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Frequent urination during day and night. At times urine is dripping and uncontrollable.
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Urological Disorders
Question #24956
94 days ago
333

Frequent urination during day and night. At times urine is dripping and uncontrollable. - #24956

Murugesan Reddiar

I am 82 years old. I have high blood pressure and leg swelling due to lymphedema. I am taking Metosartan 25, Nicardia 10 for blood pressure and Voltam plus for frequent urination. Pressure is under control, but frequent urination at night disturbs my sleep. I tried Ayurveda medicines also and they did no help much.

Age: 82
Chronic illnesses: None
300 INR (~3.51 USD)
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Doctors’ responses

Namaste Murugesan ji 🙏, Thank you for sharing your health concerns. At 82 years of age, you are managing your blood pressure well(as you mentioned blood pressure under control) , which is a great achievement. The frequent night urination (nocturia) and leg swelling due to lymphedema are understandably affecting your sleep and comfort.

Certain investigation has to be done like 1 Usg (abdo + pelvis ) to rule out benign prostate hypertrophy, which is common in old age and causes frequent urination.

** Ayurvedic Perseptive**:

In Ayurveda, frequent urination at night (especially in elderly) can be due to:

1 Apana Vata imbalance (the dosha governing urination and elimination) 2 Weakness of bladder muscles and age-related decline in “Ojas” 3 Kapha obstruction and fluid retention in legs (lymphedema-related)

🌿 Ayurvedic Suggestions:

1️⃣ Dietary Modifications (very gentle and elder-safe)

✅ Take light, early dinner – before 7:30 PM ✅ Reduce fluid intake after 7 PM (especially tea/milk) ✅ Prefer warm, easy-to-digest food like moong dal, rice, pumpkin, bottle gourd ❌ Avoid salty, sour, and heavy dinner (it increases fluid retention)

2️⃣ Gentle Home Remedies

Before bedtime: • Take ¼ tsp nutmeg (jaiphal) powder with warm milk (once daily) → It helps calm Apana Vata and reduce nighttime urination

3️⃣ Ayurvedic Medicines You Can Discuss With Your Doctor:

1 Chandraprabha vati 2-0-2 after food (This will work on your apana vayu) 2 vasthaymanthaka ghrita 1 tsp at 6pm followed by warm water (this will strengthen the bladder)

Lifestyle Tips:

• Elevate legs slightly while lying down (to reduce swelling) • Slow ankle rotations 2–3 times daily to improve circulation • Avoid daytime naps if sleep at night is disturbed

Important Note:

Since you’re already taking Metosartan, Nicardia, and Voltam Plus, do not stop or change any allopathic medicines on your own. Ayurveda works best as supportive care to improve quality of life in the elderly.

You are already doing very well managing your blood pressure. The focus now should be on: ✅Improving sleep ✅Reducing leg swelling ✅Gentle bladder support — not harsh medications

With this Ayurvedic plan, you may experience improvement in sleep and urination without side effects.

Wishing you peaceful nights and good health Warm regards, Dr. Snehal Vidhate

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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
94 days ago
5

Once get us scan to look for enlarged prostate Meanwhile start on Chandraprabha vati- Gokahuradi guggulu- Punarnavadi mandoora- 1 tab each twice daily after food with lukewarm water

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Dr. Manjula
I am a dedicated Ayurveda practitioner with a deep-rooted passion for restoring health through traditional Ayurvedic principles. My clinical approach revolves around understanding the unique constitution (Prakruti) and current imbalance (Vikruti) of each individual. I conduct comprehensive consultations that include Prakruti-Vikruti Pareeksha, tongue examination, and other Ayurvedic diagnostic tools to identify the underlying causes of disease, rather than just addressing symptoms. My primary focus is on balancing the doshas—Vata, Pitta, and Kapha—through individualized treatment plans that include herbal medicines, therapeutic diets, and lifestyle modifications. I believe that healing begins with alignment, and I work closely with my patients to bring the body, mind, and spirit into harmony using personalized, constitution-based interventions. Whether managing chronic conditions or guiding preventive health, I aim to empower patients through Ayurvedic wisdom, offering not just relief but a sustainable path to well-being. My practice is rooted in authenticity, guided by classical Ayurvedic texts and a strong commitment to ethical, patient-centered care. I take pride in helping people achieve long-term health outcomes by integrating ancient knowledge with a modern, practical approach. Through continuous learning and close attention to every detail in diagnosis and treatment, I strive to deliver meaningful, natural, and effective results for all my patients.
94 days ago
5

