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General Medicine
Question #17493
169 days ago
211

diuretic - #17493

Lincoln

For the last few weeks, I’ve been feeling really bloated, especially around my legs and ankles. Some days, my rings even feel tight, like my hands are swelling. I thought it was just because of too much salt in my food, but even when I try to eat healthy, the swelling doesn’t completely go away. A friend suggested I try a diuretic to reduce water retention, but I don’t really want to take medicines without understanding why this is happening. I don’t have any kidney issues as far as I know, but I do have borderline high blood pressure. A doctor once mentioned that some people with hypertension are prescribed a diuretic to help reduce extra fluid. But can taking a diuretic long-term cause any problems? I’ve heard they can dehydrate you or cause an imbalance of minerals. I also read that there are natural Ayurvedic diuretics like coriander seeds, barley water, and punarnava. Do these work the same way as medical diuretics? Are they safe to take daily? And do they actually help the body remove extra water without affecting potassium or sodium levels? Is there a way to figure out if my body is holding onto too much water due to digestion issues, stress, or lack of physical activity? I drink plenty of water but don’t go to the bathroom as often as I think I should. Could Ayurveda help regulate this naturally without depending on a diuretic? Are there any specific foods or lifestyle changes that can help reduce water retention naturally? I’d also like to know if Ayurveda suggests any massages, oils, or detox practices to balance water levels in the body without using a diuretic all the time.

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Doctors’ responses

Water retention (Shotha) in Ayurveda is often linked to imbalances in Kapha and Vata, affecting circulation, digestion, and kidney function. Since you have borderline high blood pressure, your body may be holding onto excess fluids due to poor circulation or improper elimination of toxins (Ama buildup). Instead of medical diuretics, which can disturb electrolyte balance, Ayurveda focuses on natural diuretics like Punarnava (1 tsp powder with warm water twice daily) and coriander seed tea (boil 1 tsp seeds in water and drink twice a day) to gently remove excess water without depleting essential minerals.

Your digestion (Agni) plays a major role in fluid balance. If your metabolism is sluggish, excess fluid can accumulate. You mentioned not urinating as often—this could mean your kidneys need gentle stimulation. Barley water (boiled barley with cumin seeds) is excellent for supporting kidney function and reducing swelling naturally. Additionally, avoiding heavy, salty, and processed foods while increasing light, warm meals with mild spices like ginger, turmeric, and fennel can enhance digestion and prevent water retention. Triphala churna (½ tsp with warm water at night) can help detoxify and improve bowel movements, which also aid in fluid balance.

For external support, Abhyanga (self-massage with warm mustard or dry ginger oil) followed by a warm bath with Epsom salt can stimulate circulation and reduce swelling in the legs. Leg elevation, mild yoga (Viparita Karani - legs up the wall pose), and walking daily will help prevent fluid buildup due to inactivity. Stress can also affect fluid retention, so incorporating deep breathing (Bhastrika Pranayama) and meditation can regulate your nervous system and blood pressure. With consistent lifestyle adjustments and Ayurvedic remedies, you can balance your body’s water levels naturally without relying on diuretics. Let me know how this works for you!

