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Seeking Long-Term Ayurvedic Treatment for Crohn's Disease
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Gastrointestinal Disorders
Question #49575
20 days ago
520

Seeking Long-Term Ayurvedic Treatment for Crohn's Disease - #49575

Client_1e8940

Please suggest long term Ayurvedic Treatment to heal Crohn's Disease with multiple ulcers and predominantly with constipation and mucus. Stools very difficult. Also can Abhayarishta be taken? Thank you.

How long have you been experiencing symptoms related to Crohn's Disease?:

- More than 1 year

What is the severity of your constipation?:

- Very severe, constant

Have you made any dietary changes recently?:

- Yes, significant changes
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Hello Thanks for explaining what’s going on. Dealing with Crohn’s, ulcers, mucus, and serious constipation is super tough, but Ayurveda can actually help heal things in the long run if you stick with it. YOUR CONCERN So, you’ve got Crohn’s with: • Ulcers all over • Gross, sticky mucus • Really hard poops that are hard to get out • And it’s been going on for a while In Ayurveda, this sounds like: “Vata-pradhana Pittaja Grahani with Pakwashaya Vrana” Basically: • Pitta → causes ulcers, swelling, and maybe some bleeding • Kapha → makes things mucusy and sticky • Vata → gives you constipation, dryness, pain, and makes it hard to heal When these three things are out of whack, you get ulcers that won’t heal and weird bowel movements. Why being constipated with Crohn’s is bad news In your case: • Your stool is like a mirror of your GI system • Your already sore intestines are even more swollen • So, when you try to go, it just makes the ulcers worse What we gotta do: – Make your stools softer – Fix those ulcers – Get rid of the mucus Calm down that crazy immune system All at the same time! AYURVEDIC PLAN OF TREATMENT 1. Mahatikta Ghrita 1 teaspoon first thing in the morning on an empty tummy This is key for Crohn’s. It: • Heals up the ulcers • Keeps your immune system from going nuts • Fixes your gut lining • Cools down that burning Pitta 2. Abhayarishta– YES, but the right way Yes, you can take this, but not by itself! How much: 15 ml with the same amount of warm water at night It: • Makes stools softer • Gets your colon working right • Keeps you from hurting the ulcers when you poop But you need to have it with the ghrita so it doesn’t bug you. 3. Kutajarishta 15 ml twice a day after you eat It helps with: • Mucus • Gunk coming from the ulcers • Swelling that’s like an infection 4. Yashtimadhu (Licorice) powder ½ teaspoon twice a day with warm milk Really: • Heals ulcers • Soothes your intestines • Keeps you from bleeding 5. Triphala Ghrita (a little bit) ½ teaspoon before bed Stops: • Really bad constipation • Hurting the ulcers • Dryness Food is Medicine for Crohn’sINCLUDE • Rice • Moong dal (lentils) • Ghee (clarified butter) • Cooked veggies • Pomegranate • Coconut water • Buttermilk ❌AVOID • Wheat • Raw veggies • Nuts • Milk • Coffee • Fried stuff • Spicy stuff How Long Will It Take to Get Better? Crohn’s doesn’t go away overnight. Ulcers need like 4–6 months to really heal. But with this plan: • Constipation should get better in 2–3 weeks • Less mucus in 3–4 weeks • Pain and irritation from ulcers will chill out • And things should stop coming back Important to Know Crohn’s is your body attacking itself, not an infection. Ayurveda helps by: – Fixing your gut lining – Calming down your immune system – Getting Vata-Pitta-Kapha back in balance Not just masking the symptoms. Just so you know… You’re not broken. Your gut is just sore and needs some TLC, not a harsh cleanse. If you really commit to this, your intestines can heal. Warm Regards Dr. Snehal Vidhate

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Client_1e8940
Client
20 days ago

Thank you for your prompt and detailed reply. Appreciate it.

Client_1e8940
Client
20 days ago

Anything to be taken to calm the hyper nervous system?

