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Need to lose weigh and cure constipation
I am a 34-year-old female suffering from chronic constipation with incomplete bowel emptying, bloating, and gas for the past 8 years since pregnancy. I have bowel movements daily, but I never feel completely emptied. Over the last year, my weight increased from 58 kg to 63 kg despite trying diet changes, home remedies, and Siddha treatment. I also spent a significant amount on treatments and abdominal and pelvic scans, which were normal.
My recent blood tests showed HbA1c 5.8%, TSH 5.7 with normal T3 and T4, and low iron levels. Liver, kidney, cholesterol, and blood counts are normal. I cannot tolerate high-protein diets as they worsen my bloating and gas.
Could my long-standing constipation be contributing to my difficulty losing weight? I would like to lose around 8 kg and would appreciate guidance on managing chronic constipation and achieving healthy weight loss.
Answers (26)
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உணவே மருந்து மருந்தே உணவு. This is a proverb in Siddha. You take food when hungry is present.
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need proper medicine,diet,yoga, exercise
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Take Haritki Charan 1tsf at night with Lukewarm water.
Drink 2L water daily.
Instead of having fruit juices . Take whole food with fibre.
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Book an appointment for further management
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Uttanapadasana, Pavana mukthasana, Setubandhasana, marjalasana are the yoga postures beneficial in constipation. 1 hour brisk walk is best exercise, you can do without causing any injury to your knee cartilage. Eat more vegetables, reduce carbohydrates and proteins also. Nowadays nobody dies because of fasting, die because of overeating. Dumping food into your stomach is damaging rather than fasting. Do fasting. At least you reduce your food intake only two times per day. In Ayurveda, santarpanottha vikaras are nothing but overeating disorders. In Ayurveda fasting is mentioned as one of the medicines. “Langhanam paramoushadham “ told in Sanskrit. Your body and mind become purified and more active by fasting. Read recent research reports how fasting benefits in curing diseases.
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Your TSH level is slightly increased. It could be an indicator of sub clinical hypothyroidism causing gastric issues and weight gain. We need your thorough history and complete reports for diagnosis. Please consult us personally for treatment and further advice
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Chronic constipation, Incomplete bowel emptying, bloating and gas since 8 years....
Okay.... It is classic dysfunction of Apana vayu.... Where Apana vata helps in evacuvating bowel, flatus, urine, pregnancy, menstrual cycle, and erection during sex....
So... Apana vayu dysfunction is the main reason for your problem.... And Dhatwagni impairment which is leading to obese problem.... Especially medas..... And that is causing borderline metabolic imbalances in your report....
Nothing to worry much.... Have a consultation and take proper agni medications and medications for your obese and apanavayu dysfunction.... If necessary... Panchakarma therapies also needed.... Kindly have consultation and according to ur body constitution.... Treatment will be processed....
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Take daily buttermilk avoid curd wheat products take fruits if you need more details consult Ayurvedic treatment
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*I would prefer you to solve the gut health first later you can plan about the weight loss
*In your case avarna janya disease which means there obstruction in body which is not giving you after repeated treatments
For now i will give you treatment follow dat later can be planned
1)Tab Agnitunda vati 2-0-2 with warm water(Before food)
2)Abhyarista 15ml-0-15ml with equal quantity warm water(After food)
3)Triphala choorna 0-0-1table spoon(at night time with hot water).
x7days
Health Tips
* have fibre rich food(while having vegetables have it in boiled form)
*if you have chapati mix 2kg of wheat flour with 1kg of ragi flour so you can you it for consumption of food
*drink atleast 3litres of water per day
*daily follow tongue scraping after brushing
Start light walking or workout
Note: other please consult and follow each treatment differ of all others depending on symptoms and body type
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Consult for your treatment, consistent treatment from ayurveda medicines your problem will be cured. Also take care of your lifestyle like intake high fibre diet, adeqaute water and increase your physical movements like walking daily for minimum 30mins that can also help you to get rid of these kind of problem.
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Do exercise daily for constipation
Trifla churna 5 gm hs
Medohar guggulu 2 bd
Next Steps
consult personally for better management
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What about your menstrual cycles
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Eat healthy diet timely.triflachurn for constipation.
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avoid spicy food junkfood processed oilyhotfood nonveg sugar fried food.sleeptimly.
