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What to do for borderline small kidneys with mild to moderate hydronephrosis?
Urological Disorders
Question #52870
16 days ago
248

What to do for borderline small kidneys with mild to moderate hydronephrosis? - #52870

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My right kidney is boarder line small with mild hydronephrosis.The parenchyma is normal.The left is small, moderate hydronephrosis,normal parenchyma

How long have you been aware of these kidney issues?:

- 1-3 months

Have you experienced any symptoms related to your kidneys?:

- Swelling in legs or feet

Have you had any imaging tests done previously?:

- Yes, CT scan

Do you have any history of kidney stones or urinary tract infections?:

- Yes, urinary tract infections

How is your overall digestive health?:

- Chronic issues (constipation, diarrhea)

What is your daily fluid intake like?:

- Less than 1 liter

Have you made any lifestyle changes recently?:

- Yes, improved diet
Writing an explanation of your symptoms through Ayurveda...
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Doctors' responses

need personal consultation for better examination and treatment or share ur USG report Take Chandra Prabha vati 1tab 2times after food


0 replies

Hello, Your report suggests bilateral small kidneys with hydronephrosis (right mild, left moderate) but parenchyma still normal-> this is early functional compromise, not end stage. Main concerns are -chronic urinary obstruction/reflux/recurrent UTI -Low hydration (very important in your case -early renal shrinkage tendency This condition aligns with -Mutravaha srotas dushti -vata + kapha imbalance -early mutrakricchra/mutraghata tendency Goals -remove obstruction -improve urine flow -nourish kidney tisue Internal medication For hydronephrosis + urine flow -Chandraprabha gulika= 2 tabs twice daily after meals =reduces urinary obstruction, prevents UTI recurrence -Gokshuradi Guggulu= 2 tabs twice daily after meals =best for hydronephrosis, swelling, improves kidney filtration For kidney strength -Punarnavadi kashaya= 15ml + 45 ml water twice daily before meals =reduces swelling, supports kidney size and function For recurrent UTI and detox -Varunadi kashaya= 20ml with warm water once daily in evening =clears urianry tract blockage , prevents infection and stone tendency Most Important (don’t ignore this) Your fluid intake (<1 L) is a major cause of worsening hydronephrosis **Correct it immediately -Minimum 2-2.5 L /day -warm water preferred Add= jeera water (light), coconut water (3-4 times/week) Diet -bottle gourd, ash gourd, pumpkin -barley water -horse gram in moderation -fresh fruits avoid excess sour Avoid -excess salt -packaged foods -red meat -spinach, tomato (if UTI tendency high) -cold drinks, tea excess Lifestyle -don’t hold urine (very important) -walk daily 20-30 min -avoid long sitting -manage constipation very important for kidney pressure If constipation -take Gandharvahastadi kashaya= 15ml with warm water at bedtime Must monitor do ultrasound every 3-6 months if -Hydronephrosis increases -Kidney size reduces further -swelling worsens Also check -serum creatinine -urine routine Ayurveda can -slow progression -improve drainage -prevent infection But -If there is mechanical obstruction(stone, stricture), you must rule it out with a urologist Do follow Hope this might be helpful Thank you

• Chandraprabha Gulika (50 Nos) - Kerala Ayurveda (Chandraprabha Gulika 50 Nos) — x1 • Punarnavadi Kwath (200 Ml) - Kerala Ayurveda (Punarnavadi Kwath 200 Ml) — x2 • Varunadi Kwath (200 Ml) - Kerala Ayurveda (Varunadi Kwath 200 Ml) — x1 • Gandharvahasthadi Kwath (200 Ml) - Kerala Ayurveda (Gandharvahasthadi Kwath 200 Ml) — x1


0 replies

Kindly share the exact parameters of the reports, And plz explain your symptoms in brief which u are facing at present. Also what is your age?


0 replies

give report in detais start neeri kft 5 ml 2 times day


0 replies

The condition you describe is mostly due to the chronic obstructive or inflammatory condition this is pointing towards the mutra Vag srotasa vikar Which is due to vata and Kapha imbalance lead to obstruction So we will focus on supportive care to reduce inflammation improving renal drainage and support your tissue but you have to clearly monitor and ensure regular kidney function test monitor blood pressure regularly And after this if you feel your problem does not subside please visit to your nearest nephrologist or Urologist for further investigation 1) Punarnavadi Kwath- 15 ml with 45 ml lukewarm water twice daily 30 minutes before food 2) Chandraprabha Vati- two tablet twice daily after food 3) Gokshuradi Guggulu- two tablet twice daily after food 4) Varanadi Kwath- 15 ml with 45 ml lukewarm water twice daily 30 minutes before food 5) Purnarnavasava- 20 ml with 20 ml water twice daily after food Increase your water intake to at least 2-2.5 litte Per day coconut water will be highly beneficial Avoid high protein diet heavy processor food high sodium snacks And please share the exact parameters about your report


