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General Medicine
Question #47607
25 days ago
298

Postpartum Health Concerns: Constipation, Fissures, and Joint Pain - #47607

Fathima

Can i take mustadi marma kashayam and nadi kashayam as i am 4 months postpartem, severe constipation, fissure, pain, joint pain heel pain and no strength at all.

How long have you been experiencing constipation and pain?:

- 1-2 months

Have you tried any treatments or remedies for these issues?:

- Yes, natural remedies

How would you describe your energy levels since childbirth?:

- Very high, feeling great
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Doctors' responses

Dr. Ravi Chandra Rushi
I am currently serving as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital, Nalgonda, where I specialize in the diagnosis, treatment, and long-term management of various ano-rectal disorders. My clinical focus lies in treating conditions such as piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), rectal polyps, and pilonidal sinus using time-tested Ayurvedic approaches like Ksharasutra, Agnikarma, and other para-surgical procedures outlined in classical texts. With a deep commitment to patient care, I emphasize a holistic treatment protocol that combines precise surgical techniques with Ayurvedic formulations, dietary guidance, and lifestyle modifications to reduce recurrence and promote natural healing. I strongly believe in integrating traditional Ayurvedic wisdom with patient-centric care, which allows for better outcomes and long-lasting relief. Working at Bhrigu Maharishi Ayurvedic Hospital has provided me with the opportunity to handle a wide range of surgical and post-operative cases. My approach is rooted in classical Shalya Tantra, enhanced by modern diagnostic insights. I stay updated with advancements in Ayurvedic surgery while adhering to evidence-based practices to ensure safety and efficacy. Beyond clinical practice, I am also committed to raising awareness about Ayurvedic proctology and promoting non-invasive treatments for conditions often mismanaged or overtreated by modern surgical approaches. I strive to make Ayurvedic surgical care accessible, effective, and aligned with the needs of today’s patients, while preserving the essence of our traditional healing system. Through continuous learning and compassionate practice, I aim to offer every patient a respectful, informed, and outcome-driven experience rooted in Ayurveda.
25 days ago
5

It’s common after delivery Don’t worry Take swadista virechana churnam 1tsp with lukewarm water, kaishora Guggulu 1tab bd, Arogya vardini vati 1tab bd,sunarin ointment Externally, triphala kashaya with sitzbath u ll get results in 1week

Dr RC BAMS MS Ayurvedic Proctologist

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AT FOUR MONTHS POSTPARTUM YOUR BODY IS STILL IN A RECOVERY AND NOURISHMENT PHASE SO MEDICINES MUST SUPPORT STRENGTH BOWEL MOVEMENT AND HEALING AND SHOULD NOT BE TOO DRYING

MUSTADI MARMA KASHAYAM CAN BE TAKEN BUT ONLY ONCE DAILY AS IT IS MAINLY FOR JOINT PAIN MUSCLE PAIN AND NERVE RELATED ISSUES AND IF TAKEN IN HIGH DOSE IT CAN WORSEN CONSTIPATION

NADI KASHAYAM IS MORE DIGESTIVE FOCUSED BUT IN YOUR CONDITION SEVERE CONSTIPATION FISSURE PAIN HEEL PAIN AND WEAKNESS INDICATE DRYNESS AND TISSUE DEPLETION SO BOTH KASHAYAMS TOGETHER ARE NOT ADVISED INITIALLY

