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Severe Right Iliac Abdomen Pain and Bowel Issues
Gastrointestinal Disorders
Question #48139
124 days ago
1,114

Severe Right Iliac Abdomen Pain and Bowel Issues - #48139

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I have severe right iliac abdomen pain since 2 years afterdefecation it reduces and my bowel is constipated anddiarrhoea reflux happensonce inweek

How would you describe the severity of your abdominal pain?:

- Severe

What is your usual bowel movement pattern?:

- Alternating between constipation and diarrhea

Have you made any dietary changes in the last 2 years?:

- Yes, minor changes
Question is closed
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Doctors' responses

Namaste Thanks for opening up and sharing your symptoms so clearly. Living with sharp pain in your right lower abdomen for two years—plus the constant flip between constipation and diarrhea—sounds really exhausting. But dont worry we are here to help you out 😊

What’s Going On?

From a modern medical point of view, what you’re describing matches up with a functional bowel disorder.

Most likely, it’s Irritable Bowel Syndrome (IBS), mixed type. Other possibilities include an ileo-cecal spasm, leftover gut sensitivity from past inflammation, or chronic issues with how your colon moves things along.

But since your pain sticks to the right iliac area and has dragged on so long, it’s important to make sure nothing else is going on—like chronic appendicitis, inflammation around the ileo-cecal region, food intolerance, or an imbalance of gut bacteria. If no one’s checked for these yet, it’s worth ruling them out.

AYURVEDIC UNDERSTANDING

From an Ayurvedic perspective, your symptoms connect closely to Grahani Roga and Pakvashaya-gata Vata, which point to a Vata–Pitta imbalance.

Here’s why: Your pain eases after you go to the bathroom (classic Vata), and your bowels swing between being blocked and loose (shows your digestive fire—Agni—isn’t steady). That reflux you feel once a week? Pitta’s involved too.

What’s Causing This?

At the root, your digestive fire is weak and unpredictable. Toxins (Ama) are probably building up. Vata’s getting stirred up in your large intestine, which leads to those sharp, spasmodic pains and your bowel habits bouncing all over the place.

Just treating the pain won’t fix this. We need to work on strengthening your digestion (Agni) and calming down Vata.

Ayurvedic Treatment Plan

INTERNAL MEDICATION (Shamana) These are gentle on Your gut and not habit-forming.

- Bilva Avaleha: 1 tsp after meals, twice daily with lukewarm water. It helps regulate your bowels—whether you’re constipated or have diarrhea.

- Hingvashtaka Churna: ½ tsp before meals, twice daily with warm water or ghee. Great for gas, spasms, and that right-sided pain.

- Kutajarishta: 15 ml with equal water after lunch and dinner. Helps control diarrhea and strengthens your intestines.

- Avipattikar Churna: ½ tsp at bedtime. Eases reflux and keeps Pitta in check without stirring up Vata.

Panchakarma Therapy (Highly Recommended)

If you’re still struggling after trying medicines, Panchakarma can help—especially Matra Basti or Anuvasana Basti using Dashamoola Taila or Sahacharadi Taila.

This approach works wonders for stubborn right iliac pain and unpredictable bowels. It’s one of the best therapies for the kind of Vata imbalance you have.

DIET PLAN This Matters Most

Avoid: - Raw salads - Bakery stuff - Cold food and drinks - Tea, coffee - Spicy, fried, or fermented foods - Eating at random times

Instead, stick with: - Warm, freshly cooked meals - Rice gruel, moong dal - Buttermilk with roasted jeera - A little ghee - Cooked veggies like bottle gourd, ridge gourd, or carrot

Eat at the same times every day—your gut craves routine.

