Seeking Advice on IBS Treatment and Medication Adjustments - #49171

I am a doctor who completed CCH and CGO from Wadia hospital, and that training gave me exposure not just in theory but also in handling patients with very diverse needs. Over time I have treated many cases of chronic skin conditions, gut related disorders and also anorectal issues like piles, fissure and similar complaints. Each case felt different, no two patients respond the same way, and I learnt how to adapt treatment according to prakriti, diet habits, stress levels. Skin problems always catch attention first — psoriasis, eczema, acne that stays for years — but I understood that they often start from inside, from digestion or blood impurities. Gut issues like acidity, constipation, IBS are also common in my practice, and here small corrections in food timing or herbs can change a lot. Anorectal cases, especially piles and fissure, are painful both physically and mentally for patients, so I try to bring a treatment plan that is safe, non-invasive when possible, and focused on long term relief not just temporary fixes. Working with such variety of disorders also taught me patience. Some patients want fast results, but Ayurveda needs time to clean the root cause. I explain them carefully, sometimes repeating many times, that slow healing is stronger healing. Building that trust is important. My approach is always to combine herbal formulations, diet advice, and lifestyle correction with procedures when required, to ensure balance is restored and maintained. For me, Ayurveda is not a set of ready remedies but a flexible science that adapts to each person. Whether it’s skin, gut or anorectal problems, my focus stays on listening, understanding and guiding patients with clarity, honesty and steady support.

I am mainly into women’s health care, especially Gynoveda side of things—PCOS, PCOD, infertility, all that hormonal mess that messes up daily life like crazy. I’ve worked with a lot of women who come in with irregular cycles, cystic ovaries, mood swings they can’t explain, or just this deep fatigue that nobody else gets. Some trying to conceive for years, some just tired of pills that keep shifting their symptoms around. I don’t rush herbs—I first listen, like really listen—what’s been tried, what worked a bit n what didn’t at all. Ayurveda helps when it’s matched right, that’s what I learned early on. I use personalized protocols based on dosha type, digestion pattern (sometimes even if you think it’s fine, gut signs say otherwise), and lifestyle pressure. I keep checking back, bcoz cycles shift, stress builds, sometimes we need to pivot treatment fast. I also work with arthritis and chronic pain cases, esp. in women where it overlaps with hormonal stuff or stress patterns. Joint pain isn’t always a bone issue, lot of time it’s deeper—gut toxins, sleep, emotions stuck in the body. I try to handle those too, mostly with tailored oil therapies, herb combos, diet that doesn’t shock your system but still clears ama buildup. Stress management is part of all this, I can't seperate it anymore. Half the pcos flare-ups or cycle delays I see—root cause is mental load, not just physical imbalance. So yeah, I also guide through lifestyle cleanup, routines, simple dinacharya steps, sometimes even tiny breathing work that fits their pace—not the overcomplicated stuff. Not claiming magic, but many who came to me after trying evrything said this made them feel heard... and better. That's what I aim for.

I am a BAMS graduate and currently running my own clinic, where I see patients on a regular basis and try to give them honest, practical care. My daily work involves understanding different health concerns, listening properly to what the patient is going through, and then planning treatment in a way that actually fits their routine. I believe treatment should not feel confusing or rushed, and sometimes even small changes make a big difference. Running my own clinic has taught me a lot about responsibility and consistency. Some days are busy, some are slow, but every patient brings a different challenge and learning. I focus mainly on Ayurvedic treatment methods, lifestyle correction and long-term health balance, rather than quick fixes. There are times when progress takes longer, but I stay patient and keep working with the person step by step. I try to keep my approach simple, practical and honest. For me, real success is when a patient feels better in daily life, sleeps better, eats better and slowly regains balance. That is what keeps me going and improving every day.

I am someone who believes Ayurveda isn’t just some old system — it’s alive, and actually still works when you use it the way it's meant to be used. My practice mostly revolves around proper Ayurvedic diagnosis (rogi & roga pariksha types), Panchakarma therapies, and ya also a lot of work with herbal medicine — not just prescribing but sometimes preparing stuff myself when needed. I really like that hands-on part actually, like knowing where the herbs came from and how they're processed... changes everything. One of the things I pay a lot of attention to is how a person's lifestyle is playing into their condition. Food, sleep, bowel habits, even small emotional patterns that people don't even realize are affecting their digestion or immunity — I look at all of it before jumping to treatment. Dietary therapy isn’t just telling people to eat less fried food lol. It’s more about timing, combinations, seasonal influence, and what suits their prakriti. That kind of detail takes time, and sometimes patients don’t get why it matters at first.. but slowly it clicks. Panchakarma — I do it when I feel it's needed. Doesn’t suit everyone all the time, but in the right case, it really clears the stuck layers. But again, it's not magic — people need to prep properly and follow instructions. That's where strong communication matters. I make it a point to explain everything without dumping too much Sanskrit unless they’re curious. I also try to keep things simple, like I don’t want patients feeling intimidated or overwhelmed with 10 things at once. We go step by step — sometimes slow, sometimes quick depending on the case. There’s no “one protocol fits all” in Ayurveda and frankly I get bored doing same thing again and again. Whether it’s a fever that won’t go or long-term fatigue or gut mess — I usually go deep into what's behind it. Surface-level fixes don’t last. I rather take the time than rush into wrong herbs. It’s more work, ya, but makes a diff in long run.

