Concerns About Osteoporosis and Urinary Issues at 68 - #45544

Hello​‍​‌‍​‍‌​‍​‌‍​‍‌ 😊 I can completely understand your worries about osteoporosis, repeated hairline fractures, severe hair loss, constipation, and urinary incontinence that has been bothering you for more than 6 months. However, do not worry, we are here to help you out 😊

YOUR CONCERN AND PROBABLE CAUSES

Your Concerns – Osteoporosis diagnosed for 5+ years – Two recent hairline fractures – Severe hair loss & complete greying – Urinary leakage due to weak pelvic muscles – Constipation 1–2 times a week – Age 68, good sleep & diet but pelvic weakness progressing

Ayurvedic Understanding

With an old age, Asthi Dhatu kshaya (loss of bone tissue) and Majja dhatu weakness are changes that occur naturally.

Long-term Vata aggravation becomes the cause of: – Weak, brittle bones – Hair fall & greying – Constipation – Pelvic floor laxity → urinary leakage – Overall dhatu depletion (dhatu kshaya)

INTERNAL MEDICATION

1.Lakshadi Guggulu – 1-0-1 after food - Strengthens bones -Helps fracture healing - Improves bone density

2.Ashtavargam Kashayam – 15 ml with warm water twice daily - Perfect for Vata disorders - Helps pelvic floor stability & urinary leakage

3. Dhatri Rasayana – 1 tsp at bedtime -Makes hair strong - Repairs the body from inside - Lessens the oxidative stress

4 Gandharvahastadi Kashayam – 10 ml at night . - Gets rid of constipation - Supports regular bowel habits without the need for a laxative

EXTERNAL CARE

1. Kati-abhyanga & gentle lower back massage Use Dhanwantaram Taila - 10 minutes daily - Enhances pelvic floor strength - Relieves Vata from the lower abdomen

2. Warm water sitz bath - Add a pinch of turmeric + rock salt - Do this for 10 minutes every day

HOME REMEDIES

1. 1 tsp sesame seeds (white til) daily 2. Warm milk + ½ tsp Ashwagandha + ½ tsp Shatavari at night 3. 1 soaked date + 5 soaked almonds every morning 4. Moringa leaf powder (1 tsp/day) for calcium & minerals 5. Fenugreek (methi) ladoo once daily for bone strength

DIET PLAN

✅ INCLUDE

– Milk + ghee – Moringa, drumstick, sesame, ragi – Pumpkin, sweet potato – Moong dal, urad dal – Bone-nourishing foods: ghee, dates, almonds, raisins – Warm, fresh home-cooked meals

❌ AVOID

– Cold food & cold drinks – Excess tea/coffee – Refined sugars – Fried & packaged foods – Late meals – Prolonged fasting (increases Vata)

LIFESTYLE TIPS

– Pelvic Floor Strengthening (Kegel Exercises) 10 minutes daily – Gentle yoga: Setu Bandhasana, Vajrasana, Balasana – Do not bend forward abruptly – Use support when walking – Keep doing pranayama (great) – Maintain good bowel habits – Do not sit on cold floors – Keep your body warm, don’t expose yourself to wind

INVESTIGATIONS NEEDED

– DEXA scan (if not done in last 1 year) – Serum Calcium – Vitamin D3 – Vitamin B12 – Thyroid profile – Urine routine

Your openness to doing yoga and staying active has already given you a good foundation—Ayurveda will assist you in regaining your strength from the inside.

Warm regards Dr Snehal ​‍​‌‍​‍‌​‍​‌‍​‍‌Vidhate

No worries You can start on Chandraprabha vati 1-0-1 Capsule Hadjod 1-0-1 Gokshuradi guggulu 1-0-1 Bringaraja Asava 20-0-20 ml with water Neelabringadi taila - hair oil Amlaki rasayana 1 tsp at morning Expose to early morning sunrise for 15 minutes daily Once get us abdomen with pelvis

Don’t worry take asthibala 1tab bd, Gandha tail cap 1tab bd, Maha yoga Raja Guggulu with Gold 1tab , chandra Prabha vati 1tab bd, goksuradi Guggulu 1tab bd enough

Dr RC BAMS MS

Hello !!!

At your age, the body’s tissues bones, hair, joints, pelvic muscles naturally weaken faster if digestion slows down or nutrients are not absorbed well. Constipation worsens bone weakness, pelvic muscle strain, and even hair fall. Osteoporosis makes bones fragile, but with the right routine, herbs, and nutrition, your bone strength, muscle control, and overall stability can improve. The goal is to make your bones stronger, support pelvic muscles, keep your bowels regular, and reduce further fractures.

