Urine not passing freely and painful - #23082

1. Punarnavadi kashayam - 15 ml with boiled hot water morning before food ( empty stomach) 2. Bruhatyadi kashayam - 15ml with boiled hot water evening (empty stomach) 3. Chandraprabha gulika - 1 tab twice daily after food

Drink plenty of water. Avoid bakery products. Tab.Chandraprabhavati 2-0-2 Tab.Aluretic 1-0-1

HELLO SANDEEP JI, YOU ARE EXPERIENCING- LOW URINE FLOW, PAIN WHILE URINATING, PROLOMGED TIME TO VOID URINE, WITH NORMAL SONOGRAPHY FINDINGS. -THESE ARE CLASSICAL SIGNS OF VATA-KAPHAJA MUTRAKRICCHRA(DIFFICULTY IN URINATION DUE TO OBSTRUCTION,DRYNESS,OR SPASM IN URINARY CHANNELS) AND POSSIBLY INITIAL MUTRAGHATA(OBSTUCTIVE UROPATHY, OFTEN INVOLVING THE BLADDER NECK OR PROSTATE IN MEN OVER 50) -EVEN IF IMAGING DOEN'T SHOW A VISIBLE BLOCKAGE AYURVEDICALLY THIS CONDITION IS DUE TO 1)SROTORODHA-OBSTRUCTION IN URINARY CHANNELS -DUE TO AGGRAVATED KAPHA(MUCOUS, HEAVINESS,INFLAMMATION) -POSSIBLY MILD PROSTATIC ENLARGEMENT , INFLAMMATION, OR BLADDER DYSFUNCTION THAT DOESN'T SHOW UP IN A BASIC SCAN 2)VATA DUSHTI- AGING INCRESES APANA VATA DRYNESS -CAUSES WEAK BLADDER CONTRACTIONS, DELAY IN STARTING URINATION, ANS SPASMODIC OR PAINFUL VOIDING -LEADS TO FEELING OF INCOMPLETE EMPTYING , LOW FLOW OR LONGER DURATION 3)AMA(TOXIN)ACCUMULATION-LOW DIGESTIVE FIRE AND TOXIN BUILD UP -CAUSES INFLAMMATION,ALTERED URINARY CHEMISTRY, BURNING OR PAIN THIS IS A COMMON AGE RELATED URINARY SYNDROME IN MEN OVER 50-OFTEN MISSSED OR UNDERDIAGNOSED IN EARLY STAGES #TREATMENT GOAL IS AIMED AT -REDUCING INFLAMMATION -ENHANNCING URINE FLOW -SUPPORTING PROSTATE HEALTH -PREVENTING LONG-TERM COMPLICATIONS-LIKE INFECTION OR RETETION SO TREATMENT IS DIVIDED INTO 3 PHASES BUT REMEMBER ALONG WITH INTERNAL MEDICATIONS+DIET MAINTAINANCE+LIFESTYLE MODIFICATIONS+YOGA PRANAYAM AND STRESS MANAGEMENT ALSO PLAYS IMPORTANT ROLE IN YOUR CASE TO GET RID OF THE PROBLEM #PHASE 1- AMA PACHANA+SROTOSODHANA(DETOX AND CLEARING THE OBSTRUCTION) DURATION- FIRST 10 DAYS 1)VARUNADI KASHAYA- 15ML+45ML WARM WATER TWICE DAILY BEFORE MEALS= CLEARS URINARY CHANNELS AND REDUCES KAPHA OBSTUCTION RECOMMENDED BRAND=AVP/KOTTAKAL NO OTHER BRAND STRICTLY 2)PUNARNAVA MANDUR- 2 TABS TWICE DAILY AFTER MEALS=REDUCES SWELLING, IMPROVES KIDNEY-BLADDER TONE BRAND- BAIDYANATH/DOOTPAPESHWAR 3)CHANDRAPRABHAVATI- 2 TABS TWICE DAILY AFTER MEALS= TRIDOSHA BALANCING, RELIEVES PAIN AND REGULATES URINATION BRAND- BAIDYANATH/PATANJALI 4)GOKSHURADI GUGGULU- 2 TABS TWICE DAILY BEFORE MEALS= STRENGTHEN URINARY SYSTEM, REDUCES INFLAMMATION BRAND- DOOTPAPESHWAR AT BEDTIME= MIX 1 TSP GOKSHURA CHURNA_1/2 TSP YASTIMADHU CHURNA IN LUKEWARM WATER- REDUCES PAIN AND SOOTHES BLADDER DURATION=10 DAYS, CONTINUE #PHASE 2- VATA BALANCING+PROSTATE TONING+REJUVINATION DURATION= 3 TO 6 WEEKS AFTER 10 DAYS OF PHASE 1 1)SHILAPRAVANG SPECIAL- 1 TAB TWICE DAILY IN MORNING AND EVENING=IMPROVES PROSTATE HEALTH, STRENGTHENS REPRODUCTIVE URINARY SYSTEM BRAND- UNJHA/ZANNDU 2)PROSTONUM TABLET- 1 TAB TWICE DAILY AFTER MEALS=REDUCES PROSTATE INFLAMMATION, IMPROVE FLOW BRAND- HIMALAYA 3)DASHMOOLARISTA- 15ML+15ML WATER AFTER MEALS=IF STIFFNESS OR LOWER BACK