HELLO PADMA,
You are having frequent urination at night (nocturia), without pain, burning , itching, or foam in urine. It started 15 days ago, you’re physically active, have no blood pressure or diabetes, and you notice it doesn’t happen if you sleep well.
AYURVEDICALLY -your symptoms point to a mild imbalance of apana vata (which controls urination and elimination) and kapha in the urinary tract -Apana vata aggravation can cause the bladder to send signals for urination more often, even when it’s not full. -Kapha element may be causing the whitish urine (thicker or slightly cloudy appearance without infection) -The fact that it disappears when you sleep deeply slows that the bladder muscle and nervous system are overactive only when your sleep is disturbed- a mind body link recognised in Ayurveda as manovaha srotas involvement
TREATMENT GOALS In Ayurveda, the aim is not only to stop the symptoms but also to correct the root imbalance. -restore apana vata balance= so bladder signals are normal -clear excess kapha from urinary system- to improve urine clarity and reduce heaviness -improves sleep quality- so that natural bladder control is maintained at night -prevent recurrence= by lifestyle and diet adjustments
INTERNAL MEDICATIONS
1) CHANDRAPRABHA VATI= 2 tabs twice daily after meals for 4 weeks =supports urinary tract health, tones bladder muscles, and calms vata kapha
2) VARUNADI KASHAYA= 20 ml with equal water twice daily before meals for 4 weeks =reduces kapha in urinary channels, improves urine flow, prevents stagnation
3) TAGARA POWDER= 2 gm with warm. milk at bedtime for 3 weeks =calms mind , promotes deep sleep, indirectly reduces nocturia by relaxing bladder
EXTERNAL TREATMENTS
1) OIL MASSAGE= of feet and Lowe abdomen with warm sesame oil before bed =calms vata, relaxes pelvic nerves, improves sleep
2) WARM FOMENTATION= over lower abdomen at night ==keep bladder warm , reduces vata aggravation (hot water bag)
LIFESTYLE ADJUSTMENTS -reduce evening fluid intake= last glass of water ideally before 7 pm -urinate before bedtime= even if urge is mild -keep feet and lower back warm= cold triggers vata and bladder activity -maintain regular sleep schedule=avoid late nights and irregular bedtime -avoid suppressing natural urges during the day- prevents vata disturbances
YOGA POSTURES beneficial for bladder control and pelvic floor tone -vajrasana after meals -setu badhasana -malasana- if knees are healthy -moola bandha practice(gentle pelvic floor tightening)
PRANAYAM -Anulom Vilom= 6-7 min morning and evening -Sheetali/sheetakari -bhramari= 5 rounds at bedtime for sleep
DIET -warm,light, foods= moong dal soup, vegetables soups, cooked rice with ghee, lightly spiced khichdi -spices that aid vata-kapha balance- cumin, coriander, dry ginger,turmeric -nuts in moderation= soaked almonds at breakfast
AVOID -cold drinks, ice cream, and chilled water especially in evenings -excess milk at night without spices (instead use milk with nutmeg / cardamom if present) -watery fruits melon, cucumber at night -excess salt or sour foods late in evening
HOME REMEDIES 1) CUMIN-CORIANDER-FENNEL TEA= boil 1 tsp each in 2 cups water-> reduce to 1 cup-> strain-> drink warm once a day
2) NUTMEG MILK AT NIGHT= pinch of nutmeg powder in warm milk before bed
3) FENUGREEK SEED WATER= soak 1 tsp overnight drink water in morning
INVESTIGATIONS -Uirne (routine+micro) -random blood sugar -renal function test -pelvic ultrasound
This looks like a functional urinary frequency due to mild vata-kapha imbalance, possibly linked to disturbed sleep and recent lifestyle/ diet triggers. Ayurveda works well for such early-stage, non-infectivecases The key is gentle balancing - light warming food, vata calming routines, mild medications support, and improving sleep quality -If you follow this approach, improvement should start within 1-2 weeks, and bladder stability can be maintained long term
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Don’t worry Padma,
Start taking these medications, 1.Chandraprabhavati 1-0-1 2.Gokshuraadi guggulu 1-0-1for chewing. 3.Brahmi ghrita 1tsf with lukewarm milk at bed time only.
Follow up after 45 days.
TAKE CARE 😊
Avoid liquid intake after 8PM. Regular exercise and meditation. Tab.Neo 2-0-2 Tab.Chandraprabhavati 2-0-2
How long tablets to be taken?
