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Postpartum Health Concerns: Constipation, Fissures, and Joint Pain
General Medicine
Question #47607
86 days ago
594

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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Doctor-recommended remedies for this condition

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Doctors' responses

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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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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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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