रात में बार-बार पेशाब आना और डायबिटीज का प्रबंधन - #48423

YOUR BLOOD AND URINE INVESTIGATIONS SHOW A VERY IMPORTANT AND POSITIVE POINT THAT YOUR KIDNEY FUNCTION IS PRESERVED AND SAFE YOUR EGFR IS ABOVE 90 SERUM CREATININE AND UREA ARE WELL WITHIN NORMAL RANGE ELECTROLYTES ARE STABLE AND URINE ALBUMIN CREATININE RATIO IS IN A1 CATEGORY WHICH CLEARLY INDICATES THAT THERE IS NO DIABETIC NEPHROPATHY OR STRUCTURAL KIDNEY DAMAGE AT PRESENT THIS MEANS THE FREQUENT NIGHT URINATION YOU ARE SUFFERING FROM IS NOT DUE TO KIDNEY FAILURE OR LOSS OF FILTRATION BUT DUE TO FUNCTIONAL DISTURBANCE OF THE URINARY SYSTEM AND NERVOUS REGULATION

FROM AYURVEDIC PERSPECTIVE THIS CONDITION IS MAINLY RELATED TO MUTRAVAHA SROTAS DUSHTI APANA VATA PRAKOPA AND EARLY MADHUMEHA EFFECT ON THE BLADDER EVEN WHEN BLOOD SUGAR IS CONTROLLED DIABETES WEAKENS THE NERVE CONTROL OF THE BLADDER LEADING TO POOR SENSATION OF COMPLETE EMPTYING AND INCREASED NIGHT TIME URGE ESPECIALLY DURING VATA KALA WHICH IS NIGHT TIME THIS IS WHY YOU ARE WAKING UP EVERY TWO HOURS

YOUR PAST HISTORY OF URETHRAL STRICTURE AND DILATATION IS A VERY IMPORTANT CONTRIBUTING FACTOR BECAUSE ANY OLD OBSTRUCTION OR PROCEDURE MAKES THE BLADDER AND URETHRA HYPERSENSITIVE AND FUNCTIONALLY WEAK WHICH CAUSES RESIDUAL URINE AND FREQUENT SIGNALS TO PASS URINE EVEN WHEN THE QUANTITY IS LESS THIS IS A COMMON LONG TERM EFFECT SEEN YEARS AFTER STRICTURE DILATATION

STRESS AND ANXIETY FURTHER AGGRAVATE THIS CONDITION BECAUSE THEY DIRECTLY DISTURB PRANA VATA AND APANA VATA LEADING TO OVERACTIVITY OF BLADDER NERVES WHICH IS WHY YOU HAVE CLEARLY NOTICED THAT STRESS WORSENS YOUR NIGHT URINATION AND SLEEP DISTURBANCE

YOUR THYROID REPORT SHOWS BORDERLINE HIGH TSH WHICH CAN ALSO CONTRIBUTE TO METABOLIC SLOWNESS FATIGUE AND NERVOUS IRRITABILITY AND YOUR LIPID PROFILE SHOWS ELEVATED CHOLESTEROL AND LDL WHICH INDICATES MEDA DHATU DUSHTI AND INSULIN RESISTANCE BACKGROUND THIS DOES NOT DIRECTLY CAUSE NIGHT URINATION BUT IT SHOWS THAT METABOLIC BALANCE NEEDS CORRECTION

AYURVEDIC TREATMENT HERE IS AIMED AT CALMING BLADDER NERVES STRENGTHENING MUTRASHAYA REGULATING APANA VATA AND REDUCING NIGHT TIME URGE WITHOUT FORCEFULLY SUPPRESSING URINE AND WITHOUT INTERFERING WITH YOUR METFORMIN

CHANDRAPRABHA VATI 2 TABLETS TWICE DAILY AFTER MEALS WITH LUKEWARM WATER THIS IS A KEY MEDICINE FOR DIABETIC URINARY SYMPTOMS BLADDER IRRITABILITY AND NIGHT FREQUENCY IT STRENGTHENS MUTRAVAHA SROTAS AND IMPROVES BLADDER TONE

GOKSHURADI GUGGULU 2 TABLETS TWICE DAILY AFTER MEALS WITH WARM WATER THIS HELPS IN NORMALIZING URINE FLOW REDUCING BLADDER SENSITIVITY AND SUPPORTING URINARY TRACT HEALTH

ASHWAGANDHA CHURNA 3 GRAMS AT NIGHT AFTER DINNER WITH WARM MILK OR WARM WATER THIS CALMS VATA NERVOUS SYSTEM REDUCES STRESS INDUCED URGE AND IMPROVES SLEEP QUALITY

