IBS: Ayurvedic Treatment, Home Remedies, Lifestyle Tips

“Doctor, whenever I get ready to go out, I’m getting the urge to defecate, whenever I finish breakfast, I get the urge”-  these kinds of patient’s presentations are quite common in IBS. Irritable bowel syndrome (IBS) is a functional disorder of the small intestine characterized by the abdominal pain, discomfort followed with altered bowel habits – hard or soft bowels.

Introduction

Usually, structural abnormalities cannot be detected in such instances. It is one among the commonly diagnosed functional disorder of the digestive system. Surely this will not kill the individuals; but the discomfort caused by this illness causes great distress to the patients and life becomes miserable with fatigue. Many people tend to lose weight over a period of time.

In modern medicine they denote the contribution of hereditary factors, enteric infections, inflammatory action of the small intestine, altered food habits etc in this disease. Stress, depression, anxiety etc do play important role in the causation of this disease.

diarrhea constipation ibs

In Ayurveda, a similar condition is explained in the name of Grahani or Sangrahani. The name is given so because according to Ayurveda, Grahana (Retaining ability) is the function of Grahani organ (Small intestine in general and Duodenum in particular). As this function is significantly altered and bowel loses its control to retain for stipulated time period, according to ones requirement of absorption, this condition is called Grahani.

IBS – C – Constipation Remedies

IBS C is considered as Pitta dominant. This type of IBS clinically shows the presence of heartburn, thirst, feeling hot, irritable or angry, inflammation, sweating and fever, fluid, and foul smelling stools and eructation.
The diet should include:
• The use of Buttermilk (takra) is emphasized.
• Indigestible foods such as bread; cheese; and cold, hard, and raw foods should be avoided. Herbs like ginger, fennel, and cumin that stimulate enzyme secretions will improve digestion, absorption, and clear ama from the digestive tract.
• Prefered food items are Eat old rice, jawar, gourd, coriander leaves, lentil, green grams soup, black pepper, dried ginger, wood apple, Pomegranate, nutmeg, skimmed milk, buttermilk, hot water.
• Avoid foods items such as maize, barley, pigeon pea, pea, cow pea, black gram, gram, Soya bean, potato, sweet potato, onion, coconut, groundnut, chili, oily food, chicken, mango, pineapple, apple, watermelon, cashew, pumpkin gourd, papaya, fig, jack fruit

The following changes in lifestyle help to control IBS:
• Identify and remove food intolerances — Because grains are a common culprit, an elimination diet should be tried.
• Restore a healthy balance of bacteria in the gut -Use of buttermilk (takra) is emphasized.
• Mind–body therapy — Complete rest, adequate sleep is advisable and day sleep, awakening at night, tension, suppression of urges should be avoided.
The following herbs are used in this type of IBS for their respective benefits:
• Amalaki
• Coriander water cools pitta
• Musta (Cyperus rotundus) improves intestinal absorption and stops diarrhea.
• Aloe vera juice
• Guduchi (Tinospora cordifolia)
• Sweet, bitter, and astringent foods are best.

How to control IBS with Ayurvedic diet and lifestyle?

Causes

Causes for IBS as per Ayurveda – Grahani Hetu: 
Ayurvedic classics point out following reasons for the manifestation of Grahani-
Abhojana – excessive fasting
Ajeerna bhojana – Eating before the digestion of previously taken food, Having food during indigestion.
Ati bhojana – excessive food intake
Vishama bhojana – Improper food
Asatmya bhojana – Unwholesome food
Guru bhojana – Heavy food intake
Sheeta bhojana – Cold food intake
Rooksha ahara – Dry and junk food
Dushta bhojana – polluted food intake
Vegadharana – suppression of natural urges (read more about it)
Vireka vibhrama – Improper Virechana (purgation) treatment
Sneha vibhrama (Improper oleation therapy)
Swapna viparyaya – Improper sleep, staying awake at night and sleeping during day
Shoka – Grief
Krodha – Anger
Bhaya – Fear
Vyadhi karshana – suffering due to chronic illness, leading to lowered digestion strength
Deasha vaishamya – Migration/Travel
Kala Vaishamya – Change in the season

Pathology

Pathology of Grahani (IBS):
Usually Irritable bowel syndrome is triggered by a stomach event – such as stomach infection, a bout of unhealthy meals, a stressful event, etc.
Due to the above said causative factors Vata is affected in intestines. (Specifically, Samana type of Vata is affected.) It hinders digestion and absorption strength of intestines.
Intestines fail to perform their normal functions of –
Anna grahana – receiving the food from stomach),
Pachana – digestion
Vivechana – Separation of nutritive matters and waste products,
Munchana – Pushing of remnants to its exterior-large intestine.
Thus the Grahani disease is caused.

