Overcoming Bowel Dependency from Divya Churna Use for Grade 2 Piles - #48924
regular use of divya churna (I have grade 2 piles) has led to bowel dependency. What is the best way to come out of it?


Doctors' responses
- Diagnosis: Grade 2 Hemorrhoids (Post-laxative dependence) - Prescription: 1)Tapering of Divya Churna Reduce to half dose for 1 week, then quarter dose for 1 week, then stop. Take before bedtime with warm water. 2)Triphala Churna – 1g, once daily at bedtime, 2–3 weeks. Gradually taper previous Divya Churna. 3)Psyllium Husk / Isabgol – 5 g, once daily before meals, 2–4 weeks, with warm water for natural bowel regulation. 4)Arshoghni Vati / Kankayan Vati – 2 tablets, twice daily after meals, 2–3 weeks, helps reduce bleeding and inflammation. 2. Local Therapy / Sitz Bath: Apply Haritaki + Triphala Churna locally . Warm water sitz bath 10–15 minutes, 2–3 times/day. 3. Diet & Lifestyle (Pathya): High-fiber diet: fruits, vegetables, whole grains. Drink 2–3 L water/day. Avoid straining during defecation. Avoid spicy, oily, and junk food. Walk 20–30 minutes daily. 4. Follow-up: After 2 weeks or earlier if bleeding/pain worsens. Tq

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