Issues with Kashaya Vasti Administration - #47678

What you experienced today is actually quite common and it does not indicate that the medicated enema treatment has failed in any way When the liquid comes out immediately during administration it is usually due to temporary sensitivity of the rectal area or a reduced holding capacity of the colon on that particular day rather than any problem with the treatment itself

In your case during the first three days the quantity administered was around seven hundred millilitres and your colon was able to hold it briefly before evacuation Today the quantity was increased to around 800 to 900 ml and the liquid was thinner in consistency.

This caused a sudden increase in pressure inside the bowel and the rectum naturally responded by expelling it immediately This is a normal reflex of the intestine and is not related to pain weakness damage or any error in the procedure

After three consecutive medicated enemas the colon usually becomes cleaner lighter and more responsive Because of this increased sensitivity even a slightly higher volume or thinner liquid can trigger immediate expulsion This response suggests that the intestinal channels are opening and reacting which is a positive sign of therapeutic action

Since there was no pain cramping or discomfort it indicates that there is no complication Immediate expulsion does not mean that the medicine had no effect Even a short contact time is enough to stimulate intestinal nerves bowel receptors and regulation of gut movement

For the next session ,reduce the quantity back to the amount your body was able to hold comfortably to say 600 to 700 ml Keeping the liquid slightly thicker, Proper oil massage and gentle heat therapy before the procedure slow administration without force and maintain relaxed breathing during the process will further improve holding capacity

On treatment days food should be light warm and easy to digest.

Excess fluids cold foods raw salads fruits and coffee should be avoided Warm rice gruel well cooked vegetables and a moderate amount of ghee are suitable

Overall this is a normal bodily response and not a treatment failure It reflects increased bowel sensitivity after repeated therapy and with slight adjustment in quantity and consistency the natural holding time will gradually improve again

🧾 Why the Vasti Came Out Immediately - Consistency (Thin Kashaya): If the decoction is too watery, it tends to flow out quickly instead of staying inside for absorption. - Volume Increase (800–900 ml vs. 700 ml earlier): A larger quantity can sometimes exceed the colon’s holding capacity, especially if the patient’s digestion or bowel tone is not strong. - Retention Ability: In the first 3 vastis, you could hold for 5–7 minutes, which is acceptable. But immediate expulsion during the 4th suggests either the bowel was already sensitive or the fluid was too thin/too much. - Dietary Minor Changes: Even small changes (like heavier food, excess oily/spicy intake, or irregular meals) can affect bowel response during Panchakarma.

🌸 Classical Considerations in Ayurveda - Sthira vs. Drava Kashaya: Thicker decoctions (with ghee or honey as anupana) are easier to retain than very thin ones. - Matra (Quantity): Kashaya Vasti is usually adjusted to the patient’s strength, digestion, and bowel capacity. Too much volume can cause immediate expulsion. - Purva Karma (Preparation): If snehana (oleation) and swedana (sudation) are not adequate, retention becomes difficult.

✅ Suggestions (General Ayurvedic Guidance) - Reduce volume: Go back to 600–700 ml instead of 900 ml. - Adjust consistency: Slightly thicker decoction or adding a small amount of ghrita/taila can improve retention. - Timing: Administer when bowels are relatively calm (not immediately after meals). - Diet: Favor light, easily digestible foods (mung dal, rice, boiled vegetables). Avoid heavy/oily/spicy foods during Vasti course. - Sequence: Sometimes alternating Kashaya Vasti with Sneha Vasti (oil-based) improves retention and effectiveness.

Hlo,

What you experienced can happen during Kashaya Vasti, especially when the volume is increased. Based on your details, this is not dangerous, but it does indicate that some adjustments are needed.

Why the Kashaya came out immediately (during administration) From an Ayurvedic perspective, the most likely reasons are: 1️⃣ Excess volume (Ati-mātra) First 3 days: 700 ml → retained for 5–7 minutes 4th day: 800–900 ml → expelled immediately 👉 Your Pakvāśaya (colon) tolerance is around 700 ml. Sudden increase overstimulates Apāna Vāta, causing immediate expulsion.

