPE OF STRAINING WITH SOFT STOOLS AND REPEATED UNSATISFACTORY MOTIONS INDICATES WEAK BOWEL SIGNALS DRYNESS OF THE COLON AND POOR COORDINATION OF THE DEFECATION REFLEX THE MAIN AIM OF TREATMENT IS TO RESTORE NATURAL BOWEL MOVEMENT NOT TO FORCE STOOL OUT
STOP STRAINING COMPLETELY EVEN IF YOU FEEL THE MOTION IS INCOMPLETE GO ONLY WHEN THERE IS A NATURAL URGE DO NOT SIT FOR LONG TIME OR MAKE MULTIPLE ATTEMPTS
EAT SIMPLE WARM COOKED MEALS RICE MOONG DAL VEGETABLE SOUPS KHICHDI AND STEWED VEGETABLES ARE IDEAL AVOID DRY FOODS BAKERY ITEMS EXCESS TEA COFFEE SPICY AND VERY HEAVY FOODS INCLUDE A SMALL AMOUNT OF GHEE DAILY AS IT HELPS LUBRICATE THE BOWEL
TRIPHALA CHURNA ONE TEASPOON AT NIGHT WITH LUKEWARM WATER DAILY THIS HELPS RESET THE BOWEL RHYTHM AND STRENGTHENS THE RECTAL RESPONSE OVER TIME
ABHAYARISHTA TWENTY ML WITH EQUAL AMOUNT OF WATER AFTER DINNER DAILY THIS IS VERY EFFECTIVE IN LONG STANDING STRAINING AND INCOMPLETE EVACUATION
GANDHARVA HARITAKI CHURNA HALF TEASPOON AT NIGHT WITH WARM WATER FOR TWO TO THREE WEEKS ONLY AFTER THAT STOP IT AND CONTINUE ONLY TRIPHALA
IF GAS OR BLOATING IS PRESENT HINGVASHTAK CHURNA HALF TSP WITH WARM WATER AFTER MEALS
AS THIS CONDITION HAS DEVELOPED OVER DECADES SO IMPROVEMENT WILL BE GRADUAL DO NOT EXPECT DAILY PERFECT MOTIONS IN THE BEGINNING CONSISTENCY AND PATIENCE ARE THE KEY
IF YOU FOLLOW THIS PROPERLY FOR SIX TO EIGHT WEEKS YOU WILL START FEELING LESS STRAINING BETTER EMPTYING AND MORE COMFORT
Start with Tablet Liv-52 1-0-1 after food with water.helps improve digestion. Shiva tablet 0-0-2 at bedtime with warm water. Kutaj ghanvati 1-0-1 after food with water Avoid milk, wheat and wheat products. Have buttermilk with pinch of asafoetida black salt and roasted jeera after lunch daily. Have pomegranate juice or fruit. Avoid processed fatty fast foods. Have light dinner like khichdi,dal rice.