Health Tips
do yoga pranayam meditation exercise regularly.
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Namastey
Your history suggests that chronic constipation, incomplete bowel evacuation, bloating, and abdominal distension have been persistent since pregnancy and are significantly affecting your quality of life. While constipation itself does not directly cause large amounts of weight gain, chronic digestive dysfunction can contribute to abdominal heaviness, bloating, fluid retention, reduced physical comfort, altered eating patterns, and difficulty maintaining a healthy weight.
A few findings in your history deserve attention:
TSH of 5.7 (with normal T3 and T4) may indicate mild thyroid underactivity or subclinical hypothyroidism, which can sometimes contribute to constipation, sluggish metabolism, and difficulty losing weight.
Low iron levels may contribute to fatigue and reduced physical activity tolerance.
The fact that your scans are normal is reassuring and reduces the likelihood of a major structural problem.
Your inability to tolerate high-protein diets due to bloating suggests that focusing solely on protein-based weight-loss plans may not be suitable for your digestive system.
From an Ayurvedic perspective, long-standing constipation and bloating are often associated with disturbed digestion and Vata imbalance, which may require a comprehensive approach rather than simply focusing on weight reduction.
Next Steps
The primary goal should be to improve bowel quality and digestive comfort, not just the number on the weighing scale. Keep track of: Frequency and consistency of stools. Degree of straining. Sensation of incomplete evacuation. Foods that worsen bloating. Meal timings and sleep schedule. Try eating at consistent times each day and avoid long gaps between meals. Since your symptoms have persisted for 8 years despite various efforts, a detailed and individualized treatment plan is likely to be more beneficial than repeatedly trying different diets or remedies. For personalized assessment, better guidance, and a holistic Ayurvedic treatment approach for chronic constipation, bloating, and weight management, you may connect with us at 9 3 1 5 6 6 1 5 6 5.
Health Tips
Aim for regular meal timings, adequate hydration, daily physical activity, and proper sleep. Include cooked vegetables, seasonal fruits that suit your digestion, and fiber-rich foods in moderation rather than abruptly increasing fiber intake. Eat slowly, chew thoroughly, and avoid eating when stressed or distracted. A gentle walk after meals can help improve digestion and reduce bloating. Most importantly, do not become discouraged. Chronic constipation that has persisted for years often requires a structured, long-term approach. Once bowel function, digestion, and overall metabolic balance improve, healthy and sustainable weight loss often becomes much easier to achieve. Thank you
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Consult me for proper treatment plan.
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Dr. Bhargav H M
Ayurvedic General Medicine
6 yrs exp
Bangalore
Your condition is definitely manageable. Chronic constipation, bloating and difficulty losing weight can improve significantly with the right treatment plan. Instead of restrictive diets, we need to address your bowel function, metabolism, thyroid status and nutrition together. A personalized Ayurveda-integrated approach can be very helpful.
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Dr. Anita Devi
Ayurveda
14 yrs exp
Bangalore
Yes, your long-standing constipation and feelings of incomplete evacuation can contribute to your bloating, gas, and difficulty losing weight. Furthermore, your blood test resultsâa TSH of \(5.7\) (borderline hypothyroidism), HbA1c of \(5.8\%\) (prediabetes range), and low ironâare critical clues that point to medical reasons for your weight gain and digestive issues.
Understanding Your Labs and Symptoms
Thyroid Function: A TSH of \(5.7\) often indicates subclinical hypothyroidism. This slows your metabolism and frequently causes chronic constipation, which contributes to weight gain and water retention.
Blood Sugar: An HbA1c of \(5.8\%\) places you in the prediabetes range. This makes fat loss more difficult and promotes fat storage.
Constipation and Bloating: Chronic constipation leads to a buildup of stool and gas, creating a constant feeling of fullness. Because high-protein foods can ferment or slow transit, they often worsen bloating for individuals with slow gut motility.
Actionable Steps for Weight Loss and Bowel Management1. Address the Underlying Medical Causes
Consult your doctor about your TSH: Discuss starting or adjusting medication (like levothyroxine) to bring your TSH closer to optimal levels, which will improve your metabolism and bowel motility.
Manage your prediabetes: Focus on stabilizing blood sugar by pairing carbohydrates with healthy fats and fiber to prevent insulin spikes.
