Abstract

Dr. Vanshika Dhama*, Dr. Laxmi

ABSTRACT

Functional constipation is a common paediatric gastrointestinal disorder characterized by infrequent, difficult, or painful defecation without an identifiable organic cause. It significantly affects the quality of life, growth, and psychosocial well-being of children. From a modern medical perspective, factors such as inadequate dietary fibre, insufficient fluid intake, behavioural withholding, and psychosocial stress contribute to its pathogenesis. In Ayurveda, this condition closely correlates with “Vibandha”, a manifestation of Apana Vata dysfunction, where vitiation of Vata dosha leads to obstruction in the normal evacuation of stool. Ayurvedic texts describe Vibandha as both a symptom and a disease entity, arising due to improper dietary habits (Ahara), sedentary lifestyle (Vihara), and mental stress (Manasika Nidana). Management in Ayurveda emphasizes restoration of Vata balance through Deepana-Pachana (digestive stimulation), Snehana (oleation), Swedana (sudation), and Mridu Virechana (mild purgation), along with dietary regulation and behavioral modification. Integrative approaches combining modern evidence-based management—such as dietary fiber supplementation, toilet training, and pharmacological laxatives—with Ayurvedic principles may offer a comprehensive, safe, and sustainable therapeutic strategy. This review aims to explore the clinical understanding of functional constipation in children in the light of contemporary medicine and Ayurveda, highlighting the correlation and management of Vibandha for holistic paediatric care.