Prodromal features

Prodromal features of Grahani(IBS):
Praseka – nausea, excessive salivation
Aruchi – tastelessness, anorexia
Annasya chirat paka – delayed digestion
Vidaha – burning sensation
Chardi – vomiting
Adhmana – bloating, distention of abdomen
Asya Vairasya – altered taste in tongue
Trisha – excessive thirst
Klama – fatigue
Bhrama – giddiness
Antra koojana – Gurgling sound in the stomach

Features

Cardinal feature of Grahani (IBS):
Muhurbaddha and muhurdrava pravritti – occasional hard and soft stools.

Features of Grahani(IBS):
Ayurveda explains signs and symptoms of IBS based on Dosha dominance:

Vataja Grahani

Abdominal pain, increased frequency of stool, altered bowel habit, distention of the abdomen, flatus, head ache, debility, chest pain etc

Pittaja Grahani

Burning of the chest, belching, head ache etc

Kaphaja Grahani

Stool with mucus, sensation of incomplete evacuation of the bowel, nausea, vomiting, flatus, heaviness of abdomen

Sannipatja Grahani

all the three Doshas are involved.
Mixed features of all the doshas, lack of concentration, severe debility. This stage is also called as Samgrahani.

In this condition,all features of IBS like gurgling sound in the abdomen, fatigue, bowel with flatus or mucus, tenesmus (constant urge to pass stools), intermittent episodes, increased frequency of bowel in the day time are found.

Modern classification

IBS is classified as –
IBS D – where diarrhoea is the predominant symptom
IBS C – with constipation
IBS A – alternating diarrhoea and constipation

Complications

Complications of Grahani(IBS) according to Ayurveda:
Jwara (fever)
Aruchi (anorexia)
Atisara (diarrhoea)
Kasa (cough)
Avipaka (indigestion)
Kushtha (shin diseases)
Pandu (anaemia)
Gulma (gaseous tumors)
Shoola (abdominal pain)
Shwayathu (oedema)
Arsha (haemorrhoids)
Bhrama (vertigo)
Parikartika (fissure in anus)
Bhagandara (fistula in ano).

Note: Charaka Samhita, Chikitsa sthana, 19th chapter explains Shokaja Atisara. It is a type of diarrhoea, due to stress and anxiety. It can be compared to IBS – D. He explains that such a type of Atisara should be treated with Vata balancing therapies and medicines.

Line of treatment

Line of treatment in IBS:
The medicines should have following qualities:
Deepana – carminative property,
Pachana – digestive,
Sangrahi – intestinal restorative, which increases absorption capacity of intestines
Laghu – lightness.

Herbs used

Herbs useful in Grahani (IBS):
Pomegranate
Kutaja- Holarrhena antidysenterica

Musta- Cyperus rotundus
Dhataki- Woodfordia fruticosa
Patha- Cissampelos pareira
Lodhra- Symplocos racemosa
Pushkaramoola-Inula racemosa
Chavya- Piper chaba
Daruharidra- Berberis aristata
Shalmali- Shalmalia malabarica
Lajjalu- Mimosa pudica

Ayurvedic medicines

Ayurvedic medicines for IBS:
Mustakarishtha – used to treat digestive complaints like diarrhoea, indigestion, etc.
Kutajarishta – used in the treatment of diarrhoea, dysentery, IBS etc.
Pippalyasavam – used for a variety of conditions. It is used in the treatment of anemia, piles, digestive complaints, sprue, liver complaints. It is also used as a medicine to put on weight.
Dantyarishta – used in the treatment of haemorrhoids, constipation, gastric, intestine and spleen related diseases.
Dadimadyavaleha – used in treating fever with diarrhoea, bleeding disorders, such as ulcerative colitis, abdominal colic.
Kutajavaleha – used in the treatment of piles,ulcerative colitis, diarrhoea, IBS, anaemia, bleeding disorders, gastritis, inflammatory conditions.
Sanjeevani vati – used in Ayurvedic treatment of dyspepsia, indigestion, gastro-enteritis etc.
Kamdudha Ras – 
used in treating gastritis and bleeding diseases
Jeerakarishtam –used post natal care, in the treatment of frequent passing of stools, diarrhoea, indigestion etc
Bilvadi gutika – used in Ayurvedic treatment of insect bites, rodent bites, gastro enteritis etc. It is widely used in South Indian Ayruvedic practice.
Chitrakadi vati –  It improves digestion power.
Brihat gangadhara choorna – It is used in the Ayurvedic treatment for Diarrhoea and gastro intestinal conditions.
Pushyanuga choorna – used in the Ayurvedic treatment of Menorrhagia, Metrorrhagia, Leucorrhoea, Menstrual disorder, Excessive menstrual bleeding of various aetiology.
Jirakadi Modak – used in treatment of diseases of digestive tract.
Bilvarishtha
Bilvasava
Takrarishtha