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Dr. Harsha Joy
Dr. Harsha Joy is a renowned Ayurvedic practitioner with a wealth of expertise in lifestyle consultation, skin and hair care, gynecology, and infertility treatments. With years of experience, she is dedicated to helping individuals achieve optimal health through a balanced approach rooted in Ayurveda's time-tested principles. Dr. Harsha has a unique ability to connect with her patients, offering personalized care plans that cater to individual needs, whether addressing hormonal imbalances, fertility concerns, or chronic skin and hair conditions. In addition to her clinical practice, Dr. Harsha is a core content creator in the field of Ayurveda, contributing extensively to educational platforms and medical literature. She is passionate about making Ayurvedic wisdom accessible to a broader audience, combining ancient knowledge with modern advancements to empower her clients on their wellness journeys. Her areas of interest include promoting women's health, managing lifestyle disorders, and addressing the root causes of skin and hair issues through natural, non-invasive therapies. Dr. Harsha’s holistic approach focuses on not just treating symptoms but addressing the underlying causes of imbalances, ensuring sustainable and long-lasting results. Her warm and empathetic nature, coupled with her deep expertise, has made her a sought-after consultant for those looking for natural, effective solutions to improve their quality of life. Whether you're seeking to enhance fertility, rejuvenate your skin and hair, or improve overall well-being, Dr. Harsha Joy offers a compassionate and knowledgeable pathway to achieving your health goals.
166 days ago
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In Ayurveda, water retention is often linked to an imbalance in the Kapha dosha, which can cause excess fluid to accumulate in the body. This can happen due to poor digestion, stress, or insufficient physical activity. To address this naturally, you can use herbs like Punarnava and coriander seeds, which act as gentle diuretics and help the body expel excess water without disrupting electrolyte balance. Barley water is also beneficial for its cooling and detoxifying properties, helping to reduce bloating and water retention. These remedies are safe when used regularly, but it’s important to focus on improving digestion (Agni) with foods like ginger, cumin, and fennel, which stimulate proper digestion and reduce water retention. To support this process, a light daily routine of physical activity, such as walking or yoga, can help improve circulation and lymphatic drainage. Ayurveda also suggests dry brushing and oil massages with warming oils like sesame to help improve circulation and reduce stagnation. Lastly, staying hydrated is essential, but balancing water intake with the right foods—such as diuretic fruits like watermelon, cucumber, and asparagus—can further support the body’s natural detoxification process. These approaches can help reduce water retention and support overall wellness without the need for pharmaceutical diuretics.

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Thank you for sharing your symptoms and concerns. The bloating and swelling you’re experiencing, especially around the legs and hands, could relate to a disturbance in your water metabolism, often linked to imbalances in the doshas, particularly Kapha, which governs water and fluid balance in the body.

Ayurvedic Dietary Recommendations:

1. Hydration with Warm Water: Aim to drink warm water throughout the day, as it helps stimulate digestion and supports the elimination of excess fluids. Try drinking a cup of warm water every hour.

2. Reduce Salt and Processed Foods: Continue to minimize salt, especially processed foods which can retain water. Opt for fresh herbs and spices (like cumin, ginger, and turmeric) to enhance flavor without sodium.

3. Incorporate Natural Diuretics: - Coriander Seeds: Soak 1 tsp of coriander seeds in water overnight. Strain and drink the infusion in the morning. - Barley Water: Boil ½ cup of barley in 4 cups of water, strain, and drink this throughout the day. - Punarnava (Boerhavia diffusa): This herb is known for its diuretic properties. You can take it in a supplement form or herbal tea after consulting with a qualified herbalist.

Lifestyle Changes:

1. Daily Activity: Engage in gentle exercises like walking or yoga to stimulate circulation and lymphatic drainage. Aim for at least 30 minutes of movement daily.

2. Stress Management: Practice relaxation techniques such as meditation or deep-breathing exercises, as stress can contribute to digestive and fluid retention issues.

3. Massage: Try a light self-massage (Abhyanga) with warm sesame oil, focusing on your legs. This can stimulate circulation and aid in the mobilization of excess fluids. Use circular strokes toward the heart.

Detox Practices:

1. Gentle Cleansing: A simple detox with warm lemon water in the morning can help stimulate digestion and flush out excess fluids.

2. Triphala: This traditional Ayurvedic formulation can support digestive health. Take 1 tsp of Triphala powder mixed with warm water before bedtime to support digestion.

Monitoring and Additional Care:

Check for possible digestive issues (such as constipation) that might be contributing to water retention. Since you mentioned drinking plenty of water but not urinating frequently, it’s crucial to assess how well your body is processing fluids.

Overall, natural approaches can help balance your body without relying entirely on diuretics. However, if you experience persistent symptoms or new concerns, check in with a healthcare provider to rule out underlying conditions.

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