How to treat moderate hydronephrosis and hormonal imbalance during perimenopause? - #55992

Hiii rutika… ••To give you the most accurate and direct answer first: No, the swelling in your right kidney (hydronephrosis) is not caused by your irregular or heavy periods. ​Let’s break down exactly what is happening, why your gynecologist and radiologist see things differently, and how we can approach this safely. ​1. Understanding the Two Separate Issues ​Your body is currently giving you two distinct signals that require attention. They are happening at the same time, but they have different root causes. ••​Issue A: The Right Kidney (Hydronephrosis & Stone) ••​What it means: Hydronephrosis simply means your right kidney is stretched or swollen with urine. ••​The Cause: Your radiologist found the answer—a small stone on the right side. When a kidney stone moves or blocks the narrow tube (ureter) that drains urine from the kidney to the bladder, the urine backs up, causing the kidney to swell like a water balloon. ••​The Verdict: This is a localized mechanical blockage caused by the stone. It is entirely independent of your uterus, hormones, or menstrual cycle. ​Issue B: Heavy Periods & Hot Flashes (Perimenopause) ••​What it means: Your gynecologist and the other doctor are pointing toward a hormonal transition. Hot flashes, heavy bleeding, and irregular cycles are classic, textbook signs of perimenopause (the transition phase before menopause). ••​The Cause: During this phase, estrogen and progesterone levels fluctuate wildly. High estrogen relative to progesterone can cause the uterine lining to grow very thick, leading to heavy flooding during your periods. ​2. The Ayurvedic Perspective (Samprapti) ​In Ayurveda, we look at the body as an interconnected system of Doshas (energies) and Dhatus (tissues). You are currently experiencing imbalances in two different channels (Srotas): ••​For the Kidney Stone (Mutravaha Srotas): This is primarily a Vata-Kapha imbalance. When Vata dries up the bodily fluids and Kapha (specifically Kledaka Kapha) aggregates mineral salts, a stone (Asmari) is formed. The swelling or obstruction blocks the downward flow of Vata (Apana Vayu), causing pain or discomfort. ••​For the Heavy Bleeding & Hot Flashes (Artavavaha Srotas): Heavy bleeding (Asrigdhara or Raktapradara) is caused by an aggravation of Pitta and Rakta (blood), propelled by an erratic Apana Vayu. The hot flashes are a classic sign of Pitta surging upwards as the body’s hormonal tissue metabolism (Dhatu Agni) undergoes transition. ​3. Ayurvedic Holistic Approach & Suggestions ​Because you have an active blockage (hydronephrosis), we must handle the kidney stone with priority to protect your kidney health, while gently soothing the hormonal Pitta surge. ​••Important Medical Safeguard: Before starting any herbal regimen, you must know the exact size of the stone from your ultrasound report. Stones under 5–6 mm can usually be flushed out safely with Ayurvedic medicines and hydration. If the stone is much larger, it may require urological intervention to prevent kidney damage. ​Here are classical Ayurvedic formulations widely used for these conditions: ​For the Kidney Stone & Hydronephrosis (To clear the passage) ••​Neeri KFT Syrup or Cystone (Himalaya): 2 teaspoons or 2 tablets twice a day after meals. These help break down the stone (Asmarighna) and reduce kidney swelling. ••​Varunadi Kwath / Punarnavadi Kwath: 15–20 ml mixed with an equal amount of warm water, taken on an empty stomach in the morning and evening. Varuna is an excellent litholytic (stone-breaking) herb, and Punarnava specifically reduces organ swelling and fluid retention. ••​For Heavy Periods & Hot Flashes (To calm Pitta & Regulate Apana Vayu) ••​Shatavari Churna or Tablets: 1 tablet or 3 grams of powder twice a day with warm milk or water. Shatavari is the ultimate cooling female rejuvenator (Rasayana). It cools Pitta, reduces hot flashes, and provides phytoestrogens to stabilize the transition. ••​Ashokarishta: 15–20 ml with an equal quantity of water, taken twice a day after meals (stop taking it during the days you are actively bleeding heavily, and resume once the flow slows down). Ashoka is highly effective at toning the uterus and controlling excessive bleeding. ​4. Immediate Diet & Lifestyle Tips ••​Hydration is Key: Drink 2.5 to 3 liters of warm or room-temperature water daily to help flush out that right kidney stone. Avoid ice-cold water, which aggravates Vata. ••​Barley Water (Yava Udaka): Boil 2 tablespoons of barley in a liter of water, strain it, and sip it throughout the day. It is an excellent natural diuretic that relieves kidney swelling. ••​Pitta-Pacifying Diet: Avoid deeply spicy, sour, salty, and fermented foods (like pickles and vinegar), as they worsen both heavy bleeding and hot flashes. Focus on cooling foods like bottle gourd (Lauki), pumpkin, cucumber, and soaked raisins… For more details and consultation you take my personal consultation