Crohn’s disease isn’t just about your gut. It’s also tied to an overactive nervous system. Brahmi capsule – 1 capsule before bed with warm milk It: calms your vagus nerve, eases anxiety, helps you sleep, stops gut spasms, and boosts immunity. It’s medicine for both your gut and brain. Abhyanga (oil massage) – Don’t skip this! Every night: Warm sesame oil, rub it on your stomach, feet, and spine then take a warm bath. This can help a lot with constipation, gut pain, and feeling tense.

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Client_1e8940
Client
20 days ago

Thank you

Client_1e8940
Client
20 days ago

Could Kutajarishta make me more constipated?

No it wont make you constipated It will help to control the mucous As abhayarishta is also included in the prescription it will not make you constipated

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Client_1e8940
Client
20 days ago

Ok

Client_1e8940
Client
20 days ago

Milk to be avoided in diet advice but you have mentioned Yashtimadhu (Licorice) powder ½ teaspoon twice a day with warm milk. Please guide whether milk is to be taken or not. I am confused.

Client_1e8940
Client
20 days ago

Also I forgot to mention that my symptoms started post covid. In case that helps you prescribe any better. Sorry it slipped my mind.

Yashtimadhu is best taken with milk. Half a glass of milk is not a problem for you But if after drinking milk your symptoms gets aggrevated you can just switch to warm water. Milk in small quantity is ok

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Post-COVID Crohn’s needs neuro-immune Ayurvedic medicine So after 15 days you can start with guduchi capsule 1 in morning and 1 in night after food It will act as a Rasayana ( Rejunivating)

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Client_1e8940
Client
20 days ago

I am currently taking Bilwadi avaleha twice a day since 3 months. Should I continue with it with your above prescribed medicines or stop it?

Its ok you can continue it

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Crohn’s disease (multiple intestinal ulcers) in Ayurveda is usually understood as Grahani + Pittaja / Vata involvement + Vrana (ulcer) in intestine. When constipation + mucus + difficult stool are present, it shows Vata obstruction with inflammation. Treatment focus → Heal ulcers, reduce inflammation, improve digestion, soften stool, strengthen intestine. Take Dadimaghirta 1tsp AF Bilwadilehyam 1tsp AF Kutajaparpati 1tab bd AF Abhayarista 20ml bd AF Sutashekar ras gold 1tab BD Enough u ll get results Avoid oily spicy food meat alcohol smoking Dr RC BAMS MS

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Dabur,kerala ayurveda, baidyanath,avn

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Client_1e8940
Client
20 days ago

Thank you

Client_1e8940
Client
20 days ago

Thank you for the prompt reply.

Client_1e8940
Client
20 days ago

Please recommend brand for Bilwadilehyam

-About abhyarisht ✅ Can be taken, especially for chronic constipation and digestive weakness. It supports bowel regularity, improves digestion, and pacifies Vata. Take 2–4 teaspoons with equal water after meals, unless there’s excessive acidity or loose stools. -Condition: Chronic Crohn’s-like Grahani disorder, Vata-Kapha dominant Symptoms: Multiple intestinal ulcers, very hard stools, mucus in stools Internal Medicines 1)Abhayarishta – 2tsp after meals with equal water. Take for 1 month, then reassess. 2)Chandra Prabha Vati – 2 tablets, twice daily after meals, for 2–3 months. 3)Triphala Churna – 1 tsp at bedtime with warm water, for 2 months. 4)Haritaki Churna – 1 tsp at bedtime, for 1–2 months (if constipation persists). 5)Kutajarishta – 2 tsp twice daily, if intermittent loose stools appear. -External Therapies Abhyanga (Oil Massage): Sesame oil, once daily before bath. Swedana (Steam Therapy): 10–15 minutes, 2–3 times/week. Basti (Medicated Enema): Anuvasana (oil-based) 1–2 times/week. Niruha (decoction-based) once every 2 weeks, under supervision. Dietary Advice Eat: Warm, soft, easily digestible foods like khichdi, moong dal, and soups. Avoid: Cold, raw, fried, heavy, and very spicy foods. Add: Small amounts of ghee to help bowel lubrication. Drink warm water throughout the day. -Lifestyle Eat at regular intervals; avoid late-night meals. Gentle walking after meals. Avoid excessive stress. Follow-up: Every 4 weeks to monitor symptoms, stool consistency, and healing of ulcers.