VARUNADI KWATH 15 ML TWICE DAILY BEFORE MEALS DILUTED WITH EQUAL WARM WATER THIS SUPPORTS BLADDER FUNCTION AND HELPS IN RESIDUAL URINE ISSUES

SHILAJIT CAPSULE 250 MG ONCE DAILY IN THE MORNING AFTER BREAKFAST THIS SUPPORTS METABOLISM BLADDER STRENGTH AND DIABETIC CONTROL

ALONG WITH MEDICINES CERTAIN HABITS ARE VERY IMPORTANT AVOID DRINKING LARGE AMOUNTS OF WATER AFTER SUNSET AVOID TEA COFFEE AND ALCOHOL IN THE EVENING AVOID VERY SPICY SOUR AND SALTY DINNER TAKE DINNER AT LEAST TWO TO THREE HOURS BEFORE SLEEP PRACTICE DEEP BREATHING OR ANULOM VILOM FOR TEN MINUTES BEFORE BED TO CALM VATA

WITH THIS APPROACH YOU SHOULD START NOTICING REDUCTION IN NIGHT URINATION WITHIN THREE TO FOUR WEEKS AND SIGNIFICANT IMPROVEMENT IN SLEEP QUALITY OVER TWO TO THREE MONTHS THIS CONDITION IS REVERSIBLE WITH CONSISTENT AYURVEDIC MANAGEMENT AND DOES NOT INDICATE ANY SERIOUS KIDNEY DAMAGE AT PRESENT

Frequent night urination in your condition is happening due to chronic vata imbalance affecting the bladder nerves and sphincter control along with prameha tendency caused by diabetes and old injury weakness of the urinary passage from past stricture dilation this makes the bladder overly sensitive during night hours when vata naturally increases stress anxiety and disturbed sleep further aggravate vata causing repeated urge even when urine quantity is less your reports clearly show kidney function is stable and urine albumin is within safe limits so this problem is not kidney damage but functional weakness of mutravaha srotas and bladder control mechanism

The treatment focus should be on calming vata strengthening bladder muscles improving nerve control and supporting prameha without disturbing allopathic medicines you can start chandraprabha vati 2 tablets twice daily after food with lukewarm water as it is the best formulation for bladder tone urgency frequency and nocturia take gokshuradi guggulu 2 tablets twice daily after meals to support urinary tract strength reduce irritation and improve flow add varunadi kwath 15 ml mixed with equal warm water once in the evening before dinner to reduce bladder irritation and support urinary passage health

For diabetes related bladder sensitivity and nerve weakness take shilajit capsule 250 mg once daily in the morning after breakfast this helps prameha fatigue nerve stability and bladder control without interfering with metformin at night to calm anxiety and improve sleep take brahmi vati 1 tablet or saraswatarishta 15 ml with equal water after dinner this will reduce stress induced vata spikes that worsen night urination

Daily routine is equally important stop fluid intake after 7 pm avoid tea coffee alcohol and cold drinks in the evening avoid spicy salty and dry foods at night gently massage lower abdomen pelvic area and soles of feet with warm sesame oil before sleep and keep the body warm during night practice slow deep breathing or anulom vilom for 5 minutes before bed to relax bladder nerves empty bladder fully before sleeping and again just before lying down

With regular use of these medicines and lifestyle correction improvement usually starts within 2 to 3 weeks with reduced night frequency deeper sleep and better bladder control but consistency is essential and medicines should be continued for at least 6 to 8 weeks for stable results

HELLO,

WHAT YOU ARE EXPERIENCING -passing urine every 1-2 hours at night -disturbed sleep for more than 6 months -history of type 2 diabetes -past urethral stricture and dilation -symptoms worse with stress/anxeity

Your reports suggest This is NOT kidney failure or kidney damage

WHY THIS IS HAPPENING

IN MODERM TERMS Your night urination is due to three combined factors

1) Diabetes effect on bladder nerves -diabetes irritates bladder nerves -bladder sends “false signals” that is full -leads to frequent night urination

2) OIL URTETHRAL STRICTURE -Even after dilation, bladder may not empty fully -small amount of urine remains -> frequent urge

3) STRESS AND POOR SLEEP -Stress increases sympathetic nervous system activt -nightime bladder control becomes weak

In Ayurvedic This condition is called a combination of -prameha (diabetes- related urinary disorder) -Mutrakrichra(difficulty/frequent urinartion) -basti daurbalya (weak bladder control

WHICH DOSHA ARE DISTURBED? Apana vata (main culprit) -> controls uriine, stool ,pelvic organs -> when disturbed->frequent urge, incomplete emptying