Internal Medicines

(Always start with Ama Pachana first if digestion fluctuates)

Ama Pachana (first 5–7 days) • Amapachana Vati – 2 tablets twice daily after food for 5–7 days.

Then continue the following for 3 months: • Asthi Shrinkhala (Hadjod) Capsule – 1 capsule twice daily after meals. • Shatavari Kalpa – 1 teaspoon with warm milk at night. • Punarnavadi Guggulu – 1 tablet twice daily after meals (for swelling, bone metabolism, urine control). • Dhadimadi Ghrita – 1 teaspoon in the morning on an empty stomach. • Bala Churna – ½ teaspoon with warm water at night (supports pelvic muscles and overall strength).

For severe hair fall: • Bhringraj Capsule – 1 capsule twice daily. • Amla Capsule – 1 capsule twice daily.

For constipation: • Triphala Churna – ½ teaspoon at bedtime with warm water, daily.

External Procedures (can be done at home) • Warm oil massage to legs, lower back, and pelvic area with Dhanwantharam Thailam 3–4 times a week. • Gentle warm-water bath afterward. • Oil application on scalp with Neelibhringadi oil twice a week.

Exercises / Yoga

(very important for bone density & pelvic control) • Pelvic Floor Exercises (Kegels): 10 repetitions, 2–3 times/day. • Bridge pose – strengthens pelvic muscles and lower back. • Chair squats – very mild, holding support. • Walking for 20–30 minutes daily. • Avoid sudden bending, twisting, or jumping.

Investigations

(If not done recently, they help monitor recovery) • Vitamin D • Vitamin B12 • Calcium & Phosphorus • DEXA scan (bone density) • Thyroid profile • Kidney function (due to age)

Do’s & Don’ts

Do: • Take warm foods, soups, moong dal, ghee, sesame seeds, dates, ragi, milk. • Stay consistent with yoga and pelvic exercises. • Stay hydrated and keep bowels soft.

Don’t: • Avoid cold foods, salads at night, skipping meals. • Don’t sit for very long without movement. • Avoid lifting weight or sudden brisk movements.

Warm assurance

Your bones and muscles still have very good healing capacity at 68 especially because you’re active, you sleep well, and your routine is disciplined. With consistent nourishment, gentle herbs, and the right exercises, your bone strength will improve, pelvic muscles

Warm regards , Dr. Karthika A

1. Gandharvahasthadi kashaya 15ml + 45 ml lukewarm water twice daily before food. 2. Lakshadi guggulu 1-1-1 after food. 3. Chandraprabha vati 1-0-1 after food.

Do regular yoga, and Kegles exercise for pelvic muscle strenghtening.

Your symptoms clearly show long standing Sachi dhatu kshaya and increased vata which have lead to osteoporosis recent hairline fractures severe hair fall with greying pelvic muscle weakness causing leakage and constipation Since your sleep and activity levels are good your recovery can be supported well with proper nourishment vata balance and pelvic strengthening

Recommended medications- Lakshadi guggulu 1 BD Asthi ahrinkala 1 BD Narasimha rasayana 1 tsp at night Triphala churna 1 tsp at night Amla taila - for greying

For osteoporosis:-

Hathjod powder =100gm Kala gond siyah powder=50gm Suranjan powder=50gm MOCHRAS powder=50gm Babool gond powder=50gm… Mix all in above ratio and take 1/2-1/2 TSP with milk/or worm water after meal twice daily ( it’s a very rambaan Nushka for osteoporosis

Mahavishgarbhadi oil= for massge on affected areas (mostly both knees/ankles )

For urinary issues:- chandrabha vati VISHTINDUK VATI=1-1-1 tab after meal thrice daily…

AVOID spicy/sour/junk/oily food

Do regular exercise and yoga= kapalbhati/vazrasana/ANULOM VILOM/MOOLBAND (5 min each)

Consume ample amount of luke worm water

Regards

Dr Atul PAINULI PATANJALI yogpeeth

Osteoporosis and the concerns related to bone health, particularly in your age, can indeed be daunting, alongside the urinary issues you’ve mentioned. Considering your condition from an Ayurvedic perspective, the goal is to balance the Vata dosha, which tends to increase with age and contribute to issues like bone demineralization and urinary incontinence.

For osteoporosis, focus on strengthening your Asthi dhatu (bone tissue). Include in your diet foods that are rich in calcium and vitamin C, such as sesame seeds, almonds, figs, and white beans. Incorporate particular herbs such as Shatavari or Ashwagandha, as these are known for their rejuvenating properties. A teaspoon of sesame oil or ghee (clarified butter), preferably Shatavari ghee, can be consumed daily to nourish the bones and joints.