I am working right now as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital in Nalgonda—and yeah, that name’s quite something, but what really keeps me here is the kind of cases we get. My main focus is managing ano-rectal disorders like piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), pilonidal sinus, and rectal polyps. These are often more complex than they look at first, and they get misdiagnosed or overtreated in a lotta places. That’s where our classical tools come in—Ksharasutra therapy, Agnikarma, and a few other para-surgical techniques we follow from the Samhitas...they’ve been lifesavers honestly. My work here pushes me to keep refining surgical precision while also sticking to the Ayurvedic core. I do rely on modern diagnostics when needed, but I won’t replace the value of a well-done Nadi Pariksha or assessing dosha-vikruti in depth. Most of my patients come with pain, fear, and usually after a couple of rounds of either incomplete surgeries or just being fed painkillers n antibiotics. And I totally get that frustration. That’s why I combine surgery with a whole support plan—Ayurvedic meds, diet changes, lifestyle tweaks that actually match their prakriti. Not generic stuff off a handout. Over time, I’ve seen that when people follow the whole protocol, not just the procedure part, the recurrence drops a lot. I’m quite particular about follow-up and wound care too, ‘cause we’re dealing with delicate areas here and ignoring post-op can ruin outcomes. Oh and yeah—I care a lot about educating folks too. I talk to patients in OPD, sometimes give community talks, just to tell people they do have safer options than cutting everything out under GA! I still study Shalya Tantra like it’s a living document. I try to stay updated with whatever credible advancements are happening in Ayurvedic surgery, but I filter what’s fluff and what’s actually useful. At the end of the day, my aim is to offer respectful, outcome-based care that lets patients walk out without shame or fear. That’s really what keeps me grounded in this field.

I am Dr. P. Prasad, and I’ve been in this field for 20+ years now, working kinda across the board—General Medicine, Neurology, Dermatology, Cardiology—you name it. Didn’t start out thinking I’d end up spanning that wide, but over time, each area sort of pulled me in deeper. And honestly, I like that mix. It lets me look at a patient not just through one lens but a whole system-wide view... makes more sense when treating something that won’t fit neatly in one category. I’ve handled everything from day-to-day stuff like hypertension, diabetes, or skin infections to more serious neuro and cardiac problems. Some cases are quick—diagnose, treat, done. Others take time, repeated check-ins, figuring out what’s really going on beneath those usual symptoms. And that’s where the detail matters. I’m pretty big on thorough diagnosis and patient education—because half the problem is ppl just not knowing what’s happening inside their own body. What’s changed for me over years isn’t just knowledge, it’s how much I lean on listening. If you miss what someone didn’t say, you might also miss their actual illness. And idk, after seeing it play out so many times, I do believe combining updated medical practice with basic empathy really shifts outcomes. Doesn’t have to be complicated... it just has to be consistent. I keep up with research too—new drugs, diagnostics, cross-specialty updates etc., not because it’s trendy, but cuz it’s necessary. Patients come in better read now than ever. You can’t afford to fall behind. The end goal’s the same tho—help them heal right, not just fast. Ethical practice, evidence-based, and sometimes just being there to explain what’s going on. That’s what I stick to.

I am Dr. Sumit S. Tasgaonkar — a BAMS doc who also went on to complete MS in Ayurveda surgery, along with CGO and PGDEMS. Kinda feels like I’m always learning. And maybe that’s what keeps me grounded — balancing classical Ayurvedic wisdom with real-time medical emergencies or even modern diagnostic tools. I don’t see these systems as opposites... for me, they compliment each other when you look closely enough. My work mostly revolves around chronic diseases, metabolic issues, lifestyle mess (and there’s plenty of it these days), and women’s health conditions — PCOS, hormonal imbalance, gynec stuff that needs long-term attention. I use Panchakarma, herbal meds, diet correction, sometimes just shifting someone’s daily habits does more than we expect. But it’s never one-size-fits-all. I take a lot of time getting to the root cause — dosha imbalance, agni disturbance, whatever is underneath the visible stuff. Patients dealing with arthritis, stress, skin flareups, digestion trouble — I’ve seen all of that and more. And every case teaches something new. I’m super keen on tracking progress too. Like we keep tweaking, adjusting as per prakriti and vikriti, not just protocol-for-all. And honestly, the most satisfying part? when patients tell me they feel like themselves again. I started Tasgaonkar Medical Foundation with a big dream of bringing authentic Ayurveda to more people, esp. rural areas where choices are limited. We still keep prices fair and try not to compromise on classical principles. Accessibility doesn’t mean diluting the science — that’s always been important to me. What I really want is to see more people actually understand their health. Not just pop pills or mask symptoms. I wanna give them the tools — through knowledge, through food, through breath — to live lighter and healthier. And ya, sometimes it’s messy, sometimes you doubt, sometimes you adjust everything mid-plan... but that's Ayurveda too. Listening, observing, and flowing with the body, not against it.

