Mala vega (urge to defecate)

1. Vega: mala/purisha vega.
2. Type: Sharira/Adhaarniya (urges that should not be suppressed) vega.
3. Dosha: Apana vayu.
4. Mala: Purisha.
5. Chakra: muladhara.
6. Organ: Rectum. 
7. Brain area: Brain stem.
8. Biological conflict [1]:
1. Faeces conflict or shit conflict. Feces morsel (human/animal)
1. Real
2. Figurative (sense triggered)
1. Shitty incident
2. Dirty business
3. Malicious slander
4. Experience from shitty incident.
9. Habits:
1. Delay natural urge to attend to more favorable priority resulting in vega dharana (apana vayu prakopa). When one finds time, one effortfully initiate non-existent urge (Apana vayu vega udeerana) resulting in dosha imbalance. This repeated habit results in unintended consequences.
                    OR

1. Hurry to complete unfavorable business/activity and move on to favorable business/activity. Due to this hurry and while being distracted in more favorable thoughts, one forcibly tries to defecate (applies pressure) while sitting in wrong posture. This repeated habit results in unintended consequences.

 OR

1. Not present in the moment (awareness), rather engrossed in diverse thoughts results in inability to align with the natural flow/process of doshas that facilitate defecation. Later, one tries to initiate the urge (vega udeerana) while in wrong posture results in dosha imbalance. This repeated habit results in unintended consequences.
10. Awareness: sense natural urge to defecate/bowel movement, sit in appropriate posture, fingers of hand in apana mudra, remain in breath awareness.
11. Understanding:
1. Do's:
1. Attend to the urge calmly, unhurriedly.
2. Location: hygienic, peaceful, privacy, abundant water supply, proper waste disposal system, ventilated, odour free, pest free.
3. Use warm water to clean hands, anal region and legs after defecation.
4. Ashwini mudra once a day (after emptying bowels) to strengthen perineal muscles.
5. Kegels exercise to strengthen pelvic muscles.
2. Dont's:
1. No distractions. Do not do any other activity while defecating. Mind should not be preoccupied. Do not read, solve puzzles smoke, or talk on phone.
2. Do not hunch or droop shoulders or be in an inclined posture. 
3. Preferably avoid western toilet that involves the bending of hips at 90-degree angle with respect to upper body.
4. Do not delay or postpone an urge to defecate. 
5. Do not be in a hurry. 
6. Do not try to forcibly initiate defecation, do not try to forcibly remove remove faeces using fingers.
7. Western toilet: posture is incorrect.
1. Note: In case of bleeding piles, using western toilet style might help to avoid putting pressure on already engorged hemorrhoidal circulation.
12. Process:
1. When: only when one experiences a natural urge to defecate.
2. Posture: sit in mala asana (squat with knees and hips bent, buttocks close to the ground, angle of around 35 degrees, keep spine erect), Apana mudra,  Use Indian lavatory if possible.
3. Before: Hygiene prior to defecation: well trimmed, blunt, clean nails; clean hands and legs.
4. After: 
1. Hygiene after defecation: clean hands and legs with soap and water. Ensure faeces is disposed appropriately and the rest room is clean as before.
2. Wash face, gargle with warm water. 
3. Drink warm water.
13. Balance: Purisha vega usually once/twice a day, naturally presents after waking up early in morning.
14. Imbalance: Purisha vega usually more than once a day, presents anytime in the day, usually after some cue/trigger like tea, smoking, reading.
15. Signs and symptoms associated with suppression of Purisha vega:
1. Lower abdominal pain (Pakwashaya shoola)
2. Bloating (Aadhmana)
3. Gurgling sounds in abdomen (Aatopa)
4. No passage of flatus/faeces (Apravartana of adhovata and purisha).
5. Cutting pain in anal and pelvic region (Parikartana)
6. Belching (Urdhva vata)
7. Headache (Shira shoola)
8. Pain in calf (Pindikodwestana)
9. Purisha pravrutti from mouth

16. References

 a. Rectum German new medicine, Learninggnm.com