LIFESTYLE

- Don’t hold in natural urges - Aim to sleep by 10:30 pm - Try gentle walks after eating - Practice Pawanmuktasana, sit in Vajrasana for 10 minutes after meals, and do Anulom Vilom pranayama

Check These Out (if you haven’t already) If you haven’t done them yet, these tests can help rule out other causes: - Abdominal ultrasound - Colonoscopy (if your doctor advises) - Stool exam - CBC, CRP blood tests

This kind of problem responds really well to Ayurvedic treatment, and you can get lasting relief if you stay consistent. Don’t try to self-medicate or keep switching treatments.

Warm regards, Dr Snehal Vidhate

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SEVERE RIGHT ILIAC ABDOMINAL PAIN THAT HAS BEEN PRESENT FOR TWO YEARS AND RELIEVES AFTER DEFECATION ALONG WITH ALTERNATING CONSTIPATION AND DIARRHOEA AND OCCASIONAL REFLUX IS A VERY CLASSIC PATTERN AND IT IS IMPORTANT TO UNDERSTAND THIS PROPERLY RATHER THAN TREATING IT AS SEPARATE SYMPTOMS

THE FACT THAT THE PAIN REDUCES AFTER PASSING STOOL STRONGLY INDICATES THAT THIS IS A FUNCTIONAL BOWEL DISORDER RATHER THAN A STRUCTURAL EMERGENCY IN MOST CASES IT POINTS TOWARDS A CHRONIC COLON DYSFUNCTION WHERE GAS STOOL AND SPASM ACCUMULATE IN THE RIGHT LOWER ABDOMEN AND CREATE INTENSE PAIN WHICH TEMPORARILY RELIEVES ON EMPTYING

WHEN BOWELS ALTERNATE BETWEEN CONSTIPATION AND DIARRHOEA IT MEANS THE DIGESTIVE SYSTEM HAS LOST ITS RHYTHM SOMETIMES IT HOLDS STOOL TOO LONG MAKING IT HARD AND PAINFUL AND at other times it pushes contents out suddenly causing loose motions THIS IRREGULARITY ITSELF CREATES PAIN GAS BLOATING AND REFLUX

FROM AN AYURVEDIC UNDERSTANDING THIS PATTERN IS SEEN WHEN THE DIGESTIVE FIRE IS UNSTABLE NOT WEAK AND NOT STRONG BUT IRREGULAR THIS LEADS TO INCOMPLETE DIGESTION FORMATION OF TOXIC RESIDUE AND ABNORMAL MOVEMENT OF GAS IN THE INTESTINES THE RIGHT ILIAC REGION IS A COMMON SITE WHERE SUCH PAIN GETS TRAPPED

REFLUX OCCURRING ONCE A WEEK SHOWS THAT THE PROBLEM IS NOT LIMITED TO THE LOWER GUT THE ENTIRE DIGESTIVE TRACT IS UNDER STRESS WHEN THE LOWER BOWEL IS IRRITATED IT OFTEN PUSHES PRESSURE UPWARDS RESULTING IN ACIDITY AND BURNING

MINOR DIETARY CHANGES ALONE ARE USUALLY NOT ENOUGH IN A CONDITION THAT HAS BEEN PRESENT FOR TWO YEARS THE BOWEL HAS LEARNT A WRONG PATTERN AND NEEDS GENTLE BUT CONSISTENT RETRAINING

THE MOST IMPORTANT STEP IS TO REGULARISE STOOL WITHOUT FORCING IT STRONG LAXATIVES OR FREQUENT PURGING MAKES THIS CONDITION WORSE OVER TIME

TRIPHALA IS USEFUL BUT IN SUCH CASES IT SHOULD BE USED CAREFULLY HALF TEASPOON AT NIGHT WITH WARM WATER IS USUALLY SUFFICIENT IF TAKEN DAILY IN HIGH DOSES IT CAN CAUSE DIARRHOEA AND INCREASE COLON IRRITATION