PAIN IS ASSOCIATED BRAND- BAIDYANATH/ZANDU/DOOTPAPESHWAR 4)ASHWAGANDHA AVALEHA- 1 TSP WITH WARM MILK AT NIGHT=VATA RASAYANA, ENERGIZER,IMPROVES BLADDER TONE BRAND- BAIDYANATH #PHASE 3- MAINTENANCE AND REJUVINATION DURATION- AFTER PHASE 2(PHASE 2 IS TILL 1 MONTH FROM STARTING TREATMENT PHASE 1-10 DAYS,PHASE 2-FOR NEXT 20 DAYS) SO PHASE 3 IS FROM 1 MONTH TO 2ND MONTH -CONTINUE SHILAPRAVANG AND CHANDRAPRABHA VATI -WEEKLY USE OF VARUNDAI KASHAYA TO PREVENT REOCCURANCE -USE ASHWAGANDHACHURNA+GOKSHURA CHURNA- DAILY AT BEDTIME WITH MILK OR WATER #DIET TO BE FOLLOWED STRICTLY FOR 1 MONTH -LIGHT,WARM,WELL COOKED,EASY TO DIGEST MEALS -AVOID EXCESSIVE DRYNESS, OR MUCOUS FORMING FOODS -INCLUDE MILD DIURETICS,BLADDER FRIENDLY HERBS NATURALLY IN FOOD -SIP WARM WATER THROUGOUT THE DAY WITH HERBS *RECOMMENDED FOODS #GRAINS AND STAPLES:- -BARLEY=MILD DIURETIC,URINARY PURIFIER -RICE(OLD)= EASY TO DIGEST,SUPPORTS VATA BALANCE -MOONG DAL(GREEN GRAM)=LIGHT, NON FLATULENT -BROKEN WHEAT(DALIYA)= STRENGTHENS TISSUES, EASY ON DIGESTION AVOID- MAIDA, STALE WHEAT ROTIS, OVERUSE OF MILLET #VEGETABLES(STEAMED OR SAUTEED IN GHEE) -LAUKI=REDUCES URINARY INFLAMMATION -TURAI=LIGHT, SUPPORTS URINE FLOW -PARWAL=PACIFIES PITTA, NO MUCOUS -PUMPKIN=SOOTHING TO BLADDER -CARROT=STRENGTHENS BLADDER TONE -DRUMSTICK(MODERATE)= IMPROVES APANA VATA AVOID- CABBAGE,CAULIFLOWER,BRINJAL,POTATO,TOMATO,ONIONS(AT NIGHT) #FRUITS -POMEGRANATE= 1 DAILY OR 1/2 CUP JUICE -SOAKED BLLACK RAISINS=5-7 IN MORNING -COCONUT WATER= ONCE IN MORNING, NOT AFTER 5PM IN EVENING -AMLA= RAW OR POWDER FORM AVOID= BANANA, CITRUS IN EXCESS,GUAVA,RAW PAPAYA #LIQUIDS AND DECOCTIONS -BARLEY WATER=BOIL 1 TBSP BARLEY IN 1 L OF WATER, SIP ALL DAY -CORIANDER+FENNEL SEED WATER- 1 TSP EACH BOILED IN 2 CUPS WATER, REDUCE TO 1 CUP-DRINK MID MORNING -GOKSHURA TEA -WARM JEERA WATER AFTER MEALS #FOODS TO AVOID STRICTLY -COLD AND DRY =COLD WATER,REFRIGERATED FOOD, DRY ROTIS, CHIPS -MUCOUS FORMING=CURD AT NIGHT, PANNER,EXCESS DAIRY,CHEESE -FERMENTED/SOUR= PICKLES, VINEGAR, SAUCES -FLATULENT LEGUMES= RAJMA, CHANA, MATAR, MASOOR, URAD DAL -CONSTIPATING= BAKERY ITEMS, MAIDA, FRIED SNACKS -IRRITATING= CHILLIES,GARLIC IN EXCESS, TOO MUCH GINGER -ADDICTIVE=TEA/COFFEE(1 CUP MAX IN DAY), TOBACCO, ALCOHOL #YOGA/MUDRA/EXERCISE ASANA(EMPTY STOMACH) -PAWANMUKTASANA -MOOLA BANDHA-GENTLLE PERINUEM CONTRACTION-10 REPS MORNING AND EVENING -VAJRASANA AFTER MEALS-STRENGTHEN URINARY TONE -BHUJANGASANA-IMPROVES PELVIC CIRCULATION MUDRAS- -APANA MUDRA(THUMB+MIDDLE+RING FINGER TOUCH) PRACTICE FOR 10 MINS TWICE DAILY-IMPROVES URINE FLOW AND APANA VATA AVOID- -LONG SITTING IN SAME POSTURE -HOLDING URINE FOR LONG -EXPOSURE TO COLD WIND OR WATER ON LOWER BACK -CONSTIPATION-MAINTAIN REGULAR BOWEL HABITS #MENTAL WELLBEING -CHORINC BLADDER WORSEN WITH STRESS->MANAGE THROUGH BREATHING PRACTICES -DO DEEP ABDOMINAL BREATHING-10MIN/DAY -AVOID OVERTHINKING OR CONTROLLING NATURAL URGES ADVISED SITZ BATH WARM WATER+DASHMOOL DECOCTION FOR 10 MIN DAILY -HELPS RELAX PELVIC MUSCLES AND CLEAR INFLAMMATION DO FOLLOW CONSOSTENTLY FOR 1 MONTH YOU WILL GET RELIEF 100% HOPE THIS MIGHT BE HELPFUL THANK YOU DR. MAITRI ACHARYA