Patients age 75 can't control on urine and having losses stools - #19894
Patients age is 75 having copd. Prostate size 35 left legs unable to move. Having loos stools and urine without his knowledge. Recently have a urine retention. Low bp and having more uric acid in the direct blood.
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Doctors’ responses
Hi,
Does the patient experience any shortness of breath or wheezing with COPD? Are there any changes in appetite or swelling in the legs or feet? Also, does the patient feel any pain or discomfort in the lower abdomen or during urination, and how frequent are the loose stools?
To manage uric acid, try incorporating Gokshura and Punarnava in his regimen to support kidney and urinary health. Triphala can help regulate bowel movements, while Ashwagandha might assist in managing low blood pressure. Ensure he stays hydrated and avoids foods that increase uric acid.
Since he has multiple health concerns, his diet should be light but nutritious, with easily digestible foods. Let me know if he has any specific difficulties, like difficulty swallowing or eating. We can’t dump too many medicines…so we can start one by one which is more worrying him that issue we can take into consideration and start
At the core of this patient’s condition are several interconnected issues, so we’ll need to look at each aspect through Ayurveda’s lens. The combination of COPD, prostate concerns, and urinary incontinence suggests underlying vata and kapha imbalance. Vata governs movement and elimination while kapha influences fluids, thus this imbalance can affect bladder control and stool regularity.
For the COPD, we can bring attention to pranayama practices which gently encourage lung capacity without straining: recommend nadi shodhana (alternate nostril breathing) to harmonize vata and prana vayu, enhancing breath control. Just a daily session, done with care and within comfort levels, might help reduce the burden on the respiratory system.
Addressing the prostate and urine issues, it’s crucial to consider pitta balance too. Gokshura (Tribulus terrestris) and punarnava (Boerhavia diffusa) have been traditionally used to support urinary health. A decoction can be prepared, drink it twice a day after food. But for immediate concerns like recent urine retention, I would urge seeking a healthcare provider promptly; it can carry risks that need direct attention.
Low blood pressure and uric acid problems call for diet adjustments. Avoid excessive salt, processed foods, and increase intake of fresh fruits like pomegranates and vegetables like beetroot to gently support bp levels. Uric acid can be managed with a light diet of mung beans and consumption of alkalizing vegetables. Drink water infused with lemon—an easy way to help maintain proper blood pH.
For leg mobility issues, engage in self-abhyanga (oil massage) using warm sesam oil, focusing on the legs. It could help improve circulation and flexibility. Encourage gentle movements within ability to keep joint function optimal. Always listen to the body’s signals to avoid overexertion.
The above measures share overarchingly the importance of regularity; they should be integrated slowly and adapted to comfort. Careful observation and adjustment based on what aids the patient’s quality of life is essential. Always align Ayurveda with ongoing medical advice, especially with complex conditions.

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