DIET MUST BE VERY SIMPLE AND PREDICTABLE AVOID RAW VEGETABLES SALADS SPROUTS FERMENTED FOODS BAKERY ITEMS EXCESS FRUIT AND MILK AT NIGHT EAT WARM COOKED MEALS AT FIXED TIMES DO NOT MIX TOO MANY ITEMS IN ONE MEAL RICE KHICHDI STEWED VEGETABLES MOONG DAL AND SOUPS ARE BEST AVOID TEA COFFEE CHOCOLATE AND VERY SPICY OR SOUR FOOD AS THESE TRIGGER BOTH PAIN AND REFLUX

VERY IMPORTANT DO NOT DRINK LARGE QUANTITIES OF WATER WITH MEALS SIP ONLY TOO MUCH WATER DILUTES DIGESTION AND INCREASES BLOATING

CHEW FOOD SLOWLY EAT IN A CALM STATE AND NEVER IGNORE THE URGE TO PASS STOOL HOLDING STOOL IS A MAJOR CAUSE OF RIGHT ILIAC PAIN

GENTLE WALKING AFTER MEALS IS GOOD BUT AVOID STRONG CORE EXERCISES OR INTENSE YOGA WHEN PAIN IS ACTIVE PRANAYAM SHOULD BE CALM AND SLOW NOT FORCEFUL

THIS TYPE OF CONDITION IMPROVES SLOWLY OVER WEEKS NOT DAYS THE GOAL IS NOT TO STOP DIARRHOEA ONE DAY AND CONSTIPATION THE NEXT BUT TO TRAIN THE BOWEL TO PASS SOFT FORMED STOOL DAILY WITHOUT STRAINING

IF PAIN IS SEVERE AND HAS BEEN PRESENT FOR TWO YEARS IT IS ALSO IMPORTANT THAT BASIC INVESTIGATIONS HAVE BEEN DONE TO RULE OUT CONDITIONS LIKE CHRONIC APPENDICULAR IRRITATION INFLAMMATORY BOWEL CONDITIONS OR STRUCTURAL ISSUES IF THESE HAVE ALREADY BEEN RULED OUT THEN FUNCTIONAL BOWEL MANAGEMENT IS THE RIGHT DIRECTION

WITH CONSISTENT DIETARY DISCIPLINE GENTLE REGULARISATION OF STOOL AND CALM DAILY ROUTINE MANY PEOPLE WITH THIS EXACT PATTERN DO EXPERIENCE SIGNIFICANT REDUCTION IN PAIN BLOATING AND REFLUX OVER TIME THE KEY IS PATIENCE AND AVOIDING OVER TREATMENT

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Doctor has prepared a treatment plan for you
Triphala Churna - Baidyanath
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1.Kutajghan vati 1 tab twice daily with water after meals 2.Mustakrishta 20 ml with 20 ml water twice daily after meals 3.Triphala churna 1 tsp at bedtime with warm water

🧘‍♀️ Diet & Lifestyle:

✅ Include: - Warm, freshly cooked meals (khichdi, moong dal, lauki, pomegranate) - Jeera-ajwain-saunf decoction after meals - Buttermilk with roasted jeera and rock salt (midday) - Ghee in small amounts to lubricate intestines

❌ Avoid: - Cold, dry, fried, or fermented foods - Milk, curd at night, raw salads - Long gaps between meals - Late nights and irregular eating

🧘‍♂️ Yoga & Pranayama: - Vajrasana after meals - Pawanmuktasana, Apanasana for gas and pain - Anulom Vilom, Bhramari for gut-brain balance

Warm Regards DR. ANJALI SEHRAWAT

12143 answered questions
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Sitaram Mustharishtam - Sitaram Ayurveda
Kutajghan Bati - Baidyanath
Triphala Churna - Dabur
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Go for USG ABDOMEN And take anuloman ds 1tab bd Abhayarista 20ml bd enough

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Hello, Please take the following along with the diet and lifestyle changes as listed below: Medicines: 1. Vayu Gulika 2----2----2 with cumin tea after each meal for 60 days. 2. Gandharvahastadi kashayam 15ml----0----15ml 45 minutes before breakfast and 45 minutes after dinner by adding 45 ml of boiled cooled water. for 15 days 3. Gandharvahastadi erandam 5ml with medicine no.2 45 minutes after dinner. for a5 days 4. Sukumara Rasayanam(vaidyaratnam) One teaspoon with warm water at bed time for 60 days.

