✓Prescription Sukumara Ghrita – 10 gm morning with warm water/milk Abhayarishta – 15 ml + 30 ml warm water twice daily after meals Hingwashtak Churna – ½–1 tsp after lunch & dinner with warm water Arogyavardhini Vati – 1 tablet morning after breakfas ✓Daily Must-Do Vajrasana – 10 min after every meal (improves peristalsis & reduces bloating) Warm sesame oil abdominal massage clockwise 5–10 min night followed by hot water bag Continue >3 L warm water + add roasted jeera/saunf sip Dinner before 7 pm, no late snacks ✓Diet (strict 6–8 weeks) Main: thin moong khichdi + 2 tsp ghee, cooked lauki/pumpkin/bitter gourd, pomegranate, thin buttermilk + roasted jeera Avoid: spicy (completely for 4 weeks), fried, maida, cold drinks, heavy pulses, late dinner ✓Tapering Dulcoflex Week 1–2: continue 2 tabs night Week 3–4: reduce to 1 tab night Week 5+: try 1 tab alternate nights → stop if bowel regular with above plan If no motion >2 days → take 1–2 tsp castor oil single dose at night Dr Gursimran Jeet Singh MD Panchakarma
Tried Sukumar ghrita and Abyarisha. No use. Can I try Avipattar choornam instead of Hingwashtak choorna? Sitting at vajrasana and doing walking. All others I am observing. Your advice?
avipattikar churna 1 tsf 2 times before food.
swadist virechan churna 1 tsf at night .
chitrakadi vati 2 tab 2 times after food .
GENERAL DIET PLAN
avoid fast food junk food oily and spicy food drink lot of water use soup salad fruits and green leafy vegetables use buttermilk in afternoon.
drink lukewarm water early in the morning empty stomach
then have breakfast around 8:00 a.m. breakfast-- mein include poha, upmadaliya, moong dal chilla ,milk or buttermilk,
nuts soaked in water overnight 3 to 4 pieces.
lunch --2 chapati with dal , vegetable small portion of rice and buttermilk
around 3 to 4 p.m. you can have a fruit aurbhel,
dinner early around 7 to 8 p.m. have to chapatis dal and vegetables.
include salad in both meals
do Pranayam yoga and meditation daily.
Diet & Lifestyle: Avoid intake of pitta imbalance foods like hot, excessively salty and spicy foods, as well as chilies, garlic, pickles, fermented and preserved foods. Increase intake of foods that are sweet and have a cooling effect on the body, like milk, butter, purified butter, almonds, raisins, black gram, licorice and asparagus.
Yes take Avipattikar churn. And take 1 tsp cow ghee in two meals atleast in a day. Don’t eat cold , packaged, fermented food items. Eat freshly cooked home made food. Add one more thing, Take Castor Oil 2 tsp in warm milk at night every alternate day for 1 week
Hello Thanks for sharing what you’ve been going through. I get how draining it must be dealing with constipation every day for 10 years, being dependent on Dulcolax and suppositories. But dont worry we are here to help you out😊
YOUR CONCERN
You’re dealing with:
– Really bad, ongoing constipation
– Needing Dulcoflex to go
– Not feeling empty after going
– Lots of gas and bloating
– Fatty liver (Grade-2)
– Currently on Amlaycure DS
How Ayurveda Sees It:
It seems like:
Pakvashaya gata Vata + Ama + Yakrit-Pleeha dushti which means:
–Your colon (Pakvashaya) is dry, tired, and needs help
–Your digestion is weak (Agnimandya)
–Toxins (Ama) are causing problems in your gut and liver
–Fatty liver is making less bile, which makes constipation worse
–Using Dulcolax has made your colon lazy (Atibhedana janya Grahani)
So, things won’t move without a push anymore.
What We Want to Do
– Get rid of toxins (Ama)
– Fix your colon nerves
– Get things moving naturally again
– Help your liver work better
– Stop needing Dulcolax
THE AYURVEDIC PLAN
1️⃣First Up: Detox and Soften Things (2–3 weeks)
1. Avipattikar Churna 1 tsp with warm water before bed
2.Triphala Churna1 tsp at bedtime
3. Gandharvahastadi Kashayam 15 ml + 15 ml warm water at night
4Eranda Taila 1 tsp once a week with warm milk
5.Dulcolax =Stop using it slowly – don’t quit all at once!
