Dear sir,
Your condition is severe.
IBD arises from pure indigestion initially.
But in your case fatigue is a reasonable condition as i feel that there is no digestion done properly.
You will have to start with mild medicine with diet control and then with rejuvenative ones.
You have clarified that while using Triphala or other you feel constipated more?
Next Steps
kindly consult me within 2hrs or wait till respond may be after 3hrs
Health Tips
take light food , light drinks, and no dry fruits