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Client_1e8940
Client
20 days ago

Thank you for your prompt and detailed reply.

Client_1e8940
Client
20 days ago

Triphala and Haritaki both to be taken? Warm water all day to to consumed inspite of ulcers? Please could you elaborate on the herbs and oils to be used in bastis.

Sip slowly, avoid very hot water, ulcers feel irritated, take only lukewarm water,it’s safe

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Oils used: Mahanarayana Taila – classical Vata-kapha pacifying oil Ksheerabala Taila – gentle, nourishing, healing for ulcers Administration: 60–100 ml rectally, once or twice a week depending on severity. - Niruha Basti (Decoction-based) Purpose: Cleanses toxins (Ama), reduces inflammation, improves gut immunity. Decoctions often used: Triphala Kwath – mild detoxifying, anti-inflammatory Dashamoola Kwath – anti-inflammatory, Vata pacifying.

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If constipation is very severe, Haritaki (1 tsp at bedtime) may be taken alone. Triphala can be used after constipation improves or in small doses (½–1 tsp at bedtime) for long-term gut maintenance. Do not take both in full doses simultaneously, as it may over-stimulate the bowel and increase mucus.

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Hi… You your condition Tab Alsarex-2-BD Swadisht virechan churna -1 tsp at night Avoid spicy and low fiber content food Increase fruits intake

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Client_1e8940
Client
20 days ago

Thank you for the reply. I am not able to take high fiber diet

The primary aim of treatment is to heal ulcers reduce inflammation lubricate intestines normalize bowel movement and restore strength of digestive system gradually without forcing purgation Long term treatment works best when medicines diet and routine move together slowly and consistently as sudden strong medicines can worsen ulcers Abhayarishta can be taken but only in small controlled dose and not as a laxative It helps regulate vata improve bowel movement and support colon tone It should be taken after food with equal quantity of warm water and only once daily preferably at night Excess dose can increase dryness so supervision is important For ulcer healing medicines that support mucosal repair and reduce burning are essential These are usually given in ghee based or decoction form depending on tolerance Mild herbal ghees are preferred because they heal ulcers lubricate intestines and reduce pain during stool Constipation in crohns should never be forced with strong laxatives Stool should be softened naturally by improving digestion lubrication and gut movement Warm medicated ghee small quantity daily is often more effective than harsh bowel stimulants Mucus in stool indicates chronic irritation and incomplete healing This improves when inflammation reduces and digestion becomes steady Avoid raw food cold food fermented food excessive fiber spicy food and dry packaged items Diet should be warm freshly cooked soft textured and slightly unctuous Rice gruel cooked vegetables moong dal soup and medicated buttermilk if tolerated are helpful Water intake should be warm and frequent in small sips

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Client_1e8940
Client
20 days ago

Thank you. Which herbal ghee do you recommend in my case and please give dosage too

Can start with Mahatikta gritha 1 tsp once daily with warm water

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Raw vegetable juice especially of Bottle Guard and Cucumber -50-60ml Twice daily before food. -As juice removes the fibre which causes irritation to the gut and digestive system. -As it provides digestible source of Vitamins, Minerals and antioxidants which help in providing nutrients as which is lacking in crohn’s disease patients

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Client_1e8940
Client
20 days ago

Thank you. I am taking raw bottle gourd and carrot juice. Would that be ok?

