Thank you for reaching out and trusting this platform with Health journey. Your pattern of symptoms shows a classic combination of vata aggravation and pitta irritation settled deeply in the bladder wall The burning, stinging urgency, pelvic tightness, and pain after intercourse, all come from a bladder lining that has lost its natural mucosal protection Hyper Mobile Ehlers-Danlos Further, we connective tissue, so bladder cannot repair itself at a normal pace. Because of this, even mild stretching of the bladder or any friction in the pelvic region, triggers sharp burning, and persistent irritation, the pelvic floor remains tight because the nerve in the area or constantly sending danger signals… over four years, this cycle becomes self perpetuating
Your cystoscopy findings, confirm what Ayurveda describes as a raw depleted basti with high vata- pitta and very low unctuousness… when the mucosal layer is destroyed, the bladder behaves as if it is always inflamed, even when urine is normal Frequency increases because the bladder cannot tolerate holding and burning increases because there is no protective coating … before any herb can fully help the tissues must be soothed lubricated, and cooled from inside… the focus now we to rebuild the mucosa calm. The pelvic nurse relax the pelvic floor and reduce pitta heat inside the bladder. When this balance returns, the urgency decreases, burning reduces the bladder gains tolerance again and intercourse becomes less painful… this ceiling takes consistency, not force, and the remedies must be gentle, cooling and unctuous so they do not dry the bladder or aggravate vata you can take the following medicines Gokshura capsule Chandraprabha vati Each capsule twice daily after food with warm water Yasthimadhu churna teaspoon with warm water after food Shatavari gritha-1 teaspoon with warm water at morning Punarnavadi kashaya Chandanasava -Each 10 ML with equal amount of water twice daily after food Apply shatadhautha gritha externally Avoid holding urine, but also avoid going just in case allow the bladder to fill naturally Do sitz bath for 15 minutes daily? Avoid friction, tight clothing and prolong sitting on hard surfaces Practice, low belly, breathing twice daily to reduce pelvic floor, guarding Avoid intercourse until burning and mucosal, healing, improve, forcing it keeps resetting inflammation Avoid coffee, citrus, tomatoes, vinegar, fermented, and packet, food chilli, carbonated, drinks, and excessive our food Keep plenty of fluids, buttermilk, barley, water, coconut water Avoid dry salad, dehydrating foods Eat at regular interval sleep before 10:30 PM
DNT WORRY YOU HAVE TOTALLY TREATED COMPLETELY THROUGH AYURVEDIC TRETMENT:-
TAKE RENOGHRIT TAB=2-2 TAB BEFORE MEAL TWICE DAILY…
CHANDRAPRABHA VATI GOKSHURADI GUGULU MEDHA VATI=1-1-1 TAB AFTER MEAL THRICE DAILY…
CHANDANASAVA USHIRASVA=2-2 TSP WITH WATER AFTER MEALS TWICE DAILY…
AVOID HOT/SPICY/JUNK FOOD
DO REGULAR EXERCISE AND YOGA= VAZRASANA/TITLIASNA/BHRAMRI=5 MIN EACH
CONSULT AFTER 20 DAYS
Start with- 1 Gokshura Churna: 3 gm twice daily after meals with warm water – YES, safe and ideal; mild diuretic initially (1 to 2 weeks) but rebuilds mucosa, reduces frequency long-term in IC. 2 Shatavari Ghrita: 5 ml morning with warm milk 3 Chandraprabha Vati: 1 tab twice daily after meals 4 Kamadhudha Ras (Moti Yukta): 125 mg twice daily with water 5 Brahmi Vati: 1 tab night
External Applications Yoni Pichu: Soak cotton in Jatyadi Ghrita and insert vaginally and leave 2 hrs and nightly (heals urethra/bladder lining).
Diet Give only: Rice and moong khichdi and 1 tsp ghee. Coconut water, pomegranate. Warm milk with Shatavari nightly.
