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Inability to completely evacuate the bowels or passing very hard stools is known as Constipation. Although constipation is often looked upon as a common problem, if not treated or if Constipation treatment is delayed, it can lead to further problems such as fissures, fistulas, piles, lack of appetite and indigestion. In Ayurveda, constipation is compared to Vibandha. The main reason for vibandha is disturbed agni or digestive fire which leads to production of Aama or undigested food. This causes obstruction in Annavaha strotas or digestive channel leading to further vitiation of Vata dosha. Vata dosha causes dryness in the tract and causes hard stools leading to constipation. There are a set of symptoms that help standardise the diagnosis of constipation .These criteria help physicians to better define constipation in a standardised manner. Bristol stool chart is as follows:- Type 1: Separate hard lumps, like nuts (hard to pass); also known as goat faeces - SEVERE CONSTIPATION Type 2: Sausage-shaped, but lumpy - MILD CONSTIPATION Type 3: Like a sausage but with cracks on its surface - NORMAL Type 4: Like a sausage or snake, smooth and soft - NORMAL Type 5: Soft blobs with clear cut edges (easy to pass) - LACKING FIBER Type 6: Fluffy pieces with ragged edges, a mushy stool - MILD DIARRHOEA Type 7: Watery, no solid pieces, entirely liquid - SEVERE DIARRHOEA Ayurveda has advocated Mala Parikshan. If the stools are floating in the water they are normal but if they get submerged, they are made up of Aama or undigested food. Causes: • Incorrect food habits • Excessive intake of refined flour (Maida) in the form of bread, biscuits, cakes, toasts etc • Excessive intake of aerated drinks • Lack of fiber in food • Poor intake of water • Sedentary lifestyle • Controlling the urge to pass stools or gases. Symptoms: • Indigestion (dyspepsia) • Abdominal pain • Nausea • Flatulence • Pain at the anus while defecating • Heaviness of body • Lack of appetite • Acid eructation (belching) Treatment: Ved Clinic provides a holistic approach in the treatment of constipation. • First a detailed consultation with our experts is done to know the root cause of the disease. • Detoxification or Panchakarma treatment: Basti treatment is advised to get rid of the excessive Vata accumulated in the body. Sneha basti or oil enema alternating with along with Kashaya basti or Decoction (Kadha) enema is advised for a duration of 7 to 14 days depending on severity. • Ayurvedic medicines to pacify Vata are given • Ayurvedic medicines to improve digestion are advised • Ayurvedic medicines to get relief from constipation and hard stools are given • Dietary advice • Lifestyle changes • Yoga for constipation and gases