K
Kalpana
Siliguri
Community Member · Mar 2026
IBS-M
Question

Hello Thavira team, from the past 1.5 years I've been facing episodes of both constipation and diarrhea along with acidity and reflux symptoms. Everytime I burp my throat burns. To add on to these I also have fissures during the constipation episodes leading to bleeding whenever I try to clera out my bowels. What should I do?

S
Dr. Sinchana
BNYS · AYUSH Certified · Thavira Health
IBS, hormonal gut health, gut-skin axis, women's gut health
AYUSH Certified
Doctor's Answer

Hello, thank you for reaching out to us. You concern with reagrds to your health is absolutely valid considering your symptoms especially that of fissures. Make sure to practice sitz bath everyday for just 15 minutes to heal you fissure wound and as for your alternate episodes of constipation and diarrhea - we call this IBS-Mixed. Go for a Low-FODMAP diet which is lighter on your gut and one boiled apple everyday to easy your bowel movement. Further detailed guidance can be given by our doctors after a throuogh consultation.

IBS-M with fissures means the gut is inflamed throughout and the bowel movements are irregular enough to cause physical trauma. Managing the stool consistency alongside the IBS pattern is what allows both to heal.

97% of Thavira patients who complete the protocol achieve permanent relief from their gut condition — off medication, off supplements, eating normally. The 3% who don't are those who don't follow through. When you commit, the treatment works. Our AYUSH-certified doctors combine naturopathy, herbology, supplements, yoga, meditation, acupressure, and hydrotherapy in a personalised sequence, adjusted weekly for your body. This isn't a supplement protocol or a diet plan. It's a complete clinical approach to permanent healing. See it for yourself at our webinar — or book a one-on-one consultation call: thavira.health.

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