Brief Answer:
Constipation is diagnosed by patient and not by physician

Detailed Answer:

Hello,

After reviewing your case history I'm of the following opinion:

1. since the problem of Constipation is Chronic thus symptom wise approach in such cases is as follows:

In Ayurveda, we manage the disease on the line of VIBHANDA (Constipation) and classify it as Purishvaha Srotas Vyadhi (chronic apana vayu vriddhi), so we have to exclude causes like:


. XXXXXXX (constitution): Vata people are more prone to habitual constipation [what's your]
. Abhyasa of vega Dharan ( any suppression of natural urges)
. Ahara/Vihara (dietary habits): people indulged in taking too much of ruksha [dry], shita [cold], kshaya [astringent],tikta [bitter], laghu [light], diet and ati vyayma [excess physical/mental exertion]?
. Antra-Avrodha: (intestinal obstruction): krimi, purisha[any history of worms]/?
. Dourbalya ( Weakness): any history of pandu (anemia),grahani (IBS), vata vyadhi (neurological disorders), jwara (fever)?
. Oushadhs (medicines): ingestion of ahiphen (morphine), lauha (iron), XXXXXXX (lead), jatiphal (nutmeg), khadir (catechu) and other astringent.?
. Any iron, aluminum,calcium-containing antacids, anticholinergics, laxative abuse.
.Thyroid Function test, Piles
. Psychological: depression, personality dysfunction, physical inactivity?

Do revert with your clarifications.

Regards,
Dr. Munish Sood
Consultant Physician

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