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Can my son stop the 45-day basti treatment for juvenile rheumatoid arthritis if he refuses it?
General Medicine
Question #56142
20 days ago
204

Can my son stop the 45-day basti treatment for juvenile rheumatoid arthritis if he refuses it? - #56142

Client_69b993
$5

Today My son was diagnosed with juvenile rheumatoid arthritis when he was 6.5 years old. He had pain, stiffness and swelling in his knees, hands, shoulders, and ankle. Initially we took allopathy medicines for 3months and then switched to ayurveda. We continued for ayurveda in Kerala for 3 years and in the 1st year only we saw major relief. But the pain and swelling in his finger and wrist joint stayed and never gone. He ia now 11 year old. Recently we got to know about one ayurvedic doctor in Pune and she suggested that he needs 45 days basti. After taking 7days basti of vaitaran basti. My son is refusing to take it. Can this be stopped if he is reluctant to take. And does this 45 days treatment has the power to treats the arthritis forever.

How long has your son been experiencing pain and swelling in his joints?:

- 3-5 years

What is the intensity of his pain on a scale of 1 to 10?:

- 4-6 (moderate)

Has he experienced any side effects from the basti treatment?:

- Nausea or vomiting

What other treatments or therapies has he tried for his arthritis?:

- Only Ayurvedic treatments

How is his overall energy level and activity during the day?:

- Very active and energetic

How does he feel emotionally about his condition?:

- Positive and hopeful

Has he had any dietary changes since starting Ayurveda?:

- Some changes
Writing an explanation of your symptoms through Ayurveda...
Analyzing through Ayurvedic framework0%

Doctors' responses

Since your son improved significantly with Ayurveda over the years, that is encouraging. However, the remaining finger and wrist swelling suggests some disease activity may still be present. A 45-day Basti course may help some children, but it is not a guaranteed permanent cure. If your son is refusing treatment, speak to the Ayurvedic doctor about alternative therapies or a modified plan. Treatment should be manageable for the child. Do not force Basti if he is very uncomfortable. Discuss other options with the treating doctor. Continue monitoring with a pediatric rheumatologist. Ayurvedic medicines should be prescribed according to his age, weight, and current condition by his physician.


1 replies
Client_69b993
Client
19 days ago

The doctor has given vaitaran for 3 days and anuvasna for 3 days. When I asked to stop the doctor is telling that it cannot be stopped midway as it can cause serious harm to his body and he will be suffering even more. There is a course of 15 days and only after that it can be stopped and there is no other way. And still if we decide to stop the doctor will not be responsible and i had to give in writing that she/he has not done any treatment. And i will be blaming myself for life for this

••I completely understand your concern as a parent. Seeing your 11-year-old child go through chronic pain is incredibly difficult, and it is completely natural to question a lengthy, invasive treatment when he is visibly distressed and reluctant. ​1. Can the Basti be stopped if he is reluctant? ​Yes, you can absolutely pause or stop the treatment right now. ••​In Ayurveda, the psychological state of the patient (Atura Bala and Sattva) is a crucial pillar of healing, especially in pediatric care (Kaumarbhritya). If a child is highly stressed, terrified, or resisting the treatment, forcing it can cause psychological trauma, increase adrenaline, and aggravate Vata Dosha—which completely defeats the purpose of the treatment. ••​Vaitaran Basti is a strong, therapeutic enema containing ingredients like tamarind, jaggery, rock salt, and sometimes Gomutra (cow’s urine). It can cause mild abdominal cramping, urgency, and discomfort, which is very overwhelming for an 11-year-old. ​Immediate Action: Speak frankly with the doctor in Pune. Tell them the child is resisting. A 45-day continuous course of Basti (especially strong Niruha/Vaitaran types) is a very heavy, aggressive protocol for an 11-year-old. ••​The Ayurvedic Alternative: If Basti is absolutely necessary, it can be modified. The doctor can switch to a much smaller, gentler, oil-based enema (Matra Basti) using medicated oils like Sahacharadi Taila or Pinda Taila. These are tiny in volume, do not cause cramping, can be retained easily, and are far more acceptable to children. ​2. Can a 45-day treatment cure Juvenile Arthritis forever? ••​To give you a completely honest, transparent medical opinion: No, a single 45-day course cannot guarantee a permanent, lifelong cure for Juvenile Rheumatoid Arthritis (JRA). ​In Ayurveda, JRA aligns closely with Amavata or Vatarakta. It is a systemic, chronic autoimmune condition. While ••Ayurveda is incredibly effective at managing it—as you saw during your first year of treatment in Kerala—an autoimmune condition means the body’s immune system has a tendency to mistake its own tissues for foreign invaders. ••​What the 45-day treatment can do: It can deep-cleanse the tissues, drastically reduce the accumulated toxins (Ama), pacify the aggravated Vata, and potentially clear up that stubborn, lingering swelling in his wrists and fingers. It acts as a powerful “reset” button. ••​The Reality of Management: Even after a successful detox, your son will require maintenance. This includes a strict gut-friendly diet (since Ama originates in the digestive tract), stress management, and mild, supportive oral Ayurvedic herbs (Rasayanas) to keep his immunity balanced as he goes through puberty. ••​Why did the swelling stay in the fingers and wrists? •••​The small joints of the hands and wrists are often the hardest to clear in Amavata because the blood circulation and joint spaces there are very small, allowing toxins to lodge deeply. ​Instead of a painful internal enema that is making him miserable, those specific stubborn joints can be treated very effectively with targeted, painless external therapies: ••​Upanaha: Medicated poultices wrapped around the wrists and fingers overnight. ••​Valuka Sweda: Gentle, warm sand-bag fomentation to relieve stiffness and pain. ••​Pizhichil/Kizhi: Localized warm oil therapies that he will likely find soothing rather than distressing. ​Summary Recommendation ••​Do not force him. Hold the Basti for now. A stressed child will not heal effectively. ​Consult the Pune physician about scaling back to a gentle Matra Basti (oil-based) or stopping the internal cleansing entirely in favor of oral medicines and local external treatments for his hands. ••​Reframe the goal: Focus on achieving long-term remission and a pain-free life, rather than searching for a magical, one-time permanent cure. Ayurveda can absolutely give him a normal, healthy childhood, but it requires a gentle, sustainable approach.


