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How to treat diverticulitis pain in the ascending colon after surgery?
Gastrointestinal Disorders
Consultation #52643
152 days ago
604

How to treat diverticulitis pain in the ascending colon after surgery? - #52643

Client_280673
$9

I have diverticulitis problem in ascending colon and often feel pinning pain. Already met major surgery and descending colon has been removed about 30 cm. Kindly guide me to get relief from present issue. Thank you

How long have you been experiencing the pinning pain?:

- 1-4 weeks

How would you describe the intensity of the pain?:

- Moderate — affects daily activities

Do you notice any specific activities that trigger the pain?:

- Eating certain foods

Have you experienced any other symptoms along with the pain?:

- No other symptoms

How is your appetite and digestive health since the surgery?:

- Occasional bloating or gas

How would you describe your overall energy levels?:

- Moderate — some fatigue

Have you made any dietary changes since your surgery?:

- Yes, significant changes

What treatments or medications have you tried for your diverticulitis pain?:

- Home remedies or lifestyle changes

Doctors' responses

Ask Ayurveda Medical Council
152 days ago

Hi! I’m an assistant to the Ask Ayurveda doctors. I’ve carefully reviewed your question.

I will explain your symptoms through the Ayurvedic perspective so you understand what is happening in your body as a whole.

The pinning pain you’re experiencing in the ascending colon after surgery can be understood through the lens of Vata dosha imbalance. Surgery and removal of a part of the colon can aggravate Vata, which governs movement and is responsible for pain when imbalanced. This can lead to irregularity and discomfort in the digestive tract.

In Ayurveda, the colon is the primary seat of Vata, and any disruption, such as surgery, can lead to increased dryness, irregularity, and pain. The pain you describe may also indicate the presence of ‘Vata prakopa’, or aggravated Vata, causing spasms and discomfort.

Post-surgery, your body’s natural balance may be disrupted, leading to weak digestion or ‘Agni’, which can further contribute to discomfort and pain. This imbalance may also be connected to other symptoms like changes in bowel habits or digestive health.

Ayurveda views this as a systemic imbalance where Vata aggravation, weak digestion, and possibly the presence of ‘Ama’ (toxins) could be contributing to your current condition. Addressing these elements holistically can help restore balance.

To give doctors a precise and effective treatment plan, your answers to the questions below are essential. Without this information, the recommendations will be more general and less accurate.

Please answer each question as clearly as possible:

1. How long have you been experiencing the pinning pain in the ascending colon? Choose from: Less than 1 week, 1-4 weeks, 1-6 months, More than 6 months.

2. How would you describe the intensity of the pain? Is it mild, moderate, severe, or very severe?

3. Do specific activities trigger the pain, such as eating certain foods, physical activity, or stress?

4. Have you noticed any other symptoms accompanying the pain, like fever, nausea, or changes in bowel habits?

5. How is your appetite and digestive health since the surgery? Do you experience bloating, gas, indigestion, or chronic issues like constipation?

6. How would you describe your overall energy levels? Are they high, moderate, low, or very low?

7. Have you made any dietary changes since your surgery? If so, what changes have you noticed?

Your detailed responses will greatly assist in crafting a personalized Ayurvedic approach to manage your symptoms effectively.


0 replies
Dr. Ravi Chandra Rushi
Master of Surgery in Ayurveda
152 days ago
5

Eat soft food (rice, curd, soups) Drink plenty of water Avoid spicy & fried food Start fiber slowly (fruits, oats, vegetables) Take isabgol 1 tsp at night Daily Walk 20–30 min Take buttermilk Ayurvedic Triphala 1 tsp at night Bilwadilehyam 1tsp after food Go to doctor if Fever Severe pain Blood in stool


0 replies
Dr. Suchin M
Bachelor of Ayurvedic Medicine and Surgery
151 days ago
5

Hello Please start with Dadhimashtaka churna half teaspoon with Buttermilk twice a day after food ( morning and afternoon) Bilwadi Avalehyam one teaspoon twice a day after food Avoid spicy and sour food items Take more of simple food like rice gruel, khichadi, porridge etc in ur diet Thank you


