Hello I get that what you’re going through must be really tough and unsettling. That pain on your right side, along with not wanting to eat, feeling tired, being constipated, and dealing with piles, can totally mess up your daily routine. But dont worry we are here to help you out😊
YOUR CONCERN
* You’ve had pain on your right side for less than a week. * You’re currently taking some prescribed medicine. * Your appetite is bad, and you’re low on energy. * You’re constipated and have piles. * Going to the bathroom is a struggle a few times a week.
WHY THIS MIGHT BE HAPPENING (Ayurvedic View):
From an Ayurvedic perspective, these symptoms often point to:
–Mandagni: Your digestive fire is a bit weak. –Vata–Pitta imbalance: Your body’s energies are out of whack. –Yakrit (liver) or Grahani (gut): There might be an issue with your liver or how your gut works. –Ama: You might have a buildup of toxins because your digestion isn’t working right.
This can lead to:
– Gas and bloating, causing that pain on your right side. – Poor digestion, which makes you lose your appetite and energy. – Hard, dry stools, leading to constipation and piles. – Straining when you go to the bathroom, making the pain and weakness worse.
Just so you know, that rib pain is often a result of issues in your digestion or liver/gallbladder area, not necessarily a problem with your bones or muscles.
SUPER IMPORTANT FIRST STEP:
Since:
* The pain just started. * You’re taking prescription meds. * Your appetite is really off.
Do NOT stop your current medicines on your own. If the pain gets really bad, doesn’t stop, or if you get a fever, throw up, or notice your eyes/urine turning yellow, you need to see a doctor right away.*
AYURVEDIC TREATMENT (Safe & Supportive):
To Digest Better & Lessen Pain
1. Hingvashtak Churna: Take half a teaspoon with warm water before meals, twice a day. This helps with gas, bloating, and rib pain.
2.Avipattikar Churna: Take half a teaspoon with warm water before bed. This helps balance Pitta, improves digestion, and makes bowel movements easier.
2. For Constipation & Piles:
1.Triphala Churna: Take one teaspoon with lukewarm water at night. This softens your stools and eases the strain on your piles.
For piles locally: Do a sitz bath with warm water for 10–15 minutes every day. Try your best not to strain at all.
3. To Get Your Energy & Appetite Back:
1.Drakshasava: Take 15 ml with an equal amount of water, twice a day after meals. This gently helps with appetite, digestion, and energy.
DIET PLAN (VERY IMPORTANT):
✅ INCLUDE
* Warm, freshly cooked food. * Soft stuff like rice porridge, khichdi, and vegetable soups. * 1–2 teaspoons of ghee daily (if you can handle it). * Sip warm water all day.
❌ AVOID
* Fried, spicy, and oily food. * Baked goods, fast food. * Cold drinks and refrigerated food. * Tea/coffee on an empty stomach.
LIFESTYLE CHANGES:
* Eat smaller meals more often. * Don’t lie down right after eating. * Go for a short, gentle walk after meals. * Don’t hold in your bowel movements. * Try to go to bed before 11 PM.
WHEN YOU SHOULD START FEELING BETTER:
* Rib pain and bloating: 3–5 days * Appetite: 1 week * Constipation: 5–7 days * Piles: 2–3 weeks
Your symptoms mostly come from digestion problems. Once your Agni (digestive fire) gets stronger, the pain, constipation, and energy levels usually get much better. The key to healing is being consistent with your diet and bathroom habits.
Warm Regards Dr. Snehal Vidhate
Need to do 1) X-ray chest baseline 2) USG Full abdomen. Meanwhile you can start with Tablet livomyn 1-0-1 after food with water Tablet Pilex 2-0-2 after food with water External application with Pilex cream local application on affected Anal area. Triphala tablet 2-0-2 after food with water. Follow up after 1 week
Piles for take kanchanara Guggulu 1tab bd, arshakutar ras 1tab bd, kaishora Guggulu 1tab bd, swadista virechana churnam 1tsp with lukewarm water,sunarin ointment Externally apply
Dr RC BAMS MS
Hlo,
1. Right rib pain Pain in the right ribs can be from: Muscle strain or injury. Liver or gallbladder issues (especially if it’s upper right abdomen/rib area). Lung problems (less likely if no cough or shortness of breath). Since you also have loss of appetite and fatigue, it’s important not to ignore liver or gallbladder causes.
2. Loss of appetite and low energy Could be related to medication side effects, constipation, or underlying illness. Persistent inability to eat or feeling weak for several days is concerning and requires prompt medical evaluation.
3. Constipation & piles Difficulty passing stools a few times a week can worsen hemorrhoids (piles), especially if straining. This can also contribute to abdominal discomfort, bloating, and fatigue.
