BACKGROUND

 Constipation is a heterogeneous, multifactorial disorder. Patients with constipation present with a varying set of symptoms, including infrequent bowel movements, defecatory disorders, and hard stool consistency. The prevalence of constipation is approximately 16%, with female predominance, and increases with age. Although it is not fatal in most cases, chronic constipation can result in decreased work productivity, impaired quality of life, and increased healthcare costs.

Guidelines recommend a stepwise approach for the management of constipation. After initial lifestyle modifications, bulking agents and osmotic laxatives are recommended as first-line pharmacologic treatments. However, more than half of patients are not sufficiently satisfied with their treatment. Patient satisfaction with treatment varies, and alternative conservative management is widely used by patients with constipation.

 Malavrodha is a condition caused by vitiation of Vata Dosha especially Apana Vata along with Agnimandya. Malavrodha as a separate disease entity is not mentioned in the Ayurveda classics, but described as either symptom or complication in association with many diseases. Vata Prakopaka Ahara and Vihara are the prime causes of Malavrodha. This can be understood as improper dietary habits and lifestyle and constant mental stress that results in disturbances of Agni and Apanavata. Agnimandya and Apana Vata Dushti are invariably present in the Samprapti of the Vibandha along with derangement in the function of Pachaka Pitta, Avalambaka Kapha and Samana Vata. Early intervention, dietary modifications like fiber rich food, proper toilet training helps to relieve constipation and prevents further complications.

 Nityam churna & Nityam Tablet are well-known Ayurvedic product being marketed in India to overcome the symptoms of functional constipation. Both the products contains standardized Ayurvedic ingredients. The major ingredients are Triphala, swarnapatri, eranda taila, saunf, sanchal along with other Ayurvedic ingredients, which are well known to have laxative properties and helps to improve intestinal movement, maintains gut health, eases bowel movements, soothes the intestine, relives intestinal cramps, cleanses colon and relives stomach bloating.