YOU MAY TAKE

MUSTADI MARMA KASHAYAM FIFTEEN ML WITH EQUAL WARM WATER ONCE DAILY AFTER LUNCH

GANDHARVA HARITAKI CHURNA HALF TEASPOON AT NIGHT WITH WARM WATER OR WARM MILK FOR CONSTIPATION AND FISSURE RELIEF

ASHWAGANDHA CHURNA HALF TEASPOON TWICE DAILY WITH WARM MILK FOR STRENGTH AND JOINT SUPPORT

LOCAL APPLICATION OF PLAIN GHEE AT NIGHT AROUND THE ANAL AREA HELPS FISSURE PAIN AND HEALING

IF YOU ARE BREASTFEEDING OBSERVE THE BABY FOR ANY DIGESTIVE CHANGE AND ADJUST DOSE IF REQUIRED

ONCE BOWELS BECOME REGULAR AND PAIN REDUCES THEN NADI KASHAYAM CAN BE INTRODUCED

THIS APPROACH IS SAFER AND MORE EFFECTIVE IN POSTPARTUM RECOVERY AND WILL GRADUALLY IMPROVE CONSTIPATION PAIN AND OVERALL STRENGTH

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About Mustadi Marma Kashayam & Nadi Kashayam - Mustadi Marma Kashayam: Traditionally used for Vata‑Kapha disorders, joint pain, stiffness, and weakness. - Nadi Kashayam: Often prescribed for nerve pain, musculoskeletal issues, and circulation. - Both are Vata‑pacifying decoctions, so they can help with joint pain and weakness. 👉 However, for postpartum constipation and fissure, these kashayams are not the primary choice. They are more for musculoskeletal pain than bowel regulation.

For constipation and fissure: 1.Triphala churrna 1 tsp at bedtime with warm water 2.Gandhak rasayan 1 tab twice daily with water after meals 3.Dashmoolarishta 20 ml with 20 ml water twice daily after meals 4.Jatyadi taila / Kasisadi taila- apply twice daily at site of fissure

🥗 Diet & Lifestyle

Constipation relief: - Warm water sips throughout the day. - Soaked raisins, figs, or prunes in morning. - Ghee (1 tsp) with warm milk at night.

Fissure care: - Sitz bath with warm water + Triphala decoction. - Avoid straining; eat soft, fiber‑rich foods (moong dal, vegetable soups).

Joint/heel pain: - Gentle oil massage (Abhyanga) with Mahanarayan oil. - Warm compress for heels.

Strength: - Rest well, avoid overexertion. - Gentle yoga: Supta Baddha Konasana, Balasana.

Warm Regards Dr. Anjali Sehrawat

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Dr. Manjula
I am a dedicated Ayurveda practitioner with a deep-rooted passion for restoring health through traditional Ayurvedic principles. My clinical approach revolves around understanding the unique constitution (Prakruti) and current imbalance (Vikruti) of each individual. I conduct comprehensive consultations that include Prakruti-Vikruti Pareeksha, tongue examination, and other Ayurvedic diagnostic tools to identify the underlying causes of disease, rather than just addressing symptoms. My primary focus is on balancing the doshas—Vata, Pitta, and Kapha—through individualized treatment plans that include herbal medicines, therapeutic diets, and lifestyle modifications. I believe that healing begins with alignment, and I work closely with my patients to bring the body, mind, and spirit into harmony using personalized, constitution-based interventions. Whether managing chronic conditions or guiding preventive health, I aim to empower patients through Ayurvedic wisdom, offering not just relief but a sustainable path to well-being. My practice is rooted in authenticity, guided by classical Ayurvedic texts and a strong commitment to ethical, patient-centered care. I take pride in helping people achieve long-term health outcomes by integrating ancient knowledge with a modern, practical approach. Through continuous learning and close attention to every detail in diagnosis and treatment, I strive to deliver meaningful, natural, and effective results for all my patients.
25 days ago
5

Hello, If you are breast feeding please do not take mustadi marma kashayam and mustadi marma kashayam. Instead the following will help you to address the issues better: 1. Pulileham/Pulimkuzhumpu(Kottakkal) 1 Teaspoon after breakfast with a cup of hot water for 45 days. 2. Dasamoolarishtam(Kottakkal/avp) 15ml—0-----15ml after breakfast and after dinner by adding 15 ml of boiled cooled water for 90 days.

Take care, Kind regards.