0 replies
Dr. Maitri Bhavesh Kumar Acharya
Bachelor of Ayurvedic Medicine and Surgery
151 days ago
5

Hello, You have Diverculitis in the ascending colon, along with a previous surgery removing part of the descending colon What this means -small pouches (diverticula)in the intestine get inflamed -after surgery, your gut becomes more sensitive and reactive -pain after eating suggests= irritation of intestinal wall, gas pressure inside colon, irregular bowel movement or digestion In Ayurveda , This condition is mainly -vata imbalance = pain, pricking sensation -associated pitta irritation= inflammation -weak digestion Treatment goals -reduce inflammation in colon -normalize digestion -relieves pain and gas -prevent recurrence -stregthen intestinal lining after surgery Internal medications For Digestion + gas + pain 1) Hinguvachadi gulika= 1 tab twice daily after meals =reduces vata, relieves gas and colicky pain 2) Avipattikar churna= 1 tsp at bedtime with warm water = balances pitta, improves bowel movement For inflammation in colon 3) Kutajarishta= 15ml + 15ml water after meals twice daily =best for intestinal inflammation and bowel health 4) Dadimashtaka churna= 1/2 tsp before meals with warm water =improves digestion without irritating intestines For gut healing (important after surgery) 5) Guluchyadi kashaya= 15ml + 45ml water twice daily before meals =anti inflammatory, supports healing 6) Shatavari gulam= 1/2 tsp with warm milk in morning = soothes intestinal lining External therapies 1) Abdominal oil application -Dhanwantaram taila -gentle clockwise massage over abdomen for 15 min daily =relieves pain, improves bowel movement 2) Mild fomentation -after oil massage -helps reduce spasm, pinning pain Lifestyle and Yoga -pawanmuktasana for gas relief -vajrasana after meals -marjariasana for gut motility -Anulom Vilom= balances vata -sheetali= redcues inflammation Avoid -long gaps between meals -stress very important trigger -heavy or dry foods DIET -soft warm easy to digest food -khichdi , rice + moong dal -cooked vegetables bottle gourd, pumpkin -buttermilk with roasted cumin Avoid -raw salads -spicy , fried, junk food -red meat -beans, cabbage gas forming -cold for/refrigerated items Home remedies 1) Ajwain water= boil 1 tsp ajwain in water drink after meals =reduces gas + pain 2) Jeera+ saunf tea =improves digestion, prevents bloating 3) Warm water habit -sip water throughout the day Your case is sensitive due to previous surgery, so the focus should be -gentle digestion correction -avoiding irritation -long term gut healing Ayurveda ca help significantly but -avoid self medicating strong formulation -prefer gradual, sustained treatment Do follow Hope this might be helpful Thank you

• Hinguvachadi Gulika (50 Nos) - Kerala Ayurveda (Hinguvachadi Gulika 50 Nos) — x1 • Avipathi Choornam (50 Gm) - Kerala Ayurveda (Avipathi Choornam 50 Gm) — x1 • Kutajarishta (450 Ml) - Kerala Ayurveda (Kutajarishta 450 Ml) — x2 • Dadimashtaka Choornam (50 Gm) - Kerala Ayurveda (Dadimashtaka Choornam 50 Gm) — x2 • Guluchyadi Kwath (200 Ml) - Kerala Ayurveda (Guluchyadi Kwath 200 Ml) — x2 • Sathavarigulam (250 Gm) - Kerala Ayurveda (Sathavarigulam 250 Gm) — x1 • Dhanwantharam Thailam - Kerala Ayurveda (Dhanwantharam Thailam 200 Ml) — x1


0 replies
Dr. Snehal Tasgaonkar
Bachelor of Ayurvedic Medicine and Surgery
149 days ago
5

