When IBS-C continues for many years and is associated with piles and fissure, the problem usually becomes cycle-based: Hard stool → straining → fissure pain → fear of passing stool → more dryness → more straining. Along with this, long-standing gut disturbance can also cause bloating, gas radiating to chest and back, headache, joint pains, and even sciatica-like discomfort. This is typically a chronic Vata-dominant condition with gut dryness and irritation. In such cases, the approach should not be only laxatives or only piles medicine. Treatment has to be layered: • Soften stool gently without causing loose motions • Heal fissure and reduce anal inflammation • Reduce upper abdominal burning and gas • Improve colon lubrication • Correct long-standing gut motility imbalance Strong purgatives or harsh “cleansing” usually worsen fissure and burning. The colon needs lubrication and regulation, not force. Because you have: – 25 years of IBS – 5 years of piles and fissure – Pencil-thin stool – Persistent burning and pain this requires careful evaluation. In some cases, investigations like colonoscopy or imaging are also important to rule out structural narrowing. With a properly structured plan, symptoms can improve significantly — but this cannot be managed with generic advice or home remedies anymore. I would strongly suggest a detailed consultation where we review your full history, reports (if any), current diet pattern, and bowel routine. Based on that, a step-by-step treatment plan can be designed to reduce pain, regulate bowel movement, and gradually break this long-standing cycle safely.
Avoid addiction if any. Avoid oily spicy and processed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Regular use of buttermilk. Drink sufficient quantity of water. Tab STOP-IBS 1-0-1 Tab.Amroid 2-0-2 Tab Erandbhrushta haritaki 0-0-1 With lukewarm water at bedtime Follow up after 10 days.
Thankyou Dr Narendrakumar mishra for your prompt response and valuable remedy. Highly appreciated.
Hello Thank you for explaining your condition in detail it helps a lot to plan and give proper guidance You are suffering with IBS with 25 years with piles and fissure for last 5 years, but dont worry we are here to help you out 😊 Main root cause in your case - Weak digestive fire
All these conditions indicates Mandagni so start with Hingutriguna tailam warm oil 10 ml in the morning empty stomach followed by a glass of warm water Agnitundi vati tab 1-0-1 after food Abhayarishtam 5ml with 10 ml of water after food twice a day Bilwadi agada tab 1-0-1 after food
Consulting the AYURVEDIC Surgeon for better examination and treatment
Hi… I want you go for an USG whole abdomen and share the reports For present condition Tab alsarex 2 BD Tab gasex -2-BD Hinghvastak churna Ajmodadi churna -1tsp-BD
avoid spicy food and milk and milk produts do nasya with cow ghee 2 drop each nostril 2 times day take tab ibs care care( charak pharma) 2-0-2 tab livtone 2-0-2 tab toxigo 1-0-1 tab bramhi 1-0-1 tab erand bristh haritaki -0-0-1 at night take abhiyaaristh 10 ml with 100 ml water 2 times day apply jatyadi ghurth anus area 2 times day and do sitz bath
HELLO, Your condition suggests chronic constipation- predominant IBS (Vata-predominant grahani ) with Artha (piles) and parikartika (fissure) in Ayurveda. Long standing dryness, straining, gas, burning, joint pain and sciatica clearly indicate aggravated vata with associated pitta irritation in the gut. AYURVEDIC VIEW -Primary dosha= vata (dry stool, gas, pain, sciatica, joint pain) -Associated dosha= pitta (burning abdomen, anal burning, headache) -Affected srotas = Annavaha, purishavaha, asthivaha -Root issue= chronic Apana Vata imbalance TREATMENT PRINCIPLE -Downward regulation, Gentle bowel correction, Improve digestion and local wound healing INTERNAL MEDICATIONS 3-4 MONTHS MINIMUM NIGHT -TRIPHALA CHURNA= 