CROHNS DISEASE WITH MULTIPLE ULCERS SEVERE CONSTIPATION AND MUCUS IS A CHRONIC AND SERIOUS CONDITION BUT IT IS MANAGEABLE WITH A LONG TERM PATIENT AND DISCIPLINED AYURVEDIC APPROACH THIS TYPE OF PRESENTATION SHOWS DEEP VATA DISTURBANCE IN THE COLON ALONG WITH PITTA INFLAMMATION AND SOME KAPHA MUCUS FORMATION WHICH IS WHY STOOLS ARE VERY HARD DRY DIFFICULT TO PASS AND MIXED WITH MUCUS IN SUCH CASES AYURVEDA DOES NOT FORCE BOWEL MOVEMENTS AGGRESSIVELY BECAUSE THAT CAN WORSEN ULCERS AND PAIN THE FIRST GOAL IS TO HEAL AND PROTECT THE INTESTINAL LINING CALM INFLAMMATION AND LUBRICATE THE COLON FROM INSIDE ONLY AFTER THAT CONSTIPATION STARTS IMPROVING NATURALLY ABHAYARISHTA CAN BE TAKEN BUT VERY CAREFULLY AND IN SMALL DOSE IT IS USEFUL FOR CHRONIC CONSTIPATION AND APANA VATA REGULATION BUT IN CROHNS WITH ULCERS IT SHOULD NEVER BE OVERUSED OR TAKEN EMPTY STOMACH A SMALL QUANTITY AFTER FOOD WITH WARM WATER IS USUALLY BETTER IF IT CAUSES BURNING PAIN OR LOOSE STOOLS IT SHOULD BE STOPPED LONG TERM AYURVEDIC TREATMENT FOCUSES ON THREE THINGS FIRST HEALING OF ULCERS AND INTESTINAL MUCOSA USING SOOTHING AND REGENERATING HERBS AND MEDICATED GHEE SECOND GENTLE VATA PACIFICATION AND COLON LUBRICATION SO STOOLS CAN PASS WITHOUT STRAINING AND THIRD STRENGTHENING DIGESTIVE FIRE WITHOUT HEAT OR DRYNESS CONSTIPATION IN YOUR CONDITION IS DUE TO DRYNESS WEAK PERISTALSIS AND FEAR OF PAIN NOT DUE TO BLOCKAGE SO HARSH LAXATIVES SHOULD BE AVOIDED SOMETIMES A SMALL DAILY INTERNAL OLEATION WORKS BETTER THAN POWDERS AND STRONG CHURNAS DIET PLAYS A MAJOR ROLE YOU SHOULD TAKE WARM SOFT FRESHLY COOKED FOOD SIMPLE RICE MOONG DAL SOUPS VEGETABLES LIKE BOTTLE GOURD RIDGE GOURD PUMPKIN AND SMALL AMOUNT OF COW GHEE RAW FOOD DRY FOOD BAKERY ITEMS VERY SPICY AND FERMENTED FOODS SHOULD BE AVOIDED DRINK ONLY WARM WATER OR LIGHT HERBAL INFUSED WATER AND NEVER SUPPRESS THE URGE FOR STOOL EVEN IF IT IS DIFFICULT THIS IS A LONG HEALING PROCESS RELIEF IN CONSTIPATION MAY START IN FEW WEEKS MUCUS AND PAIN REDUCE OVER MONTHS AND DEEP ULCER HEALING TAKES SEVERAL MONTHS TO A YEAR OR MORE CONSISTENCY IS THE KEY AVOID FREQUENT ANTIBIOTICS PAIN KILLERS AND UNSUPERVISED STEROID CHANGES AS THEY DISTURB THE GUT FURTHER

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Client_1e8940
Client
20 days ago

I have already been doing all this Doctor

Client_1e8940
Client
20 days ago

My diet is very controlled as mentioned by you. I do not take allopathic medications. Please suggest names of ayurvedic medicines that you recommend in my case with dosage