⚠️ Red flags that need urgent attention You should seek medical care as soon as possible if you have any of these: Severe or worsening right upper abdominal/rib pain Vomiting, especially if green/yellow or blood-stained Fever, chills, or jaundice (yellowing of eyes/skin) Severe constipation with inability to pass gas or stools for several days Weakness or fatigue that is worsening
Ayurvedic prescription -
1. For Constipation - Triphala Churna (Powder): Dose: 1 teaspoon at bedtime with warm water or honey. Action: Gentle laxative, detoxifies, improves bowel movements. Isabgol (Psyllium husk): Dose: 1 teaspoon in a glass of warm water at night. Action: Softens stool and eases passage. Tip: Drink plenty of warm water throughout the day.
2. For Piles (Hemorrhoids) External application: - Triphala Ghrita or Aloe Vera Gel: Apply gently to the affected area twice daily. Internal support: - Haritaki Powder: ½ teaspoon at bedtime (can be mixed in warm water or ghee) – supports bowel movement and reduces inflammation. Lifestyle tips: Sit in warm water (sitz bath) for 10–15 minutes twice daily. Avoid straining during bowel movements. Eat high-fiber foods like fruits (papaya, pear), vegetables, and whole grains.
3. For Low Appetite & Fatigue - Chyawanprash: 1–2 teaspoons in the morning with warm milk or water. Supports energy, immunity, and digestion. - Trikatu Churna (Ginger, Black Pepper, Long Pepper): Dose: ¼ teaspoon with warm water before meals to stimulate appetite.
4. General Dosha Balance Favor warm, cooked, easy-to-digest foods. Avoid cold, heavy, or processed foods. Gentle oil massage (Abhyanga) with sesame oil can improve circulation and energy.
Tq
Hello, The following will help you to address your issues: 1. Mahadhanvantharam Gulika(kottakkal) 2-----2----2 with cumin tea for 15 days. 2. Dasamoola haritaki lehyam(kottakkal) 1 tablespoon at bed time with a cup of warm water for 30 days.
Diet- 1. Avoid raw food for 30 days 2. Avoid caffeine as first food in the morning 3. Drink at least 2 liters of boiled cooled water a day.
Lifestyle- 1. Let there be a gap of 1 hour at least between dinner and going to bed 2. Start practicing yogsana for 40 minutes a day 3. Walk for 15 to 20 minutes after dinner.
Take care, Kind regards.
PAIN ON THE RIGHT SIDE OF THE RIBS ALONG WITH LOSS OF APPETITE LOW ENERGY AND CONSTIPATION CAN HAPPEN WHEN DIGESTION BECOMES VERY SLUGGISH AND THE ABDOMINAL ORGANS ARE UNDER STRAIN SOMETIMES LIVER GALLBLADDER OR SEVERE GAS AND CONSTIPATION CAN CAUSE THIS KIND OF PAIN AND WHEN STOOLS ARE HARD OR DELAYED PILES PAIN ALSO WORSENS
FIRST IT IS IMPORTANT NOT TO IGNORE RIGHT RIB PAIN IF IT IS SEVERE INCREASING ASSOCIATED WITH FEVER VOMITING YELLOWING OF EYES OR SEVERE WEAKNESS THEN PROPER MEDICAL EVALUATION LIKE ULTRASOUND AND BLOOD TESTS IS NECESSARY TO RULE OUT LIVER OR GALLBLADDER ISSUES
FROM AN AYURVEDIC PERSPECTIVE THIS PICTURE SUGGESTS WEAK DIGESTION DRYNESS AND BLOCKAGE IN THE GUT WHICH IS WHY YOU ARE UNABLE TO EAT FEEL DRAINED AND CANNOT GO TO THE TOILET
FOR CONSTIPATION AND PILES SUPPORT
GANDHARVA HARITAKI CHURNA ONE TEASPOON AT NIGHT IF STOOLS ARE VERY HARD
FOR DIGESTION AND APPETITE HINGVASTAK CHURNA A PINCH WITH WARM WATER BEFORE MEALS JEERAKARISHTA 15 ML TWICE DAILY AFTER FOOD WITH EQUAL WATER
FOR PAIN AND WEAKNESS ASHWAGANDHA CHURNA HALF TEASPOON TWICE DAILY WITH WARM WATER OR MILK IF TOLERATED
DIET SHOULD BE LIGHT WARM AND SOFT RICE GRUEL VEGETABLE SOUP MOONG DAL AVOID SPICY OILY FRIED FOOD COLD FOOD AND BAKERY ITEMS DRINK WARM WATER THROUGH THE DAY
FOR PILES AVOID STRAINING
PLEASE CONTINUE PRESCRIBED MEDICINES BUT IF PAIN PERSISTS BEYOND A FEW DAYS OR APPETITE REMAINS VERY POOR GET PROPER INVESTIGATIONS DONE ALONGSIDE AYURVEDIC SUPPORT SO THAT THE ROOT CAUSE IS NOT MISSED
IF YOU WANT YOU CAN TELL ME THE EXACT MEDICINES YOU ARE TAKING AND THE NATURE OF RIB PAIN DULL SHARP OR BURNING AND I CAN GUIDE YOU MORE PRECISELY
Here is a clear, structured Ayurvedic reply you can directly use for the patient, including prescription + investigations + diet, lifestyle, yoga & home remedies, written in a reassuring clinical tone 👇
🩺 Ayurvedic Assessment
Symptoms suggest Agnimandya, Vata–Pitta imbalance, constipation leading to Arsha (piles), with associated right hypochondriac (right rib) pain. Weak digestion and strain during bowel movements are aggravating factors.