1. Diet Strategy (Most Important) *During pain / flare (low-fiber phase): -Soft, easy-to-digest foods -Khichdi, dal water -Boiled vegetables (lauki, carrot, pumpkin) -Rice, curd *Avoid: -Raw salads -Seeds, nuts -Spicy/oily foods *After pain settles slowly introduce: -Oats, daliya -Fruits like banana, papaya -Cooked vegetables 2. Hydration Aim: 2.5–3 liters/day -Warm water is often better tolerated -Helps prevent pressure buildup in colon 3. Gut Motility & Bowel Care -Avoid constipation at all costs -Light walking after meals 4. Pain Management -Warm compress on abdomen -Avoid unnecessary painkillers *Things to Avoid -Ignoring recurrent pain -Frequent antibiotics without supervision -Heavy, fried, or spicy food -Smoking/alcohol -Tea, coffe and areated beverages Medication: Hingvashtak churna with 1 glass of buttermilk at tea time Tab. Flurascante 2 tabs twice a day before food Tab. Kutaj parpati vati 1 tab twice a day before food Tab. Dashmoolkwath vati 2 tbas twice a day after food If you feel consipated soak 1 tsp isabgol in cup of hot water for 1 hr and consume it. You can optionally drink a cup of hot water with 1 tsp ghee daily at night for constipation relief


0 replies
Dr. Surya Bhagwati
Bachelor of Ayurvedic Medicine and Surgery
141 days ago
5

With diverticulitis problem in ascending colon and often feel pinning pain. Already major surgery aof removing descending colon , at this stage since there is pain Ayurvedic treatment will help balance vata, that will reduce pain , reduce pitta will help reduce inflammation, clear toxins and strength digestion. At present remain in liquid diet for 2-3 days consisting of liquid soups, juices, this will give rest to colony which is very much . required As you start feeling better slowly start with soft semi liquid diet like overcooked steam rice, in liquid form, smashed vegetables, stewd fruit in semi liquid form. Once these start accepting and you feel better slowly start with semi solid foods. Start with Heposem syrup 10ml -0-10ml after the wash with. Will improve digestion Bilvadi lehyam 1tsp twice daily after food with water will strengthen your intestine. Aloevera juice 10ml twice daily after food with water, Have fennel water Kutaj ghanvati 1-0-1 after food with water. Avoid nuts, seeds, fried foods, raw vegetables, Avoid straining. Do warm oil - coconut oil light application on abdomen area. Some medicines recommended have been attached here with you can buy at 10% discount. Rest you can buy from outside.


0 replies
Dr. Sara Garg
Bachelor of Ayurvedic Medicine and Surgery
152 days ago
5

Your pain is likely due to mild inflammation and gas in the colon, especially after your previous surgery. Try eating light, low-spice, easy-to-digest foods like rice, khichdi, and boiled vegetables. Avoid oily, spicy, and gas-forming foods. Eat small meals, drink plenty of water, and walk after eating. –Rx: Tab. Hingwashtak Churna – 2 gm with warm water, BD after meals Tab. Kutaj Ghan Vati – 2 tabs, BD after meals Cap. Giloy Satva – 500 mg, BD Avipattikar Churna – 3 gm with warm water, HS —Diet Advice (Pathya): Light diet – khichdi, moong dal, boiled vegetables, warm water –Avoid – spicy, fried, chana, rajma, cabbage, cold foods –Lifestyle: Small frequent meals Walk after food Avoid stress –Follow-up: 7–10 days


0 replies
Dr. Raghuveer SN
Bachelor of Ayurvedic Medicine and Surgery
151 days ago
5