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Being four months postpartum your body is still in recovery and severe constipation fissure joint, and heel pain and weakness are common signs of vata imbalance, which affects duration, tissues, and joints both MUSTADI MARMA KASHAYAM AND NADI KASHAYAM can be taken safely in this phase as they help nourish tissues improve circulation, reduce vata related pain and support Healing, but start with 10 ML twice daily after food and observe your body response while include stool softening churna a like triphala churna 1 teaspoon with warm water at bedtime Ghee in diet Eat soft, easily, digestible food. Take plenty of fluids. Do oil massage with warm sesame oil over Joints and heels before bed. As consistent use along with supportive diet and rest will gradually release constipation eight fisher, Healing reduce pain and restore strength without disturbing breastfeeding

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Hi Fathima, Thanks for reaching out! I get that post-partum recovery can be pretty tough. What you’re going through is super common, especially around 3-6 months after giving birth.but dont worry we are here to help you out 😊

YOUR CONCERN

–You’re 4 months post-partum. –Your main issues are bad constipation, a painful anal fissure, and soreness in your joints and heels. –You also feel weak and tired, even though you’re mentally okay.

AYURVEDIC UNDERSTANDING

After giving birth, your body often deals with:

–Vata getting out of whack This is because of blood loss, the strain of delivery, and general dryness. –Tissue depletion: Your body’s just used up a lot of its stores. –Weak digestion: This leads to constipation. –Dryness: Which makes fissures worse. –Vata settling in your joints: Causing that joint and heel pain.

So, any treatment needs to: –Calm Vata. –Help your fissures heal gently. –Build up your strength. – Avoid making things too dry or trying to detox too hard.

Now, about your question: Can you take Mustadi Marma Kashayam and Nadi Kashayam?

A big NO to both right now.

They’re just not the right fit for you post-partum.

Here’s why: They’re both strong medicines that reduce Vata and Kapha, but they’re also very drying. This means they could: –Make your constipation worse. – Increase dryness, making your fissure even more painful. – Drain your strength further.

These types of medicines are usually for things like obesity, swelling, internal toxins, or nerve problems, not for the weakness you feel after having a baby.

So, what is safe and better for you?

For constipation and fissures: –Gentle medicines that help Vata flow correctly and soften your stools. –Lots of internal oils (known as Sneha) are really important. –Healing care for the fissure, nothing that dries it out.

For joint and heel pain: –An Ayurvedic approach to calm Vata after delivery. –Support from oils, both inside and out. –Nutrients that act like calcium in Ayurveda.

For strength: –Medicines that build you up and help with post-natal recovery. –The right diet and oil treatments are key.

To figure out your exact medicines and doses, we’d need to know:

* Are you breastfeeding? * How much do you weigh? * What’s your appetite and digestion like? * How did you give birth (normal or C-section)?

INTERNAL MEDICATION ( safe with breastfeeding)

1.Triphala Churna 1 tsp with warm water at bed time ( for constipation) 2.Dhanwanthram vati 1-0-1 after food ( for pain) 3.cap ksheerbala 1-0-1 after food ( for strength)

DIET and DAILY CARE (THIS IS CRITICAL!)

✅ DO THIS:

* Drink only warm water. * Eat ghee every day with your food. * Stick to soft, freshly cooked meals. * Get enough sleep.

❌ AVOID:

* Dry foods (like biscuits, bread, baked goods). * Cold drinks. * Too much tea or coffee. * Holding in your stools.

LOCAL CARE:

–Gentle warm chinchadi oil massage on your joints and heels. –Sitz bath with warm water for fissure relief.

At 4 months post-partum, your body needs to be nourished, moisturized, and to have Vata calmed down. It definitely doesn’t need to be dried out or hit with strong medicines.

So, yes, skip the Mustadi Marma Kashayam and Nadi Kashayam for now.

With the right Ayurvedic plan for after birth, you can totally get rid of the constipation, fissures, joint pain, and weakness safely.