Dashmoolarishta – 15 ml twice daily after meals with equal water
Ashwagandha Churna – 3 g once daily with warm milk or water
Arshkuthar Ras – 1 tablet twice daily after meals
Isabgol Husk – 3 g at night with warm milk
Buttermilk (Takra) – once daily (preferably with roasted jeera)
🔹 Local Application
Aloe vera gel – apply locally on affected piles area every 3–4 hours
Sitz bath with lukewarm water once daily (10–15 minutes)
🧪 Investigations Advised
CBC (Complete Blood Count)
LFT (Liver Function Test)
USG Abdomen
(To rule out liver/gallbladder pathology and anemia)
🥗 Dietary Guidelines
✅ Recommended
Light, warm, freshly cooked food
Moong dal, lauki, tori, pumpkin, spinach
Soft foods: rice gruel, khichdi, vegetable soup
Plenty of warm water throughout the day
Papaya, soaked raisins (5–6 overnight)
❌ Avoid
Spicy, fried, oily food
Bakery items, fast food
Red chilli, excess salt
Tea, coffee, alcohol
Late-night eating
🧘♂️ Yoga & Physical Activity
(Do gently, without strain)
Pawanmuktasana
Malasana
Vajrasana (after meals)
Anulom Vilom Pranayama – 10 minutes
Deep breathing – 5 minutes
🛑 Avoid heavy exercise, long sitting, and straining during defecation.
🌿 Home Remedies
Warm water early morning
1 tsp ghee at night if stools are very hard
Sitz bath water may be mixed with a pinch of triphala decoction if available
🧾 Lifestyle Advice
Do not suppress natural urges
Fixed time for bowel movements
Avoid prolonged sitting on the toilet
Adequate sleep & stress reduction
🚨 When to Seek Immediate Care
Severe or increasing right-sided abdominal pain
Blood in stools
Persistent loss of appetite or weakness
Fever or vomiting
1.Triphala churna 1 tsp at bedtime with warm water 2.Avipattikar churna 3/4 tsp twice daily with warm water before meals
🍵 Supportive Home Remedies - Warm water sipping throughout the day. - Buttermilk with roasted jeera powder after meals (excellent for piles and digestion). - Soaked raisins in the morning for gentle bowel movement. - Avoid spicy, fried, and heavy foods until appetite improves.
Warm Regards Dr. Anjali Sehrawat
Follow some simple lifestyle changes and dietary changes and you will see results for your problem.
✔️Do’s✔️ Drink buttermilk daily. Eat freshly cooked food. Drink warm water. Lunch and dinner on fixed timings. 100 steps after every meal. If possible dinner as early as 7-8 pm.
🧘♀️ Yogasan : 🧘♀️ 1. Pawanmuktasana 2. Bhujangasana 3. Dhanurasana 4. Paschimottanasana 5. Ardha Matsyendrasana 6. Vajrasana 7. Supta Matsyendrasana
🧘♀️ Pranayam: 🧘♀️ 1. Bhramari 2.Bhasrika 3.Kapalbhati 4.Jyoti Tratak 5. Anulom Vilom
❌Don’ts:❌ Packed and processed food. Ready to eat items. Oily and spicy food. Sour and fermented products. Dals (only moong dal can be eaten) Besan Raw vegetables and sprouts Curd Reduce dairy intake.
💊Medication 💊
Tab. Ampachak Vati 2 tabs twice a day before food. Tab. Laghusuthshekhar Ras 2 tabs twice a day before food. Syp. Abhayarishta 2 tsp with half a cup of warm water before food.