Avoid completely: Spicy, sour, caffeine, alcohol. Carbonated drinks, citrus.
Lifestyle Pelvic release: Lie with knees to chest 10 min daily. No straining during urination. Sex abstinence until pain less than 3/10. Sleep 10 PM to 6 AM.
Monitoring Pain and frequency log: Daily. Cystoscopy repeat: After 90 days.
Regards Dr Gursimran Jeet Singh MD Panchakarma
Hello I understand your deep concern and the discomfort you’ve been enduring due to Interstitial Cystitis (IC) and associated bladder irritation. You have also mentioned hypermobile Ehlers-Danlos Syndrome, which may contribute to the weakness and sensitivity of your bladder tissues. But dont worry we are here to help you out😊
✅AYURVEDIC PLAN OF TREATMENT
✅INTERNAL MEDICATION
1. Gokshuradi Guggulu – 1 tablets twice daily after food with lukewarm water (Acts as Mutrala (diuretic yet soothing), helps in mucosal regeneration, and balances Pitta-Vata without over-stimulating urination)
2. Chandraprabha Vati – 2 tablets twice daily after food (Excellent for bladder inflammation, pain, and urinary cleansing.)
3. Yashtimadhu Churna (Licorice powder) – ½ tsp with cold milk twice daily (Helps rebuild the mucosal lining and soothes the burning sensation.)
4. Punarnavadi Kashayam – 15 ml twice daily with warm water (Reduces bladder swelling, regulates fluid balance, and controls inflammation.)
5. Dashmoolarishta – 15 ml twice daily after meals (For calming Vata and relieving pelvic tension and anxiety.)
✅EXTERNAL AND LOCAL TREATMENT
Abhyanga (oil massage) around the lower abdomen with Mahanarayan Taila followed by mild hot fomentation (steam therapy) to ease muscle tension.
✅ HOME REMEDIES
👉 Cooling Infusions: Coriander seed water – Soak 1 tsp overnight in water, strain, and drink in the morning.
👉Tender coconut water – Excellent for cooling Pitta and hydrating without overburdening the bladder.
👉Aloe vera pulp with 1 tsp Ghee once daily for internal lubrication.
✅DIET MODIFICATION
Prefer lukewarm, cooked, and soothing foods – rice gruel, moong dal, bottle gourd, pumpkin, and ridge gourd.
Avoid spicy, sour, salty, fried foods, caffeine, and alcohol.
Include milk with cardamom and ghee at bedtime for Vata-Pitta balance.
✅LIFESTYLE TIPS
Do gentle pelvic relaxation yoga poses like Supta Baddha Konasana, Apanasana, and Viparita Karani.
Practice Nadi Shodhana Pranayama daily for calming Apana Vata.
Avoid holding urine for long and ensure regular bowel movement.
Maintain emotional calmness — guided meditation and music therapy can help reduce chronic pain perception.
✅ About Gokshura Use
You are right to be cautious — Gokshura is mildly diuretic, but it also possesses Madhura Rasa and Sheeta Virya, making it soothing and reparative for the bladder lining when taken with milk or ghee. It does not worsen frequency in the long run; instead, it helps in mucosal healing and balances Apana Vata when combined properly.
Your condition requires consistent and holistic management — not only to soothe the bladder but also to restore the protective layer, balance Vata-Pitta, and strengthen the pelvic floor.
With faith, patience, and correct regimen, gradual healing is very much possible.