Client_1e8940
Client
20 days ago

Thank you very much Doctor

1 ABHAYARISHTA 10 TO 15 ML AFTER FOOD WITH WARM WATER ONCE DAILY HELPS APANA VATA REGULATION AND GENTLE BOWEL MOVEMENT 2 YASHTIMADHU CHURNA OR TABLETS 500 MG TWICE DAILY AFTER FOOD SUPPORTS INTESTINAL ULCER HEALING AND REDUCES INFLAMMATION 3 GUDUCHI SATWA OR CAPSULE 500 MG TWICE DAILY AFTER FOOD HELPS IMMUNITY SUPPORT AND DETOXIFIES BLOOD 4 SHATAVARI CHURNA OR CAPSULE 1 GM TWICE DAILY AFTER FOOD NOURISHES ASTHI MAJJA AND SUPPORTS GUT MUCOSA 5 TRIPHALA CHURNA 1 TEASPOON WITH WARM WATER OR HONEY AT NIGHT ONLY IF CONSTIPATION IS SEVERE IT LUBRICATES BOWELS GENTLY NEVER FORCE WITH LAXATIVES

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take dabar abhiyaaristh 10

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Thank you for sharing clearly. Crohn’s with multiple ulcers, severe constipation, mucus, and difficult stools indicates a Vata-Pitta dominant Grahani / Pakvashaya disorder in Ayurveda — where intestinal dryness, inflammation, and impaired mucosal healing coexist. This condition needs long-term constitutional care, not just symptom relief. Important Medical Note: Continue your gastroenterologist’s care. Ayurveda works best as supportive, healing therapy, not replacement in Crohn’s. Butter Therapy (Colon Lubrication) Take ½–1 tsp homemade cow’s butter early morning on empty stomach with Natural sugar (if non diabetic; if diabetic then avoid sugar) Follow with warm water ✔ Excellent for dry, hard stools, ulcer healing, Vata pacification Soaked Raisins (If non diabetic) Soak 6–8 black raisins overnight Eat in morning + drink water ✔ Gentle stool softener CAN ABHAYARISHTA BE TAKEN? Yes — but cautiously Useful when constipation is severe However, in Crohn’s with ulcers, strong laxatives may worsen irritation ✔ If used: Dose: 10–15 ml with equal warm water at night Frequency: Only on days when stools are very hard (not daily long-term) Long term medicines: 1. Panchamruta parpati- 1 pinch with 1 glass butter milk daily for 48 days. (1 hour before food) 2. Shankh vati 1-0-1 (15 mins Before food) After 15 days 1. Bilwadi Avaleha 1tsp daily in the morning at around 10 AM.

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Client_1e8940
Client
20 days ago

Thank you Doctor

1.Kutajghan vati 2 tab twice daily with water after meals 2.Bilva churna 1/2 tsp twice daily with water after meals 3.Abhyarishta 20 ml with 20 ml water twice daily after meals 4.Triphala churna 1 tsp at bedtime with warm water DIET: - Avoid: Spicy, sour, fried foods, red meat, alcohol, excess dairy. - Favor: Warm, soft, cooked foods—khichdi, moong dal, rice, ghee, boiled vegetables. - Soothing foods: Pomegranate juice, buttermilk with roasted cumin, tender coconut water. - Constipation relief: Soaked raisins, figs, or warm milk with ghee at bedtime. LIFESTYLE AND YOGA - Pranayama: Anulom Vilom, Bhramari for calming inflammation and stress. - Asanas: Pawanmuktasana, Vajrasana after meals, gentle forward bends. - Routine: Regular sleep, stress management, avoid fasting or irregular meals.

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Client_1e8940
Client
20 days ago

Thank you Doctor for also mentioning Yoga

Client_1e8940
Client
20 days ago

Kutaj ghan vati won’t cause more constipation?

Take this once your constipation resolves.