Hello, 1. What is the size of prostate gland(as you are already on voltam plus)? 2. Since how long you are on metosartan25 and nicardia10?

The answer to the above will help you answer the question more appropriately.

Till then reducing the water/liquid intake after 4PM(or) just sipping few sips will help a bit to reduce the urine frequency at nights.

Take care. Kind regards.

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Suggestions to Reduce Night Urination & Improve Sleep

1. Daytime Leg Elevation + Gentle Movement

Lie down with legs raised above heart level for 1–2 hours in the late afternoon.

This helps drain leg fluid before bedtime and reduces nighttime urine production.

Use gentle compression stockings if advised by your doctor.

2. Limit Evening Fluid Intake

Avoid drinking water 2–3 hours before bed.

Restrict caffeine, tea, and excess soup at night.

4. Natural Supplements-

Some mild natural aids may help:

Ashwagandha (for sleep): 1 capsule at night can help calm the nervous system.

Varunadi Kwath or Chandraprabha Vati Useful if BPH is contributing.

Shilajit with Gokshura: Sometimes used in age-related urinary discomfort, but needs supervision.

Follow Sleep Hygiene for Seniors

Avoid screens and bright lights before bed.

Maintain a routine sleep schedule.

Avoid long daytime naps.

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Take gokshuradi guggul 2-0-0 after food with water Chandraprabha vati 1-0-1 after food with water

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HELLO MURUGESAN REDDIAR,

Age- 82 Complaints- frequent urination(day and night), dribbling, and occasional incontinence, tiredness, mild imbalance/vertigo while walking

Chronic conditions= hypertension(well controlled with Metosartan 25 and Nicardia 10), lymphedema(leg swelling )

Medications= voltam plus(likely for urinary issues)

Based on age and symptoms -Benign prostatic hyperplasia(BPH) is highly likely -possible overactive bladder(OAB) or bladder outlet obstruction -post void dribbling and urge incontinence may be due to incomplete bladder emptying

A uroflow merry or prostate ultrasound could confirm this.

ACCORDING TO AYURVEDA,

-frequent urination, dribbling, and urgency indicate a condition close to mutrakrichra, mootraghata, or vataja pramhea - lymphedema and fatigue indicates rasa- rakta dhatu vitiation, poor lymphatic return, and ama(toxins) accumulation -vertigo and imbalance with age represent aggravated vata affecting the nervous system -old age= jaravastha a vata Pradhan condition- requiring strengthening, unctuous and warm therapies

TREATMENT GOAL -improve bladder tone and control urine output - reduce prostate cogestion- if BPH is present - nourish and rejuvinate urinary tract -address lymphatic congestion and fatigue - correct vata ibalance causing nocturne and vertigo - ensure bp stays controlled and does not worsen edema

TREATMENT INTERNALLY

1) VARUNADI KWATH- 20 ml with water twice daily before meals =prostate decongestant, improves urine flow

2) CHANDRAPRABHA VATI- 2 tabs twice daily after food with warm water =urinary antiseptic , anti inflammatory, vata paha pacifying

3) SHILAJIT RASAYAN VATI- 1 tab once daily in morning =rejuvinative, adaptogenic, anti ageing

4) GOKSHURADI GUGGULU- 2 tabs twice daily after food =diuretic, antiinflammatory, strengthens bladder