Address low iron: Correcting low iron levels (often via supplements) can resolve fatigue, which will help you stay active. Note: some iron supplements can worsen constipation, so ask your doctor about a gentle or liquid formulation.2. Manage Constipation Without Aggravating Bloating
Gentle Fiber: Since high-protein diets trigger gas, focus on soluble fibers like oats, psyllium husks, or cooked, peeled vegetables, which are easier to digest than raw, high-residue greens.
Increase Hydration: Drink at least 2 to 3 liters of water daily. Fiber requires adequate water to pass through your system smoothly and relieve incomplete evacuation.
Adopt Better Toilet Habits: To help with incomplete evacuation, elevate your feet using a squatting stool (like a Squatty Potty) and lean forward to straighten the rectum, making passage easier.
Osmotic Laxatives: Talk to your doctor about using gentle, non-habit-forming osmotic laxatives (like polyethylene glycol/Miralax or lactulose) to help soften stool and encourage complete evacuation.3. Sustainable Weight Loss
Caloric Deficit: Weight loss requires consuming slightly fewer calories than you burn. Use online tools like the Mayo Clinic Calorie Calculator to estimate your baseline metabolic rate and establish a safe deficit.
Low-Impact Movement: Engage in daily movement, such as a 20-30 minute walk after meals, which helps physically massage the gut, reduce built-up gas, and improve bowel motility.
Next Steps
From an Ayurvedic perspective, your symptomsâchronic constipation since pregnancy, incomplete evacuation, severe bloating, and slow metabolismâpoint to a significant Vata dosha imbalance (specifically Apana Vata, which governs downward elimination) complicated by low Agni (digestive fire). Because your symptoms began post-pregnancy, the structural stretching and hormonal shifts likely weakened your pelvic floor and disrupted this downward energy.Ayurveda provides excellent supportive therapies to rekindle your digestive fire, lubricate the colon, and support weight loss. However, these herbs must be carefully chosen to avoid aggravating your prediabetes (HbA1c 5.8%) or worsening your bloating.1. Recommended Ayurvedic HerbalsTriphala or Haritaki: Triphala is an excellent gentle laxative and bowel toner. However, if bloating is your main complaint, Haritaki processed in castor oil (Gandharvahastadi Eranda Tailam) is often preferred by Ayurvedic doctors to pacify severe Vata without creating more gas.Deepana & Pachana Herbs (Digestive Fire Boosters): To treat the low metabolism linked to your TSH of 5.7 and reduce bloating, formulations containing Cumin (Jeera), Fennel (Saunf), Ginger (Sunthi), and Hing (Asafoetida) are highly effective. Taking Hingwashtak Churna or Vaishwanara Churna with warm water before meals can prevent gas formation.Vrikshamla (Garcinia cambogia): Often utilized in Ayurvedic weight management, this herb supports metabolism and blood sugar regulation, making it useful for borderline high HbA1c levels.2. Clinical Ayurvedic Therapies (Panchakarma)Given that you have suffered for 8 years and home remedies haven't worked, local clinical therapies may be necessary to restore function:Basti (Therapeutic Enemas): This is the gold-standard Ayurvedic treatment for long-standing Vata-type constipation. Matra Basti (using small amounts of medicated oils like Sahacharadi or Til Taila) lubricates the dry colon, strengthens the pelvic floor muscles, and promotes complete emptying.Abhyanga & Swedana: Specialized abdominal massage with warm, vata-pacifying oils followed by mild herbal steam helps soften hardened stool trapped in the colon loops.3. Ayurvedic Dietary Rules For Your CaseSnigdha (Lubricated) Foods: Your colon is likely dry (Ruksha). Completely avoid dry, raw, cold foods (like raw salads or cold smoothies). Instead, eat warm, freshly cooked, semi-solid meals.Medicinal Ghee: Consume 1 teaspoon of warm cow's ghee with your warm meals. Ghee provides the essential lubrication your bowels need to slip stool out completely, and it stimulates Agni (metabolism) without spiking blood sugar.Spiced Water: Sip on Sunthi-Siddha Jala (water boiled with dry ginger) or fennel water throughout the day to continuously clear internal bloating and gas.Important Safety ConsiderationsHeavy Metals: Ensure any Ayurvedic medicines you purchase are from highly reputable, safety-certified brands (such as those approved by the Ministry of AYUSH in India) to prevent any risk of heavy metal contamination, which can damage liver and kidney functions.Avoid Strong Purgatives: Do not over-rely on strong Ayurvedic purgatives like Senna (Sanamayee) or high-dose Nityam Churna, as they cause cramping, worsen bloating, and make the bowels dependent.Integrative Care: Since your labs show subclinical hypothyroidism and low iron, do not replace necessary medical treatments (like thyroid optimization or iron supplements) solely with herbs. Ayurveda works best alongside conventional medicine to manage these metabolic triggers
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Dr. Vanita Chandna
Ayurveda
31 yrs exp
Jalandhar
Morning walk
Regular exercise
Balanced diet
Next Steps
Some ayurvedic liver medicines
Health Tips
Consult
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Dr. Harpreet Kaur
Ayurveda
5 yrs exp
Amritsar
Increase weigh gain can be due to increase kapha with other readon too involved which will be assessed after proper history taking
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Dr. Krishna Meher
Ayurvedic Gynecologist & Obstetrician
8 yrs exp
Nuapada
Consult personally
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Dr. Aiswarya N K Nair
Ayurveda
4 yrs exp
Chennai
Since your constipation, bloating, incomplete evacuation, and dryness have been there for many years, we need to understand why it keeps recurring rather than only treating the symptoms.