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HELLO, Crohn’s disease closely resembles -grahani roga -pittaji-vataja atisara with Ama -paksvashaya gata Vrana (ulcers in colon) WHAT IS HAPPENING INSIDE THE BODY? -Agni (digestive fire) is weak and irregular -Ama (toxic undigested matter) accumulates -Pitta causes= ulcers, inflammation, mucus -Vata causes= severe constipation, hard stools, pain, irregular bowel movement -Chronic inflammation leads to= poor healing, autoimmune overreaction, nutrient malabsorption So this is NOT just constipation, it is deep gut-immune disorder TREATMENT GOALS -heal intentional ulcers -reduce inflammation safely -remove ama -normalize bowel movement without irritation laxatives -balance vata and pitta -improve gut immunity -prevent relapses long term AYURVEDIC TREATMENT PHASE 1= STABILIZATION AND ULCER HEALING FIRST 2-3 MONTHS 1) KUTAJGHAN VATI= 2 tabs twice daily after meals = anti ulcer, anti inflammatory, stops mucus, useful even when constipation exists, helps in Crohn’s, colitis 2) BILVA CHURNA= 1 tsp with warm water after meals =strengthen colon, reduces mucus, improves stool formation 3) YASHTIMADHU + SHATAVARI CHURNA= 1/2 tsp each with warm milk at bedtime =heals ulcer, soothes intestinal lining, anti inflammatory , cooling, promotes mucosal healing, pacifies pitta 4) GUDUCHI GHAN VATI= 2 tabs twice daily after meals =immunomodulator, reduces autoimmune inflammation, improves digestion without heat PHASE 2= CONSTIPATION CORRECTION CAN ABHYARISHTA BE TAKEN? Yes, but with caution -10-15 ml at bedtime with equal warm water only after inflammation reduces =mild vata anulomana, improves bowel movement, strengthens intestines SAFER OPTIONS -TRIPHALA CHURNA= 1 tsp with warm water at bedtime -ISABGOL HUSK= 1 tsp with warm water at bedtime -CASTOR OIL= 1 tsp with warm milk at bedtime weekly once PHASE 3= REJUVENATION AND LONG TERM MANINTENANCE Once stools improve and pain reduces -AMALAKI RASYAANA= 1 tsp in morning -SHATAVARI GHRITA= 1 tsp with warm milk at bedtime -GUDUCHI SATVA= 500mg with warm water after meals =prevents relapse, strengthen gut immunity, repair mucus deeply DIET- MOST IMPORTANT -soft cooked rice -moong dal soup -steamed vegetables -pomegranate -banana ripe -buttermilk thin, spiced AVOID -raw salads -fried food -spic chillies -fermented food -bakery items -alcohol -excess tea/coffee HOME REMEDIES -Rice water = improves gut lining -pomegranate peel decoction= reduces mucus -warm water sipping= improves digestion -ghee (small quantity)= lubricates intestines LIFESTYLE CHANGES -sleep before 10:30 pm -avoid stress very important -no fasting -avoid suppressing urge for stool -gentle walking daily YOGA ASANAS -pawanmuktasana -vajrasana after meals -malasana -bhujangasana PRANAYAM -Anulom vilom -sheetali/sheetkari -bhramari DURATION OF TREATMENT -Minimum= 9-12 months -first relief= 4-6 weeks -ulcer healing= 3-6 months -long term stability= 1+ year Ayurveda works slowly but deeply Crohn’s disease requires -patience -discipline -long term care Ayurveda can help you live symptom free, reduce dependency on steroids, and improve gut health naturally, but it must be done correctly and consistently DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU DR. MAITRI ACHARYA

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Client_1e8940
Client
19 days ago

Thank you very much Doctor for an indepth reply. In phase 1, what can I take for constipation?

Start taking Triphala with warm water at bedtime and in morning take cow ghee 1tsp with warm water for smooth evacuation of bowel

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I really appreciate your detailed response! This info on triphala was super helpful and clear. Thanks a lot for breaking it down!
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Man, this advice was super clear and genuinely helped calm my nerves. Always thought differently but this sheds real light on the topic. Thanks a ton!
Man, this advice was super clear and genuinely helped calm my nerves. Always thought differently but this sheds real light on the topic. Thanks a ton!