KAPHA -> causes heaviness, obstruction, sluggishbladdr

MILD PITTA -> causes irritation and urgency

At night, vata naturally increases, so symptoms worsen at night

TREATMENT GOALS -strengthen the bladder -calm irritated bladder nerves -improve complete emptying -balance apana vata -support diabetes control -improve sleep quality

INTERNAL MEDICATIONS

1) CHANDRAPRABHA VATI = 2 tabs twice daily after meals with warm water for 12 weeks =strengthen bladder muscles, improves urinary controls, useful in diabetes- related urinary issues , helps urethral narrowing symptoms ,Reduced night urination, better urine holding capacity

2) GOKSHURADI GUGGULU= 2 tabs twice daily after meals for 10 weeks =improves urine flow, reduces bladder irritation, supports urinary tract tone, prevents residual urine

3) VARUNADI KASHAYA = 15ml + equal warm water twice daily before meals for 8 weeks =clears obstruction, improves bladder emptying, strengthens urinary channels

4) ASHWAGANDHA CHURNA= 1/2 tsp with warm milk at bedtime for 3 months =calms nervous system, controls stressrelated urinatio, improves sleep, balances vata

5) PUNARNAVA MANDUR= 1 tab twice daily after meals for 8 weeks -improves bladder efficiency, reduces urinary stagnation, supports metabolism

EXTERNAL THERAPIES

1) OIL MASSAGE= WARM SESAME OIL -Massage= lower abdomen, lower back, soles of feet -daily or at least 5 times/week =calms apana vata, strengthens bladder nerves, improve sleep

2) WARM SITZ BATH -sit in warm water no salt -10 min in evenig -3-4 times/week =relaxes bladder muscles, reduce urgency

DIET -bottle gourd, ridge gourd, pumpkin -cooked vegetables -moong dal -barley, oats daytime -warm, freshly cooked meals

AVOID -curd at night -excess salt -spicy fried foods -alcohol -artificial sweeteners

LIQUIDS -sip warm water during day -avoid excessive fluids in evening

YOGA ASANAS -Malasana= improves bladder emptying -pawanmuktasana -supta baddha konasana 5-10 min daily is sufficient

PRANAYAM -Nadi sodhana -Slow deep breathing= inhale 4 sec, exhale 6 sec -10 min before sleep

HOME REMEDIES 1) soaked coriander seeds -1 tsp soaked overnight -drink water in morning -3-4 times/week

2) Pumpkin seeds -small handful daily -strengthns bladder

You are not suffering from kidney failure. This is a functional bladder-nerve imbalance caused by diabetes, old stricture, and stress

Ayurveda works very well for this condition of followed consistently . Most patients improve significantly within 6-8 weeks, and night urination reduces to 1-2 times or less

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Hi Firstly Continue metformin as prescribed - Stop liquids 2–3 hours before bedtime - Avoid tea, coffee after 5 pm - Empty bladder twice before sleep - Avoid Cold drinks at night, Alcohol, Late dinner

1) Vasant kusumakar ras 10 tablet + Rasayan churna 100 gm - mix properly - take 2 gm twice a day after food with water.

2) Chandraprabha Vati - 1 tablet twice daily after meal with water

3) Gokshuradi Guggulu - 1 tablet twice daily after meal with water

4) Punarnava Mandur - 1 tablet twice daily after meal with water

5) Varunadi Kwath - 15 ml + equal warm water Twice a day after food

5) Ashwagandha - 2 gm daily at night.

Hello Thanks for sharing your reports. I can see how tough this has been for you. Going to the bathroom every couple of hours really mess with your sleep and daily life. But dont worry we are here to help you out 😊

YOUR CONCERN

Your main issue: You’re getting up to pee every two hours at night, and it’s been going on for more than six months.

Other problems: - Type 2 Diabetes (you’re taking Metformin) - Past urethral stricture, so sometimes your urine flow isn’t great - Stress and anxiety - Severe sleep disruption (7–9 out of 10)

YOUR REPORTS

The good news: - Your kidneys are working fine: Creatinine is 80, eGFR is over 90 - Urine ACR is 1.5 (that’s normal) - No signs of anemia or infection - B12, thyroid, and liver tests all look good

WHAT MAKING THINGS WORSE - Diabetes is making you pee more - High LDL and triglycerides point to a metabolic imbalance - The past stricture still irritates your bladder and keeps it from emptying fully - Your TSH is borderline high, so your metabolism’s a bit slow - Stress makes your bladder nerves extra sensitive

So, bottom line: this isn’t kidney failure. Your main issues are diabetic bladder problems, Apana Vata imbalance, and a sensitive bladder.