Namaste, Since you already had surgery and now have diverticulitis in the ascending colon with pin-point pain, your intestine is sensitive and reactive, so the approach has to be very gentle. The goal is to reduce irritation, control inflammation, and keep bowel movement smooth without overloading the gut. Right now, pain after eating certain foods suggests that the colon is getting irritated rather than just a digestion issue. So food selection becomes the most important part of your treatment. Keep your diet simple and soothing: Prefer soft, well-cooked foods like rice, moong dal, vegetable soups, khichdi Avoid raw salads, very high-fiber coarse foods, and heavy grains for now Stay away from spicy, fried, processed foods, and excess sour items Eat small portions, but more frequently, instead of heavy meals Do not overload fiber suddenly—even though fiber is usually advised, in your case excess or rough fiber can trigger pain. Simple home support: 1 teaspoon ghee in warm food or at bedtime can help lubricate the intestines Warm water sipping through the day Fennel (saunf) after meals can reduce bloating Avoid straining during bowel movements and don’t delay the urge. Ayurvedic medicines with dose and timing: Kutaj Ghan Vati – 1 tablet twice daily after food (helps intestinal stability) Bilva Churna – 1/2 teaspoon once daily (supports bowel regulation) Avipattikar Churna – 1/2 to 1 teaspoon at night if acidity or burning is present These are gentle and help in reducing irritation and supporting digestion without aggravating the colon. You should start noticing some reduction in pain and bloating within 1–2 weeks, but full stability may take a few weeks with consistent diet control. Important: Since you have a surgical history and active diverticulitis, if pain increases, fever develops, or bowel pattern changes suddenly, do not delay medical consultation. In your case, diet discipline is the main treatment, medicines only support it 👍


0 replies
Dr. Gursimran Jeet Singh
Bachelor of Ayurvedic Medicine and Surgery
151 days ago
5

✓Medicines Bilvadi Lehyam – 1 tsp twice daily after meals Kutaj Parpati Vati – 1 tablet twice daily after meals Gangadhar Churna – 2 gm twice daily with warm water after meals Ashwagandha capsule – 500 mg at night with warm water ✓Daily Must-Do Vajrasana – 10 min after every meal Warm fennel + cumin water sip all day (2–2.5 L) Light abdominal clockwise massage with warm sesame oil 5–10 min nightly Dinner very early & light (before 7 pm) ✓Diet Main: thin moong khichdi + 1 tsp ghee, well-cooked lauki/pumpkin/carrot, pomegranate, thin buttermilk + roasted jeera Avoid completely: spicy/sour, raw salads, beans (except moong), fried, cold drinks, late dinner Regards Dr Gursimran Jeet Singh MD Panchakarma


0 replies
Dr. Khushboo
Bachelor of Ayurvedic Medicine and Surgery
151 days ago
5

The complex case which involves both surgical history and current diverticulliatis in ascending colon this point towards the grahni or large intestine disturbance which involves vitated vata and Pitta So here our goal is to pacify inflammation heat while ensuring water remains Stable to prevent further pain and bloating We will focus on internal lubrication and gentle cleansing 1) Chiruvilwadi Kwath-15 ml + 45 ml lukewarm water 30 minutes before breakfast and dinner 2) Gandharvahasthadi Castor Oil- 10- ml at bed time with warm milk or water 3) Alsactil Tablet- 2 tablets 30 minutes after food 4) Dhanwantharam (101) Capsule- 1 capsule twice daily With warm water During acute pain always stick to low Residue diet use thin Rice Water or thick rice vilepi (gruel)with a little ghee use cow ghee everyday Avoid hard seeds and skin fruit or vegetable like tomato guava cucumber popcorns avoid fermented food spicy pickles and heavy red meet avoid drive cold food like salad and crackers Drink warm water throughout the day avoid Ice cold beverages Avoid suppressing natural urges like urine or stool Practice Pranayam daily


0 replies
Dr.Anush Jat
Bachelor of Ayurvedic Medicine and Surgery
151 days ago
5

These are generally helpful in such conditions, but since your case involves surgery, dose personalization is important. 1)dadimashtaka churna – improves digestion, reduces gas 2)hinguvachadi gulika – excellent for vata pain & colic 3)mahatiktaka ghrita – helps in intestinal healing & inflammation Follow this strictly for 2–3 weeks: Warm, soft foods only: Moong dal khichdi (with a little ghee) Soft rice + lauki/tori Thin vegetable soups Avoid completely: Raw vegetables, सलाद Spicy, fried, packaged food Maida, bakery items Chana, rajma, cauliflower (gas-forming) Fruits: Only stewed apple or ripe banana (in small quantity) 👉 Eat small frequent meals, don’t overload intestine.


0 replies

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Bahut hi knowledgeable doctor, gastric problem ka permanent solution mila.
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