0 replies

Borderline small kidneys with hydronephrosis means there is back pressure of urine on kidneys, usually due to some blockage or poor drainage. Even if parenchyma is normal now, this condition needs careful management to protect kidney function. First step is to identify the cause. It can be due to stones, narrowing in urinary tract, or past infections. Follow-up with a urologist is important to see if any obstruction needs to be corrected. Your fluid intake is currently low, this is a major issue. Increase water intake gradually to around 2–2.5 liters per day unless your doctor has restricted it. Proper hydration helps reduce pressure and prevents further damage. Do not hold urine for long time. Empty bladder regularly. Avoid excess salt, very spicy food, and processed food. Keep diet simple with vegetables like lauki, cucumber, and coconut water if suitable. Medicines: Chandraprabha vati 1 tablet twice daily after food. Gokshuradi guggulu 2 tablets twice daily after food. Punarnava mandoor 1 tablet twice daily after food. Varunadi kwath 15 ml with equal water twice daily after food. These help improve urinary flow, reduce swelling, and support kidney function. Avoid painkillers frequently, as they can harm kidneys. Monitor kidney function tests and repeat scan as advised. If swelling increases, urine decreases, or pain develops, immediate medical attention is needed. This condition can be managed if addressed early and properly. For proper monitoring and personalised treatment plan, you can consult me.


0 replies

1.Chandraprabha vati 2 tab twice daily with water after meals 2.Gokshuradi guggulu 2 tab twice daily with water after meals 3.Varunadi kwath 15 ml with 15 ml water twice daily after meals 4.Guduchighan vati 1 tab twice daily with water after meals 5.Punarnavasava 15 ml with 15 ml water twice daily after meals Lifestyle & Diet Recommendations---- - Hydration: Increase fluid intake gradually to at least 1.5–2 liters/day unless restricted by your doctor. Low intake (<1 L) worsens hydronephrosis. - Kidney-friendly foods: Watermelon, citrus fruits, radish leaf juice, and leafy greens help flush toxins. - Avoid: Excess salt, fried foods, heavy dairy, and alcohol. - Digestive support: Since you have chronic constipation/diarrhea, favor light, easily digestible meals (khichdi, moong dal, boiled vegetables).


0 replies

Hydronephrosis occurs when urine cannot drain properly, causing the kidney to swell. When combined with “small” kidney size, it suggests a chronic process that needs careful management to preserve the remaining normal parenchyma (functional tissue). ​In Ayurveda, this is often viewed as Vrukka Shotha (renal swelling) caused by an imbalance in Vata and Kapha obstructing the Mutravaha Srotas (urinary channels). ​Ayurvedic Perspective & Management ​The goal is to clear the obstruction (Srotovishodhana), reduce swelling (Shothahara), and provide strength to the renal tissue (Rasayana). ​Right Kidney (Mild): Focus is on maintaining flow and preventing further pressure. ​Left Kidney (Moderate/Small): Focus is on aggressive drainage and supporting the diminished kidney structure. ​1. Punarnavadi Kwath (Tablet or Liquid) This is the primary choice for reducing kidney swelling and improving drainage. It acts as a potent diuretic and anti-inflammatory. ​Dose: 15 ml liquid mixed with 45 ml lukewarm water, or 2 tablets. Take twice daily, 30 minutes before food. ​2. Chandraprabha Vati A versatile formulation that clears urinary obstructions, balances Vata, and helps manage the “borderline small” aspect by improving overall kidney health. ​Dose: 2 tablets twice daily after food with lukewarm water. ​3. Varunadi Kwath Specifically targeted at clearing obstructions (like small stones or sludge) that often cause hydronephrosis. It helps “scour” the channels. ​Dose: 15 ml liquid mixed with 45 ml lukewarm water twice daily before food (can be taken alongside Punarnavadi Kwath). ​4. Vastyamayantaka Ghritam If there is any associated burning or if the kidney size reduction is due to “dryness” (Vata), this medicated ghee is used to nourish the urinary system. ​Dose: 1 teaspoon with warm milk or water on an empty stomach in the morning. ​Important Precautions ​Monitor Creatinine/BUN: Since one kidney is already small and the other is borderline, regular blood tests are vital to monitor filtration levels. ​Hydration: Maintain steady water intake, but do not “over-flush” if the hydronephrosis is caused by a physical blockage, as this can increase pressure. ​Diet: Limit high-potassium foods and excessive salt to reduce the workload on the parenchyma.


0 replies

related to small kidney size it is a birth condition and cannot be treated. for hydronephrosis Syp. Varunadi kwath 2 tsp twice a day before food keep a watch on your symptoms and consult nephrologist in case of any ememrgency


0 replies

Share the complete reports. Meanwhile take 1. Varunadi kwatha 20ml twice daily with 20ml water before food daily. Keep the fluid intake around 1.5 litre a day.


0 replies

Start with Chandraprbha vati 1-0-2 after food with water Punarnava kwath tablet 1-0-1 after food with water Varunadikwath 10ml-0-10ml after food with water Take 1 to 1.5 liter of water. Restrict intake of salt in your diet Do pranayam lom -vilom bhastrika bhamri 5-10mins twice daily


0 replies

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