✓Medicines Ashwagandha Lehyam – 10 gm night with warm milk + ½ tsp ghee Bala Taila – 5–10 ml morning with warm water/milk Chandraprabha Vati – 1 tablet twice daily after food Shatavari Kalpa – 5–10 gm night with warm milk ✓Oil (Nightly) Bala Taila or Mahanarayana Taila – gentle massage on lower back, perineum & both legs 8–10 min followed by warm towel wrap 5 min ✓Daily Must-Do Kegel exercises – 50 reps × 3 sets daily (hold 5–10 sec) – strengthens pelvic floor & nerve control 30–45 min brisk walk daily Sleep 10 pm – 6 am strictly Vajrasana 10 min after meals ✓Diet Continue balanced nutritious diet Add daily: 4 soaked almonds + 2 dates + banana morning Ghee 1–2 tsp in meals Avoid: spicy/sour, fried, cold drinks, late dinner ✓Repeat perianal ultrasound if anal discomfort returns Regards Dr Gursimran Jeet Singh MD Panchakarma
Start with Tab pilex 1-0-1 Ashwagandha cap 1-0-1 Triphala tab 0-0-1 Do sitz bath daily for 15 minutes with warm water Avoid spicy oily fried foods
Need PER RECTAL EXAMINATION consulting the AYURVEDIC Surgeon for better examination and treatment
You’re doing well—your external anal sphincter is normal, and your previous hemorrhoids and digestion issues are fully healed. The occasional mild weakness you feel is usually not serious. I recommend doing pelvic floor and core exercises, maintaining good posture, staying hydrated, and eating a balanced diet. For now, no medication is needed. — and personally I recommend you to first check offline per rectal examination for proper evaluation.
You are: 29 years old Weight 65 kg, Height 5’7" (normal BMI) Had hemorrhoids 1 year ago (now no pain / no bleeding) Digestion now normal Current concern: External anal sphincter (but you say it feels normal) “Not feeling enough strength through nerves” sometimes 🔎 First Important Clarification Since you mentioned: No pain No bleeding No constipation External sphincter normal 👉 There is likely no active hemorrhoid disease now. Many times after hemorrhoids heal, people become over-aware of the anal region, even though structurally everything is fine. 🧠 About “Not feeling enough nerve strength” This can mean different things. It may be: 1️⃣ General fatigue 2️⃣ Anxiety-related body awareness 3️⃣ Mild pelvic floor weakness 4️⃣ Vitamin deficiency (B12 / D) 5️⃣ Stress-related nervous exhaustion It does NOT automatically mean nerve damage. 🚨 Important Question Do you have: Leakage of stool? Difficulty controlling gas? Numbness in anal area? Weak erection? If NO to these → your sphincter is functioning normally. 🌿 Ayurvedic Understanding (Pitta + Past Piles) Pitta prakriti + past indigestion can lead to: Heat in lower abdomen Irritation in rectal area Vata imbalance in pelvic nerves After piles, Vata can increase → causing feeling of weakness. 📋 What I Recommend (Safe Plan) 1️⃣ Check These Tests (Very Important Once) Vitamin B12 Vitamin D3 CBC Low B12 is very common cause of: Nerve weakness feeling Low strength Anxiety 2️⃣ Strengthen Pelvic Floor (Very Important) Do Kegel exercises daily: ✔ Tighten anal muscles for 5 seconds ✔ Relax 5 seconds ✔ Repeat 15 times ✔ Do 3 sets daily This strengthens external sphincter naturally. 3️⃣ Ayurvedic Support If digestion is normal and no bleeding: 🌿 Ashwagandha (for nerve strength & vitality) 🌿 Brahmi (if anxiety present) 🌿 Triphala small dose (to keep bowel soft) Avoid strong laxatives. 4️⃣ Diet Suggestions (Pitta Friendly) ✔ Ghee (small amount daily) ✔ Soaked almonds ✔ Warm food ✔ Avoid excessive spicy / fried 🧘 Lifestyle Sleep 7–8 hours Avoid excessive masturbation (if applicable) Do light strength training Reduce stress 🎯 Important Psychological Factor After piles, many people develop: 👉 Health anxiety about anal area 👉 Hyper-focus on sensations If no leakage, no pain, no bleeding — functionally you are normal.