5) PUNARNAVA MANDOR- 2 tabs twice daily with lukewarm water =improves lymphatic drainage, reduces leg swelling

6) ASHWAGANDHA CHURNA- 1 tsp with warm milk at night = nervine tonic, relieves fatigue

START for 6-8 weeks, and medicines must be from AVP, Arya Vaida sala, badiyanath, dabur or himalaya brand

EXTERNAL THERAPIES

1) OIL MASSAGE - with ksheerbala taila full body thrice weekly =vata calming, improves circulation, reduces imbalance

2) STEAM- lower limbs daily =reduces leg swelling, lymphatic stagnation

DIET RECOMMENDATIONS -warm, light and easy to digest foods= khichdi, rice gruel, moong dal -boiled or steamed vegetables = bottle gourd, ash gourd, pumpkin - barley water or powder- diuretic - cumin, coriander, fennel, cardamon tea - cows ghee- 1 tsp daily with food -pumpkin seeds- 1 tsp daily ( beneficial for prostate) -warm milk with turmeric and ashwagadha at night- helps sleep, nourishes tissues

AVOID -cold, stale, heavy, or fried foods -fermented foods, curd especially at night - excess fluid intake after 6 pm - tea/coffee after evening - salted snacks or pickles

LIFESTYLE ADVICES -fluid restriction after 6Pm= encourage drinking most fluid before too - pelvic floor exercise(kegels)= strengthens bladder and urinary spincter -Elevate legs during rest= helps reduce swelling and improves circulation -Use a urinal at bedside to reduce night falls - gentle walking and chair supported yoga like -pawanmuktasana - vrikshasana(with wall support) for balance - bhramari pranayam and anulom vilom for nervous system and vertigo

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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It’s a symptoms of BPH or prostatomegaly… frequent urination in night is most common symptoms of that…

Plzz test UROFLOMETRY test to confrem your uro flow out put …and take

Divya gokhru kwath 100 gm Divya HAZROOL YAHOOD BHASM 20GM

MIX all and take 1 tsp boil 200ml of water till reduces 100 ml strain and take empty stomach twice daily

Divya prostoghrit tab=2-2 tab before meal twice daily

Divya TRIGHAN VATI=2-2 tab after meal twice daily

Do keegal exercise daily (moolband pranayama). TITLIASNA/VAZRASANA

You can cured definitely

563 answered questions
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Frequent urination, especially at night, can be quite disrupting indeed. From an Ayurvedic perspective, the balance of the doshas is central to addressing this issue. It might be helpful to explore an imbalance in the Vata dosha, particularly Apana Vata, which governs the elimination process.

To address this, you could try incorporating some natural remedies and lifestyle modifications. Start by reducing fluid intake a couple of hours before bedtime. It’s also crucial to avoid caffeine and alcohol, as they can act as diuretics and may irritate the bladder.

In terms of diet, focus on a warm, well-cooked foods which are easier on digestion and can help balance Vata. Avoid excessively spicy, oily, or heavy foods, as they can aggravate your condition. Including spices like cumin, fennel, and coriander may aid digestion and calm the system.

Try practicing certain yoga postures that support bladder health and calm the nervous system, like Setu Bandhasana (Bridge pose) and Viparita Karani (Legs-up-the-wall pose) before bed.

Incomplete bladder emtying can cause urinary “dribbling”, so after you’ve finished urinating, gently lean forward to help ensure the bladder empties completely. This might reduce the urge to urinate often.

A herbal formulation such as Chandraprabha Vati might be helpful, but given your medication regime, it’s essential to consult an Ayurvedic practitioner before starting any herbal remedies to ensure it doesn’t interact with your current medications.

While these measures might offer some relief, it’s important to consult with your healthcare provider to rule out underlying conditions that may require medical intervention. Frequent urination can sometimes be a sign of bladder or urinary infections, or other medical conditions requiring immediate care.