2️⃣ Thin consistency You mentioned the Kashaya was thin Thin Kashaya moves quickly and cannot be held, especially in Vata-prone individuals

3️⃣ Pakvāśaya sensitivity increasing by Day 4 After consecutive Kashaya Vastis, the colon becomes: More responsive More active Hence retention time may reduce if dose is increased

4️⃣ Natural urge dominance Even without pain, the urge reflex can become strong This is common when: Volume is high

Vata is already aggravated Is this a failure of Vasti? ❌ No Even if Kashaya comes out early: Some absorption still occurs Vasti still has Shodhana + Vata anulomana effect Especially since previous days had partial retention

What should be done now (Important)

✔️ Reduce volume 👉 Go back to 600–700 ml only Do not exceed what your body tolerates ✔️ Make Kashaya slightly thicker Slightly concentrated Kashaya holds better Avoid very watery preparation

✔️ Ensure proper Purva Karma

Before Kashaya Vasti: Abhyanga (oil massage) to abdomen & back Swedana (mild fomentation) This helps colon relaxation and retention ✔️ Correct posture

After Vasti: Lie on left side Slow deep breathing Avoid sitting or walking immediately

✔️ Diet on Vasti days Avoid: Raw food Excess liquids Cold items Prefer: Warm rice Moong dal Ghee Light, Vata-shamaka food

When to be cautious / stop Kashaya Vasti

Consult immediately if: Severe abdominal pain Burning sensation Continuous loose motions Weakness or dizziness (You do not have these, which is reassuring)

Summary Immediate expulsion today happened mainly due to increased volume Your body tolerates ~700 ml, not 800–900 ml This is not harmful, but dose must be individualized Continue treatment with reduced volume and proper preparation

Tq

Hello I get why you’re worried about the Kashaya Vasti coming out right away. It’s a common concern, but it doesn’t mean your treatment failed. Just want to clear things up for you as a MD PANCHAKARMA

YOUR CONCERN

First 3 days: You took about 700 ml, held it for 5-7 minutes, and then had a bowel movement, which is totally normal.

4th day: The dose went up to 800-900 ml, but it came right out. The Kashaya was thin, and you didn’t feel any pain.

No need to panic!

* Your treatment hasn’t failed. * Your body isn’t rejecting it for good.

It just means your Vata and colon were a bit off that day.

AYURVEDIC UNDERSTANDING

When the Kashaya comes out fast, we call it Ashaya Asahishnuta or colon intolerance. Here’s why it might have happened in your situation:

1. Too much Vata that day: Your colon is where Vata hangs out. If Vata goes a bit wild, your rectum gets super sensitive, can’t hold things as well, and you feel an immediate urge to go.

2. Sudden jump in volume: Your body was used to 700 ml. Going straight to 800-900 ml can really shock your colon and make it release everything right away. You should increase the amount slowly, not all at once.

3. Thin Kashaya: If it’s too watery, it doesn’t really hold its place in your colon and just slips out too fast.

4. Cleansing did its job: The first three days already cleaned things out. Once your colon is cleaner, you naturally hold it for less time. That’s a good sign, not a bad one!

Is 5-7 minutes holding time enough?

Yes! For Kashaya Vasti, even 3-10 minutes is enough to get the job done. You don’t need to hold it as long as with some other types of Vasti. So, your first three days were perfect.

What to do now:

–Go back to a smaller amount: Try 600-700 ml again. Don’t push for more.

– Thicker Kashaya: Ask your doctor to make it a bit thicker by adding more Kalka and Sneha (oil/ghee). This helps it stay in.

–Get ready beforehand: Before the Vasti, have a mild massage on your belly and lower back, and some gentle heat therapy. Make sure your bowels aren’t acting up right then.

–Stay chill: Being worried or stressed can make your colon react and push things out. Try to relax and breathe slowly during the process.

What not to do:

* Don’t do another Vasti right away. * Don’t try to force it faster or with more pressure. * Don’t think the treatment is a failure. * Don’t stop your Panchakarma without talking to your doctor.

When is it a real issue?

Only if this happens every day, and you have pain, cramps, bleeding, or feel weak. Good news: that’s not what’s happening with you!

* This happens a lot in Panchakarma. * It’s about Vata sensitivity and the amount of Kashaya. * A few small changes, and you’ll be good to go. * You’re still getting the benefits of the treatment.