From an Ayurvedic perspective, frequent urination at night, known as “Nishachari Mutra Pravritti” or “Ratri Bahumutrata,” is often associated with an imbalance of the Vata and Kapha doshas.
Vata is the dosha of movement and is responsible for the flow of urine. An aggravated Vata can lead to an increased urge to urinate, especially at night when Vata’s influence is stronger. Kapha, which governs bodily fluids, can also be involved, as an excess can lead to an increased production of urine.
The symptoms you’ve described—
frequent urination at night, no pain or itching, white-colored urine without foam, and the problem being present for about 15 days—can be interpreted as follows:
Frequent urination at night: This is the primary symptom and points towards a Vata imbalance. The urge to urinate disrupting sleep suggests that the nervous system (governed by Vata) is overactive.
No pain or itching: The absence of these symptoms suggests that there is no active infection (like a urinary tract infection or UTI) or major inflammatory condition (pitta imbalance).
White-colored urine, no foam: This indicates that the urine is clear and not concentrated, which can be a sign of a Kapha imbalance or simply a high intake of fluids. The lack of foam is a good sign as foamy urine can sometimes indicate a kidney issue.
"If I sleep well in the night, no urinating urge": This is a crucial detail. It suggests that the problem is not a purely physical one but is highly linked to your sleep and nervous system. When you are deeply relaxed (a state of balanced Kapha and Vata), your body functions normally. The lack of proper sleep (aggravated Vata) may be causing the frequent urination. Given your age (63) and gender (female), Vata imbalance is a common occurrence. The body naturally becomes more Vata-dominant with age.
Ayurvedic Recommendations:
Diet: Focus on a Vata-pacifying diet. This includes warm, cooked foods, healthy fats (ghee), and avoiding cold, raw, and dry foods. Limit diuretics like caffeine, alcohol, and very spicy foods, especially in the evening.
Lifestyle: Establish a regular sleep routine. Avoid screen time before bed. Gentle exercise like walking or yoga is beneficial. Herbs: Some herbs traditionally used in Ayurveda for this condition include: Gokshura (Tribulus terrestris): Known for its rejuvenating effect on the genitourinary system.
Ashwagandha (Withania somnifera): A renowned adaptogen that helps calm the nervous system and promote deep sleep. Chandanasava: An herbal preparation that can help cool and soothe the urinary tract.
Hi, Avoid intake of tea / coffee at evening. Limit intake of water before bed time
1. Chandraprabha vati 1-0-1 after food.
hello Padma ,
I understand how disturbing it can be when your sleep is broken repeatedly at night for urination, even when there’s no pain, burning, or itching. From what you’ve shared, your urine is white in color, no foam, and this has been happening for about fifteen days. You’ve also noticed that if you sleep well, you don’t have this urge which is an important clue.
From an Ayurvedic view, this could be related to Vata imbalance, particularly Apana Vata, which governs the urinary function. Sometimes, mild irritation of the bladder or increased sensitivity of the nerves in that area can cause frequent urges, even without infection. White-colored urine can also indicate slightly diluted urine or presence of excess kapha elements (mucus traces), which may happen if digestion or metabolism is a bit weak (Mandagni). Stress, anxiety, or poor sleep itself can worsen the cycle less sleep makes urges worse, and more urges disturb sleep.
In modern terms, we would also want to rule out early urinary tract irritation, hormonal changes, or mild overactive bladder. Since there’s no pain, burning, or foul smell, infection is less likely but still worth checking.
your treatment plan :
1. Ama pachana & urinary soothing (first 3–4 days):
Boil coriander seeds (1 tsp) + cumin seeds (½ tsp) in 2 cups of water, reduce to 1 cup, sip warm twice daily. along with this
1. chitrakadi vati 2-0-2 after food twice daily
2. Internal medicines (from day 4 onwards): Chandraprabha Vati – 2 tablets twice daily after food. Ashwagandha churna – ½ tsp with warm milk at night to calm nerves and improve sleep. Take Gokshuradi Guggulu – 2 tablets twice daily after food for bladder tone and Vata balance.
3. Lifestyle & food tips: Avoid excess tea/coffee, especially after 5 pm. Early dinner, light and warm foods (avoid cold salads at night). Before bed, soak feet in warm water for 10 min — helps calm Apana Vata and bladder sensitivity.
Investigations (to be safe): Urine routine and culture. Fasting blood sugar (to rule out hidden diabetes). Pelvic ultrasound (if persists more than 3 weeks).
You’ve noticed it’s better when you sleep well that’s promising. This means your bladder is not structurally damaged, but more likely sensitive and overactive due to temporary imbalance. With these steps, it usually settles within 2–3 weeks.
