Seeking Advice on Managing IBS-D and Constipation - #50461

Avoid spicy food and milk and milk products Take cow ghee 5 ml at empty stomach at morning Do nasya with bramhi ghee 2 drop each nostril 2 times day Take ibs care jucie ( krishna pharma ) Take isabgol with water at night Take bramhi 2-0-2 Take livtone 2-02 Folowp after 30 days

If Kutaj Parpati is causing constipation, reduce the dose Take Kutaj Parpati once daily only OR Stop it and shift to Kutaj Ghan Vati Kutaj Ghan Vati dose 1 tablet twice daily after food (If stool becomes hard, reduce to 1 tablet once daily) For gas & bloating Hingwashtak churna – ½ tsp after meals Avipattikar churna – 1 tsp at night OR Kamdudha ras – 1 tablet twice daily Drink warm water. Avoid spicy, fried, sour food

IN IBS D KUTAJ PARPATI IS GIVEN TO CONTROL LOOSE MOTION AND REDUCE INTESTINAL INFLAMMATION BUT IF STOOLS ARE NOW BECOMING HARD OR YOU FEEL CONSTIPATION IT MEANS THE DOSE MAY BE SLIGHTLY STRONG FOR YOUR CURRENT CONDITION YOU CAN REDUCE KUTAJ PARPATI TO ONCE DAILY AFTER FOOD AND OBSERVE FOR ONE WEEK IF STOOLS BECOME MORE BALANCED THAT IS ENOUGH THERE IS NO NEED TO STOP COMPLETELY IF YOU WANT A MILDER OPTION YOU CAN SHIFT TO KUTAJ GHAN VATI USUAL ADULT DOSE IS 1 TO 2 TABLETS TWICE DAILY AFTER FOOD BUT START WITH 1 TABLET TWICE DAILY AND ADJUST ACCORDING TO STOOL PATTERN DO NOT TAKE BOTH FULL DOSES TOGETHER FOR GAS AND BLOATING YOU CAN ADD HINGWASHTAK CHURNA HALF TEASPOON WITH FIRST BITE OF LUNCH AND DINNER OR TAKE AVIPATTIKAR CHURNA HALF TEASPOON AT NIGHT IF THERE IS PITTA BURNING OR ACIDITY BUTTERMILK WITH ROASTED JEERA AND LITTLE ROCK SALT AFTER LUNCH IS VERY HELPFUL IN IBS D AVOID RAW SALADS EXCESS FRUIT COLD WATER REFINED SUGAR AND VERY SPICY FOOD KEEP MEALS WARM SIMPLE AND REGULAR SINCE YOUR SEVERITY IS MODERATE THE AIM IS BALANCE NOT OVER CORRECTION SO ADJUST DOSE SLOWLY AND OBSERVE STOOL DAILY

Since you’re already experiencing constipation, you can reduce Kutaj Parpati to once daily or switch to Kutaj Ghan Vati at 1 tablet twice daily. If symptoms persist, increase gradually to 2 tablets twice daily. Lifestyle & Diet– Warm, light meals: Khichdi, lauki, rice, moong dal. Avoid: Cold drinks, excess dairy, fried food, and spicy/oily meals. Hydration: Warm water or herbal teas (cumin, coriander, fennel). Yoga: Pawanmuktasana, Vajrasana after meals, gentle pranayama (Anulom Vilom).

Hello dear… In your condition simple tips in your lifestyle will help better than any medicine. Fix your diet and sleep routine. Tru to incorporate warm, freshly prepared meal not frozen or ultra processed food. Don’t take chilled water or cold drinks it may exaggerate your symptoms. Try to avoid dairy and bakery products except buttermilk and cow ghee. Do foot massage before slepp and do yoga and breathe work in morning or evening if possible. And if you want to take for faster results you can take Tab. Shankh vati 2-0-2 after food Panchamrit parpati 1-0-1 pinch after food instead of kutaj parpati as you are suffering from constipation with it Tab prachittanam 2 tab at night before sleep Nasya with shadbindu tail 2-2 drops each nostrils in morning Check on medicine or supplements if you are taking for different issues, it may cause your symptoms

Reduce Kutaj Parpati Vati to 1 tablet once daily (evening only) for next 2 weeks and monitor stool. Do NOT switch to Kutaj Ghan Vati right now – it is stronger & more constipating than Parpati in most patients. ✓Add these to balance gas, bloating & Pitta Hingwashtak Churna – ½ tsp after lunch & dinner with warm water Avipattikar Churna – 3 gm at bedtime with warm water Panchasakar Churna – 2 gm at night with warm water ✓Quick Routine Vajrasana 10 min after meals Warm fennel-cumin water sip all day (2–2.5 L) Dinner before 7 pm Avoid: spicy/sour, cold drinks, heavy pulses, late dinner Regards Dr Gursimran Jeet Singh MD Panchakarma

If you are having loose stools then continue with Kutajaghan vati If it’s constipating better to give a gap and then see

HELLO, Since you have IBS-D > 6 months, moderate (4-6/10), and now mild constipation from kutaj parpati- this means your bowel is shifting from diarrhea dominant toward slightly grahani with vata aggravation. ABOUT KUTAJ ADJUSTMENT Kutaj Parpati is strong and more drying SINCE CONSTIPATION STARTED -Reduce to 1 tab once daily after breakfast OR -shift to kutaj ghan vati= 1 tab twice daily after meals If stools become hard-> reduce to 1 tab once dail If loose again-> increase to 1 tab twice daily Do not exceed 2 tabs twice daily in Moderate IBS Foryour current state, I suggest -Kutaj ghan Vati. 1 tab morning + 1 evening after meals It is milder and safer for longer use 4-6 weeks FOR GAS, BLOATING AND PITTA BALANCE IBS-D usuall= pitta + vata in colon ADD -Kutaj ghan vati= 1 tab twice daily after meals -Bilwadi churna= 1/2 tsp after lunch with buttermilk -Jeerakarishta= 10ml + equal water after meals for gas IF BURNING/ PITTA MORE DOMINANT -Shankha bhasma= 125mg twice daily after meals DIET -warm, freshly cooked meals -moong dal, rice, ghee small amount -buttermilk with roasted jeera + pinch rock salt at lunch AVOID raw salads, cold foods, excess tea/coffee For you moderate Ibs , strict diet matters more than storng medicine LIFESTYLE -eat at fixed times -do not supresses urges -15 min walking after meals -practice sheetali pranayam pitta calming DURATION -continue kutaj 4-6 weeks -after improvement, taper slowly -long term aim= stregthen digestion , not suppress symptoms DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU

Stop kutaj parpati, if you have diarrhoea,then start kutaj ghanvati 1-0-1 after food with water. Start with Tablet Liv-52 1-0-1 after food with water will improve your digestion. Bilva churan 1/2tsp Twice daily after food with water, will help strengthen your intestine. Have hingvastak churan 1tsp with buttermilk after lunch. Avoid wheat and wheat products, avoid milk. Have early dinner. Avoid nonveg food if non-vegetarian. If constipation is there you can take Tablet Shiva 1-0-1 after food with water. Take cow’s ghee 2-3 tsp in your diet daily.