1 tsp in warm water at bedtime =softens stool, heals fissue, regulates bowel OR IF STOOL VERY HARD -ERANDA TAILA= 1 tsp in warm milk at bedtime 2-3 times/week only AFTER BREAKFAST -HIGWASTAKA CHURNA= 1/2 tsp with first bite of food = reduces gas and bloating AFTER LUNCH -AVIPATTIKAR CHURNA= 1/2 tsp with warm water twice daily =controls upper abdominal burning AFTER DINNER -ABHYARISHTA= 15ml + equal water =best classical medicine for onstipation with piles FOR SEVERE IBS WITH LONG HISTORY -KUTAJ GHAN VATI= 2 tabs twice daily after meals. if loose episodes alternate -BILWADI CHURNA= 1/2 tsp with buttermilk twice daily If excessive mucus FOR PILES AND FISSURE HEALING INTERNAL -ARSHOGHNI VATI= 1 tab twice daily after meals -NAGKESHAR POWDER= 1/4 tsp with honey twice daily if bleeding LOCAL APPLICATION (very important) After warm sitz bath -Apply jatyadi oil -If fissure pain severe-> apply coconut oil + pinch turmeric DO WARM SITZ BATH WITH -Triphala decoction OR -neem leaves water (10-15 minutes twice daily) STRICT VATA PACIFYIN DIET MUST INCLUDE -warm water whole day -cow ghee- 1 tsp in lunch and dinner -soft rice + moong dal khichdi -stewed figs 2 soaked overnight -black raisins soaked 5-7 daily -bottle gourd, ridge gourd , pumpkin -smallquantity sesame oil in food STRICTLY AVOID -dry roti without ghee -raw salads -chana, rajma, cauliflower -bakery items -tea excess -col water -long fasting -sitting long hours DAILY ROUTINE essential for 25-year IBS MORNING -1 glass warm water + 5 drops lemon -20 min walk -Malasana yogic squats for natural bowel movement YOGA -pawanmuktasana -vajrasana 10 min after food -bhujangasana -makarasana -gentle spinal twists FOR SCIATICA AND JOINT PAIN -Dashmmola kashaya 20ml twice daily with warm water before meals -daily oil massage with sesame oil before bath LIFESTYLE CORRECTIONS -sleep before 10:30 pm -eat at fixed timing -never suppress urge for stool -avoid excessive worry IBS strongly linked to stress PRACTICE -10 min Anulom vilom -Bhramari pranayam IMPORTANT Because IBS is 25 years old, you may require -Basti therapy- best treatment for vata -> should be done under supervision This can dramatically reduce -constipation -gas -sciatica -joint pain -recurrence of piles EXPECTED RECOVERY TIMELINE -2-3 weeks= stool softeners improves -1-2 months= gas and bloaitng reduce -3 months= fissure healing -4-6 months= IBS stabilisation DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU
YOU HAVE BEEN SUFFERING FOR A LONG TIME AND WHEN IBS C PILES AND FISSURE CONTINUE FOR YEARS IT IS NOT JUST A LOCAL PROBLEM IT BECOMES A DEEP VATA DISORDER AFFECTING THE ENTIRE DIGESTIVE TRACT NERVOUS SYSTEM AND JOINTS DRY HARD LUMPY STOOL STRAINING PENCIL LIKE STOOL INCOMPLETE EVACUATION GAS BLOATING SCIATICA AND JOINT PAIN ALL POINT TOWARDS CHRONIC APANA VATA IMBALANCE WITH WEAK AND IRREGULAR AGNI WHEN STOOL REMAINS DRY AND HARD IT INJURES THE ANAL CANAL AGAIN AND AGAIN LEADING TO FISSURE BURNING AND SKIN TAG FORMATION STRAINING WORSENS PILES AND ALSO PUSHES VATA UPWARDS CAUSING HEADACHE CHEST DISCOMFORT BACK PAIN AND EVEN SCIATICA OVER TIME THE ENTIRE SYSTEM BECOMES TENSE DRY AND INFLAMED FIRST PRIORITY IS TO SOFTEN STOOL NATURALLY WITHOUT FORCE STOP STRAINING COMPLETELY EVEN IF BOWEL DOES NOT CLEAR FULLY SIT FOR SHORT TIME AND GET UP DO NOT PUSH AT NIGHT TAKE ONE TO TWO TEASPOON OF COW GHEE IN WARM MILK OR WARM WATER THIS LUBRICATES INTESTINES YOU CAN ALSO TAKE TRIPHALA HALF TEASPOON WITH WARM WATER BUT IF STOOL IS VERY DRY ADD A LITTLE GHEE WITH IT ISABGOL ONE TEASPOON IN WARM WATER AT NIGHT CAN HELP BUT MUST BE TAKEN WITH ADEQUATE WARM WATER IN THE MORNING DRINK A GLASS OF WARM WATER WITH A FEW DROPS OF LEMON AND A PINCH OF ROCK SALT THEN WALK GENTLY FOR TEN TO FIFTEEN MINUTES TO STIMULATE APANA VATA FOOD SHOULD BE SOFT WARM OILY AND EASY TO DIGEST MOONG DAL KHICHDI WITH GHEE STEWED VEGETABLES LAUKI