2 replies
Client_69b993
Client
19 days ago

The doctor has given vaitaran for 3 days and anuvasna for 3 days. When I asked to stop the doctor is telling that it cannot be stopped midway as it can cause serious harm to his body and he will be suffering even more. There is a course of 15 days and only after that it can be stopped and there is no other way. And still if we decide to stop the doctor will not be responsible and i had to give in writing that she/he has not done any treatment. And i will be blaming myself for life for this.

Can Basti be stopped midway, and will it cause “serious harm”? ••​From a standard classical Ayurvedic perspective, the claim that stopping a Basti cycle midway will cause “severe harm” or make him “suffering even more” is an exaggeration. ••​While classical texts (Charaka Samhita) do outline a specific sequence for Anuvasana (oil) and Niruha/Vaitarana (decoction) enemas to ensure maximum efficacy and balance Vata dosha, abruptly stopping does not act like a dangerous chemical reaction in the body. ••​What actually happens if you stop: The therapeutic cycle simply remains incomplete. The Doshas (specifically Vata and Kapha in Amavata) that were being mobilized might not be fully eliminated, which means his symptoms (the residual finger and wrist pain) might just return to their baseline. It will not inherently generate a new, catastrophic illness.

It is understandable to be concerned when your son is reluctant to continue Basti therapy. From an Ayurvedic perspective, Juvenile Rheumatoid Arthritis (Aamavata/Sandhigata Vata with autoimmune involvement) is a chronic condition that requires individualized management. Basti is considered one of the most important therapies for controlling aggravated Vata and reducing joint inflammation, but it should not be forced on a child if he is experiencing significant discomfort, nausea, or emotional resistance. A few important points: Yes, the treatment can be paused or reassessed after discussing it with the treating Ayurvedic physician. There is no guarantee that a 45-day Basti course will permanently cure arthritis forever, especially in long-standing autoimmune conditions. Basti may help reduce pain, stiffness, swelling, and improve long-term disease control, but results vary from person to person. If your son is developing nausea or is strongly unwilling, the doctor may consider modifying the Basti type, dosage, schedule, or using alternative internal medicines and supportive therapies. Since he still has persistent finger and wrist involvement, regular monitoring is important to prevent long-term joint damage. My suggestion would be to speak openly with the treating doctor about his reluctance and side effects before discontinuing completely. The treatment plan should be comfortable and sustainable for the child. Along with therapy, continue an Ama-reducing diet, warm freshly prepared foods, adequate sleep, and gentle joint exercises as advised by the physician. With proper Ayurvedic management, many children achieve good symptom control and maintain an active lifestyle, but ongoing follow-up is usually required.


2 replies
Client_69b993
Client
19 days ago

The doctor has given vaitaran for 3 days and anuvasna for 3 days. When I asked to stop the doctor is telling that it cannot be stopped midway as it can cause serious harm to his body and he will be suffering even more. There is a course of 15 days and only after that it can be stopped and there is no other way. And still if we decide to stop the doctor will not be responsible and i had to give in writing that she/he has not done any treatment. And i will be blaming myself for life for this

Thank you for sharing the update after discussing with the treating physician. In Ayurveda, Vaitarana Basti and Anuvasana Basti are often administered as part of a planned Panchakarma protocol. Once a Basti course is initiated, the physician may recommend completing the prescribed schedule to achieve the intended therapeutic benefits and to maintain treatment continuity. However, the decision to continue or discontinue treatment should always be made after carefully understanding the expected benefits, possible consequences, and the patient’s comfort level. If you have concerns, it is advisable to discuss them openly with the treating doctor and seek complete clarification regarding the necessity of the remaining course. An informed decision based on a clear understanding of the treatment plan is always in the best interest of the patient.

