Abstract

REVIEW ON MALAVSHTAMB IN CHILDREN

Waykule V.*, Kale S., Ghorude N., Mane A., Hubale S.

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Abstract

Malavstambha (functional constipation) is a common gastrointestinal disorder encountered in children, characterized by infrequent defecation, hard or painful stools, and abdominal discomfort, usually without any structural or biochemical abnormality. Despite the availability of conventional paediatric management approaches—such as dietary modifications, behavioural therapy, toilet training, and laxative use— challenges like recurrence, chronicity, and dependency on medications persist. Ayurveda describes this condition under the concept of Vibandha, predominantly caused by vitiation of Apana Vata due to improper dietary habits, irregular lifestyle, and suppression of natural urges. The Ayurvedic line of management emphasizes a holistic approach integrating Ahara (diet), Vihara (lifestyle), Shamana (palliative therapy), and Shodhana (purification therapies). Herbal formulations such as Triphala, Haritaki, Eranda Taila, and Gandharvahastadi Taila are well-documented for their Mridu Virechaka (mild purgative), Deepana-Pachana (digestive and carminative), and gut-regulating properties. In selected pediatric cases, therapies like Mridu Virechana and Basti are indicated under expert supervision. Preventive strategies include promoting regular bowel habits, ensuring adequate hydration, encouraging consumption of fiber-rich, light, and easily digestible foods, and avoiding Guru (heavy) and Ruksha (dry) Ahara. Recent clinical and experimental studies have demonstrated the efficacy of Ayurvedic formulations and Panchakarma interventions in improving stool frequency, consistency, and overall quality of life in children with functional constipation. Thus, Ayurveda offers a safe, effective, and sustainable management approach that not only alleviates symptoms but also prevents recurrence, providing an integrative complement to modern pediatric care.

Keywords: Functional constipation, Pediatrics, Ayurveda, Vibandha, Apan Vata, Hard stools.