Hello You are 29 year old with a past history of hemorrhoids and indigestion that has now improved Currently you do not have any symptoms but you feel that the external anal sphincter or nerve strength is not as strong as before AYURVEDIC UNDERSTANDING In ayurveda we can consider this as mild vata imbalance after previous HEMMORRHOIDS Which affects muscle tone and nerve strength IMPORTANT Its better to consult a ayurvedic anorectal specialist for ano rectal examination This will give better assurance FOR Strength 1. ** Ashwagandha capsule 1 capsule twice daily after food IF CONSTIPATION 1. Triphala churna 1 tsp at bed time FOR Sphincter STRENGTH Warm water sitz bath you can do daily once Avoid excessive straining while passing motion ALSO take daily 1 tsp ghee Drink warm water only Pelvic floor exercises Warm Regards. Dr Snehal Vidhate
AT 29 YEARS WITH YOUR HEIGHT AND WEIGHT AND PITTA PRAKRITI YOUR HISTORY SHOWS THAT EARLIER THERE WAS AGNI DISTURBANCE AND HEMORRHOIDS WHICH HAS NOW HEALED SINCE YOU HAVE NO PAIN NO BLEEDING AND DIGESTION IS STABLE AT PRESENT WE DO NOT NEED ANY STRONG MEDICINE WHEN YOU SAY SOMETIMES YOU DO NOT FEEL ENOUGH NERVE STRENGTH IT USUALLY INDICATES MILD VATA IMBALANCE EVEN IN PITTA BODY TYPE IF THERE WAS PAST CONSTIPATION STRAINING OR STRESS APANA VATA CAN BECOME SLIGHTLY WEAK THIS CAN GIVE A SENSATION OF REDUCED TONE OR CONFIDENCE IN THE ANAL SPHINCTER AREA EVEN WHEN STRUCTURALLY EVERYTHING IS NORMAL FIRST MAINTAIN SOFT REGULAR STOOL DO NOT STRAIN CONTINUE A BALANCED DIET INCLUDE 1 TO 2 TEASPOONS GHEE DAILY KEEP HYDRATION GOOD AVOID VERY SPICY VERY DRY AND EXCESS SOUR FOOD BECAUSE PITTA WITH VATA CAN IRRITATE THE REGION FOR NERVOUS SYSTEM SUPPORT YOU CAN TAKE ASHWAGANDHA IN MODERATE DOSE WITH WARM MILK AT NIGHT FOR 2 TO 3 MONTHS IF YOU DO NOT HAVE EXCESS BODY HEAT THIS WILL HELP STRENGTHEN NERVES AND SUPPORT SHUKRA AND MAJJA DHATU LOCAL CARE IS ALSO IMPORTANT APPLY A LITTLE WARM SESAME OIL EXTERNALLY AROUND THE ANAL AREA 3 TO 4 TIMES PER WEEK TO NOURISH TISSUES AND SUPPORT ELASTICITY DO NOT INSERT ANYTHING INSIDE YOU CAN PRACTICE GENTLE PELVIC FLOOR EXERCISES WITH PROPER RELAXATION AVOID OVER TIGHTENING FOCUS ON CONTROLLED CONTRACT AND RELEASE WITH SLOW BREATHING THIS WILL BALANCE APANA VATA ENSURE GOOD SLEEP BEFORE 10 30 PM AND REDUCE STRESS BECAUSE NERVOUS WEAKNESS IS OFTEN RELATED TO MENTAL FATIGUE RATHER THAN PHYSICAL DAMAGE SINCE THERE IS NO PAIN BLEEDING OR LOSS OF CONTROL THIS CONDITION APPEARS FUNCTIONAL AND REVERSIBLE WITH PROPER ROUTINE AND NOURISHMENT IF YOU ALSO FEEL FATIGUE ANXIETY OR SEXUAL WEAKNESS SHARE THAT SO I CAN GUIDE YOU MORE PRECISELY ACCORDING TO YOUR DOSHA BALANCE
HELLLO, Based on your symptoms (pitta body type, past haemorrhoids, mild external sphincter weakness, occasional nerve weakess feeling 1) BALANCE PITTA AND PROTECT ANAL REGION Even iff haemorrhoids are cured, pitta imbalance can weaken tisues INTERNAL SUPPORT -TRIPHALA CHURNA= 1/2 tsp at bedtime with warm water = maintains soft stools and prevents strain -ABHYARISHTA = 15ml with equal water after dinner =if constipation tendency returns 2) NERVE STRENGTH For “less nerve strength” feeling -ASHWAGANDHA CHURNA= 1 tsp with warm milk at night =strengthens nerves and improves tisue tone -BRAHMI GHRITA= 1 tsp morning empty stomach =supports nerve signaling and mental clarity -KSHEERBALA 101 OIL= internal 10 drops in warm milk after lunch LOCAL STRENGTHENING very important tn -Daily sesame oil massage to lower back or sacral area -After bath= apply a little jatyadi oil externally around anal area -Practice Ashwini mudra (anal contraction exercise) =contract anal muscles for 5 seconds * 20 reps, twice daily =this is key for sphincter tone DIET -ghee 1 tsp daily -warm, freshly cooked meals -soaked almonds 5 daiily -avoid excessive spicy, fried, sour foods -avoid long sitting on toilet LIFESTYLE -avoid prolonged sitting -DO GENTLE YOGA -Malasaa -vajrasana after meals -moola badha practice -Proper sleep before 11 pm Strengthen nerves, tone sphincter, keep stools soft cool pitta DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU
Get PR examination done by concerned doctor. Do pelvic floor exercises and kegel exercises daily, this will also help strengthen sphincter. For nerve strengthening you can start with Ekangvir ras 1-0-1 Ashwagandha churan 0-0-1tsp at bedtime with warm milk.
