Brief Answer:
symptomwise approach

Detailed Answer:
Dear
Thanks for contacting Ayurveda with your health concern and following points should be considered while evaluating the cause and management.

1. Is the pain related to food? i.e. does pain aggravates or relieves after taking food

2. Since you have undergone certain investigations thus possible way to diagnose the condition will be:
. Opinion of Gastroenterologist.
. Sigmoidoscopy/ Colonoscopy
. K.U.B. X- ray and Barium enema (if needed)

3. If the opinion and investigation comes normal we can start the management on the line of "Grahani" [IBS], till then
. Avoid oily foods, avoid aerated drinks, smoking,overeating,peas,garlic,vinegar,sour and spicy food,excess water intake, undue physical exertion,chickpea flour,potato, onion, brinjal, tea/coffee,curd,day time sleeping.

Take: green gram,pigeon pea, bitter gourd, white gourd melon,green vegetables, old brown rice, harad, honey,pomegranate,rice gruel, banana,butter milk,mint/coriander.

4. Abdominal exercises are very useful for chronic flatulence and chronic constipation
. Eating a little less than demanded by apetite is important, regular moderate meals.

5. Chitrakadi vati ( half hour before meals)
. Kutjarishta 20 ml
Jeerakadyarishta 20 ml.. after meals for 21 days
. Prepare fresh buttermilk everyday and do not add water, add fried cumin seeds and rock salt (q.s.)

Dr. Munish Sood
Consultant & Physician
Naimittika

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