Spoiler alert: Some descriptions may be too graphic for the queasy. (I beg your pardon.)

9 February 2025

I was up before 7 a.m. to drink a tonic that prepared my stomach for breakfast—idli with coconut and tomato chutney. The local banana was small and sweet, and paired well with a cup of coffee that I mixed with half a cup of freshly squeezed coconut cream. By 9 a.m., I was inside one of the therapy rooms.

One of the things I truly enjoy here is listening to the two therapists sing a prayer to the Ayurveda god before each treatment. Though I know next to nothing about Ayurveda, their lovely voices calling out to the divine to bless their hands and bless me bring a sense of calm.

Then the therapists began massaging my body lightly with herbal oil—a preparation for the 500 ml of medicated liquid administered as an enema. I was amazed that I could hold the liquid for a few minutes; yesterday, my insides could not take even 250 ml. Perhaps my digestive system is finally learning to cooperate with the healing methods here.

After bathing myself clean, I sat on a chair and ate spoonfuls of lightly salted broken rice porridge. As she prepared the poultice that would later be applied to my knees and feet to ease chronic pain, the therapist reassured me that an emptied stomach responds well to a warm and easily digestible meal—this made me smile.

I returned to my room to study, accompanied only by the sounds of insects and soft human chatter outside.

My fellow patients, Mangala and Vish, and I wore identical blue disposable gowns during our communal lunch of thali. We had cotton strips soaked in herbal oil wrapped around our arms and elbows, or waists and hips, or knees and legs. Others wore disposable caps on their heads—they had just received head massages with medicated oil to address headaches, hair loss, or mental concerns.

I thoroughly enjoyed my afternoon treatment. Abhyanga involved applying medicated coconut oil over my entire body using long strokes by two therapists who worked simultaneously on each side of my body, through a sequence of sitting and lying postures.

Afterward, I sat inside a wooden apparatus where steam aided the release of oil and toxins from my body. I rinsed, drank herbal water, and felt renewed.

Back in my room, I continued working on my unfinished batik painting project. An artist at Muzium Kraf had sketched the Kuala Lumpur skyline with the iconic Petronas and Alor Setar Towers, and I was enjoying the process of applying color pigments.

Around 5:30 p.m., I took a walk around the village. Tall plavu (jackfruit) trees, short elimbi (cucumber) trees, and fields of pineapples were everywhere. There were also trees I couldn’t identify, and I remembered that Kerala—thanks to its strong Ayurvedic tradition—maintains impressive biodiversity.

The sun had set by the time I returned to the hospital, and after finishing dinner of poppadums, Keralan short rice, and dahl, I was already feeling sleepy.

From a short videotaped lecture by the late inspirational Buddhist monk Thich Nhat Hanh came my new mantra:
“Life is available only in the present moment.”

Above was my journal entry for February 9, the ninth of my 19 days at an Ayurvedic hospital in Kerala. At the time, I was just beginning to understand how Ayurveda heals. (“Ayurveda” is a Sanskrit term that loosely translates to “the study of life.”)

I was curious about each of the treatments—oil massages for the body and face, water baths, head treatments, medicated oil wrappings and poultices, herbal liquids and pills, and even the vegetarian diet. Days were slow and quiet and seemed longer than usual.

Everyone wore a ready smile, gave a nod, and sometimes offered a whispered namaskar (Hindi for “hello” or “good morning”), accompanied by a hand gesture with palms pressed together. Pooja (Hindu prayer ritual), held twice during my stay, made me realize that healing is not just a physical but also a spiritual process.

The 500 ml enema was the third in a sequence of five, which began and ended with a 50 ml medicated oil purge to cleanse my gut. Before these enemas, my body had been prepared through various treatments. Other panchakarma purges also took place during these 19 days to detoxify me: smoke was blown into my ears, medicated drops were drizzled into my nasal passages and massaged around the orbitals, and I gargled medicated water to cleanse my throat and mouth.

What led me to this 19-day Ayurveda retreat?

Digestive problems, including food intolerances and the autoimmune condition known as Irritable Bowel Syndrome (IBS), caused me years of bloating, diarrhea, gas, and disrupted sleep. 

While Western medicine relieves symptoms, Ayurveda focuses on treating the cause(s).

Why Kerala?

Why not Kerala—with its abundance of medicinal plants, welcoming and warm culture, organized tourism, and holistic healthcare infrastructure? Treatment packages tailored to specific needs often include video consultations, all meals, a private room, and airport transport—and can be explored online.

How do I sustain the positive results of my Ayurveda retreat?

In addition to a three-week supply of herbal pills, a vegetarian diet was strongly recommended to strengthen my weak gut.

According to statistics, the average global lifespan in the 1950s was around 45.7–48 years. By 2015, it had risen to approximately 72.6 years. This suggests to me that I, in my fifties, am living in a sort of “bonus round”—and that I must be kinder to my gut.

Could my gut benefit from eating more vegetables, which are easier to digest than meat? Could I digest food more efficiently by eating slowly—say, chewing each bite about 32 times before swallowing? Could warm food be better suited to my Asian DNA than cold alternatives? Might I sleep better by adopting this new diet and slow-eating practice?

In other words, changing my eating habits to fully overcome digestive issues—and consequently improve sleep quality—is my way forward.

Three months after returning to “the real world,” I can now finish a meal without the runs. This means my body absorbs more nutrients from what I eat. Gratefully, I no longer suffer from heartburn, and my stomach grumbles far less. Instead of feeling sleepy after meals, I feel more energetic—because my digestive system requires less effort to process vegetables.

What are my practical learnings from Ayurveda?

• A vegetarian diet is gentler on a weak gut.

• The Slow Food movement—which promotes sustainable agriculture, traditional cooking, and seasonal food—benefits not only the local economy but also the human body.

• Embracing a simpler lifestyle helps keep my stress levels manageable.

One new habit I've embraced is yoga nidra, also known as Non-Sleep Deep Rest (NSDR). This practice, combining breathing exercises and meditation, calms the parasympathetic nervous system and promotes both relaxation and digestion.

In conclusion

I cleaned my gut—thanks to Ayurveda! Though challenges still lie ahead, I now feel encouraged to listen more attentively to my body and make wiser food choices.

“Hanapbuhay,” our alternative term for pamamasko, was a Christmas activity we eagerly anticipated as children. Setting out by age groups, we greeted each aunt, uncle, and grandparent (both direct and secondary) within the compound, receiving Christmas money that we tucked into envelopes or trouser pockets. Because of the sheer number of children doing the rounds, we had the habit of identifying ourselves and our parents to second-degree relatives, some of whom crossed our names off a list to avoid giving Christmas money twice to the same child. Looking back, the value of those coins and small bills was nominal compared to the delight of re-encountering relatives for pamasko.

Reflecting on these memories, I feel grateful for “being seen" during these Christmas lunches. Ninang, ever the busy bee as the perennial host, made time to validate me for doing well in school. (Mom was unabashedly proud and kept her siblings informed, belying the strict parent she was at home, ever ready with her kurot when we were petulant or quarrelsome.) I even received trivial questions unrelated to Christmas, such as: “What mnemonic device is useful for remembering the periodic table?” Imaginably, these short encounters also included candid feedback about my sense of style (or lack thereof): “Ging-ging, ano ba'ng klaseng gupit 'yan?” or “Bakit pare-pareho ang suot ninyong limang magkakapatid? Lalaki ba kayong lahat?" (Obviously not. My father simply found it easy to dress us alike.)