Warm Regards Dr. Snehal Vidhate

According to sushrut samhita most you can give is 1200 ml but due to bala kshya, samhana and other factors basti in today’s age should not exceed 650 ml unless it’s a brihun basti. So keep the kashya basti at 700ml only and yes 5 to 7 min retention is enough for kashya basti. Dr Akshay negi MD PANCHAKARMA

There may be a few causes for this to happen.

1. Wrong food taken during the basti treatment course (Apathya)

2. Travelling or sitting in cold conditions leading to increase in Vatta.

3. Excess quantity of Kashayam.

Though it is normal to get a urge,you also need to see that these mistakes are avoided.

This is caused by Volume Overload. It is Normal and not harmful, but it indicates we reached your bowel’s physical limit.

You increased the dose from 700ml to 900ml. Your colon likely has a capacity threshold around 700-750ml. When the therapist pushed beyond that, the sudden stretch on the rectal walls triggered an immediate Ejection Reflex (Vega), forcing the liquid out while it was still being given.

Speed/Pressure: Pushing 900ml requires more pressure. If the speed wasn’t adjusted to be extremely slow, the bowel reacts by contracting instantly.

Is the therapy wasted? No. The primary goal of Kashaya Basti (Niruha) is Shodhana (Cleansing). Even if it came out immediately, it has flushed the toxins (Doshas) and wind (Vata) present in the rectum.

Advice for the Next Session Go back to 700ml or 750ml. Do not force 900ml if your body is rejecting it. Slower Administration: The last 200ml must be given drop-by-drop (very slowly) to avoid triggering the reflex.

Check Temperature: Ensure the liquid is consistently Lukewarm. If it cools down during the process, the bowel will eject it instantly.

Do not worry. The treatment is still effective. Just adjust the dose for tomorrow.

Regards Dr Gursimran Jeet Singh MD Panchakarma

HELLO,

Based on your description, a few Ayurvedic factors explain why the 4th kashaya vast expelled immediately, unlike the earlier three

LIKELY CAUSES

1) INCREASED VATA PRAVRITTI IN PAKVASHAYA -Early expulsion during administration indicates Ati-pravritti apana vata -Repeated evacuation within 5-7 minutes in earlier days already suggest colon irritability/ vata dominanace

2) SUDDEN INCREASE IN VOLUME -Increasing the dose from 700ml to 800-900 ml can overstimulate Apana vata -If the colon has not gained adequate dharana Shakti (retention capacity), higher volume leads to immediate rejection

3) POSSIBLE KASHAYA TEEKSHNATA (strength/irritability) -If decoction was= more concentrated, -less oily -slightly cooler than bod temperature it can trigger instant expulsion even without pain

4) POOR SNEHA ANUBANDHA -Inadequate prior snehana (internal or local reduces mucosal lubrication, making retention difficult

5) MINOR DIET/LIFESTYLE CHANGES -Even minor changes like -light/dry food -irregular meal timing -stress , poor sleep can aggravate vata during a vasti course

WHY THERE WAS NO DISCOMFORT This suggest -no mechanical injury -no inflammatory pathology The issue is functional not structural

PRACTICAL AYURVEDIC RECOMMENDATIONS

1) REDUCE VOLUME -return to 600-700 ml rather than escalating dose -In vata Pradhan individuals, quality > quantity

2) IMPROVE SNEHA COMPONENT -Add appropriate Sneha vasti or matra vasti either –on the same day (as per kala vasti/ yoga vasti principles), or –on the previous day to stabilize vata

3) REVIEW KASHAYA PREPARATION ENSURE -proper paka (not over reduced) -lukewarm temperature -balanced with honey, saindhava, Sneha as indicated

4) STRENGTHEN PAKVASHAYA DHARANA Before next kashaya vasti -light, warm, unctous food -avoid fasting, raw food, cold items -gentle massage + sudation prior to vasti helps immensely

5) POSTURE AND ADMINISTRATION -slow administration -proper left lateral position -gentle buttock compression for a few minutes post administration

Immediate expulsion during kashaya vasti is most commonly due to vata aggravation + excess volume, not treatment failure. Adjusting dose, Sneha, and preparation usually restores proper retention

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA