Two three drops of urine comes out after peeing. - #23846

From when are you observing this?

It may be due to weakness of Bladder muscle. Take Chandraprabha Vati 1-0-1 Ashwgandha Powder 1/2 tsf with leukworm water

Practice kegel exercise regularly

You should consult Urologist for better management.

Start on Chandraprabha vati - Gokahuradi guggulu-one tablet each twice daily after food it warm water Check urine routine Us scan whole abdomen with kub

Don’t worry

🌱 Drink lot of water

🌱 Intake cucumber, papaya, milk

🌱 Maintain personal hygiene

Medicines :

1. Aragwadarishtam+ khadirarishtam - each 10 ml mixed morning and night after food

2. Chandraprabha gulika - 2 - 0 - 2 after food

3. Gokshuradi guggulu - 1 - 0 - 1 after food

* After 2 weeks

1. Guggulu thikthakam ghrtam - 20 ml with warm water at night

2. Guduchi tab. 2 - 0 - 2 after food

Exercise - kegel exercises

Avoid caffeine, alcohol, smoking, acidic food

Do regular pelvic floor exercise Add fibre to diet

Please take USG abdomen and pelvis , Do kegel exercises, Take 2-3 tsp brihatyadi kashaya choorna boiled in 100ml of water and drink whole day instead of normal water Ural tab 1-0-1 afterfood Gokshuradi guggulu 1-0-1 afterfood Stay hydrated You can take barley water also Thankyou

Hie mohd Aziz…first of all please go with USG WHOLE ABD WITH PVR test…along with UROFLOMETRY TEST…

TAKE DIVYA MEDHA KWATH=100GM …DIVYA GOKHRU KWATH=100GM HAZRUL YAHOOD BHASM=20GM… MIX ALL IN A JAR TAKE 2 TSP BOIL 200ML OF WATER TILL REDUCES 100ML TAKE EMPTY STOMACH TWICE DAILY

DIVYA VISHTINDUK VATI DIVYA SILAJEET RASYANA DIVYA KANCHNAR GHAN VATI=1-1 TAB AFTER MEAL TWICE DAILY

TRY THIS MED FOR 20 DAYS IF NOT GET POSITIVE REULTS SO GO FOR ABOVE TEST…I THINK YOU RELIVED THIS MED

DO PELVIC FLOOR EXERCISE=KEEGAL EXERCISE TO STRONG PELVIC FLOOR MUSCLES…

HOPE YOU GET WELL INSHALLAH

hello MOHD MAFAZ I can understand your concern regarding your urine issue and the embarrassing situation you must be facing due to this problem. we are here to help you out

YOUR CONCERN 1. after peeing , 2-3 drops of urine leaks out

AFter seeing all the chats with our doctors I can understand that you have taken follwing medications but it has not helped you 1. gokshguradi guggulu 2. chandraprabha vati 3. ashwagandha powder 4. liver tonic

** PROBABLE CAUSES** Weak pelvic muscles- your muscles of pelvic region must go weak resulting in poor bladder control Urethral traping - some urine gets trapped in the urethra and after some time it comes out Prostate issue - enlarged prostate can cause dribbling urine Urinary tract infection- any infection in your urinary tract can cause this issue

Ayurvedic prespective A few drops of urine leaking after micturation is called post micturation dribling (PMD) According to ayurveda it is due to vaat dosha vitiation in your urinary tract

TREATMENT PLAN I will advise to to get your USG ( Abdo+ pelvis) done to rule out prostate enlargement

INTERNAL MEDICATION Veeratradi kashyam 15 ml-0-15ml +45 ml water after food Punarnavadi ks tab 2-0-2 after food Vasthyamanthka ghritha 1 tsp at bed time follwed by watm water

External treatment Dhanwanthram 101 ( keel the bottle in warm water before use) - apply few drops on lower abdomen region

This tretament will definately help you but as advised do you usg first if the dribbling of urine is due to prostate enlargement then we have to change the treatment plan

Hope you found this helpful!!!

Regards Dr snehal Vidhate

2-3 drops of urine after passing urine, you should not worry, nothing serious, many face this . Get your USG done pre and post void urine, if report is normal, You are fine. Nothing to worry Meanwhile you can do kegel exercises 2-3 times a day. Exercise of stopping/ controlling urine for few seconds.

It seems like you’re experiencing post-void dribbling, a common issue that can happen to both men and women. This isn’t typically a serious health concern, but it can be uncomfortable. Ayurveda approaches this condition by considering factors like dosha imbalances and strengthening the urinary system and pelvic floor muscles.

First, let’s consider your dosha and lifestyle. If there’s a predominance of Vata dosha, which governs movements in the body, it may lead to disturbances in the normal flow of urine. An imbalance here can cause irregular muscle contractions and incomplete voiding.

To address this, focus on calming Vata with warm, grounding foods. Incorporate sesame oil massages into your routine, as they are excellent for balancing Vata. Applying gentle abdominal pressure during a warm bath or using warm compresses on your lower abdomen can also be beneficial.

Incorporate Kegel exercises into your daily regimen. These help strengthen the muscles of your pelvic floor, which can improve control over urination. Practice this by squeezing the muscles you would use to stop urination, holding for a count of five, and then releasing. Do this 10-15 times, three times a day.

Diet plays a crucial role in balancing dosha and strengthening the urinary system. Include foods that are rich in potassium, like bananas and potatoes, and hydrating fruits like watermelon and cucumber. Avoid caffeinated beverages and excessive amounts of cold drinks as they can aggravate Vata.

An Ayurvedic formulation, such as Chandraprabha Vati, might be considered for improving urinary health. However, it should only be taken under the guidance of a qualified Ayurvedic practitioner, as it needs to align with your personal constitution and any other health considerations.

If the problem persists for a prolonged period or if there’s any associated discomfort, it’s wise to consult a healthcare professional to rule out other underlying concerns. As always, ensure you’re hydrated, but spread fluid intake throughout the day rather than consuming large amounts at once.

HELLO MOHD MAFAZ,

AGE- 24 years COMPLAINT- 2-3 drops of urine leak out in underwear after urination, especially while walking, or sitting down after using the bathroom.

WHAT IS THIS PROBLEM? This is called post- void dribbling(PVD). it means that some urine is left in urethra(urine pipe) even after you’ve finished urination. when you move, sit or bend, this leftover urine leaks out as a few drops.

it happens because -weak pelvic floor muscles= they help squeeze out the last few drops os urine, and if they are weak, urine remains inside -Poor bladder tone or pressure -Incomplete emptying of urethra -Disturbed Apana vata- in Ayurveda, Apana vata controls urination, and if its imbalanced, urine flow gets disturbed.

TREATMENT GOAL IN YOUR CASE IS -to restore proper bladder and urethral function by improving the tone, strength, and control of the pelvic and urinary muscles while correcting the root imbalance in the body’s system- especially Apana Vata in Ayurveda

INTERNAL MEDICINES PLANNED FOR YOU DURATION= 6-8 weeks

1)CYSTONE TABLETS- BY HIMALAYA -2 tabs twice daily after meals =strengthens bladder and urinary system

2)NEERI SYRUP- AIMIL BRAND -10 ml twice daily after meals =clears urinary tract, reduces dribbling

3)STONVIL CAPSULES- by. ALARSIN -1 cap twice daily after meals =helps in urine flow regulation

4)ASHWAGANDHADI LEHYAM- 1 tsp with warm milk at bedtime =strengthens nerves and muscles

5)CHANDRAPRABHA VATI- BY BAIDYANATH/DABUR -2 tabs twice daily after meals =tones urinary organs and balances Apana vata

6)PUNARNAVARISHTA -15ml with equal water after breakfast and dinner =reduces residual urine, acts as a mild diuretic and rejuvenator

DIET TO BE MAINTAINED -warm, freshly cooked meals -cows ghee- 1 tsp in lunch and dinner -moong dal khichdi, barley, rice -vegetables- bottle gourd, ridge gourd, pumpkin, ash gourd -amla juice or murabba- daily in morning -tender coconut water- morning or noon

AVOID -cold water, ice cream, aerated drinks -too much tea/coffee -spicy, fried, junk food -holding back urine or delaying urination

LIFESTYLE AND DAILY ROUTINE TIPS

MORNING- wake up before 7 AM, drink 1 glass warm water

AFTER FRESHENING- ado 15-20 mins of light yoga

AFTER BREAKFAST- take medicines

AFTERNOON- avoid sleeping during day-it aggravates vata

EVENING- take a short walk or do light stretches

NIGHT- avoid using phone/computer 30 mins before sleep

BEDTIME- ashwagandadi lehyam with warm milk+early dinner before 9pm

YOGA AND EXERCISES- FOR PELVIC STRENGTH do these daily for at least 20-25minutes

YOGA 1)MALASANA -deep squat, hold for 1-2 min -improves bladder function

2)SETU BANDHASANA -lie on back, lift hips upward -strengthens pelvic and urinary muscles

3)VAJRASANA -sit on knees after meals for 5-10 mins -helps digestion and Apana vata

4)BHUJANGASANA -improves spine and abdominal health

KEGEL EXERCISES these directly strengthen the muscles that stop urine flow -tighten the muscles you use to stop urinating(pelvic floor) -holf for 5-10 sec -release -do 3 sets of 10 repetitions daily in morning and evening can increase upto max

OIL MASSAGE+STEAM -use mahanaryan taila warm the oil, massage your lower back, abdomen, and thighs for 10-15 min THEN- use a hot water bag or warm towel for local steam do this 4-5 times a week

CHECKUP-IF NO IMPROVEMENT IN 2 MONTHS -urine routine test -ultrasound of bladder and urethra -uroflowmetry-test to check urine flow rate do this test only if after taking this treatment for 2 months no improvement is seen

Your condition is common, treatable and reversible with right combination of ayurvedic medicines, lifestyle corrections, and pelvic strengthening You’re young, and that works in your favour. There is no need to feel embarrassed or worried. with consistent effort for 6-8 weeks, you can expect -full control over urination -no leakage or discomfort -stronger pelvic muscles and bladder tone -long term urinary and nervous system health

REMEMBER "Your body doesn’t heal overnight- but it always responds to care, discipline and natural support BE PATIENT, BE CONSISTENT, AND FOLLOW -your medicine schedule -your dietary rules -your yoga and pelvic exercises -and most importantly stay positive and commited

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Hello Mohd Mafaz

" NO NEED TO WORRY "

" I WILL HELP YOU TO UNDERSTAND RECOVER WITH POST VOID URINE DRIBBLING SAFELY EFFECTIVELY "

UR ISSUE

PVD / PMD

Post Void Dribbling 2 to 3 Drops Urine Leakage Post Urination felt After a few minutes while Sitting & Movements

WHAT IS PVD /PMD ( MUTRASANG )

Post Urination Urine Dribbling caused by weakness or improper function of the pelvic floor muscles, particularly the bulbocavernosus muscle, which is responsible for expelling the last drops of urine from the urethra.

UR COMMON QUIRES

IS IT COMMON ?

—>Yes.Very Common nowadays

IS IT SERIOUS ?

—> NOT SERIOUS

IS IT REVERSIBLE?

Yes.In Ur Age 24

HOW MUCH TIME IT TAKES TO CURE

—> It Needs Long Time Commitment and Patience

WHY NEEDS LONG TIME ?

---->It’s Chronic Hence Related to Pelvic Floor Muscles & Urogenital Muscle Weakness.This May need a long time to Resolve

WHY PAST MEDICINE ( Chandraprabha Gokshuradi Or Other Medicine) WORKS PARTIALLY OR NOT GETTING RESULTS ? ----> It’s Not Only Curable with Medicine But Needed Other Care like Proper Investigations to identify root Causes Specific Exercise, Urge Disciplines, Urination Advices & Counselling

IS IT RELATED TO STRESS ?

—> Yes Might Be Related to Few Triggers One of the causes Stress Also

CAUSES FOR PVD/PMD

Muscle Weakness * Bulbocavernous Muscle Weakness * Pelvic floor Muscles Weakness * Urinary Bladder Muscle Weakness

Neurological Weakness * Weak Nerves Supplying Pelvic & Urogenital System * Stress Neuropathy

Anatomical Issues * Urethral Stricture * Urethral Diverticulum * Enlarged Prostate Prostatic Cyst

Prolonged Infection * Prolonged Urogenital Infections * Non Specific Urine Prostate Bladder Semen Infections

Other Causes * Over Mastrubation * Constipation * Overweight Obesity * Chronic Projectile Coughing * Past Urine Urge Suppression * Heavy Weigh Lifting * Straining Habit To Clear Bowels

INVESTIGATION REQUIRED TO IDENTIFY ROOT CAUSE

-Urologist Physical Examination -Urine Routine Microscopy -Uroflometry -Urodynamics -Ultrasound Scan Abdomen Pelvis -RBS TSH -Creatinine

TREATMENT GOALS

-Identifying Proper Cause & Correction -Strengthening Pelvic Floor Muscles & Bulbocavernous Muscle -Imrproving Bladder tone -Treating Infections -Correcting Anatomical Issues -Improving Psychogenic Control Over Urinary Physiology

NOTE - TAKING ONLY MEDICINES IN NOT ENOUGH TO SOLVE/MANAGE THIS ISSUE PERMENANTLY

IN MY CLINICAL PRACTICE I HAVE SEEN BEST PROMISING RESULTS BY COMBINATION FOLLOWING TREATMENTS TOGETHER

" Proper Investigation + Identification of Root cause & Correction Ayurvedic Medicine + Proper Urinary Urge Disciplines + Specific Exercises /Techniques + Yoga + Lifestyle Modifications + Counseling "

AYURVEDIC MEDICINES

-Tab.Mutrakrichrantak Ras ( Unjha Pharma) 1 -0-1 After Food -Tab.Neo ( Charak Pharma) 1 -0-1 After Food -Cap.Ural BPH ( Vasu Pharma) 1 -0-1 After Food -Brihat Varunadi Kadha ( Dhootapapeahwar Pharma) 15 ml -15 ml -15 ml Night After Food -Ashwagandhadi Lehyam ( Kottakal Pharma) 2 Tsf -o-2 Tsf Night After Food -Triphala Powder ( Baidyanth Pharma) 1 Tsf Night After Food Preferably with 1 Glass of Luke Warm Water

URGE DISCIPLINE

1) Sit down to urinate - Sitting down may help relax the pelvic muscles and promote more complete bladder emptying. 2) Wait longer after urination - After finishing urination, wait a few minutes before getting up. This allows any remaining urine to drain. 3) Double voiding - After emptying your bladder, wait a few minutes and then try to urinate again. This can help ensure a more complete bladder emptying. 4) Don’t urinate too often - Avoid urinating “just in case” as this can weaken the bladder and make the problem worse.

TECHNIQUE TO PASS URINE COMPLETELY -Rub Palms Together till becomes warm enough and Apply on Lower Belly To release Unclear Urine -Do Mild Castor Oil Massage Over Lower Belly & Apply Luke Warm Hot Bag tp release Unclear Urine

SPECIAL EXERCISES

1) Pelvic Floor Exercise Tighten Perineal Muscle and hold the contraction for 3-5 seconds, then relax for the same amount of time. Do 10-15 repetitions, 2-3 times a day

2) Kegel’s Exercise located Perineal & Urogenital Sphincter, squeeze them, hold for 3-5 seconds, then relax for a similar duration. Repeat this several times, aiming for 10 repetitions 3-5 times a day.

3) Urethral Milking - Gently massage or “milk” the urethra from behind the scrotum towards the tip of the penis to expel any remaining urine.

DIET TO TAKE -All Leafy Vegetables Fruits Salads Sprouts Fibers Juices -Plenty of Water Fluids Juices intake -Luke Warm Highly Nutritious Diet to take -Cranberry Watermelon Coconut Water To take -Soaked Dry Fruits to Take

TO AVOID -Too Spicy Salty Sour Masala Fried irems -Too Cold Freezed Items -Stimulants Like Tea Coffee Pickles -Fast Junk Foods Nonveg -Bakery Foods -Soda Vinegar Cold beverages

LIFESTYLE MODIFICATION -Avoid Fan Cooler AC Heavy Exposure -Quit Addictions -Maintain Health Weight -Unnecessary Overthinking Stress Panicness

YOGA * Surya Namaskar 10 Rounds * Gomukhasan 10 Rounds * Utkatasna 10 Rounds * Panvanmuktasan 10 Rounds * Ashwini Mudra

ANTISTRESS REGIME - Dhyan - Meditation

KEY TO SUCCESS -Keep Maximum Patience -Follow Every Advice carefully -Be Consistent in Ur Efforts -Be Positive

REGARDS

Dr Arun Desai

God Bless You 😊 🙏

If you have any questions u can ask me.I will answer to the level of your satisfaction.U have text option here.

HELLO MOHD MAFAZ,

The condition you’re describing- post void dribbling-is quiet common, especially in men and occurs when urine trapped in the urethra leaks out after urination. Its often due to weakened pelvic floor muscles or incomplete emptying of the uterus.

POSSIBLE CAUSES -weak pelvic floor muscles -enlarged prostate(BPH) -urethral stricture-narrowing of the urethra -Poor bladder- emptying techniques

In Ayurveda post-void dribbling is often related to VATA IMBALANCE, particularly Apana vata, which governs elimination functions such as urination. If vata is disturbed due to stress, aging, cold food, irregular routines, it causes -basti dushti- urinary bladder dysfunction -mutraghata or mutra vaha srotas vikar- urinarya system disorder

TREATMENT PLAN

1)CHANDRAPRABHA VATI- 2 tabs twice daily with warm water after meals for 6-8 weeks =classical formulation that balances all 3 doshas, especially vata and kapha. improves bladder tone, support urinarya system, acts as mild diuretic and anti-inflammatory

2)GOKSHURADI GUGGULU- 2 tabs twice daily after meals for 6-8 weeks =reduces inflammation, strengthens the urinary tract, and helps in complete bladder emptying

3)SHILAJIT CAPSULE- 1 cap once daily with wamrmilk for 4-6 weeks =rejuvinates urinary and reproductive systems, strengthens pelvic organs, supports tissue regeneration

4)VARUNADI KASHAYA- 15ml + equal water daily twice before meals for 4 weeks =improves bladder muscle tone, detoxifies urinary tract, and helps resolve prostatic congestion

5) ASHWAGANDHA CHURNA- 1 tsp with warm milk at bedtime for 4-6 weeks =supports nerve strength, tones muscles, calms vata, promotes good sleep and repair

KEGEL AND YOGA THERAPY-DAILY -ASHWINI MUDRA- contract/relax spinchter- 20 reps twice daily =strengthens pelvic flloor, improves bladder control

-MOOLA BANDHA-perineal lock-hold for 10 sec* 5 sets =activates pelvic muscles, stabilises apana vata

-BADDHA KONASANA AND VAJRASANA =supports pelvic circulation, improves bladder support

-KEGEL EXERCISES= core modern method to strengthen bladder support muscles

PANCHAKARMA ADIVSED -BASTI with oil like balashwagandhadi taila= directly targets apana vata, tones pelvic floor and bladder

-OIL MASSAGE- relaxes pelvic region, improves vata circulation oil= mahanaryan taila

DIET -warm, vata pacifying diet-ghee, milk, cooked veggies, moong dal -drink lukewarm water -empty bladder completely by leaning slightly forward -practic urination technique - press along urtehra to empty drops

DON’TS -cold, dry, spicy, processed foods -avoid caffeine, alcohol, carbonated drinks -avoid long standing without movement -avoid suppressing natural urges

do follow consistently for 7-8 month

THANK YOU

DR. HEMANSHU MEHTA