Ayurvedic home remedies

Home remedies for Grahani (IBS):
1.Cumin seeds and tender leaves of Guava are taken and made into fine paste.20 gram of this is taken along with buttermilk twice daily.It helps to reduce the frequency of episodes of bowel habit.
2.The fruit cover (epicarp) of Pome granate is rubbed well with lemon juice and fine paste is made.This is taken twice daily along with warm water.This restores the capacity of small intestine.

Wholesome diet and habits

Wholesome diet and habits in Grahani (IBS):
Regular intake of buttermilk
Cumin seeds
Pomegranate
Warm water
Easy-to-digest foods
Moderate exercise
Proper sleep
In many, fibre rich diet is very useful to relieve symptoms.

According to Yogaratnakara:

Green gram
Rice which is harvested in sixty days
Pigeon pea
Honey
Milk, curd, ghee and butter of goat
Wood apple
Curd devoid of butter
Bael fruit
Banana – fruit&flower
Pomegranate
Scum of parched grain
Water caltrop
Small fishes
Meat of Black buck, Partridge, Quail, Rabbit and other carnivorous animals

Unwholesome diet and habits

Unwholesome diet and habits in Grahani (IBS):
Dadhi (Curd)
Madya (Alcohol)
Shukta (Acidic beverages)
Jagarana (Night awakening)
Vegadharana (Suppression of the urges)
Aniyata asana (Improper posture)
Upavasa (Fasting for longer period)
Sodas, junk foods, regular hotel foods.
Foods that cause excess gas production and bloating such as potato, egg plant, cabbage, broccoli, cauliflower

According to Yogaratnakara:

Foods which are unctuous, hard, heavy to digest
Foods that which cause ama (undigested metabolic waste)

The patient is asked to prepare a list of foods that trigger an IBS attack and is asked to avoid them.

Rasaushadhis

Grahani Kapata rasa
Rasa parpati
Loha parpati
Svarna Parpati
Vijaya Parpati
Panchamrit Parpati

Addition By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S

Effective Decoctions For Grahani From Sahasrayogam

1. Grahanihara Kashayam

Ref – Sahasrayogam, Kashaya Prakaranam, 37

a. Putikadi Kashayam

IngredientsBotanical NameMethod of usingIndications
PutikaranjaHoloptelea integrifoliaThe decoction prepared with these ingredients should be served fresh1. Enhances digestive capacity 2. Cures irritable bowel syndrome & sprue  
BilwaAegle marmelos
ChavyaPiper retrofractum
ChitrakaPlumbago zeylanica
Pippali mulaRoots of Piper longum
PunarnavaBoerhavia diffusa
HaritakiTerminalia chebula
GingerZingiber officinale

Read – Pippali – Long Pepper Fruit Uses, Dose, Side Effects

b. Pathyadi Kashayam

IngredientsBotanical NameMethod of usingIndications
HaritakiTerminalia chebulaThe decoction prepared with these ingredients should be served fresh1. Cures all types of intestinal disorders 2. Cures sprue, irritable bowel syndrome  
TrikatuPiper longum Piper nigrum Zingiber officinale
PunarnavaBoerhavia diffusa
MustaCyperus rotundus
TurmericCurcuma longa
 Karanja dwayaPongamia pinnata and Holoptelea integrifolia
BhangaCannabis sativa
PathaCissampelos pareira
BilwaAegle marmelos
AtivishaAconitum hererophyllum
ShyonakaOroxylum indicum
VachaAcorus calamus
ChitrakaPlumbago zeylanica
ChavyaPiper retrofractum
YavaniTrachyspermum ammi
 SarapunkhaTephrosia purpurea

