In your wife’s condition recurrent urine infection is happening mainly due to urine retention weak bladder movement and long term catheter or assisted voiding Because the muscles are not working properly urine does not empty fully and stagnant urine becomes a breeding ground for infection Repeated antibiotics may give temporary relief but do not correct the root cause so infections keep returning This is a common complication in bedridden neurological conditions and it does not mean lack of care from your side The focus should be on supporting bladder emptying reducing infection tendency and improving urine quality through gentle ayurvedic support Adequate hydration regular bladder training as much as possible maintaining strict hygiene and internal medicines that reduce burning infection and support urinary tract are helpful Along with this mild external oil massage on lower abdomen with warm oil helps vata and urine flow With consistent care and preventive approach the frequency of infection can be reduced and comfort can be improved even if a complete cure is not possible in such advanced conditions
1. Herbal Decoction (For Urinary Tract Support) Coriander seeds (Coriandrum sativum) – 1 tsp Punarnava (Boerhavia diffusa) root – 1 tsp Triphala churna – ½ tsp (optional, for digestion & immunity) Preparation & Dose: Boil the coriander seeds and Punarnava in 1 cup water until reduced to ½ cup. Strain and cool. Give 2–3 times daily, 10–20 ml per dose, depending on swallowing tolerance. 2. Cranberry / Amla Support Amla juice or powder – 1 tsp in warm water, once daily Supports immunity and reduces bacterial adherence in the urinary tract. 3. Hydration & Urine Flushing Small sips of water or coconut water every 1–2 hours if she can safely swallow If on feeding tube, flush with 5–10 ml water every 2–3 hours Helps prevent urine stagnation, which is the main cause of UTIs in ALS 4. External Care & Prevention Maintain perineal hygiene with lukewarm water or mild antiseptic wipes Avoid abdominal pressure if possible; use catheterization or intermittent bladder drainage Monitor for fever, foul-smelling urine, or sudden confusion 5. Optional Immunity Support Chyawanprash – ½ tsp daily (if swallowing is possible) Helps improve general immunity, particularly in elderly bedridden patients ⚠️ Important Notes: This prescription is supportive—it does not replace antibiotics if infection occurs. For urine retention, proper catheterization is strongly recommended to prevent kidney damage. Monitor kidney function regularly (BUN/Creatinine) if using herbal diuretics like Punarnava. Stop any herbal remedy if she develops diarrhea, vomiting, or allergy. Tq
Need personal consultation For better examination and treatment
1.Chandraprabha vati 2 tab (you may give after crushing them) twice daily with water 2.Varunadi kwath 15 ml with 15 ml water twice daily 3.Gokshuradi guggulu 2 tab (you may give after crushing them) twice daily with water 4.Syp. Ural 2 tsp twice daily ⚖️ Supportive Ayurvedic & Lifestyle Measures - Hydration: Offer frequent sips of lukewarm water if medically allowed. - Diet: Avoid excess sugar, fried foods, and heavy dairy. Favor barley water, coconut water (if tolerated), and light soups. - Local care: Warm compress over bladder region may help gentle relaxation. - Catheter hygiene: If she uses a catheter, meticulous cleaning and timely replacement are critical. Adv: Use triphala water or alum water for local cleaning Warm Regards DR. ANJALI SEHRAWAT
Hello I get how tough it is taking care of your wife. Dealing with ALS, being bedridden, and needing a ventilator is draining, both physically and emotionally. UTIs are super common in these cases, but the good news is they can be prevented and taken care of if you have the right approach. Don’t worry we are here to help you out 😊 *YOUR CONCERN –Your wife is 63. –She has ALS, is bedridden, and needs a ventilator. –She has trouble urinating –You have to press on her belly or move her legs for her to go. –She gets a UTI every month. –She’s on antibiotics all the time. –This is called neurogenic bladder with urinary stasis. HERE’S THE THING: If urine doesn’t empty all the way: –Bacteria grow in the leftover urine. –Antibiotics only help for a bit. –The infection comes back. –It’s not about hygiene but because her bladder can’t empty itself. WHAT NEEDS TO HAPPEN (IMPORTANT): ALS patients with pee staying in need a catheter (either sometimes or all the time). If not: –UTIs will keep