Start with Chandraprbha vati 1-0-1 after food with water Gokshuradi guggul 2-0-0 after food with water. Avoid drinking water, liquid diet after 7pm. Do kegel exercises daily. Do pelvic floor exercises.
Hlo,
🌿 AYURVEDIC PROPER PRESCRIPTION 1️⃣ INTERNAL MEDICINES (Core) A. For Mutraghata + Apana Vata regulation-
Chandraprabha Vati - Dose: 2 tablets twice daily - Time: After meals - Anupan: Warm water ✔ Improves bladder outlet function, tone, flow & control
B. For bladder pressure, obstruction & kidney protection
- Gokshuradi Guggulu Dose: 2 tablets twice daily After meals ✔ Reduces resistance, supports kidneys, improves flow
- Varunadi Kashayam Dose: 15 ml + 15 ml warm water, twice daily Before food ✔ Acts on bladder neck obstruction & urethral pathology
C. For urgency, nocturia, hydronephrosis tendency
- Punarnavadi Kashayam Dose: 15 ml + 15 ml warm water, evening ✔ Reduces back-pressure, urgency, edema & kidney load
2️⃣ FOR BED-WETTING & BLADDER CONTROL (Night)
- Brahmi Vati (plain) Dose: 1 tablet at bedtime ✔ Improves cortical–bladder coordination
- Ashwagandha Churna Dose: 3 g at bedtime With warm milk or water ✔ Reduces sphincter overactivity, anxiety component
3️⃣ FOR URETHRAL STRICTURE & FLOW DIFFICULTY - Triphala Guggulu Dose: 1 tablet twice daily ✔ Helps chronic fibrosis, inflammation, outlet resistance
4️⃣ PANCHAKARMA (MOST IMPORTANT PART) ⭐ Matra Basti – compulsory Oil: - Ksheerabala Taila (101) or Bala Taila Dose: 60 ml per rectum, once daily Duration: 21–28 days ✔ Directly corrects Apana Vata & pelvic floor dyssynergia ✔ This is the most effective therapy in Hinman syndrome Without Basti, oral medicines alone give partial benefit.
5️⃣ DIETARY REGIMEN (PATHYA) ✅ Take - Warm, freshly cooked food - Rice, wheat, moong dal - Bottle gourd, ash gourd, pumpkin - Ghee (1–2 tsp/day) - Pomegranate, soaked raisins (5–6) ❌ Strictly avoid - Cold drinks, ice water - Coffee, tea, alcohol - Late-night fluid intake - Excess fruits & juices - Dry, spicy, packaged foods ⚠️ Do NOT over-hydrate Sip water; don’t force fluids.
6️⃣ LIFESTYLE (VERY IMPORTANT) - Timed voiding every 2–3 hours - Sit while urinating - Never strain - Daily lower-back & pelvic Abhyanga - Adequate sleep, stress control
7️⃣ MONITORING (DO NOT SKIP) Every 3–6 months: - USG KUB - Serum creatinine - Symptom diary (urgency, night voids, bed-wetting) Ayurveda works best when kidneys are protected early.
⚠️ Medicines to AVOID in your case - Strong diuretics - Excess Punarnava alone - Shilajit without guidance - Forceful Mutrala yogas
✨✨✨ Alone ayurveda is not enough Practical advice for now - Do not over-hydrate (very important in high-pressure bladder) - Void every 2–3 hours, not by urge - Avoid caffeine, alcohol, late evening fluids - Continue Tamsulosin unless advised otherwise
Tq
Tamsulosin is good starter as it relaxes bladder neck but may take 4–6 weeks for full effect.
Along with that, start these - 1 Gokshuradi Guggulu – 2 tablets morning + 2 tablets night after food 2 Chandraprabha Vati – 2 tablets morning + 2 tablets night after food 3 Varunadi Kashayam – 20 ml + 40 ml warm water morning empty stomach 4 Punarnavasava – 15 ml + 30 ml warm water after lunch & dinner 5 Ashwagandha Lehyam – 10 gm night with warm water
Daily Must-Do 1 Kegel relaxation (reverse Kegel) – breathe deep, relax pelvic floor 10 sec × 20 reps × 3 daily 2 Take Last fluid by 7 PM (only small sips after) 3 Double voiding – urinate, wait 30 sec, try again Legs elevated 20 min twice daily
Diet Give only: moong khichdi + ghee, pomegranate, coconut water Avoid completely: tea/coffee after 4 PM, spicy/sour, cold drinks
Continue Tamsulosin + urologist follow-up – add above for faster relief & kidney protection. This combo is very effective for functional bladder neck obstruction & dyssynergia
Regards Dr Gursimran Jeet Singh MD Panchakarma
Along with urologic treatment you can start some internal medicine.