2. Nagara Pippalyadi Kashayam

Ref – Sahasrayogam, Parishishta Prakaranam, 49

IngredientsBotanical NameMethod of usingIndications
GingerZingiber officinaleThe decoction prepared with these ingredients should be served fresh with rock salt and powder of cumin seeds1. Kindles digestive fire 2. Cures irritable bowel syndrome and sprue
Pippali mulaRoots of Piper longum
DevadaruCedrus deodara
CoriandrumCoriandrum sativum
Bilwa mulaRoots of Aegle marmelos
PippaliPiper longum

3. Dhanya Bilwadi Kashayam

Ref – Sahasrayogam, Parishishta Prakaranam, 50

IngredientsBotanical NameMethod of usingIndications
CoriandrumCoriandrum sativumThe decoction prepared with these ingredients should be served fresh1. Cures intestinal disorders caused by vitiated vata, associated with flatulence and gripping pain in abdomen
BilwaAegle marmelos
BalaSida cordifolia
GingerZingiber officinale
ShalaparniDesmodium gangeticum

Yogas from Sahasra yoga text book

Tiktaka Ghrita
Mahatiktaka Ghrita
Patha karanjadi Ghrita
Laghu Gangadhaa Choorna
Yavanyadi Choorna
Patoladi choorna
Kayampurandaradi Choorna
Nimbadi Choorna
Nagaradi Choorna
Kapitthashtaka Choorna
Dadimashtaka Choorna
Modakadi Choorna
Solari Choorna
Sudha Kandadi Kshara
Jeerakadyarishta
Dasamoolarishta
Kutajarishta
Mustakarishta
Dantyarishta
Devadarvyarishta
Pippalyasava
Lohasava
Agasthya Rasayana
Danti Hareetakyavaleha
Charngeri Rasayana
Kutajadyavaleha
Lavangadyam modakam
Setu bandha matra
Paccha Endiyadi Gutika
Sankhapani Rasa
Ananda Rasa
Kanakasundara Rasa
Ashtakshari Gutika
Punkin toladi Ghrita

Mental aspects to IBS

Usually IBS is related with psychaitric aspects. A patient with IBS usually suffers from anxiety or depression. In such a case, along with efforts to restore digestive health with the above said remedies and medicines, treatment to depression /anxiety should also be given.
Hence treatments like
Shirodhara treatment (pouring medicated liquid over forehead in a stream), Regular Pranayama,  is very useful.
Pranayama (Learn how to do pranayama)
Lifestyle adjustments such as – sleeping and waking up at regular intervals, moderate exercise, Yoga, stress management techniques are very useful.

Health indeed is the real wealth. When you are in the pink of health, in stead of wasting the gift with alcohol, smoking, irregular sleep and diet habits, inculcate discipline in your routine with right food choices, Yoga, Pranayama etc. These will help you to keep diseases like IBS at bay.
Article by Dr MS Krishnamurthy and Dr Hebbar

54 comments on “IBS: Ayurvedic Treatment, Home Remedies, Lifestyle Tips

  • Ramaprabhu Gunti

    08/05/2015 - 11:55 pm

    Very good article and very useful
    Thank you doctor

    Reply to comment
  • CA ASHISH PARAKH

    09/05/2015 - 9:45 am

    gud

    Reply to comment
  • Jamuna

    10/05/2015 - 12:09 pm

    Good article useful

    Reply to comment
  • shalini

    04/06/2015 - 2:03 pm

    Really helpful & clears doubts that usually comes in mind. Thanx alot for Ur article.

    Reply to comment
  • Dr J V Hebbar MD(Ayu)

    08/07/2015 - 9:50 pm

    Wish you all the success!

    Reply to comment
  • mini

    14/09/2015 - 7:13 pm

    Nice article . i would like to ur opnion on H. plori + IBS . Thnx

    Reply to comment
    • Dr J V Hebbar MD(Ayu)

      09/10/2015 - 10:24 pm

      The above medicines along with bitter principle herbs like Neem, Giloy, Patola etc are useful. The herbs should have anti microbial properties.

      Reply to comment
  • Abhishek Garg

    16/09/2015 - 1:52 pm

    Sir is IBD-D 100% curable in Ayurveda ?

    Reply to comment
    • Abhishek Garg

      20/09/2015 - 3:11 am

      Sir how long such ayurveda treatment takes to treat IBS-D ?

      Reply to comment
      • Dr J V Hebbar MD(Ayu)

        21/09/2015 - 10:53 pm

        It may take around 2 weeks to show improvements and around 2 – 3 months time to show marked improvements.

