Inadequate intake of fiber and water is the most common cause apart from the hum drum of a hectic lifestyle which throws your life off balance. With this a derangement of digestive fire due to the vitiation of apana vata occurs in the pelvis. Treatment targets lifestyle modifications such as scheduling regular meal timings, timely response to natural urges, high fluid and fiber intake, exercises to stimulate and strengthen the muscles of the intestinal tract and muscles around anus along with the administration of carminatives and mild laxatives. For long term sufferers specific panchakarma procedures are advised such as medicated oil enemas (sneha-vasti) and or medicated decoction enemas (kashaya-vasti) after a course of snehanam with svedanam to correct the derangement of apana vata.
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