Yes basti can be given after a pause, if not comfortable, since juvenile rheumatoid arthritis is Auto immune , some ayurvedic treatment in oral form should be continued till the child feels better, then doses can be altered, as such vaitaran basti is quite strong, gap will not harm, please consult your treating doctor to help you continue treatment benefits achieved is not compromised.


2 replies
Client_69b993
Client
19 days ago

The doctor has given vaitaran for 3 days and anuvasna for 3 days. When I asked to stop the doctor is telling that it cannot be stopped midway as it can cause serious harm to his body and he will be suffering even more. There is a course of 15 days and only after that it can be stopped and there is no other way. And still if we decide to stop the doctor will not be responsible and i had to give in writing that she/he has not done any treatment. And i will be blaming myself for life for this

Since the is already under a doctor’s treatment, and is feeling better, it’s best the same doctor evaluates and decide what is best. Can explain the doctor about the child’s discomfort and let your doctor who examines physically take decision

Hello It is very glad to hear that your son has got significant Improvement with ayurvedic treatment and now he is remaining active and energetic despite having juvenile arthritis So dont worry we are here to help you out with all your queries regarding the treatment 🔹Can basti be stopped? Yes it can be stopped as -He is experiencing nausea and discomfort -he gets emotionally distressed No doubt basti is best treatment for chronic vata conditions but successful treatment depends on patients acceptance 🔹What to do next? I will strongly suggest you to discuss this with your concerned docter he may think of -Modifying the basti -Adjusting the schedule -Other supportive measures -may think of temporary pause 🔹What will i suggest -Do not force him if he is not willing -Discuss and speak openly with your docter -Ask for any modifications -Continue dietary and lifestyle measures The most good part in this is that he is Improving and remain active which is very important in RA Wishing your son good health Warm Regards Dr Snehal Vidhate


0 replies

Better, take some pause…


0 replies

I completely understand your concern as a mother. Seeing an 11-year-old go through chronic joint pain and struggle with rigorous procedures like basti can be incredibly stressful for the entire family. 👇👇👇👇👇👇👇👇👇👇👇👇👇👇 1. Can the Basti treatment be stopped if he is reluctant? Yes, it can be paused or modified. In Ayurveda, (the patient’s mental and physical comfort) is crucial for a treatment to be successful. If an 11-year-old child is highly reluctant, anxious, or crying during the procedure, it can vitiate Vata Dosha further, which contradicts the purpose of the treatment. 👇👇👇👇👇👇👇👇👇 Regarding the Nausea/Vomiting: 👉👉👉 You mentioned he experienced nausea or vomiting. Vaitarana Basti contains ingredients like Saindhava (rock salt), Guda (jaggery), Imli/Chinch (tamarind), Gomutra (cow’s urine), and Eranda Taila (castor oil). It is highly potent and deep-cleansing (Teekshna). In a child, it can sometimes stimulate the gastrointestinal tract intensely, causing mild nausea. 👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇👇 I advise you to speak with his treating doctor in Pune immediately. They can modify the dosage, switch to a milder Kala or Karma Bastischedule, alternating with soothing Anuvasana (oil-based) basti, or temporarily rely on gentle oral medications until he feels comfortable. 👇👇👇👇👇👇👇👇👇👇👇 2. Does this 45-day treatment have the power to treat Arthritis forever? In Juvenile Rheumatoid Arthritis (which correlates closely with Amavata or Sandhigata Vata in Ayurveda), aiming for a “permanent cure” can be misleading. 👇👇👇👇👇👇 Because this is an autoimmune condition that started at a very young age, the goal of Ayurveda is to achieve deep, long-term remission, prevent further joint damage, and significantly improve his quality of life. 👇👇👇👇👇👇👇 Please don’t stree


0 replies

1.Can the Basti Treatment Be Stopped Midway? Yes, you can absolutely pause or stop the treatment. 2. Can a 45-Day Treatment Cure Arthritis Forever? To give you an honest and transparent medical reality: No, a single 45-day course cannot guarantee a permanent, lifelong cure for Juvenile Rheumatoid Arthritis. Alternative, Painless Options for His Hands and Wrists The small joints of the hands and wrists are often the hardest to clear because blood circulation and joint spaces there are very small, allowing toxins to lodge deeply. Instead of a distressing internal enema, these specific joints can be treated very effectively using targeted, painless external therapies: -Upanaha: Medicated poultices wrapped around his wrists and fingers overnight to draw out deep-seated inflammation. -Valuka Sweda: Gentle, warm sand-bag or herbal pouch fomentation to instantly relieve morning stiffness and pain. -Local Lepas: Applying soothing, herbal pastes directly to the affected joints.


0 replies

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