AYURVEDIC PERSPECTIVE

In Ayurveda, this falls under: - Prameha janya Mutra Atipravritti - Apana Vata vikriti - Basti dhatu kshaya

What does that mean?

Diabetes dries out your tissues, so your bladder can’t “hold” urine like it should. The bladder nerves get jumpy. Old damage to the urinary channel weakens things further. End result: you feel the urge a lot, and your sleep suffers.

What We Want to Achieve

- Cut down how often you pee at night - Strengthen your bladder nerves - Help your bladder hold more urine - Control how diabetes affects your bladder - Ease the stress and anxiety that make this worse

AYURVEDIC TREATMENT PLAN

INTERNAL MEDICATION

1. Chandraprabha Vati
Take 2 tablets twice a day after food.
This is a classic for bladder issues. It tightens up the urinary sphincter, helps heal old damage, and calms jittery nerves in the bladder.
What you will notice: decreased urine frequency better flow, less urgency

2. Gokshuradi Guggulu
Take 2 tablets twice a day.
It tones the bladder muscles, helps you empty the bladder more fully, and soothes the urinary tract.
What you will notice- Less sudden urge, stronger stream, fewer nighttime frequency

3. Varunadi Kashayam Take 15 ml (mixed with the same amount of warm water) twice a day before meals.
It clears the urinary channels and reduces leftover urine. Especially good after stricture issues.
What you will notice: Fewer night urine, better bladder capacity.

4. Ashwagandha Capsule
Take 1 capsule at night after food.
It calms your nerves, helps you sleep deeper, and dials down anxiety-driven urgency.
What you will notice: Better sleep, less stress, fewer urgent bathroom visits.

5. Shilajit Capsule (pure)
Take 1 capsule in the morning.
It strengthens Apana Vata and the bladder tissues. Helps with diabetic bladder weakness.
What you will notice: You’ll be able to hold urine longer, nerves in the pelvis get stronger.

DIET TIPS

Skip these after 6 PM: - Tea or coffee - Fruits - Cold drinks - Soup or lots of water

Try this instead: - Eat dinner before 7 PM - Stick to light, dry foods (like roti, sabzi, and dal) - Drink only warm water

LIFESTYLE ADVICE - Always empty your bladder fully before bed - Put away your phone or screen after 9 PM - Practice: Moola Bandha, Anulom Vilom, and Bhramari Pranayama (these help strengthen bladder nerves directly)

Important Note
All these medicines work fine with Metformin, are safe for your kidneys, and won’t mess with your other treatments.

Your problem is functional, not structural. This is a reversible bladder issue from diabetes—not kidney disease. With the right medicines and diet, most people get back to normal sleep without needing long-term treatment.

Wishing you deep, peaceful sleep again

Warm Regards Dr. Snehal Vidhate

Don’t worry take Chandra Prabha vati 1tab bd Siva gulika 1tab bd Somanath ras 1tab bd Nishamalki 1tab bd U ll get results

TAKE CHANDRAPRABHAVATI 2 BD TAKE GOKSHURSDI GUGULU 2 BD TAKE NEERI SYRP 10 ML 2 TIMES DAYS

Hi this Dr soukhya really thanks for detailed information regarding your issue…no need to worry… Have control on your sugar level is must and should Rx -Nisha amalaki churu 1stp in warm water in the morning…it really helps for proper control over sugar T.Varunadi kashaya 10ml twice after food T . Chandraprabhaa vati 1-0-1after food T Arogyavardini vati 1-0-1after food Follow this for 1 month if any issues kindly let me know

1.Bahumutrantaka ras 1 tab twice daily with warm water or honey after meals 2.Chandraprabha vati 2 tab twice daily with water after meals

Ahara (Diet): - Reduce evening fluid intake, especially caffeine and alcohol. - Favor warm, light meals at night. - Include Bilva fruit, Amla, and barley water for urinary health.

Vihara (Lifestyle): - Stress management (since anxiety worsens nocturia). - Gentle yoga: Bhujangasana, Matsyasana for urinary tract support.

Shodhana (Detox/Panchakarma): - Basti therapy (medicated enema) is sometimes recommended for chronic urinary issues.

Warm Regards DR. ANJALI SEHRAWAT

1.Chandraprabha vati 1tab TID a/f 2.Lodrasava 20ml+equal quantity of water BD a/f 3.Nisha amalaki vati 1tab TID a/f

●NishaKathakadi kashaya 60ml mix in 2 litre water and consume as usually