Wishing you a good health😊
Warm Regards Dr. Snehal Vidhate
HELLO,
Your bladder is like a soft protectivereservious that stores uine Its inner lining (mucosa) protects the bladder wall from irritation by urine In interstitial cystitis (IC), this protective lining is damaged or thinned out, exposing the underlying sensitive tissue. This causes -burning, stinging, or pressure in the bladder and urethra -urgency and frequency (feeling like you need to urinate often) -pain during or after sex -pelvic tension from guarding against pain
In your case, this is complicated by hyper mobile Ehlers-Danlos syndrome, where connective tissues (collagen, fascia) are weak and overstretched- including those in the bladder and pelvis. This means healing takes longer and tissue integrity must be rebuilt carefully
Ayurvedically, this condition represents -VATA AGGRAVATION= dryness, pain, hypersensitivity, muscle spasm, tissue thinning -PITTA AGGRAVATION= burning, rednesss, inflammation, raw feeling -The bladder and pelvic area are the main sites affected
TREATMENT GOALS -relieve pain, burning, urgency -rebuild bladder lining and nourish tissues -relax pelvic muscles and nerves -strengthen bladder wall and connective tissues -calm the nervous system
INTERNAL MEDICATIONS
1)GOKSHURA CAPSULE= 500mg twice daily after meals for 3 months = rebuilds mucosa, soothes bladder, mildly diuretic but anti inflammatory. Initially frequency might increase slightly but it balances with time
2) CHANDRAPRABHA VATI= 1 tab twice daily after meals for 2-3 months = classic urinary tonic, Balances Vata pitta, relieves burning and inflammation
3) PUNARNAVA MANDUR= 1 tab twice daily after meals = for 3 months = reduces inflammation, supports kidney/ bladder function, improves circulation
4) SHATAVARI CHURNA= 1 tsp powder in milk twice daily for 3-6 months = deeply cooling, rejuvenating, supports mucosal healing
5) YASHTIMADHU CHURNA= 1/2 tsp powder in milk once daily for 2 months = restores mucusa, anti inflammatory, demulcent
6) ASHWAGANDHA CHAPSULES= 500mg cap at night with warm milk =vata stabiliser, relaxes pelvic muscles, improves tissue strength and nerve tone
GHEE WITH MILK= 1 tsp ghee in warm milk night =nourishes bladder linning, calms vata, supports lubrication and healing
EXTERNAL TREATMENT
1) OIL MASSAGE= daily warm sesame + castor oil gentle body massage = redues vata, relaxes pelvic tension, improves circulation
2) MIL STEAM THERAPY= gentle local steam after oil massage = relieves pelvic tightness and improves blood flow
YOGA AND PRANAYAM The aim is relaxation, grounding, and pelvic release- not exert
ASANAS -supta baddha konasana -apanasana -viparita karani -balasana -gentle hip opening stretches
Avoid deep core exercises or intense yoga- they strain pelvic tissues
PRANAYAM -sheetali/sheetkari= cooling for burning -nadi sodhana= Balances Vata and pitta -bhramari= calming for pelvic nerves and anxiety practice 10-15 min twice daily
DIET -warm, oily, cooked soothing food -milk, ghee, rice , moong dal, root vegetables -alomnds (soaked), coconut, pumpkin seeds -cooling herbs with licorice, coriander, or chamomile -avoid dehydration frequent small sips of warm water
AVOID -coffee, tea, alcohol -citrus fruits, tomatoes, spicy foods, vinegar -dry, cold, raw foods- salads, crackers -processed or preserved food -carbonated drinks
LIFESTYLE -maintain warmth avoid cold exposure -dont hold urine -avoid excessive sitting pressure use cushion if needed -manage stress through meditation and rest -prioritize good sleep= bladder healing happens best during rest
HOME REMEDIES -Coconut water + 1 tsp ghee=soothes bladder, reduces burning -warm milk + pinch of turmeric= anti inflammatory, healing -Licorice tea= coats bladder -Coriander seed water on lower abdomen at night- relaxes muscles and reduces spasms
Interstitial cystitis can feel overwhelming- especially when It limits daily comfort and intimacy. But healing is possible through consistent, gentle, and patient care. Ayurveda aims not just to mask symptoms but to rebuild the bladder’s natural resilience and soothe the entire nervous system
You are addressing root causes- vata dryness, pitta inflammation and tissue weakness= not just the burning or pain. This requires steady therapy for at least 3 months, followed by maintenance with lifestyle and gentle support
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