Tab. Shankhavati 2 tabs after food suck and eat
Tab. Gandharva Haritaki Vati 3 tabs at bed time with a cup of hot water
Take kanchanar gugulu 2 bd Take kesor gugulu 2 bd Take triphla 2 bd Take jatyadi ghurth for external apply Sitz bath daily
Medicines Abhayarishta: 30ml mixed with 30ml warm water, twice daily (after food).
Arogyavardhini Vati: 1 tablet twice daily.
Triphala Guggulu: 2 tablets twice daily.
Dietary & Lifestyle Advice (Crucial) Liquid Diet (24 Hours): Since you can’t eat and have no energy, your digestion has stopped. Stop solid food for 24 hours. Drink Mung Dal Soup or Rice Gruel (Kanji) only. This will rest the system and restore energy.
Sitz Bath: Sit in a tub of warm water for 10 minutes before going to the toilet. This relaxes the sphincter and reduces Piles pain.
Avoid: Tea, Coffee, and Spicy food completely.
If your eyes or urine turn Yellow (Jaundice), or if you vomit, please go to a hospital immediately for an Ultrasound, as right rib pain can also indicate a Gallbladder attack.
Regards Dr Gursimran Jeet Singh MD Panchakarma
HELLO,
Your symptoms include -pain in right side of ribs -poor appetite, cannot eat properly -low energy, weakness In whole body -constipation, difficulty passing stools -development of piles
In Ayurveda, this condition mainly involves imbalance of Pitta and Vata dosha -Right rib pain-> this area is related to liver and gallbladder. Excess pitta causes inflammation, burning, pain -Loss of appetite and energy-> digestive fire has become weak -Constipation and piles-> Vata dosha in the colon (apana vata) is disturbed , causing hard stools and pressure on rectal veins -Medicines + poor digestion-> leads to Ama (toxic undigested matter), worsening all symptoms
TREATMENT GOALS -improve digestion -normalize liver function and reduce pitta heat -regulate bowel movement without force -heal piles and prevent recurrence -resotre energy and strength -prevent further complications
INTERNAL MEDICATIONS
1) AVIPATTIKAR CHURNA= 1 tsp at bedtime with warm water for 6 weeks =baalances pitta, improves digestion, releives acidity, liver heat, constipation gently
2) TRIPHALA CHURNA= 1/2 tsp at night with warm water for 6 weeks =softens stool natrually, heals intestines, helpful in piles and chronic constipation
3) AROGAVARDHINI VATI= 1 tab twice daily after meals for 6 weeks =best medicine for liver health, reduces right rib pain, improves appetite and metabolism
4) ABHYARISHTA= 20 ml with equal water after dinner for 6 weeks =corrects apana vata, useful in piles and irregular bowel habis
5) GUDUCHI GHAN VATI= 2 tabs twice daily after meals =liver detox, reduces inflamamtion and fatigue
EXTERNAL TREATMENT
FOR PILES -warm sitz bath 15 min daily -add triphala decoction or plain warm water
LOCAL APPLICATION -Jatyadi taila or piles ointment -apply gently twice daily -helps in pain, burning, healing
DIET -warm, freshly cooked meals -rice, moong dal, khichdi -lauki, tori, carrot, pumpkin -buttermilk with roasted cumin -cow ghee 1-2 tsp/day
AVOID -spic, oily, fried food -tea,coffee,alcohol -bakery, junk food -sour, fermented food -cold drinks, ice cream
EAT SMALL PORTIONS, CHEW WELL, EAT ONLY WHEN HUNGRY
LIFESTYLE CHANGES -fixed meal timings -early dinner before 7:30 pm -light walk after meals -adequate sleep -avoid stress, angry, worry (increases pitta)
Do not suppress urge for stool -avoid sitting long hours contiously
YOGA ASANAS -pawanmuktasana= improves digestio -malasana= helps bowel movement -bhujangasana= liver and digestion -vajrasana after meals 10 min
PRANAYAM -Anulom Vilom= 10 min -Sheetali/sheetkari= for pitta cooling -Bhramari= stress reduction
Avoid kapalbhati initially aggravated piles
HOME REMEDIES -warm water early morning -jeera-dhaniya-saunf decoction twice daily -1 tsp ghee in warm milk at night if stools very hard -soaked raisins 5-6 overnight, eat in morning
EXPECTED IMPROVEMENT TIMELINE -Appetite improves-> 7-10 days -bowel regularity-> 1-2 weeks -piles relief-> 2-4 weeks -energy and strength-> 3-4 weeks
This condition is reversible with proper digestion correction and lifestyle discipline. Ayurveda focuses on root cause healing, not temporary relief. Follow diet, mediicnes, and lifestyle sincerely for lasting results
REMEMBER -Healthy digestion= healthy liver= pain free body
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
