Managing Constipation and Pain After Hemorrhoid Surgery - #48518

take abhiyaaristh 20 ml with 60 ml water 2 times days also take it erand brusth harde 1 at night with warm water take triphala tab 2 times day after food and also take it 1 tsp isabgool mix with water and take it night before slleep get good result

Hlo,

Yes, this can happen, especially when: Stool becomes hard There is past surgical scarring Weather is cold (cold increases dryness and Vata imbalance)

- This suggests: Early anal fissure, OR Scar-line irritation with skin micro-cracks These often heal on their own if stool remains soft consistently.

You should have to follow - - Hydration + soluble fiber + lubrication Avoid harsh stimulant laxatives (senna, bisacodyl regularly)

Best options - Isabgol Warm fluids Healthy fats Gut-soothing herbs

AYURVEDIC PRESCRIPTION 1️⃣ Triphala Churna Dose: ½ teaspoon at bedtime With warm water or lukewarm milk Benefits: Regulates bowel movement Heals fissures Improves gut tone Safe for long-term use

2️⃣ Isabgol Dose: 1 teaspoon at night With 1 full glass of warm water ⚠️ Always drink enough water afterward.

3️⃣ Cow Ghee (or plant ghee if vegan) Dose: 1 teaspoon at bedtime With warm water or mixed in food Acts as: Natural lubricant + fissure healer

4️⃣ Abhayarishta (if stools remain hard) Dose: 10 ml + equal water After dinner (Use only if Triphala alone isn’t enough)

5️⃣ Local application (External) Jatyadi Taila or plain coconut oil Apply externally after sitz bath, once or twice daily Promotes healing and reduces burning.

🥗 DIET FOR CONSTIPATION (VEGETARIAN + COLD WEATHER) Increase: Warm cooked vegetables (lauki, pumpkin, carrot, spinach) Stewed apples, pears Oats, porridge, khichdi Soaked raisins (6–8 overnight) Healthy fats (ghee, olive oil)

Reduce: Dry foods Excess bread, cheese Raw salads in cold weather Very spicy food

💧 WATER INTAKE You currently take 1–2 L/day, which is low. 👉 2.5–3 liters/day, preferably: Warm or room temperature Small sips throughout the day

🚿 Continue Sitz Baths Warm water 10–15 minutes Once or twice daily

Tq

Yes l, this is very common after hemorrhoid surgery Hard stool strains healing tissues/scar →and causes external fissure-like pain, burning & irritation. Cold weather worsens constipation.

Quick & Safe Plan Diet (Increase Fiber & Lubrication) Daily: 1 papaya or 1–2 soaked figs/raisins morning Moong dal khichdi + 2–3 tsp ghee (lunch & dinner) Cooked lauki/zucchini + spinach (high water content) 1 bowl thin buttermilk + roasted jeera after meals Warm water 3–4 L spread throughout day (sip, not gulp) Avoid: Maida, rice only, dry food, late dinner, cold drinks

Medicines 1 Abhayarishta – 15 ml + 30 ml warm water after lunch & dinner 2 Triphala Churna – 3 gm night with warm water 3 Hingwashtak Churna – ½–1 tsp after meals with warm water 4 Jatyadi Ghrita – apply externally after sitz bath & bowel movement

Daily Must-Do Warm Sitz Bath – 15 min, 2–3 times daily (hot water + pinch rock salt) – reduces pain & heals Vajrasana 10 min after meals Oil massage lower abdomen with warm sesame oil nightly

If pain worsens or bleeding starts then see surgeon immediately.

Regards Dr Gursimran Jeet Singh MD Panchakarma

Hello I get why you’re worried. After hemorrhoid surgery, a lot of people deal with the same stuff: hard bowels , a burning feeling outside the anus, and it feels like you have a fissure, but without any blood. It’s pretty common, especially when it’s cold out.

IS THIS NORMAL AFTER BEMMORRHOID SURGERY?

Yeah, it happens a lot. After you have surgery:

–Your skin’s more sensitive. –You might have a little scarring. –The blood flow to that area is a bit less than before. So, when you have a hard bowel movement, it can easily cause small tears or irritation. It sounds like what you’re feeling is: Irritation of the anal skin after surgery, which feels like a fissure.