Warm Regards Dr. Snehal Vidhate

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Dr. Gursimran Jeet Singh
I am Dr. Gursimran Jeet Singh, born and raised in Punjab where culture and traditions almost naturally guided me toward Ayurveda. From very early days I felt more drawn to natural ways of healing, and this curiosity finally led me to pursue Bachelor of Ayurvedic Medicine and Surgery (BAMS) at Shri Dhanwantry Ayurvedic College, Chandigarh—an institution known for shaping strong Ayurvedic physicians. During those years I learned not only the classical texts and treatment methods, but also how to look at health through a very practical, human lense. For the past five years I worked in clinical practice, where patients come with wide range of concerns—from chronic digestion troubles to autoimmune illness—and I try to integrate both Ayurveda and modern medical knowledge to give them the most complete care I can. Sometimes western diagnostics help me to understand the stage of disease, while Ayurveda helps me design treatment that address root cause. This bridging approach is not always easy, but I believe it’s necessary for today’s health challanges. Currently I am also pursuing higher studies in Panchakarma therapy. Panchakarma is an area I feel very strongly about—it is not just detox, it is a whole system of cleansing, rejuvenation, rebalancing, and I want to deepen my expertise here. In practice, I combine Panchakarma with lifestyle guidance, diet planning, herbal remedies, yoga and mindfulness practices depending on what a patient actually needs at that moment. No two cases are same, and Ayurveda reminds me daily that healing must be personal. My approach is always focused on root-cause management rather than temporary relief. Diet, herbs, therapeutic oils, meditation routines, and simple daily habits—they all work together when chosen rightly. Sometimes results come slow, sometimes faster, but I try to keep care sustainable and compassionate. Helping someone regain energy, sleep better, or reduce pain, that is the real achievement in my journey. And I continue learning, because Ayurveda is deep, it doesn’t finish with one degree or one training, it grow with every patient and every experiance.My specialties lie in treating a range of chronic and lifestyle-related conditions using Ayurveda’s time-tested principles, tailored to each individual’s unique constitution (Prakriti). I have significant expertise in managing digestive disorders, such as irritable bowel syndrome (IBS), acid reflux, constipation, diabetes, obesity and inflammatory bowel diseases. I also specialize in addressing stress-related and mental health conditions, including anxiety, depression, insomnia, and burnout, which are increasingly common in today’s fast-paced world. By integrating therapies like Shirodhara (oil pouring on the forehead) to calm the nervous system, Abhyanga (herbal oil massages) to balance Vata dosha, and adaptogenic herbs like Ashwagandha and Brahmi, I help patients achieve mental clarity and emotional resilience. In the field of musculoskeletal and joint health, I excel in treating conditions like arthritis (rheumatoid and osteoarthritis), back pain, sciatica, and sports injuries. Using therapies such as Kati Basti (localized oil retention on the lower back) and potent anti-inflammatory herbs like Guggulu and Shallaki, I focus on reducing inflammation, improving joint mobility, and strengthening tissues. My treatments have helped many patients, particularly those seeking non-invasive alternatives, regain mobility and reduce pain through a blend of internal medications and external therapies. Skin disorders are another key area of my practice, where I address conditions like eczema, psoriasis, acne, and pigmentation issues holistically. By focusing on blood purification and balancing Pitta dosha and detoxifying Panchakarma techniques like Raktamokshana (bloodletting). My approach targets dietary and lifestyle triggers, offering sustainable results for clients who previously relied on temporary solutions like topical steroids. My dual expertise in Ayurveda and modern medicine allows me to create integrative treatment plans that are both effective and safe. I am deeply committed to patient education, empowering individuals to embrace Ayurvedic principles for sustainable health. Through this online platform, I am excited to offer virtual consultations, making the profound benefits of Ayurveda accessible to all. Whether you seek relief from a specific condition or aim to enhance overall vitality, I look forward to guiding you on your journey to balance and well-being with compassion and expertise.
24 days ago
5

YES – Mustadi Marma Kashayam & Nadi Kashayam are both safe postpartum & during breastfeeding as they balance Vata, relieve joint/heel pain, weakness & nerve issues.