Warm regards, Dr. Karthika
Chandraprabha vati Gokahuradi guggulu Medha vati- 1 tab each twice daily after food with lukewarm water
Saraswathi aristha- 4 tsp with equal quantity of water twice daily after food Check fbs/ppbs/ hba1c/ urine routine
Frequent urination during the night, even without pain or other symptoms, can be a concern worth addressing. Based on Ayurvedic principles, this may point to an imbalance in the Vata dosha, which is known to regulate movement in the body, including the excretory system. In Ayurveda, the natural state of urine during sleep should be dormant unless there’s a disturbance in the doshas, particularly Vata.
To address this, you may start by integrating a few lifestyle and dietary changes. Avoid drinking large quantities of liquid, especially caffeine-based drinks, in the evenings — try to keep your last fluid intake at least 2-3 hours before bed. Warm milk with a pinch of nutmeg or cardamom before bedtime can also help in calming Vata and promoting deeper sleep.
Herbal formulations might also be beneficial. Consuming a teaspoon of ashvagandha or Shatavari powder mixed in warm milk every evening can support your overall nervous system and help keep Vata in balance. Triphala, taken at bedtime, might support healthy digestion and elimination, preventing unnecessary nighttime urination.
Meditative practices focusing on breath can also ground Vata. Regularly practice deep-breathing exercises or pranayama twice daily, especially in the evening, might be helpful.
While Ayurveda can provide support through these measures, consider consulting a healthcare provider to rule out any underlying medical conditions that might require different approaches. Ensure you monitor other symptoms that might arise—any persisting or worsening symptoms should prompt immediate medical attention.
Frequent nighttime urination, or nocturia, can stem from various causes, but given your age and lack of other symptoms like pain or itching, it might link to changes in bladder function or slight imbalance in the body’s energy channels. Keeping in line with Siddha-Ayurvedic principles, this could relate to an imbalance in Vata dosha, which governs movement and elimination processes in the body. When Vata is out of balance, it could lead to disrupted sleep and increased urination.
To address this, focus on calming and grounding practices. Incorporating a regular sleep routine to encourage restful sleep would be beneficial. Consider consuming a warm glass of milk with a pinch of nutmeg before bed. Nutmeg has natural sedative properties which can aid in promoting deeper sleep.
During the day, hydrating adequately is important, but reducing fluid intake about 1-2 hours before sleep can prevent the nighttime urination urge. Ginger tea during the day can aid in balancing Vata as well, but avoid caffeinated drinks later in the day as they could disrupt sleep.
Dietarily, opt for warm, cooked foods and avoid overly spicy or dry food that might disturb Vata. Practicing pranayama or gentle yoga in the evenings can also help soothe and balance energies.
Continued occurrence of nocturia might require further exploration. Consulting a healthcare professional could help rule out any underlying conditions. Immediate medical advice is suggested if symptoms worsen or other symptoms emerge that suggest an infection or more serious concern.
HELLO PADMA,
POSSIBLE AYURVEDIC DIAGNOSIS -MUTRAKRICHRA/ MUTRATISARA due to vata-kapha imbalance, aggravated at night (vata kala)
AYURVEDIC MANAGEMENT
DIET -warm, light, Vata-pacifying foods -avoid excess fluids after 6 pm -avoid caffeine, tea, curd, sour and very salty/spicy foods in evening
INCLUDE -warm cow’s milk with nutmeg at bedtime (1/2 tsp) -soaked raisins or dates in the morning (natural mild diuretic balancers)
LIFESTYLE -avoid sleeping during day -maintain a regular sleep schedule -gentle walking or evening oil massage on lower abdomen and back = dashmoola taila -practice relaxing pranayam like anulom-vilom or bhramari at night
INTERNAL MEDICATIONS
1) CHANDRAPRABHA VATI= 1 tab twice daily after meals =balances urinary system, vata kapha
2) ASHWAGANDHA CHURNA= 1 tsp with warm milk at night =vata pacifier, helps sleep
3) SHILAJIT (PURIFIED)= 250mg in morning =tones urinary and reproductive organs
4) YASHTIMADHU CHURNA= 1/2 tsp with milk in evening =soothes urinary tract
HOME REMEDIES -boil jeera ajwain saunf in 1 litre water, reduce to half, drink during day -warm sesame oil massage on lower back and pelvis before sleep
YOGA ASANAS -vajrasana after meals -pawanmuktasana -supta baddha konasana
THANK YOU
DR. HEMANSHU MEHTA