        Reply to comment
  • Hajanamenan

    22/09/2015 - 3:10 pm

    Good articles on IBS thanks

    Reply to comment
  • Monique

    17/10/2015 - 7:52 am

    What is antra koojana. What is the cause of gurgling sounds in the stomach. I have that a lot. I am vata. Thanks

    Reply to comment
    • Dr Malini Bhat

      07/11/2015 - 8:55 am

      The movement of food and fluid through the gut is a coordinated forceful process. The strong muscle contractions are constantly churning food and pushing it through the gut. Although the normal sounds (borborygmi) are expected after eating a meal, there are times when certain foods and drinks can contribute to louder and excessive sounds yet there is no bowel disease or disorder. One of the major contributors in this regard is carbonated beverages. The increased gas within the bowels contributes further to the gurgling sounds than would be expected.

      Similarly, eating too fast or swallowing air while eating and drinking may also increase gas within the bowels. Some foods are said to be “gassy” because it releases larger amounts of gas when digested in the gut. These gassy foods are known to increase belching and flatulence but the gas within the bowels also causes excessive gurgling and bubbling sounds. Some foods may not be as well tolerated by certain people and the presence of these foods within the bowels may alter normal bowel activity to the extent that more prominent bowel sounds are audible.

      Reply to comment
  • mazeena

    06/11/2015 - 9:00 pm

    plz send herbal line of treatment for carpal tunnel syndrome

    Reply to comment
    • Dr J V Hebbar MD(Ayu)

      06/11/2015 - 9:31 pm

      Please read here – easyayurveda.com/2015/10/30/carpal-tunnel-syndrome/

      Reply to comment
  • Dr Malini Bhat

    10/11/2015 - 12:19 pm

    Dear sir, Ayurvedic treatment for Grahani or IBS gives emphasis on proper digestion,which is often the focus for illness.

    Go easy on your intestines:
    > Minimize fried foods, meats, oil, dairy foods and other fatty foods — they cause your colon to contract violently, which can lead to diarrhea and Abdominal pain.

    > Stay away from spicy foods which makes your large intestines go into spasms, which can cause diarrhea.
    > Stop smoking if you are a smoker.
    Fit in more fibre in you diet:
    > Soluble fibre soak up liquid in your intestines, helping to prevent diarrhea. Good sources are beans, oatmeal,and some fruits such as apples, strawberries and grapes.
    > Drink atleast 2 litres of water everyday to keep fiber moving smoothly through your system.
    > Eat Yogurt
    > Ginger soothes all manner of IBS. For the freshest tea, grate a half-teaspoon of ginger into a cup, then pour in hot water, let it steep for 10 minutes, strain out the ginger, and drink the tea.

    Reply to comment
    • Ajit Hegde

      12/07/2016 - 2:09 pm

      Thank you so much for the suggestion.

      Reply to comment
  • Dr Malini Bhat

    20/01/2016 - 12:26 pm

    Sir, In general Pitta IBS are Diarrhea predominant. This type of IBS clinically shows the presence of heartburn, thirst, feeling hot, irritable or angry, inflammation, sweating and fever, fluid, and foul smelling stools and eructation.
    The diet should include:
    • The use of Buttermilk (takra) is emphasized.
    • Indigestible foods such as bread; cheese; and cold, hard, and raw foods should be avoided. Herbs like ginger, fennel, and cumin that stimulate enzyme secretions will improve digestion, absorption, and clear ama from the digestive tract.
    • Prefered food items are Eat old rice, jawar, gourd, coriander leaves, lentil, green grams soup, black pepper, dried ginger, wood apple, Pomegranate, nutmeg, skimmed milk, buttermilk, hot water.
    • Avoid foods items such as maize, barley, pigeon pea, pea, cow pea, black gram, gram, Soya bean, potato, sweet potato, onion, coconut, groundnut, chili, oily food, chicken, mango, pineapple, apple, watermelon, cashew, pumpkin gourd, papaya, fig, jack fruit
    The following changes in lifestyle help to control IBS:
    • Identify and remove food intolerances — Because grains are a common culprit, an elimination diet should be tried.
    • Restore a healthy balance of bacteria in the gut -Use of buttermilk (takra) is emphasized.
    • Mind–body therapy — Complete rest, adequate sleep is advisable and day sleep, awakening at night, tension, suppression of urges should be avoided.
    The following herbs are used in this type of IBS for their respective benefits:
    • Amalaki
    • Coriander water cools pitta
    • Musta (Cyperus rotundus) improves intestinal absorption and stops diarrhea.
    • Aloe vera juice
    • Guduchi (Tinospora cordifolia)
    • Sweet, bitter, and astringent foods are best.