2️⃣ Next: Help Bowel Nerves and Liver
1.Abhayarishta 20 ml after dinner
2. Liv 52 DS 2 tablets, twice a day
3.Punarnava Mandur 1 tablet, twice a day
You can keep taking Amlaycure DS for your fatty liver.
HOME REMEDIES
Every morning:
– Warm water in a glass
– 1 tsp of soaked Isabgol husk
– 5 soaked raisins
At night:
– 1 tsp of ghee in warm milk
DIET PLAN (Super Important!)
No:
–Bakery stuff, biscuits;
– Cheese;
–Spicy or fried foods;
–Tea or coffee at night
Yes
– Stewed apple;
– Papaya;
– Bottle Gourd;
– Oats;
– Moong dal;
– Ghee every day
Using Dulcolax for a long time can:
– Hurt your colon nerves
– Make you dependent on it
– Make constipation worse
Ayurveda can fix this.
Your intestines aren’t weak – they’re just over-stimulated and dried out.
We need to help them heal, not force them.
Stick with this plan, and your colon should get back to its natural rhythm.
Warm Regards
Dr. Snehal Vidhate
Triphala choorna is not helping me. I have tried Kayam, aniloma, Nilavarai choornam but they are of no effect since my constipation is severe. Isabgoal instead of relief aggrvates my prob. Somewhat Trivrit Leghyam is helpful. I will try Avipattikar choornam. Which brand is better Zandu or baidyanath. I have tried Liv 52. No result that is which why I switched over to Amlicure DS capsule.Please reply if possible
Hello Thanks for laying out everything so clearly. I get how annoying it is when you’ve tried a bunch of stuff and nothing really works. Why You’re Still Constipated From what you’ve said: –Triphala didn’t do much –Kayam, Aniloma, Nilavara didn’t work –Isabgol made things worse –Only Trivit Leghyam gave you some relief –Now you’re thinking about Avipattikar This suggests your problem isn’t just simple constipation. It’s more like: –Really bad Vata buildup –Ama (basically, yucky undigested stuff) – Weak digestion –Maybe some nerve issues in your colon (Vata blocking things up) So just taking fiber or mild stuff probably won’t cut it. You need to hit this from different angles. Using Avipattikar the Right Way Avipattikar is a classic for acid, Vata-Kapha stuff, and mild constipation, but it might not be enough for you on its own since you have had this for a long time. How to use it: – Half to one teaspoon before bed – With warm water – Don’t use cold water or milk It can help with bile and soften things up, but it’s not a miracle worker if your digestion is weak to begin with. Which Brand: Zandu or Baidyanath? Both are fine, but for constipation: Baidyanath is usually seen as stronger and more like the traditional recipe. Zandu is okay, but not as strong. So, if it’s pretty bad, I’d lean toward: ✅ Baidyanath Avipattikar Why Isabgol Might Be Making It Worse Isabgol adds bulk, but if Vata’s already stuck and there’s Ama, your gut can’t move it, leading to bloating and pain. So, fiber isn’t great when Vata’s blocked until you get things moving first. Yes, you can use Avipattikar (Baidyanath is a good choice). But it won’t solve everything alone. For really bad, long-term constipation, you need a plan that includes: –Getting digestion going –Gentle colon support –Fixing movement –Calming Vata –Resetting colon nerves I can better guide if you are willing for personal consulation Warm Regards Dr Snehal Vidhate
DRINKING MORE THAN THREE LITERS OF WATER IS GOOD BUT WATER ALONE CANNOT CORRECT DRYNESS IF DIGESTION IS WEAK IN FACT TOO MUCH PLAIN WATER WITHOUT PROPER DIGESTION CAN DILUTE DIGESTIVE STRENGTH AND WORSEN BLOATING SPICY FOODS AGGRAVATING YOUR GASTRIC PROBLEM SHOW PITTA IRRITATION IN THE STOMACH AND LIVER WHILE THE HARD DIFFICULT STOOLS SHOW VATA DRYNESS IN THE COLON SO BOTH VATA AND PITTA NEED GENTLE BALANCING THE FIRST STEP IS NOT TO SUDDENLY STOP YOUR LAXATIVE BUT TO SLOWLY REDUCE DEPENDENCY WHILE INTRODUCING NATURAL BOWEL TONING AND LUBRICATING MEASURES YOUR COLON NEEDS NOURISHMENT AND LUBRICATION MORE THAN FORCE GENTLE USE OF TRIPHALA AT LOW DOSE AT NIGHT CAN HELP RESTORE NATURAL MOVEMENT OVER TIME HARITAKI IS ESPECIALLY SUPPORTIVE IN CHRONIC CONSTIPATION TAKING A SMALL AMOUNT OF WARM COW GHEE AT NIGHT IN WARM MILK OR WARM WATER CAN LUBRICATE THE INTESTINES NATURALLY SOAKED BLACK