Constipation

Constipation(Ayurvedic Name- ‘Vibandha’) is a condition in which an individual experiences uncomfortable or Infrequent Bowel Movement or decrease in frequency, size, consistency and ease of bowel movement and the complaint depend on the individual perception. Main symptoms this condition is inability to completely evacuate the bowels or passing very hard stool, knowns as Constipation and co-related this condition in Ayurveda as ‘Vibandha’.

Occasional Constipation is very common now days, some people experience the chronic conditions of constipation which leads interfere with their ability to go about their daily routine life. People also may feel strain excessively in order to have a Bowel movement in chronic constipation.

In General, it is a relatively common condition in which patient may have fewer than three Bowel movement a week, Stool may be Hard, Dry or may be Lumpy, difficulty to pass or painful at the time of Defecation (2 Bowel movement per week) with feeling that not all stool has passed.

Etiological Factor of Constipation

– Dietary habits like Low fibre intake or inadequate food

– Constipation associated with Endocrine disorder like Hypothyroidism, Diabetics etc

– It may be psychological like Depression, Eating Disorder (Anorexia), denied bowel actions-natures call’s (Suppression of Natural urge)

– Low body exertion (Reduced Physical activity) or sitting in a posture for long time due to heavy travel or long exposure of sun light.

– Excessive use of Antacids

– Anatomical structural problems such as Twisting of intestine (Volvulus)

-Colon cancer

Symptoms of Constipation

Constipation may be chronic if you experienced below mentioned 2 or more of these symptoms for the last 3 months-

– Difficulties in passing stools

– Straining occur while passing stool

-Passing less stool than the normal defecation.

-Stool will be Hard, Dry or Lumpy in nature

-Nausea

-Loss of Appetite

-Feeling of incomplete evacuation

-Malaise or Headache may be present

-Abdominal Pain may be occur in the chronic stage of Constipation.

Complication

Usually constipation is rarely serious but if it is left untreated, it’s become chronic and manifest the several digestive and alimentary complications like…

-Bowel Obstruction

-Piles or Haemorrhoid’s

-Rectal Prolapse

-Hernia

-Spastic Colitis

-Laxative Colitis- It’s a condition where people use laxatives (Self -Medication) for constipation for longer duration, it can alter the normal psychological function of the intestine.

-Fecolith (hard, stone like faeces)

Ayurvedic Concept with Management

In Ayurveda wisdom, Constipation is co-related with ‘Vibandha’, which literally means ‘Non-Expulsion of Stool due to accumulation of toxins in the Rectum Region’.

According to Ayurveda, ‘Apana Vata’ is responsible for free expulsion or free flow of stool and Urine, it’s the main function of ‘Apana Vayu’ and when this function is impaired or significantly affected, it results in ‘Vibandha’

[Note- ‘Vata’ is govern all movements in mind and body and divided in five categories, ‘Prana Vata’, ‘Udana Vata’, ‘Samana Vata’, ‘Apana Vata’, ‘Vyana Vata’. Here this condition caused by the Vitiation of Apana Vayu.]

Sedentary Lifestyle, inadequate sleep or day sleep, spicy food and chewing tobacco is main factor for vitiation of ‘Apana Vata’ and lead constipation and also invite the other disease. ‘Vibandha’ is mentioned in Ayurveda classic as a symptom’s which associated with other disease but in allopathic medicine it is described as individual digestive pathological condition.

Ayurveda further explained due to ‘Vata Vardhak Ahar-Vihara’ (Factor which aggravate the ‘Vata dosha’ including diet and lifestyle, which is mentioned above), ‘Apana Vayu’ got abnormal movement and leads to formation of ‘Aam’(Metabolic toxins formed due to improper Digestion), makes the stool dry, peristalsis (involuntary constriction and relaxation of the muscles of the intestine or another canal, creating wave-like movements that push the contents of the canal forward) is slowed and stool is retained in colons(lower part of large intestine) and Constipation manifested due to failure of the expulsion.

In Ayur Healthcare, first line of treatment of Constipation is ‘Mridu Snehan’ which is called as ‘Mild Oleation Therapy’, given by internally and externally.

Internal Oleation – called as ‘Abhyantara Snehana’, administering 5-10 gm of Ghee or Medicated Ghee such as ‘Sukumara Ghrita’.

External Oleation – Medicated Oil Massage with Sesame Oil or ‘Mahanarayana Oil’ etc.

Treatment like ‘Virechana therapy’ means the use of Laxative drugs called as ‘Sukh Virechana’ with use of suppositories like ‘Guda Varti’.

Useful Herbal preparation from ‘Hareetaki’ (Chebulic myrobalan), ‘Aragwadha’ (Cassia Fistula), ‘Draksha’ (Raisins and Dry Grapes-Vitis Vinifera), ‘Patola’ (Trichosanthes Dioica), ‘Katukrohini’ (Picrorrhiza Kurroa) with the combination of Castor Oil is highly useful for Mild Constipation and for Severe Constipation, we use ‘Jayapala’( Croton Tiglium), ‘Danti’( Balliospermum Montanum) and ‘Trivrit’(Operculina Turpethum)

Ayurvedic Medicine in Ayur Healthcare (consume only prescribed dosage)

Diet and Lifestyle Advice by Ayur Healthcare

Fibre rich diet should be increased including Fruit & Vegetables, like Cauliflower, Raisins, Cabbage, Berries, Green leafy vegetable, Celery, Beans, Guava, Figs, Flax seed, Orange, Mushroom etc

Ayurvedic Practitioners of Ayur Healthcare advice drink good amount of water. Tea, Coffee, Milk product or Dairy product, excessive spicy food, heavy non-vegetarian food and fried food should be cut down.

Do not hold natural urges, because as per Ayurveda, natural urges is signal to the an individual to act, need to be attended immediately. suppression of natural urges will lead to constipation.