I am Dr. Snehal Vidhate, born n brought up in Maharashtra—and honestly, for as long as I remember I’ve felt this pull towards Ayurveda. Not the fancy version ppl throw around, but the deep, real kind that actually helps ppl. I did my BAMS from YMT Ayurvedic Medical College in Kharghar. That’s where I got my basics strong—like really studied the shastras, understood prakriti, doshas, the whole deal. Not just crammed theory but started to see how it shows up in real lives. After finishing BAMS, I got into this one-year certificate course at Rashtriya Ayurveda Vidyapeeth, Delhi—honestly a turning point. I was super lucky to learn Kerala Ayurveda from my Guru, Prof. Dr. G.G. Gangadharan. He’s got this way of seeing things... simple but deep. That time with him taught me more than any textbook ever could. It kinda reshaped how I look at health, healing n how precise Ayurveda can be when you respect its roots. Right now I’m doing my MD in Panchakarma from SDM Ayurveda College, Bangalore. This place is like a hub for serious Ayurveda work. The Panchakarma training here? Super intense. We go deep into detoxification & rasayana therapy—not just theory again, but hands-on. I’m learning to blend classical techniques with today’s clinical demands.. like how to make Vamana or Basti actually doable in modern patient setups. My current practice is really about merging tradition with logic. Whether it’s chronic skin issues, gut problems, stress burnout or hormone stuff—my goal is to get to the root, not just hush the symptoms. I use Panchakarma when needed, but also a lot of ahara-vihara tweaks, medhya herbs, sometimes just slowing ppl down a bit helps. I really believe Ayurveda’s power is in its simplicity when done right. I don’t try to fix ppl—I work *with* them. And honestly, every patient teaches me something back.

I am kinda thinking back while typing this, how my journey moved from one hopital to another and shaped the way I work now. I worked as a duty doctor in NRACHARYA hospital Koteshwara and later at New Medical Hospital in Kundapura, and each shift there showed me diff things about patient care, some days smooth and some totally chaotic.. but all useful. Before that I did my internship at KVG Ayurveda Medical College and Hospital, where I learned to handle day-to-day OPD work, small procedures, reporting, all that grind which at that time felt too much but now I see how much it helped me. I also completd my PGCPK Panchakarma training at MAHE, and I still keep going back to those notes, maybe little messy notes, but they remind me how deeply Panchakarma needs to be understood rather than done like a ritual. That course pushed me to explore detox, shodhana logic, and the way dosha behave when you guide them properly. Sometimes I get unsure mid-consultation, like am I missing one more point in history taking, but that doubt kinda helps me re-check and give better clarity to the pt. I try to mix my clinical experience from these hospitals with the classical ayurved basics we studied—pratyaksha, anumana, sabda—all in a practical way, not too bookish. Working with diff teams also taught me how to speak with pts in a simple way rather than giving huge explenations. And somewhere through all this, I started trusting the slow process of learning, even when my sentence breaks off in wrong place or missing a comma… the work still moves forward. This whole path, from KVG to MAHE to the two hospitals, shaped how I see healing: steady, patient, and always personalized, even if my typing looks a little rushed here.

I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.

I am Dr. Shivanshu Sharma, an Ayurveda physician with main focus on preventive cardiology and lifestyle related disorders, which slowly became the center of my clinical interest. I completed my BAMS from Vaidya Yagya Dutt Sharma Ayurvedic Mahavidyalaya, Khurja, affiliated to CCS University, where I build a solid base in classical Ayurveda along with practical clinical exposure to many medical conditions. Those early years shaped how I look at chronic disease today, sometimes in simple ways, sometimes more complex. To strengthen my work in heart health, I completed a Certificate Course in Preventive Cardiology from the National Institute of Ayurveda, Jaipur. This training helped me understand cardiovascular risk assesment, early detection of high risk individuals, and holistic management of hypertension, diabetes, dyslipidemia, obesity and metabolic syndrome using Ayurvedic principles mixed with modern preventive cardiology ideas. The balance is not always easy, but it feels necessary. Currently, I am pursuing a Master of Public Health (MPH) from Max Society of Medical Academics Innovation and Research (MSMAIR), which adds a broader public health and evidence informed angle to my clinical thinking. I try to look beyond symptoms, focusing on long term prevention, lifestyle correction and patient awareness. Learning still feels ongoing, sometimes slow, but it keeps my practice grounded and real.