TORI PUMPKIN CARROT WELL COOKED RICE AVOID RAW SALADS DRY ROTI EXCESS BESAN CHANA RAJMA COLD FOOD REFRIGERATED ITEMS AND EXCESS TEA OR COFFEE FOR FISSURE AND BURNING APPLY PURE COW GHEE OR JATYADI TAIL LOCALLY AFTER WASHING WITH LUKEWARM WATER SITZ BATH IN WARM WATER FOR TEN MINUTES TWICE DAILY WILL REDUCE PAIN AND SPASM FOR GAS AND BLOATING TAKE HINGVASTAK CHURNA WITH FIRST BITE OF FOOD AND SIP WARM CUMIN FENNEL WATER THROUGHOUT THE DAY AVOID EATING LATE AT NIGHT AND KEEP MEAL TIMINGS FIXED SCIATICA AND JOINT PAIN NEED DAILY ABHYANGA WITH WARM SESAME OIL FOLLOWED BY WARM BATH THIS CALMS VATA FROM ROOT LEVEL GENTLE YOGA LIKE PAVANAMUKTASANA MALASANA AND SUPTA BADDHA KONASANA CAN HELP BUT AVOID STRAINING POSES MOST IMPORTANT IS REGULAR ROUTINE SLEEP BEFORE ELEVEN PM WAKE AT FIXED TIME EAT AT FIXED TIME VATA HEALS WITH CONSISTENCY SINCE YOU HAVE 25 YEARS OF IBS HEALING WILL TAKE TIME BUT WITH DISCIPLINE STOOL CAN BECOME SOFT WITHIN A FEW WEEKS AND FISSURE PAIN CAN REDUCE GRADUALLY IF THERE IS PERSISTENT BLEEDING SEVERE WEIGHT LOSS OR WORSENING CHEST PAIN DO NOT IGNORE AND CONSULT A PHYSICIAN TO RULE OUT OTHER CONDITIONS THIS CONDITION IS REVERSIBLE BUT REQUIRES PATIENCE GENTLENESS AND DAILY CARE OF YOUR APANA VATA
1.Arshoghani vati 2 tab twice daily with water after meals 2.Gandhak Rasayan 2 tab twice daily with water after meals 3.Abhyarishta 20 ml with 20 ml water twice daily after meals 4.Kasisadi taila - apply twice daily on the affected area Diet: - High-fiber foods (papaya, banana, figs, soaked raisins, green leafy vegetables). - Avoid spicy, oily, fried, and processed foods. - Include buttermilk with roasted cumin and hing. Routine: - Regular bowel habits — try to pass stool at the same time daily. - Gentle yoga (Pawanmuktasana, Vajrasana after meals). - Warm sitz bath for fissure/piles relief. - Hydration: Drink lukewarm water throughout the day. - Avoid: Excess tea/coffee, alcohol, late-night meals, prolonged sitting.
Tab septillin 2-0-2 Abhaya aristha 4-0-4 tsp with equal water after meals Jatyadi gritha apply externally Sitz bath with warm water twice daily
✓Medicines Arshonyt Forte Tablet (Charak) or Arshoghni Vati – 2 tablets twice daily after meals Kutaj Parpati Vati – 1 tablet twice daily after meals Gandhak Rasayan – 125–250 mg twice daily after food with water Yograj Guggulu – 1 tablet twice daily after food Avipattikar Churna – 3 gm at bedtime with warm water ✓Local Care (Daily) Jatyadi Ghrita or Saptagun Taila – apply generously inside & around anus after every bowel movement & at bedtime (heals fissure, reduces burning & itching) Warm sitz bath – 10–15 min 2–3 times/day Castor oil pack – warm castor oil soaked cloth on lower abdomen 20 min nightly ✓Diet Main food: thin moong khichdi + 1–2 tsp ghee, boiled lauki/pumpkin, mashed ripe banana, pomegranate, thin buttermilk + roasted jeera Add daily: 2–3 soaked figs or 4–6 soaked raisins at night (softens stool naturally) Avoid completely: spicy/sour, fried, maida, rice excess, cold drinks, beans (except moong), late dinner, processed food ✓Daily Must-Do Vajrasana 10 min after every meal Warm water sip all day (3–3.5 L) No straining – use squatty potty or small stool under feet 10 min Anulom-Vilom pranayama (reduces stress & gas) Regards Dr Gursimran Jeet Singh MD Panchakarma
Start with Tablet Liv-52 1-0-1 after food with water. Kamdudharas 1-0-1 after food with water Kutaj ghanvati 1-0-1 after food with water Bilva churan 1tsp twice after food with water Have buttermilk with pinch of asafoetida black salt and roasted jeera powder after lunch. Avoid nonveg food if non-vegetarian Avoid wheat and wheat products Avoid milk. But buttermilk is ok. Include cow’s ghee in your diet 1-2tsp. Daily. Have pomegranate juice or apple juice or doodhi juice or cucumber juice in your diet Apply pilex cream locally on Anal region twice daily. Follow up after 1 week.