Diet- 1. Freshly cooked warm food 2. Avoid raw food, processed food, out side food, deep fried food completely. 3. Drink 2 liters of boiled warm water a day. 4. Increase the vegetables and fruits in your diet 5. If you are a non vegetarian avoid for 60 days.

Lifestyle: 1. Moderate exercise everyday for 45 minutes to one hour 2. Avoid late night dinner;let there be a gap of 2 hours between dinner and going to bed.

Take care, Kind regards.

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Get your USG done For now You can take Hinghvastak+Ajmodadi churna -1 tsp BD Tab gasex -2 BD If constipated add Tab zandu nityam -1 at night If diarrhoea take kutajghan vati -2 - BD

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Hi this is Dr soukhya have you done the USG abdomen and pelvis…if not do it …if yes then share reports…bcz it may have different reason … blindly should not try anything… should know proper reason behind the problem

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Severe pain in the right iliac region for the last two years which reduces after defecation along with alternating constipation and diarrhea and weekly reflux suggests a functional bowel disorder with vata predominance and irregular digestive fire.

From an ayurvedic perspective this condition develops when digestion becomes unstable and gas accumulates in the colon causing pain spasm and reflux.

The relief after passing stools indicates trapped vata and incomplete evacuation rather than a structural issue .The alternating nature of constipation and loose stools points to disturbed gut rhythm and hypersensitivity of the intestines.

The primary aim of treatment is to regulate bowel movement calm intestinal vata strengthen digestion and reduce gas formation.

Food should be warm freshly prepared and easy to digest.

Avoid raw salads,cold foods,fried,spicy,fermented foods excess tea ,coffee,bakery items and packaged foods. Eat at regular times and avoid skipping meals… Prefer soft cooked rice ,moong dal,khichdi “,vegetable soups,cooked gourds,pumpkin carrot ,bottle gourd ,ghee and buttermilk.

Take hingwastak churna half teaspoon twice daily after meals with warm water

Triphala churna one teaspoon at night with warm water.

If reflux is prominent add avipattikar churna half teaspoon once daily after food

Drink warm water through the day and avoid large quantities at once walking after meals will help intestinal movement.

Avoid suppressing natural urges and avoid lying down immediately after eating.

This condition requires consistency and patience With proper dietary discipline stress management and regular bowel regulation symptoms usually reduce gradually.

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Your symptoms strongly suggest chronic appendicitis, ileocecal inflammation, Crohn’s or IBS with right-sided predominance, 2 years severe pain is serious & needs urgent evaluation.

Consult gastroenterologist/surgeon TODAY – get: Abdominal ultrasound/CT scan Colonoscopy if needed Stool routine + calprotectin

Do NOT delay , chronic right iliac pain with alternating bowels can be early IBD or appendiceal issue.

Supportive Ayurvedic Plan

Medicines 1 Bilwadi Churna – 3 gm + warm water twice daily 2 Kutajarishta – 15 ml + 30 ml warm water after meals 3 Panchasakar Churna – 2 gm night with warm water 4 Kamadhudha Ras – 250 mg morning + night

Diet Eat: moong khichdi + ghee, thin buttermilk + roasted jeera, pomegranate Avoid: spicy/sour, fried, dairy (except ghee), raw salads, cold drinks

Daily Warm sitz bath 15 min evening Vajrasana 10 min after meals

See specialist first , this is not simple constipation. Start Bilwadi + diet today only if doctor approves.

Regards Dr Gursimran Jeet Singh MD Panchakarma

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