Hold on alcoholic medicine as well more that 7days not advisable at all. It's tab can be taken with ur Ayurveda Dr advice

Consult

Hello. I have thoroughly reviewed your chronic digestive complaints and anxiety issues. Your symptoms—alternating stools, severe bloating, nutrient malabsorption (causing leg cramps and fatigue), and premenstrual flare-ups—are heavily pointing toward a state of chronic gut dysbiosis like SIBO (Small Intestinal Bacterial Overgrowth) or severe IBS. Ayurvedic & Clinical Perspective: In Ayurveda, this clinical picture perfectly represents 'Grahani Roga' secondary to severely impaired 'Mandagni' (weak metabolic fire) and 'Vata-Pitta' imbalance. When Agni is weak, undigested food turns into toxic 'Ama' (undigested metabolic waste), leading to malabsorption of vital nutrients (Rasadi Dhatu Kshaya), which causes your leg cramps and profound fatigue. Gut-Brain Axis & Anxiety: The sudden panic attacks and waking up anxious are highly correlated with the Gut-Brain Axis. Severe gut inflammation or SIBO directly compromises neurotransmitter production (like Serotonin) in the enteric nervous system, triggering nervous system hypersensitivity. Answering your specific questions: 1. Regarding Probiotics: Since you suspect SIBO, standard over-the-counter probiotic tablets or heavy fermented foods (like commercial yogurt) can sometimes aggravate symptoms by feeding the bacterial overgrowth in the small intestine. They should be customized only after core gut correction. 2. Current Medications: Mustakarishta is an excellent choice for Grahani, but single formulations might not fully combat a 1.5-year-old deep-rooted Agni Mandya. Detailed, personalized herbs are needed here.

Your digestion is very slow. You need proper deepan pachan medicine along with gut tonic. Only prebiotic tab will not work.