1. Punarnavadi choorna 1 tsp boiled with 200ml of water and reduce to 100 ml. Took this water half an hour before food.
2. Chandraprapha vati 1-1-1 after food.
Do pelvic relaxation exercises. Diaphragmatic breathing techniques.
Avoid excess caffeine, dry foods, alcohol.
Keep a regular sleep wake cycle. Regular time for meals. Gentle walking and stretching exercises can also be done. Mind relaxation yogas can be preferred
Take care, Dr. Shaniba
Thank you for sharing all the details of your condition clearly
Based upon on your history and investigations you have a complex lower urinary tract dysfunction ,with features of bladder outlet obstruction ,multiple urethral strictures ,high detrusor pressures ,trabeculated bladder diverticulum ,and mild hydronephrosis . The term non neurogenic neurogenic bladder or Hinman syndrome indicates that the bladder ,is behaving as if there is a neurological problem ,but no spinal or neurological lesion has been found .This explains the urgency frequency difficulty in starting urination and occasional bed wetting.
Management in this situation is multi layered .The tamsulosin helps relax the bladder neck and urethra ,but will not correct strictures or detrusor sphincter discoordination .Long term strategies include careful urological follow up to monitor kidney function, manage strictures ,if they worsen and prevent further bladder damage .Behavioral strategies such as timed voiding ,double voiding ,pelvic floor relaxation techniques ,and bladder training are very important .Supportive Ayurvedic approaches can be used alongside medical care.
Gokshura churna six grams per day with warm water, helps support urinary tract health.
Varunadi kwath 15 ml twice daily with warm water,can help reduce urinary urgency
Punarnavadi vati one tablets twice daily under supports bladder function.
These should be used consistently ,while maintaining hydration ,avoidi excess caffeine or alcohol and follow urologist instructions .Close monitoring is essential because recurrent high pressure voiding can affect the kidneys ,over time ,focus should be on protecting kidney function ,managing bladder pressures, and slowly improving voiding efficiency with both medical and supportive Ayurvedic measures
Tab chadraprabhavati 2 bd Tab bramhi 2 bd Tab gokhsuradhi gugulu 2 bd
1.Chandraprabha vati 2 tab twice daily with water after meals 2.Gokshuradi guggulu 2 tab twice daily with water after meals 3.Punarnava mandur 2 tab twice daily with water after meals 4.Varunadi kwath 20 ml with 20 ml water twice daily after meals
🍲 Diet Tips Hydration balance: -Stay well-hydrated, but avoid excessive fluid intake late in the evening to reduce nighttime urgency/bedwetting. -Spread water intake evenly through the day.
Bladder-friendly foods: -Favor fresh fruits (apple, pomegranate, papaya), vegetables, whole grains, and light dals. -Include cooling herbs like coriander, fennel, and coconut water for urinary tract soothing.
Avoid irritants: -Limit caffeine (tea, coffee), carbonated drinks, and very spicy/oily foods, which can worsen urgency. -Reduce excess salt, which can increase bladder irritation and fluid retention.
Constipation prevention: -High-fiber foods (vegetables, fruits, whole grains) and warm water help reduce straining, which worsens bladder dysfunction.
Protein: -Moderate intake from vegetarian sources (dal, legumes, milk) — avoid very heavy proteins late at night.
🧘 Lifestyle Tips Bladder training: -Practice timed voiding (urinate every 2–3 hours during the day, even if urge is absent). -Double voiding technique: after urination, wait a few minutes and try again to empty residual urine.
Pelvic floor relaxation: -Gentle yoga postures (like Shavasana, Makarasana) and breathing exercises to reduce pelvic tension.