    Reply to comment
    • Subodh

      07/04/2016 - 2:59 pm

      Most of the medicines to reduce pitta use metals. Can you please suggest any herbal medicine to reduce pitta. How much avipattikar churna can help.

      Reply to comment
  • mudit

    08/02/2016 - 8:13 pm

    hello sir
    can ibs -c be fully cured by ayurveda medecines and by restricting my diet

    Reply to comment
  • rajesh khandelwal

    15/03/2016 - 12:47 pm

    i am having IBS C . can u please provide line of treatment SIR.

    Reply to comment
    • Dr Malini Bhat

      15/03/2016 - 1:49 pm

      Hello sir, The following herbs are used in this type of IBS for their respective benefits:
      1. Ginger, clove, fennel, cumin, cardamom, and a little cinnamon will all stimulate digestive enzymes.
      2. Haritaki (Terminalia chebula) clears excess vata from the bowel.
      Triphala is a gentle bowel tonic excellent for chronic constipation and IBS and for clearing toxins from the bowel. It can be taken in powder or tablet form at bedtime.
      3. Shatavari (Asparagus racemosus),ashwagandha(Withania somnifera), and sesame oil all calm vata. This is often given as an enema but can also be massaged over the body, particularly over the abdomen 5 min before soaking in a warm bath. Sweet, sour, and salty foods are best.
      The therapy process is highlighted as follows:
      >In constipation-predominant IBS, the first line of treatment is administration of digestives to eliminate enterotoxin. It is recommended to follow the digestive with an administration of medicinal ghee preparations
      •In the treatment of IBS, the use of Buttermilk (takra) is emphasized. The patient has to be kept on the diet of buttermilk, which is the treatment and nutrition in IBS. Buttermilk is digestive, astringent, and light to digest and helps in improving the consistency of the stool. Buttermilk is given along with asafetida, cumin, and rock-salt powder to control the bowel movements.
      •Prefered food items are Eat old rice, jawar, gourd, coriander leaves, lentil, green grams soup, black pepper, dried ginger, wood apple, Pomegranate, nutmeg, skimmed milk, buttermilk, hot water

      Reply to comment
  • Dr J V Hebbar MD(Ayu)

    08/04/2016 - 10:20 pm

    Exercise for minimum 20 minutes per day in the morning. – walking / jogging / yoga / gym / outdoor game
    Practice Pranayama, Join a Yoga class. https://www.easyayurveda.com/2010/08/28/how-to-do-pranayama-a-simple-pranayama-technique/
    Do not skip meals.
    Try including turmeric, Cardamom cinnamon, curry leaves in diet. Say, use them more in preparing Sambhar.
    Chew a cardamom once a while.
    Eat slowly. Drink water while having meals.
    Do not eat raw vegetables. Take them only after boiling it.

    Limit or avoid Coffee, tea, alcohol, milk products, foods high in sugar, fatty foods, gas-producing foods (such as cabbage, broccoli, Brussels sprouts, cauliflower, peas, and bagels, pea, excess of potato and broccoli), and the artificial sweeteners, Wheat, Rava, Curd, Pineapple.
    Avoid citrus fruits – orange, sour grapes, lime.

    Reply to comment
  • Dr Malini Bhat

    02/06/2016 - 8:58 am

    Namaste Sir, This type of IBS presents the clinical features of dryness in skin, mouth, or throat; more constipation or alternating constipation and diarrhea etc.,
    To first line of treatment is administration of digestives that is deepana pachana treatment is given.

    Some lifestyle changes are to be done along with it:
    1. The use of Buttermilk (takra) is emphasized as it is digestive, astringent, and light to digest and helps in improving the consistency of the stool.
    2. Identify and remove food intolerances
    3. Soluble fiber increases bowel transit, stools, and relieves constipation.
    4. Sufficient water should be taken
    5. Complete rest, adequate sleep is advisable and day sleep, awakening at night, tension, suppression of urges should be avoided.

    Medication or Herbs:
    1. Inculcate Ginger, clove, fennel, cumin, cardamom in your diet as all of them are digestives.
    2. For chronic constipation Triphala churna at bed time is advised.
    3. Sesame oil massage over the body particularly over the abdomen 5 min before soaking in a warm bath.

