Urine not passing freely and painful - #23082

Sandeep ji, if USG is normal then,may be due to UTI there is inflammation and pain Start drinking good amount of water daily Clean the urinary area and apply coconut oil at tip,so that if any local irrigation then it will subside *Thank you for the details. Low and painful urine flow despite normal sonography suggests a functional issue, possibly due to:

🔍 Likely Causes (Common at Age 50+)

1. Prostate enlargement (Benign Prostatic Hyperplasia - BPH)

2. Urethral inflammation or stricture (scarring or narrowing)

3. Bladder weakness or residual urine buildup

4. Urinary tract infection (UTI) – even low-grade, can cause pain and slow flow

✅ Ayurvedic Treatment Plan for Low, Painful Urine Flow

These remedies work by:

Soothing urinary tract

Improving urine flow

Reducing inflammation of prostate/bladder

Preventing future blockages

🔸 1. Chandraprabha Vati

🔹 Dose: 1–2 tablets twice a day after meals

🔹 Use: Supports prostate health, clears infection, improves urinary flow

✅ Safe long-term

💰 Price: ₹130–₹160 (40 tablets)

🔸 2. Varunadi Kwath / Kashayam

🔹 Dose: 15–20 ml with warm water twice daily

🔹 Use: Shrinks prostate, flushes kidneys, reduces inflammation

✅ Classical Ayurvedic decoction

💰 Price: ₹130–₹180

🔸 3. Gokshuradi Guggulu

🔹 Dose: 2 tablets twice daily

🔹 Use: Improves urinary output, reduces discomfort, works on bladder tone

💰 Price: ₹100–₹150

🔸 4. Punarnava Mandoor (optional – if swelling or water retention)

💊 Supports kidney and bladder strength

🔹 Dose: 1 tablet twice daily after meals

🍽️ Diet and Lifestyle Plan

Eat:

Barley water (1 glass/day)

Coriander + cumin tea (flushes heat)

Fresh pomegranate, coconut water

Moong dal soup, ridge gourd, bottle gourd

Warm water throughout the day

Avoid:

Tea, coffee, alcohol

Tomatoes, brinjal, spicy/oily foods

Holding urine for long

Sitting too long (walk after meals)

🧘 Yoga & Tips

Gokshuradi guggul-2-0-2 Chandraprabha vati 2-2-2 Avoid- Spicy, oily food.

Take gokshuradi guggul 2-0-0 after food with water Chandraprabha vati 1-0-1 after food with water Drink : barley water , Fresh coconut water .

Thank you for sharing your concern, Sandeepji, slow and painful urine flow, despite normal sonography of a functional urinary tract infection possible linked to prostate or bladder Ayurveda offers you effective relief, you can start with Gokahuradi guggulu - Chandraprabha vati -one tablet each twice daily after food with warm water Varunadi kashaya-15, ML twice Daily diluted in warm water before meals Drink plenty of fluids, coconut water, barley, water Avoid heavy, spicy and sore food Stay physically, active, and do gentle lower abdominal exercises If you follow the above properly, then within few days, you’re going to see reduction in your symptoms

NAMASTE SANDEEP JI,

Thank you for the details. based on the symptoms- low urine flow, pain while urinating, and no abnormality on sonography- this condition may be linked with dysuria in Ayurveda. it can be due to- -Prostate Enlargement(even if mild and not visible yet on sonography) -Urethral stricture or inflammation. -Vata-Kapha obstruction in the urinary tract. -Mild infection or irritation of the urinary lining(despite normal sonography)

#PROBABLE AYURVEDIC DIAAGNOSIS- -Vataja mutrakrichhra or Sannipataja Mutrkricchra=due to vata obstruction + kapha accumulation in urinary tract.

#INTERNAL MEDICINES ADVISED

1)Chandra Prabha vati- 2 tabs twice a day after meals= supports urinary function and prostate

2)Punanarvasava- 2 tsp with equal water, twice after meals

3)Gokshuradi guggulu- 2 tabs twice a day after meals=anti-inflammatory , reduces inflammation

4)Varunadi kashaya- 15 ml with water twice a da before meals=helps uriine flow, reduces inflammation.

5)Punarnava mandir- 2 tabs twice a day after meals= supports kidney and urine output.

if burning sensation present then replace varunadi with gokshuradi kashaya

-Jeera-dhaniya-punarnava decoction- boil 1 tsp of each in 2 cups water->reduce to 1 cup->filter and take once daily, preferably morning.

#DIET

INCLUDE- -drink lukewarm water infused with jeera, Dhaniya or barley -take light, non spicy, non oily food -include coconut water, sugarcane juice(fresh), buttermilk

AAVOID- -tea, coffee, alcohol , sour curd -avoid sitting for too long , especially on cold surfaces -avoid suppressing natural urges-especially urination.

#LIFESTYLE AND YOGA- -sukhasana -vajrasana after meals -moola bandha -anulom-vilom -bhramari all for pelvic health

-warm sitz bath - add dashmool decoction once daily

INVESTGATION(IF NOT DONE ALREADY) -if symptoms persist, consider -PSA TEST- FOR PROSTATE -URINE ROUTINE+CULTURE -UROFLOWMETRY- FLOW STUDY

With 4-6 weeks of constant therapy, significant relief is expected. -If unresolved, further evaluation like PSA or Uroflowmetry may be advised.

THANK YOU

DR. HEMANSHU MEHTA

When urine flow is slow and painful, it can feel frustrating especially when tests like sonography come back normal. In Ayurveda, this condition might relate to an imbalance of the Apana Vata and can be linked to dryness or inflammation in the urinary tract. Some practical ayurvedic suggestions might help you find relief, focusing on balancing this vata and supporting the urinary system.

Incorporate warm and hydrating foods in your diet, like soups or well-cooked rice with herbs like cumin, fennel, and coriander. These spices have cooling and soothing properties that aid with urination. It’s crucial to keep yourself well hydrated with warm water throughout the day to flush out any excesses from the body.

Punarnava is an herb particularly regarded for supporting kidney function and aiding in easier urination. You can take it as a powder, about 1 teaspoon mixed with warm water twice a day. Again, it’s good to check with your local practitioner to ensure it’s suitable for you.

Practicing gentle yoga postures can help, too. Poses like Baddha Konasana (Butterfly pose) enhance circulation around the pelvis and can improve urinarty flow. Meditate on it regularly, not pushing your body too hard.

Apply warm fomentation over your lower abdominal area using a hot water bottle or heated cloth. About 10-15 minutes this routine session daily can help relax the muscles and dilate the urinary pathway.

Additionally, pay attention to avoid foods that increase dryness or inflammation—stay clear of processed, cold, or excessively spicy/citrusy intake. Emotional stress can be a factor, so make time for relaxation and calming activities to reduce stress.

If symptoms don’t improve, please see a medical professional promptly. While Ayurveda is a powerful health system, severe cases or persistent pain need some medical attention to rule out underlying issues.