RAISINS IN THE MORNING CAN SOFTEN STOOLS AND NOURISH THE LIVER DAILY GENTLE OIL MASSAGE WITH WARM SESAME OIL OVER THE ABDOMEN AND BODY CAN HELP PACIFY VATA AND IMPROVE BOWEL REGULARITY FOR YOUR FATTY LIVER CONTINUE LIVER SUPPORT BUT REMEMBER THAT WITHOUT PROPER BOWEL CLEARANCE THE LIVER CANNOT HEAL COMPLETELY EAT ONLY WARM FRESHLY COOKED FOOD AVOID COLD REFRIGERATED ITEMS AVOID VERY SPICY FRIED AND DRY FOODS EAT AT REGULAR TIMES AND DO NOT SUPPRESS THE NATURAL URGE TO PASS STOOL TRY TO SIT FOR BOWEL MOVEMENT AT THE SAME TIME EVERY MORNING EVEN IF THE URGE IS MILD WITH PROPER GUIDANCE AND PATIENCE THE COLON CAN REGAIN ITS NATURAL STRENGTH BUT IT WILL TAKE TIME BECAUSE THIS IS A TEN YEAR OLD CONDITION DO NOT LOSE HOPE WITH GRADUAL CORRECTION OF AGNI LUBRICATION OF THE COLON AND REDUCTION OF STIMULANT LAXATIVES YOU CAN SEE STEADY IMPROVEMENT
Triphala choorna is not helping me. I have tried Kayam, aniloma, Nilavarai choornam but they are of no effect since my constipation is severe. Isabgoal instead of relief aggrvates my prob. Somewhat Trivrit Leghyam is helpful. I will try Avipattikar choornam. I have tried Liv 52. No result that is which why I switched over to Amlicure DS capsule
When constipation continues for so many years and there is daily dependence on Dulcoflex and sometimes suppositories it usually means the colon has become dependent on stimulation and has lost some of its natural tone In Ayurveda this is understood as long standing Vata aggravation in the large intestine along with weak digestive fire Your severe gastric symptoms and grade two fatty liver show that the liver and digestion are also under strain Spicy foods aggravating your condition indicate Pitta irritation while the hard difficult stools point toward dryness of Vata It is important not to suddenly stop the stimulant laxative because that can cause rebound constipation Instead the approach should be gradual reduction while supporting the bowel in a natural way The colon needs lubrication and strengthening rather than force A mild dose of Triphala at night can help restore natural bowel movement slowly Taking one to two teaspoons of cow ghee in warm water or milk at bedtime may help lubricate the intestines Soaked black raisins in the morning can soften stool gently Although you are drinking more than three liters of water daily water alone cannot correct dryness if digestion is weak Focus on warm freshly cooked food taken at regular times Avoid very spicy fried and processed foods Gentle abdominal massage with warm sesame oil can help calm Vata and improve bowel movement Try to sit for bowel movement at the same time every morning even if the urge is mild so the body gradually relearns its rhythm For fatty liver continue appropriate liver support but remember that proper elimination is necessary for liver healing It would also be wise to check thyroid levels blood sugar and electrolytes if not done already With steady routine gradual correction of digestion and careful tapering of stimulant laxatives improvement is possible but it requires patience and consistency
Triphala is not helping me at at all. I have tried Kayam, Aniloma and Nilavarai. No use. Taking lot of fruits and vegetable. Avoiding spicy, bakery items. What about tryin Avipattiakr Choorna for gas. I am taking Trivrit lehyam for easy bowel movemnt. Your advise is needed
Then take Hingwastaka churna 1/2-0-1/2 tsp after meals Haritaki Erand brisht once at night daily Abhaya aristha 4-0-4 tsp with equal water
Try Erand bristh harde ( sankar pharma ) night 2 tab with warm water
1.Triphala churna 1 tsp at bedtime with warm water 2.Gandharva Haritaki Churna 3 g at bedtime with warm water 3.Syp. Liver-x 2 tsp thrice daily 4.Arogyavardhini vati 2 tab twice daily with water after meals 5.Avipattikar churna 1 tsp twice daily with lukewarm water before meals 🥗 Diet & Lifestyle Support - Diet: Warm, cooked meals; avoid spicy, oily, fried foods. Favor bottle gourd, pumpkin, papaya, pomegranate, and barley. - Hydration: You already drink >3 L water; ensure it’s warm or room temperature, not cold. - Routine: Fixed meal timings, gentle yoga (Pawanmuktasana, Vajrasana after meals), and avoid late-night eating. - Stress: Chronic constipation worsens with stress—practice pranayama (Anulom Vilom, Bhramari). WARM REGARDS DR. ANJALI SEHRAWAT