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Dr. Hemanshu Mehta
I’m Dr. Hemanshu, a second-year MD scholar specializing in Shalya Tantra (Ayurvedic Surgery), with a focused interest in para-surgical interventions such as Agnikarma, Viddhakarma, and Kshara Karma. My academic and clinical journey is rooted in classical Ayurvedic surgical wisdom, complemented by a modern understanding of patient care and evidence-based approaches. With hands-on training and experience in managing chronic pain conditions, musculoskeletal disorders, hemorrhoids, fistula, and other ano-rectal conditions, I provide treatments that emphasize both relief and long-term wellness. I am deeply committed to offering individualized treatment plans that align with the patient’s prakriti (constitution), disease progression, and lifestyle factors. I believe healing is not limited to procedures alone; it also requires compassion, communication, and continuity of care. That’s why I ensure each patient receives personalized guidance—from diagnosis and therapy to post-treatment care and preventive strategies. I also incorporate Ayurvedic principles like Ahara (diet), Vihara (lifestyle), and Satvavajaya (mental well-being) to promote complete healing and not just symptomatic relief. Whether it's managing complex surgical cases or advising on conservative Ayurvedic therapies, my goal is to restore balance and improve the quality of life through authentic, safe, and holistic care. As I continue to deepen my clinical knowledge and surgical acumen, I remain dedicated to evolving as a well-rounded Ayurvedic practitioner who integrates traditional practices with modern sensibilities.
91 days ago
5

HELLO MURUGESAN REDDIAR,

Frequent urination during the day and night, especially with episodes of dribbling and poor bladder control, can significantly impact quality of life- particularly at 82 years of age

In Ayurveda, your symptoms may relate to a condition called -mutrakrichra= difficulty in urination -mutraghata = obstructed urination or in some case prameha

Vata dosha imbalance particularly apana vata, often plays a major role in urinary incontinence and frequency especially in elderly

AYURVEDIC MANAGEMENT

1) DIET -warm, moist foods=easily digestible foods like khichdi, warm milk, moong dal -AVOID= caffeine, soda, alcohol, spicy or overly sour foods -pumpkin seeds

2) LIFESTYLE -keep lower abdomen and pelvic area warm, cold and aggravate vata - do gentle yoga, especially moola bandha and Ashwini mudra for pelvic floor support -avoid holding urine for long periods

3) INTERNALLY TAKE

- HIMPLASIA(BY HIMALAYA)= 1 tab twice daily after meals =used for benign prostate issues, bladder weakness and dribbling

-PROSTOVIN(BY BAIDYANTH)= 2 tabs twice daily with warm water =prostate related urinarbysymptoms -hesistancy, frequent urination and incomplete voiding

- PUNARNAVA MANDUR= 1 tab twice daily after meals =reduces swelling/edema and support kidney and rinary function

-GOKSHURADI GUGGULU= 2 tabs twice daily with warm water = strengthens urinary tract, bladder tone, and supports prostate health

-ASHWAGANDHA LEHYAM= 1 tsp with warm milk at bedtime =helps in urine incontinence is due to sphincter or nerve weakness