Safe Dosage Mustadi Marma Kashayam – 15–20 ml + 20 ml warm water , morning empty stomach & night after dinner. Nadi Kashayam – 15 ml + 60 ml warm water in morning & evening.

Best Combo for Faster Relief 1 Mustadi Marma + Nadi Kashayam – as above. 2 Triphala Guggulu – 2 tablets morning + night after food 3 Punarnavadi Mandoor – 250 mg morning + night after food . 4 Ashwagandha Lehyam – 5–10 gm night with warm milk

Local for Fissure & Pain Warm sitz bath (hot water + 1 tsp Triphala powder) for 15 min twice daily (relieves fissure & pain fast). Apply Jatyadi Ghrita lightly on fissure area.

Diet Give daily: moong khichdi + ghee, thin buttermilk + roasted jeera, pomegranate, papaya. Avoid completely: spicy/sour, cold food, heavy pulses, late dinner.

Lifestyle Vajrasana 10 min after every meal (best for constipation & weakness). Legs elevated 20 min twice daily. Gentle walk 20–30 min daily.

Regards Dr Gursimran Jeet Singh MD Panchakarma

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I am working right now as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital in Nalgonda—and yeah, that name’s quite something, but what really keeps me here is the kind of cases we get. My main focus is managing ano-rectal disorders like piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), pilonidal sinus, and rectal polyps. These are often more complex than they look at first, and they get misdiagnosed or overtreated in a lotta places. That’s where our classical tools come in—Ksharasutra therapy, Agnikarma, and a few other para-surgical techniques we follow from the Samhitas...they’ve been lifesavers honestly. My work here pushes me to keep refining surgical precision while also sticking to the Ayurvedic core. I do rely on modern diagnostics when needed, but I won’t replace the value of a well-done Nadi Pariksha or assessing dosha-vikruti in depth. Most of my patients come with pain, fear, and usually after a couple of rounds of either incomplete surgeries or just being fed painkillers n antibiotics. And I totally get that frustration. That’s why I combine surgery with a whole support plan—Ayurvedic meds, diet changes, lifestyle tweaks that actually match their prakriti. Not generic stuff off a handout. Over time, I’ve seen that when people follow the whole protocol, not just the procedure part, the recurrence drops a lot. I’m quite particular about follow-up and wound care too, ‘cause we’re dealing with delicate areas here and ignoring post-op can ruin outcomes. Oh and yeah—I care a lot about educating folks too. I talk to patients in OPD, sometimes give community talks, just to tell people they do have safer options than cutting everything out under GA! I still study Shalya Tantra like it’s a living document. I try to stay updated with whatever credible advancements are happening in Ayurvedic surgery, but I filter what’s fluff and what’s actually useful. At the end of the day, my aim is to offer respectful, outcome-based care that lets patients walk out without shame or fear. That’s really what keeps me grounded in this field.
5
1522 reviews
Dr. Prasad Pentakota
I am Dr. P. Prasad, and I’ve been in this field for 20+ years now, working kinda across the board—General Medicine, Neurology, Dermatology, Cardiology—you name it. Didn’t start out thinking I’d end up spanning that wide, but over time, each area sort of pulled me in deeper. And honestly, I like that mix. It lets me look at a patient not just through one lens but a whole system-wide view... makes more sense when treating something that won’t fit neatly in one category. I’ve handled everything from day-to-day stuff like hypertension, diabetes, or skin infections to more serious neuro and cardiac problems. Some cases are quick—diagnose, treat, done. Others take time, repeated check-ins, figuring out what’s really going on beneath those usual symptoms. And that’s where the detail matters. I’m pretty big on thorough diagnosis and patient education—because half the problem is ppl just not knowing what’s happening inside their own body. What’s changed for me over years isn’t just knowledge, it’s how much I lean on listening. If you miss what someone didn’t say, you might also miss their actual illness. And idk, after seeing it play out so many times, I do believe combining updated medical practice with basic empathy really shifts outcomes. Doesn’t have to be complicated... it just has to be consistent. I keep up with research too—new drugs, diagnostics, cross-specialty updates etc., not because it’s trendy, but cuz it’s necessary. Patients come in better read now than ever. You can’t afford to fall behind. The end goal’s the same tho—help them heal right, not just fast. Ethical practice, evidence-based, and sometimes just being there to explain what’s going on. That’s what I stick to.
