Integrative Therapeutics in the Clinical Management of Constipation: A Novel Approach to Enhancing Colon Function

Introduction: Chronic constipation is a common gastrointestinal disorder associated with infrequent, difficult, or incomplete bowel movements. Conventional pharmacologic treatments often fail to provide long-term relief and may cause adverse effects. This study assessed the effectiveness and safety of an integrative naturopathic approach combining Ayurveda, yoga, diet, and detoxifica-tion. Materials and Methods: A prospective observational study was conducted on 77 adults (aged 18–65) with clinically diagnosed chronic constipation. Participants received a 90-day integrative inter-vention consisting of Ayurvedic polyherbal formulations (e.g., Divya Bilvadi Churna, Shankh Bhasma), dietary counseling, naturopathic detoxification (e.g., hydrotherapy, abdominal packs), and yoga practices targeting gastrointestinal motility. Clinical outcomes were assessed at baseline and on Days 30, 60, and 90 using the Digestion-associated Quality of Life Questionnaire (DQLQ) and a Rome II-based Gastrointestinal Symptom Questionnaire. Data were analyzed using repeated-measures ANOVA. Results: Significant reductions in constipation symptoms were observed over time. Mean symptom scores declined from 546.36 ± 27.04 at baseline to 478.83 ± 25.57 by Day 90 (p<0.0001). Improve-ments in bowel frequency, stool consistency, abdominal discomfort, and quality of life were noted. No adverse events or participant dropouts were reported. Discussion: The sustained, multidimensional symptom relief suggests synergistic benefits of com-bining traditional Ayurvedic formulations with naturopathic and lifestyle therapies. The absence of adverse events and high adherence support its clinical feasibility. Conclusion: This integrative regimen appears to be a safe, effective, and sustainable non-pharmaco-logical option for chronic constipation. Larger randomized controlled trials are warranted to confirm these findings and explore mechanistic insights.