-TRIPHALA GUGGULU= 1 tab twice daily before meals = mild detox

THANK YOU

DR. HEMANSHU MEHTA

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I am Dr. Sushma M and yeah, I’ve been in Ayurveda for over 20 yrs now—honestly still learning from it every day. I mostly work with preventive care, diet logic, and prakriti-based guidance. I mean, why wait for full-blown disease when your body’s been whispering for years, right? I’m kinda obsessed with that early correction part—spotting vata-pitta-kapha imbalances before they spiral into something deeper. Most ppl don’t realize how much power food timing, digestion rhythm, & basic routine actually have… until they shift it. Alongside all that classical Ayurveda, I also use energy medicine & color therapy—those subtle layers matter too, esp when someone’s dealing with long-term fatigue or emotional heaviness. These things help reconnect not just the body, but the inner self too. Some ppl are skeptical at first—but when you treat *beyond* the doshas, they feel it. And I don’t force anything… I just kinda match what fits their nature. I usually take time understanding a person’s prakriti—not just from pulse or skin or tongue—but how they react to stress, sleep patterns, their relationship with food. That whole package tells the story. I don’t do textbook treatment lines—I build a plan that adjusts *with* the person, not on top of them. Over the years, watching patients slowly return to their baseline harmony—that's what keeps me in it. I’ve seen folks come in feeling lost in symptoms no one explained… and then walk out weeks later understanding their body better than they ever did. That, to me, is healing. Not chasing symptoms, but restoring rhythm. I believe true care doesn’t look rushed, or mechanical. It listens, observes, tweaks gently. That's the kind of Ayurveda I try to practice—not loud, but deeply rooted.
5
71 reviews
Dr. Amina CA
I am still kinda wrapping my head around how much has happned in just these last 8 months. I got to see over 500 patients—not just names on a file but real ppl with stories, symptoms that didn’t match books, and responses to treatment that taught me a lot more than classroom ever did. Every single case added something—sometimes confidence, sometimes doubt, but mostly clarity about why Ayurveda needs to be personal. That whole idea of root-cause isn’t just a phrase to me now, cause I’ve actually *done* the work of figuring it out—through prakriti reading, hetu analysis, tailoring herbs to that one stubborn thing that wouldn’t budge unless I got it right. Started off at the Govt Ayurveda Dispensary, Paingottoor (Mar-April 2024), juggling OPD and learning to keep things practical—what you *can* do with limited time and still follow classical line of treatment. Moved to Nellimattom next month, same OPD scene but somehow I felt more ready—like I knew what I was looking for during consultation. Then came the big shifts—District Ayurveda Hospital, Thodupuzha—Shalya Tantra for a month (May-June). Learning surgical concepts, wound management, minor procedures, all that opened up a whole diff layer of Ayurveda for me. After that was NARIP, Cheruthuruthy (June-July)—real-deal Panchakarma, hands-on, under ppl who *really* knew the texts and the techiques. I saw how deep detox can go when it’s done right. Then Shalakya Tantra (ENT + eye care, July-Aug)—very niche but suprisingly common complaints. By Sept I was at Sparsh Ayurvedic Clinic, Nellimattom, and that place blended modern diagnostics with our way of thinking. Helped me sharpen decisions fast, without losing authenticity of the classical tools. All that put together—it's shaped me into a doctor who listens more, assumes less, and keeps asking, "what’s *actually* causing this?” before reaching for a remedy. I want my patients to heal for real—not temporarily cope. That's the goal every single time.
5
2 reviews
Dr. Narendrakumar V Mishra
I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.
5
784 reviews

Latest reviews

Aria
13 hours ago
This advice was super helpful! Felt relieved to get a clear plan to work on my digestion without flaring up my pitta issues. Thanks alot!
This advice was super helpful! Felt relieved to get a clear plan to work on my digestion without flaring up my pitta issues. Thanks alot!
Sofia
13 hours ago
Thank you, this really helped clarify things for me. The advice was thorough and easy to follow. Much appreciated!
Thank you, this really helped clarify things for me. The advice was thorough and easy to follow. Much appreciated!
Avery
13 hours ago
Thanks doc, your advice was really detailed and comforting. Cleared up a lot of doubts I had about using Ayurvedic stuff for my liver troubles. Gonna try those tips!
Thanks doc, your advice was really detailed and comforting. Cleared up a lot of doubts I had about using Ayurvedic stuff for my liver troubles. Gonna try those tips!
David
13 hours ago
Thanks for the detailed advice, Dr. Surya! Super helpful to have clear steps to follow. Really appreciate it!
Thanks for the detailed advice, Dr. Surya! Super helpful to have clear steps to follow. Really appreciate it!