5
1109 reviews
Dr. Jatin Kumar Sharma
I am a BAMS graduate and currently running my own clinic, where I see patients on a regular basis and try to give them honest, practical care. My daily work involves understanding different health concerns, listening properly to what the patient is going through, and then planning treatment in a way that actually fits their routine. I believe treatment should not feel confusing or rushed, and sometimes even small changes make a big difference. Running my own clinic has taught me a lot about responsibility and consistency. Some days are busy, some are slow, but every patient brings a different challenge and learning. I focus mainly on Ayurvedic treatment methods, lifestyle correction and long-term health balance, rather than quick fixes. There are times when progress takes longer, but I stay patient and keep working with the person step by step. I try to keep my approach simple, practical and honest. For me, real success is when a patient feels better in daily life, sleeps better, eats better and slowly regains balance. That is what keeps me going and improving every day.
5
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Dr. Vishwajeet Khaiwal
3 year
0 reviews
Dr. Sanjay Verma
I am a General Physician who worked at Shri Vishvaamrut Ayurvedic Super Specialty Clinic in Nagpur for 6 months, and that time shaped how I look at everyday patient care in a pretty grounded way. My role involved handling common medical conditions, routine consultations, and ongoing follow ups, often in a setting where modern medicine and ayurvedic practice exists side by side, which was intresting and sometimes challanging. I am focused on primary care, early diagnosis, and practical treatment planning. Working in a super specialty clinic meant I had to be attentive, flexible, and clear while communicating with patients from different backgrounds, some came with long standing issues, others just needed basic medical guidance. I try to listen first, then decide, though at times the pace was fast and decisions had to be made quick. I am careful about patient safety, continuity of care, and explaining things in a way that does not confuse people more than needed. Being a general physician there helped me build confidence in day to day clinical judgement, even when resources or time felt limited. I am still learning, still adjusting, and sometimes I double check myself, but that habit keeps care honest and patient centered!! I am someone who values consistency over shortcuts, and clear medical thinking over noise, even if the process feel a bit messy at times.
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Rowan
4 minutes ago
This response def. helped calm my nerves about the issue. Good to know it's normal with age. Thanks for the straightforward explanation!
This response def. helped calm my nerves about the issue. Good to know it's normal with age. Thanks for the straightforward explanation!
Hunter
35 minutes ago
Really helpful and clear! Appreciate the detailed steps and suggestions. Made things less worrying for sure. Thanks a bunch!
Really helpful and clear! Appreciate the detailed steps and suggestions. Made things less worrying for sure. Thanks a bunch!
Rowan
5 hours ago
Thanks for breaking it down so well! Your advice is clear and super helpful. Super grateful for the reassurance and plans I can actually follow!
Thanks for breaking it down so well! Your advice is clear and super helpful. Super grateful for the reassurance and plans I can actually follow!
Anna
5 hours ago
Thanks a lot, that was so clear! Exactly what I needed to know. The tips on balancing with diet and exercise make a lot of sense, really appreciate it!
Thanks a lot, that was so clear! Exactly what I needed to know. The tips on balancing with diet and exercise make a lot of sense, really appreciate it!