AYURVEDIC UNDERSTANDING

This is sometimes called: Parikartika (pain like you get with an anal fissure)

Which involves: Vata getting worse → causing dryness and hard stools Pitta getting involved → causing burning and irritation Weak Apana Vayu → leading to bowel movements that aren’t quite right The cold makes Vata worse, drying out your stool even more.

SAFEST WAY FOR CONSTIPATION

You don’t need strong stuff. You just need to help things move better and support your gut.

Best Daily Plan

👉Morning (Before Eating) A glass of warm water Add a teaspoon of ghee OR two soaked raisins

👉Night (Before Bed) Triphala churna – ½ to 1 tsp with warm water (It’s mild, doesn’t create a habit, and is great for your long-term gut health)

AYURVEDIC PLAN OF TREATMENT

INTERNAL MEDICATION (for constipation and getting better)

Triphala Churna – ½ tsp at night Isabgol (Psyllium husk) – 1 tsp in warm water or milk at night Abhayarishta – 15 ml with warm water after dinner (if your stool is still hard, this is optional)

EXTERNALLY

For pain, burning, and getting better:

Best Cream (Ayurvedic) Jatyadi Ghrita Put it around your anus, inside and out, with a clean finger before bed.

This will: –Help small fissures heal –Make burning less bad –Soften scar tissue

DIET PLAN

❌AVOID

Dry food Bread, biscuits Cheese Too much tea or coffee

✅INCLUDE

Oats Steamed veggies Ghee Warm soups Ripe papaya Soaked figs (two at night)

Really Important Life Rules

–Don’t sit on the toilet for too long –Don’t strain, even if you don’t feel like you need to go much –Keep taking warm baths –Always keep your lower belly warm (especially important when it’s cold)

What You Need to Know

–It’s not dangerous. –It’s just sensitivity and dryness after surgery. –If you keep your stool soft: -The pain will stop -Your skin will heal You won’t need surgery again

Warm Regards Dr Snehal Vidhate

Start with these safe options for softening stool . -Triphala Churna— 1 teaspoon (≈3–5 g) mixed in warm water, at bedtime daily. - Haritaki Powder— ½ teaspoon with warm water, in the morning (or roasted in ghee if available). - Abhayarishtam— 15 ml + equal warm water, after lunch and dinner. - Optional (for extra lubrication, 2–3 times/week): Castor Oil (Eranda Taila) — 5–10 ml in warm milk, at bedtime.

External Care - Warm sitz bath with Triphala decoction (boil 1 tbsp Triphala in 1 liter water, strain, use warm) — 10–15 minutes, 2–3 times daily. - Apply Jatyadi Taila or plain warm sesame oil externally after bath. Dietary Tips - Drink warm water throughout the day (start with 500 ml warm water + ginger/lemon upon waking). - Include: Stewed apples/prunes/figs (soaked overnight), ghee in meals, cooked moong dal khichdi, root vegetables (carrots, beets), oats porridge. - Avoid: Cold/raw foods, dry items, processed foods.

Follow up after 15 days

Hi For your condition you can take Triphala guggulu 2 BD Zandu nityam 1 tab at night For your fissure condition Jatyadi oil application locally And continue your sitz bath

Start with Abhayarishtam 5ml with 10 ml of water after food twice a day Kankayana vati tab 1-0-1 after food Jatyadhi tailam application over anal region

Triphala churna – ½ tsp at night with warm water 2. Isabgol – 1 tsp at night with 1 glass warm water 3. Sukumara grutha– 1 tsp morning (empty stomach) 4. Jatyadi Taila – apply externally around anus twice daily 5. Warm sitz bath – once daily with triphala kashaya

Hi this is Dr Sushravya, I analysed your problem and this is quite common after surgery till your body attains it’s normalcy

Advice- ∆ Swaadishta Virechana Churna @ Night 1tsp with warm water ∆ Sitz bath with panchavalkala kasaya drops minimum 3 times a day which helps to relieve pain and heal ∆ Sukhada ointment (External application minimum 2 a day)

Avoid Dry junk spicy foods, include Butter Ghee warm water in between your meals…

Even after harmonioud surgery if you hv hard stools then that may later lead to fissure Do not strain Drink plenty of fluids Continue sitz bath Avoid spicy sour fermented foods Take Erand bhristh Haritaki 0-0-1 tsp at night Abhaaristha 4-0-4 tsp with equal water

Jatyadi gritha - apply externally