Hi, Long-term Dulcoflex use Indicates colon motility has become dependent on stimulant laxatives. May lead to sluggish bowel function, dehydration of stool, and aggravated constipation when medicine is skipped. Severe gastric issues + fatty liver → suggests impaired digestion, metabolism, and liver function. weak digestive fire with Ama accumulation Liver metabolism imbalance contributing to digestion issues. You need to Restore natural bowel movement, reduce laxative dependency gradually, improve Agni, and support liver function. Take following Internal Medicines 1) Triphala Churna - 1/4 tsp with warm water at night. 2) Panchsakar Churna - 1/4 tsp at bedtime with warm water. 3) Erand Bhrishta Haritaki - 1/4 tsp with Warm water at night. 4) Arogyavardhini Vati - 2 tabs twice a day after food with water. 5) Shaddharan Churna ¼–¼ tsp twice a day before meals with warm water. 6) Avipattikar Churna - 1/4 tsp twice a day after food with warm water. Continue these medications for 15 days and revert back to me with results. Diet & Lifestyle Advice Start the morning with warm water + 1 tsp cow ghee. Soaked black raisins or figs daily. Prefer warm, cooked, unctuous foods. Avoid dry, cold, bakery, processed foods. Fixed bowel routine every morning. Gentle walking or yoga.
Follow some simple lifestyle changes and dietary changes and you will see results for your problem. ✔️Do’s✔️ Drink buttermilk daily. Eat freshly cooked food. Drink warm water. Lunch and dinner on fixed timings. 100 steps after every meal. If possible dinner as early as 7-8 pm. Chew and eat an inch of fresh ginger half an hour before food 🧘♀️ Yogasan : 🧘♀️ Drink 2-3 glasses of warm water and then do the following asans. 1. Pawanmuktasana 3 sets of 10 counts on each side 2. Bhujangasana 3 sets of 10 counts 3. Dhanurasana 3 sets of 10 counts 4. Paschimottanasana 3 sets of 10 counts 5. Ardha Matsyendrasana 3 sets of 10 counts on each side 6. Vajrasana 3 sets of 10 counts on each side 7. Supta Matsyendrasana 3 sets of 10 counts on each side 8. Surya Namaskar 3 sets 🧘♀️ Pranayam: 🧘♀️ 1. Bhramari 2.Bhasrika 3.Kapalbhati 4.Jyoti Tratak 5. Anulom Vilom ❌Don’ts:❌ Packed and processed food. Ready to eat items. Oily and spicy food. Sour and fermented products. Dals (only moong dal can be eaten) Besan Raw vegetables and sprouts Curd Reduce dairy intake. 💊Medication 💊 Tab. Ampachak Vati 2 tabs twice a day before food. Tab. Agnitundi Vati 1 tab twice a day before food. Syp. Bhunimbadi kadha (prefer SANDU PHARMA) 2 tsp with half a cup of warm water before food. Hingwashtak churna + Avipattikar Churna ¼ tsp each with a cup of warm water 1 hour before food. Tab. Gandharva Haritaki Vati 2 tabs at bed time with a cup of hot water.
Follow some simple lifestyle changes and dietary changes and you will see results for your problem. ✔️Do’s✔️ Drink buttermilk daily. Eat freshly cooked food. Drink warm water. Lunch and dinner on fixed timings. 100 steps after every meal. If possible dinner as early as 7-8 pm. Soak 10 black raisens for 12 hours and than consume them twice a day Chew and eat an inch offresh ginger half an hour before food 🧘♀️ Yogasan : 🧘♀️ Drink 2-3 glasses of warm water and than do the following asans. 1. Pawanmuktasana 2. Bhujangasana 3. Dhanurasana 4. Paschimottanasana 5. Ardha Matsyendrasana 6. Vajrasana 7. Supta Matsyendrasana 🧘♀️ Pranayam: 🧘♀️ 1. Bhramari 2.Bhasrika 3.Kapalbhati ❌Don’ts:❌ Packed and processed food. Ready to eat items. Oily and spicy food. Sour and fermented products. Dals (only moong dal can be eaten) Besan Raw vegetables and sprouts Curd Reduce dairy intake. 💊Medication 💊 Tab. Ampachak Vati 2 tabs twice a day before food. Tab. Liv 52DS 1 tabs twice a day before food. Tab. Agnitundi Vati 1 tab twice a day before food. Syp. Bhunimbadi kadha (prefer SANDU PHARMA) 2 tsp with half a cup of warm water before food. Tab. Shankhavati 2 tabs twice a day after food suck and eat Castor oil 2 tsp at bed time with a cup of hot water.