    Reply to comment
  • Ami Sebastian

    27/06/2016 - 9:09 am

    Hello Sir,
    Is IBS related to polyarthritis and endometriosis according to Ayurvedic principles?

    Reply to comment
    • Dr J V Hebbar MD(Ayu)

      27/06/2016 - 3:58 pm

      IBS and polyarthritis have some connection. But I do not find relation between IBS and endometriosis.

      Reply to comment
      • Ami Sebastian

        28/06/2016 - 2:24 pm

        Thankyou sir. So in case of coexisting ibs and polyarthritis, will the treatment for ibs improve polyarthritis symptoms? I had read in one of your writeups that the root cause of rheumatoid arthritis lies in improper digestion. Is this principle applicable for non rheumatoid arthritis also?

        Reply to comment
  • ashok kumar

    10/07/2016 - 8:35 pm

    Hello sir
    Ibs ko ayurved dwara kitna cure kr sakte h

    Reply to comment
  • N S RAGHAVAN

    09/08/2016 - 2:04 pm

    How does one distinguish between plain constipation and an IBS-C syndrome? Is this not important for the line of treatment to follow? Likewise, Ayurveda says that Dadhi should be avoided , but Western medicine emphasises Dadhi as a pro-biotic, and strongly recommends it for treating stomach related disorders. Please provide advice on both. I do not know for sure whether I suffer from IBS, but I do face more constipation problems even though I am strict about my diet..Thanks very much for your valueable time

    Reply to comment
    • Dr J V Hebbar MD(Ayu)

      09/08/2016 - 5:42 pm

      If constipation is associated with other symptoms like bloating, gas, stress, anxiety symptoms etc, then it is more likely IBS C
      As per Ayurveda, sour Dadhi (curd) increases Pitta, hence worth avoiding in this case. – Read more about curd benefits – https://www.easyayurveda.com/2010/12/31/curds-benefits/

      Reply to comment
  • Dr J V Hebbar MD(Ayu)

    20/08/2016 - 10:59 pm

    Hi, it is fine to continue Kutajarishta for long tie.
    Rather than banana, please have boiled pumpkin or use more of it (ash gourd / pumpkin) in your diet.

    Reply to comment
    • Hrishikesh

      27/03/2017 - 10:31 am

      Hello sir,

      Thanks a lot for your response.

      Within a year, 2 or 3 times I suffer from IBS diarrhoea which lasts still 2 months. I regularly take Kutajarishta and Kutaj Ghan Vati when I suffer from these problems which gives me lot of relief.

      But along with diarrhoea most of the times I also suffer from Stomach Pain, Loss of hunger, Gases, heavyness of stomach, improper sleep and mouth ulcers. Are these also symptoms of IBS?

      I have also done Sonographic Tests, Liver Function Tests, Stool Tests and all the results are normal.

      Can you please guide about any particular diet and any simple exercise to avoid all of the above mentioned problems?

      Regards,
      Hrishikesh

      Reply to comment
  • Namrata

    22/08/2016 - 4:32 pm

    Is triphala churan useful for IBS-c?

    Reply to comment
  • Ben

    08/09/2016 - 5:39 am

    Hello Doctor,

    I have IBS-A (Diarrhea and Constipation) I dont live In India, so i only have access to simple indian spices/herbs (cumin seeds, fennel seeds, etc). What do you recommend in terms of spices/herbs, the dosage and i would prefer if it is mixable with curd. I tried using triphala but i had immediate diarrhea.

    Thank you for all your help you provide all of Humanity, God bless you and your family.

    Reply to comment
    • Dr J V Hebbar MD(Ayu)

      10/09/2016 - 5:45 pm

      Here are a few guidelines.
      Use brahmi oil in place of your regular hair oil.
      Exercise for minimum 20 minutes per day in the morning. – walking / jogging / yoga / gym / outdoor game
      Practice Pranayama, Join a Yoga class. https://www.easyayurveda.com/2010/08/28/how-to-do-pranayama-a-simple-pranayama-technique/
      Do not skip meals.
      Try including turmeric, Cardamom cinnamon, curry leaves in diet. Say, use them more in preparing Sambhar.
      Chew a cardamom once a while.
      Eat slowly. Drink water while having meals.
      Do not eat raw vegetables. Take them only after boiling it.