coming back. –Her kidneys could get damaged. –The risk of sepsis goes up. –Ask her doctor about intermittent catheterization (CIC). –It cuts down on infections way better than pressing on her belly. WHAT ELSE CAN HELP (Along with medical care): These don’t replace the catheter. However they can reduce infection: INTERNAL MEDICATION 1.Chandraprabha Vati – 1 tablet twice a day (Better bladder function & less infection) 2.Punarnava Mandur – 1 tablet twice a day (Less inflammation and swelling) 3.Gokshura Churna – ½ tsp twice a day with warm water (Good for the bladder) CRANBERRY or D-MANNOSE Cranberry extract or D-Mannose powder These stop bacteria from sticking to the bladder. CLEANLINESS TIPS: Clean her private area with warm water after she pees. Change diapers often. Don’t use soap inside the private part. WHEN TO GET HELP RIGHT AWAY: –Fever –Blood in the pee –Gross smell –Less pee than usual –Confusion REMEMBER:- Frequent UTIs with ALS aren’t your fault—it’s a known issue when the bladder doesn’t empty right. With a catheter and help for her bladder, UTIs can be greatly reduced. You’re doing great. Let’s keep her kidneys safe and comfortable. Warm Regards Dr. Snehal Vidhate
HELLO, Your wife has ALS, a disease where nerves that control muscles stop working. because of this -the bladder muscles do not contract properly -the signal to pass urine is weak or absent -urine remain inside the bladder for Long time -stagnant urine becomes a breeding place for bacteria -this leads to repeated urine infections When urine does not come out naturallly and we have to -press the abdomen -move legs manually It shows loss of bladder nerve control, called neurogenic bladder According to Ayurveda, this condition is mainly due to 1) APANA VATA DUSHTI Apana Vata controls -urination -defectation -reproductive function In ALS -Apana Vata becomes weak, blocked, or reversed -urine cannot flow downward naturally 2) MUTRAVAHA SROTAS DUSHTI -channels become weak and infected -recurrent inflamamtion happens -leads to burning, infection, cloudy urine 3) PITTA INVOLVEMENT -infection-> heat-> burning-> fever -repeated antibiotics increase pitta further 4) OJAS AND DHATU KSHAYA because she is -bedridden -on ventilator -chronically ill Her immunity is very low -so body cannot fight infection properly TREATMENT GOALS -help bladder empty more easily -prevent urine stagnation -reduce infection and inflammation -balance Apana Vata -strenthen urinary tract -improve immunity -avoid complication INTERNAL MEDICATION 1) CHANDRAPRABHA VATI= 2 tabs twice dialy with lukewarm water after meals for 3 months = best classical medication for recurrent UTI, acts on bladder nerves, reduces infection, burning. retention 2) GOKSHURADI GUGGULU= 1 Tab twice daily after meals =improves urine flow, stregthens bladder muscles, prevents infection recurrence 3) PUNARNAVADI KASHAYA= 15ml + equal warm water twice dail before meals 4) GUDUCHI GHAN VATI= 2 tabs twice daily after meals =immunity booster, reduces repeated infections safe for long term use 5) YASHTIMADHU CHURNA= 1/2 tsp with warm milk at night =soothes urinary tract lining, reduces burning and irritation EXTERNAL THERAPIES 1) OIL MASSAGE-DAILY= BALA TAILA -lower abdomen, lower back, inner thighs =calms Apana Vata,imprves nerve signaling, helps urine flow naturally 2) MILD LOCAL STEAM =relaxes bladder outlet, helps urine release DIET -barley water -rice gruel -coconut water -bottle gourd, pumpkin -coriander seed water AVOID -sour foods -pickles -excess salt -fermented foods -packaged juices -excess protein overload HOME REMEDIES -coriader seed water= 1 tsp soaked overnight boil and strain given during day BARLEY WATER = mild diuretic, prevents infection POSSIBLE SUPPORTIVE PRACTICES -gentle assisted limbmovements -passivepelvic relaxation -slow rhythmic breathing PRANAYAM -slow deep breathing -no forceful practices LIFESTYLE AND NURSING CARE -avoid excessive abdominal pressure for urine -maintain strict perineal hygiene -consider intermittent sterile catheterisation -adeuqate hydration -timed bladder emptying Hygiene + bladder managemen is more important than medicines Your wife’s condition is complex and advanced, and your care for her is already very meaningful Ayurveda’s role here is -support -comfort -reduction of suffering -prevention of complication It is not a miracle care, but when used wisely and safelyy it can make a real difference DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU DR. MAITRI ACHARYA