HELLO, Since this has been a 10 year history of severe, daily constipation requiring regular stimulant laxatives (Dulcoflex) and suppositories, along with gastric irritation and Grade 2 fatty liver, this indicates a chronic vata-pitta imbalance with Agnimandya (weak digestive fire) and yakrit dusti (liver dysfunction ) in Ayurveda. Your long term use of stimulant laxatives suggests that the colon has become dependent and dry - a classical sign of aggravated Apana Vata. 1) CONSTIPATION -drycolon -irregular bowel reflux -vata aggravation in pakvashaya -possible gut microbiome disturbance 2) GASTRIC + ACIDITY -pitta aggravation -irregular digestion 3) FATTY LIVER(grade 2) comparable to -yakrit vriddhi -medodhatu dushti -impaired liver metabolism STEP 1= CORRECT THE ROOT- RESTORE DIGESTION This is more important than just giving laxatives MORNING (EMPTY STOMACH) -1 glass warm water + 5-7 soaked raisins (overnight soaked) -1 tsp cow ghee in warm water (lubricates colon) After 20 min -AVIPATTIKAR CHURNA= 1/2 tsp with warm water reduces pitta and improves bowel STEP 2= REPLACE STIMULANT LAXATIVES GRADUALLY Long term Dulcoflex weakens nature peristalsis. Do NOT stop suddenly NIGHT PROTOCOL Replace dulcoflex gradually with -TRIPHALA CHURNA= 1 tsp in warm water at bedtime =colon rejuvenator, not habit forming IF CONSTIPATION IS VERY SEVERE Add 1 ts castor oil in warm milk once or twice weekly not daily AFTER 3-4 WEEKS -Reduce dulcoflex dose slowly -eventually stop STEP 3-= FOR FATTY LIVER + GASTRIC ISSUES You are taking Amlycure DS. continue for now, but support liver deeper ADD AFTER MEALS -Arogyavardhini vati= 1 tab twice dailyy after meals BEFORE LUNCH -10 ml fresh aloe vera juice + pinch turmeric IF ACIDITY IS FREQUENTLY -SHATAVARI CHURNA= 1/2 tsp with milk at night STEP 4= DIET -warm, soft, oily foods -moong dal khichdi with ghee -steaemed vegetables -bottle gourd, ridge gourd, pumpkin -papaya morning -black raisins soaked BEST GRAINS= old rice, barley for fatty liver, millets in moderation WATER INTAKE- 3 Litres is good- but- avoid cold water, sip warm water through the day STRICTLY AVOID -spicy foods- you already identified trigger -deep fried foodss -excess tea, coffee -refined flour -late night eating VATA PACIFFYING ROUTINE DAILY -20 min brisk walking -vajrasana after meals 5-10 min -pawanmuktasana -malasana OIL THERAPY -warm oil sesame massage 3 times/week =reduces colon dryness IDEAL NIGHT ROUTINE -early dinner before 7:30 pm -triphala at 9:30 pm -sleep before 10:30 pm WHAT TO EXPECT 7 DAYS= reduced acidity 2-3 WEEKS= softer stool 6 WEEKS= reduced dependence on laxatives 3 MONTHS= liver improvement (with diet strictness) LONG TERM GOAL -restore natural bowel reflux -reduce liver fat -balance vata-pitta -strengthen digestive fire DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU
Start with Castor oil 10ml. With water at bedtime on alternate day for 15 days. Take tablet Nityam 1-2 at bedtime with warm water. Soak overnight raisins black currant dry fig in a cup of warm water morning make smoothie and drink empty stomach before breakfast. Include fresh green vegetables in your diet semi cooked or sauted in your diet daily. Take 3-4tsp. Of cow’s ghee in your diet daily. Do yogasana specific for abdomen Leg raise exercises, Do pranamyam lom -vilom kapalbhatti bhastrika daily for 5-10mins twice.