      Limit or avoid Coffee, tea, alcohol, milk products, foods high in sugar, fatty foods, gas-producing foods (such as cabbage, broccoli, Brussels sprouts, cauliflower, peas, and bagels, pea, excess of potato and broccoli), and the artificial sweeteners, Wheat, Rava, Curd, Pineapple.

      Reply to comment
  • Dr J V Hebbar MD(Ayu)

    11/10/2016 - 11:53 am

    Hi, you may need medicines for 4 – 5 months of time. The dose of medicines are usually reduced gradually. Please continue consulting your present doctor.

    Reply to comment
  • Lakshminarayanan C

    11/10/2016 - 1:37 pm

    Super advice given by Dr.Malini regarding IBS-D. Thank u mam.

    Reply to comment
  • Narayana

    21/04/2017 - 1:55 pm

    Dear Sir

    I am having BPH grade I. Main problem is frequent urination in the night (Nocturia). Taking chandraprabha vati and Himplasia for the last 15 days. slight improvement is there. I have frequent episodes of gastritis. Foods like tomota, Oranges, chana dal etc are not suited to me. I get immediate gastritis and belching out of these. Having constipation. If I take unsuited foods I get more urination in the night. Shall I have to take treatment for IBS also. If so kindly advise me the medicine. No sugar or BP. Iam 58.
    Thanking u sir,

    Reply to comment
  • Kavitha

    04/05/2017 - 8:43 pm

    Sir is there any permanent cure for IBS in Ayurveda please Doctor tell me aim only 27

    Reply to comment
  • Suhasini Madhan

    11/06/2017 - 11:08 pm

    Read about IBS its very useful thank you very much. My son is 5yrs and my girl is 1.5yrs, both are frequent eaters, between or immediate after meal they go to toilet. They both are underweight. Now son feeling tired frequently. Both eat fruits well.
    Can you please suggest some food or medicine for this

    Reply to comment
  • abir

    04/09/2017 - 5:12 pm

    I have same problem plz help

    Reply to comment
  • Prasad

    19/09/2017 - 10:10 pm

    Sir, I’m from Karnataka state – Udupi District and City name is UDUPI. Please let me know the right Ayurvedic doctor for the right advice about my health.

    Reply to comment
    • Dr J V Hebbar MD(Ayu)

      20/09/2017 - 11:47 am

      Please consult at SDM Ayurveda college Hospital, Udupi.

      Reply to comment
  • Prasad

    20/10/2017 - 7:46 pm

    Thank you doctor for your help and time. Truly appreciated.

    Reply to comment
  • Petchi

    07/12/2017 - 10:32 pm

    Sir, I’m getting frequent cramps in stomach. Atleast once a day i get stomach cramp. Is there any permanent solution for this ?

    Reply to comment
  • Petchi

    17/12/2017 - 3:25 pm

    I’m from ambasamudram, tirunelveli district of tamilnadu. Please let me know a good ayurvedic doctor to cure the above mentioned problem.

    Reply to comment
  • Petchi

    10/01/2018 - 12:10 pm

    Thank you very much.

    Reply to comment
  • Nitin pawar

    14/02/2018 - 3:03 pm

    Sir I have problem IBS d 8 month doctor advised
    Me syp. Takraristh,syp nodys, panchamruit Parpati vati and aarogya vardhini vati. When I take takrarisht loose motion started because it contain buttermik and any one of above tablet
    cause normal stomach pain what to do please help. foods like milk,wheat ,any other heavy food Or oily food incresed symtoms of ibs d
    Please help me

    Reply to comment
  • RP

    15/03/2018 - 2:24 pm

    Dear Kumar…Can you give name of the doctor in kottakkal who cured your friend…I have same issues

    Reply to comment
  • Vinod

    28/03/2018 - 8:55 am

    Dear Kumar,
    Even am facing same problem can you give the name of the doctor from kottakal, it would be great help.

    Reply to comment
  • Ritesh Kumar Mishra

    31/05/2020 - 9:59 am

    Sir, Please suggest medicinal treatment for Kaphaj Grahadi

    Reply to comment
  • R Shah

    31/10/2021 - 9:07 am

    Dear Doctor,

    Can we drink chilled buttermilk in IBS- A??

    Reply to comment
    • Dr J V Hebbar MD(Ayu)

      31/10/2021 - 6:51 pm

      Room temperature buttermilk is the recommended. Chilling it may make it slightly heavy to digest and take away the hotness – digestion promoting quality of the buttermilk, which is very useful in the treatment of IBS.

      Reply to comment

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