In Ayurveda, your body constitution and digestive pattern can also be one of the reasons behind this. For example, a Vata-dominant body type may naturally have dryness, irregular appetite, bloating, constipation, and disturbed sleep. But we cannot assume this without analysing your constitution, as every person’s body is different and what suits one person may not suit another.
First, we need to understand your body type, digestion, and what is causing this imbalance.
The treatment approach would generally focus on:
• Correcting bowel function and supporting proper elimination with suitable medicines after assessment
• Nourishing and supporting the gut, especially in chronic dryness conditions
• Creating a diet and lifestyle routine that suits your body and helps prevent recurrence
Rather than focusing only on weight loss, it is important to first improve digestion and gut health. When digestion and metabolism are better balanced, the body can process nutrients more effectively and support overall health.
Your HbA1c (5.8%) and low iron levels also need to be monitored along with this.
Next Steps
A proper consultation will help understand your body better and plan a personalised approach for you.
Health Tips
Meanwhile, you can start with simple supportive changes:
• Keep water intake around 2 litres/day (if no fluid restriction).
• Include good healthy fats; if suitable, 1 tsp ghee may be started in the morning or bedtime.
• Prefer well-cooked food and avoid excess raw foods if they worsen bloating.
• Try to include leafy vegetables regularly (around 150 g/day as tolerated).
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Dr. Raghuveer
Ayurveda
7 yrs exp
Hyderabad
âChronic constipation with incomplete evacuation can contribute to bloating and a feeling of weight gain, but it is usually not the main reason for difficulty losing weight. Your mildly elevated TSH, prediabetes (HbA1c 5.8%) and low iron may also be contributing and should be addressed. Since your symptoms have persisted for years despite treatment and scans are normal, a detailed evaluation of bowel habits, diet, pelvic floor function and digestion is needed. Ayurveda can help improve bowel function and metabolism, but treatment should be individualized rather than relying on laxatives alone. Please consult me so I can assess your condition and prepare a personalized plan for constipation and healthy weight loss.
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Dr. Nishigandha Balasaheb Abhang
Ayurveda
4 yrs exp
Pune
I would like to recommend you castor oil capsules as it is great medicine for your body as you are suffering from chronic constipation and gaining weight day by day. it will be helpful for both weight loss and bloating and gas
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Dr. Veenu Yadav
Ayurvedic General Medicine
5 yrs exp
Rewari
Add suanf water in your routine.
Syp jeerkarishta 20ml bd with equal water
Chitrakadi vati 2 bd And rest according to your detailed history
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Dr. Preeti Paliwal
Ayurveda
14 yrs exp
Gurgaon
every body type is different .we can suggest you only after proper study of your body ,agni. so consult asap
Next Steps
meanwhile you can walk half hour after food .don’t sleep after having food,and don’t take raw things like salad.take plenty of water and proper cooked food
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Dr. Rajeev Kumar Verma
Ayurveda
14 yrs exp
Lucknow
Consult ayurveda physician for proper diagnosis and root cause of ailments before consuming any medicine
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