For urinary issues, try Pinnapple juice with a pinch of nutmeg powder. Practicing Aswini Mudra (anal sphincter contraction) during your yoga routine could strengthen pelvic floor muscles. After voiding your bladder, sit for some moments & gently lift the pelvic floor muscles ten times to improve tonicity.

To mitigate hairfall, balancing Pitta dosha and improving Rasa dhatu is crucial. Massage your scalp twice a week with Brahmi or Bhringraj oil to strengthen hair roots. Also, consume Amla, either fresh or in the form of Triphala churna, which also helps ease constipation mildly.

Maintaining a consistent lifestyle is vital – stick to a regular daily routine that includes Vata-pacifying activities such as gentle yoga and walking, and make sure you’re well-hydrated. Consult with an Ayurvedic practitioner to tailor herbal formulations specifically suited to your prakriti and current health condition.

Ultimately, continue to monitor your bone health closely with the help of a healthcare provider, and don’t hesitate to seek prompt medical attention if symptoms worsen or don’t improve through these interventions.

Some regime you should follow

✔️Do’s:✔️ Eat freshly cooked food. Chew an inch of fresh ginger half an before meal. Eat only fruit vegetables. Limit dairy products (stop if possible)

🧘‍♀️Yoga🧘‍♀️ Virabhadrasana Trikonasana Vrukshasan Prasavkonasan Bhujangasan Balasan Shavana

🧘‍♀️Pranayam🧘‍♀️ Anulom Vilom Bhastrika Kapalbhati

❌Dont’s:❌ Sitting directly under a fan or right in front of the A.C Oily, spicy, processed food. Packed food products. Sour and fermented items. Bakery items. Fried food products. Potatoes.

💊Medication💊

Tab. Ampachak Vati. 2 tabs twice a day before food. Tab. Asthiposhak Vati 2 tabs twice a day before food. Cap. Palsinuron 2 caps twice a day before food. Cap. Arnopen 2 caps twice a day before food Syp. Maharasnadi Kwath 3 tsp twice a day before food with warm water.

Tab. Shankhavati 2 tabs twice a day after food. Suck and eat like hajmola

777 Hair Oil Apply twice a week a night before hairwash.

Sunthi Siddh Castor Oil. 3 tsp at bed time with a cup of hot water.

Hello Start with Astiposhak tablet 1 daily after food with water, This is a herbal medicine, having calcium in natural form, easy for your system to absorb. Without causing any problem. Massage your full body with sesame oil and expose to sunrays during sunrise and sunset time, This will strengthen your body and give natural vitamin d. For constipation issues, you can take triphala tablet 2 at bedtime with warm water. For hair fall apply Neelibhringadi Hair oil on scalp twice weekly keep overnight and wash in the morning herbal anti hairfall shampoo. While greying is a natural process at your age, so donot worry. For urine in consistency Start with Chandraprbha vati 1-0-1 after food with water. Do pranayam lom -vilom bhastrika bhamri 5-10mins daily twice Include sesame seeds, bananas, in your diet daily, helps in having strong bones.

For addressing osteoporosis, it’s crucial to strengthen the bones, which can be linked to an imbalance in Vata dosha. A diet abundant in calcium-rich foods like sesame seeds, almonds, and leafy greens may support bone health. Ayurveda recommends Ashwagandha or Shatavari to potentially aid in strengthening bones and improving overall Vata balance. Regular oil massages with warm sesame oil could further nourish the bones while soothing Vata dosha.

Constipation, despite being managed with your current yoga practice, may require additional dietary adjustments to help balance Agni (digestive fire). Including more warm, cooked foods and minimizing raw or cold foods can help, as can adding ghee to your meals. A teaspoon of triphala powder with warm water before bedtime could be beneficial, aiding digestion and regularity.

For hair fall and greying, acknowledging Pitta imbalance is important. Consuming Amla in juice or powder form might support hair health, and regular application of Bhringraj oil to the scalp might help slow the greying process.

Pelvic muscle strength can be compromised with Vata imbalance as well, suggesting gentle pelvic floor exercises regularly. Practicing Mula Bandha (root lock) during meditation can potentially help strengthen these muscles. Limiting caffeine and spicy or acidic foods might reduce urinary urgency.

These recommendations should fit into your current lifestyle without overwhelming changes, however, regarding urinary issues, you should consult a medical professional to explore further concerns. It’s important not to overlook any underlying dysfunction that may need more direct medical intervention.