Question #25966
20 days ago
104
How to treat difficulty in urinating - #25966
Paulami seal
I am 44yr old woman... Who has trouble urinating and emptying bladder. Only if I lie down for sometime I can comfortably urinate. There's a burning sensation and always an urge but I cannot urinate fully despite drinking enough 3ltres water per day.
Age: 44
Chronic illnesses: Urinary problem
300 INR (~3.51 USD)
done
Question is closed
FREE! Ask an Ayurvedic Doctor — 24/7,
100% Anonymous
100% Anonymous
Get expert answers anytime,
completely confidential.
No sign-up needed.
completely confidential.
No sign-up needed.

Doctors’ responses
Hello ma'am
Please see a urologist or urogynecologist and get:
Urine routine and culture
Pelvic ultrasound.
Blood sugar, creatinine
628 answered questions
33% best answers
done
Accepted response
0 replies
HELLO PAULAMI SEAL,
Your symptoms- difficulty in urination, burning sensation, incomplete emptying, and needing to lie down to urinate- are best explained by a combination of two classical urinary disorder in Ayurveda:
1) MUTRAKRICHCHHRA- DYSURIA/PAINFUL URINATION
this include
-Sanga mutrakrichchhra= difficulty due to obstruction-common in vata imbalance
-Pittaja mutrakrichchhra= burning, irritation, inflammation from pitta
-Vataja mutrakrichchhra= intermittent flow, pain, retention
SYMPTOMS= burning micturition, frequent urge, incomplete voiding, discomfort
DOSHAS INVOLVED= primarily vata and pitta
2) MUTRAGHATA= OBSTRUCTED URINATION/RETENTION
This refers to incomplete, obstructed, or suppressed urine flow, often due to vata disorders affecting the apana vata(pelvic downward flow), bladder nerves, or musculature
ROOT CAUSES IN AYURVEDA
VATA VITIATION= irregular urination, dryness, difficulty initiating stream
PITTA VITIATION= burning, inflammation, frequent urges, hot flushes
KAPHA INVOLVEMENT= sluggish flow, obstruction due to mucus/sludge
WEAK APANA VATA= improper elimination from bladder, poor downward movement
MENOPAUSAL HORMONAL CHANGES= reduce lubrication and tone in bladder and urethra(pitta-kapha decline)
NEUROLOGICAL BLADDER(possible)= vata disorder affecting nervous control of bladder
POSSIBLE MODERN CORRELATION
-interstitial cystitis= chronic bladder pain, and urgency
-Urinary retention= possibly neurogenic bladder
- Recurrent UTI
-Pelvic floor dysfunction
-Cystocele(bladder prolapse) in some postmenopausal women
SO it's essential to rule out physical issues like
-post void residual urine(via ultrasound)
-UTI(urine routine and culture)
-Blood sugar(diabetes)
DETAILED AYURVEDIC MANAGEMENT PLAN
IF FEASIBLE GO FOR PANCHAKARMA NEARBY CLINIC FOR DETOX THERAPY
this clears deep-seated toxins and restores doshic balance
1) SNEHAPANA-internal oleation
2) BASTI THERAPY- medicated enema= gold standard treatment for vata disorders
INTERNAL MEDICATIONS
1) CHANDRAPRABHA VATI= 2 tabs twice daily after meals
=urinary tonic, anti-inflammatory, removes blocks
2) GOKSHURADI GUGGULU= 2 tabs twice daily after meals
=diuretics, reduces inflammation, improves flow
3) PUNARNAVADI KASHAYA= 20 ml twice daly before meals with warm water
=drains excess fluid, detoxifies urinary system
4) VARUNADI KASHAYA= 15 ml before m meals twice daily with warm water
=breaks urinary obstructions, supports bladder
5) SHATAVARI CHURNA= 1 tsp with milk milk at night
= moistens tissues, supports hormonal balance
6) TRIPHALA CHURNA= 1 tsp at bedtime
= regulates apana vata, clears channels
TO USE AT HOME DAILY
BARLEY= natural diuretic= barley water 2-3 times/day
CORIANDER SEEDS= cooling, diuretic= boil 1 tsp in water, drink
COCONUT WATER= soothes pitta- 1 daily mid- morning
CUCUMBER JUICE= clears heat and supports urination- fresh juice daily
JEERA + JAGGERY WATER= balances apana vata= 1 tsp jeera + 1 tsp jaggery in warm water
DIET
-warm, light, and easily digestible food
- khichdi with ghee
-barley, rice, moong dal
-ccoked ash gourd, ridge gourd, bottle gourd
-coconut water, coriander water, fresh buttermilk
-homemade ghee=1 tsp daily
AVOID
-spicy, fried, fermented foods
-pickles,vinegar, mustard
- tea, coffee, soda, alcohol
- very cold water or refrigerated food
- sitting too long or suppressing urges
YOGA AND PRANAYAM
-malasana= opens pelvic floor, releievs retention
-bhujangasana= stimulates bladder
- vajrasana after meals= aids digestion and downward flow
-Anulom Vilom= balances vata pitta
-sheetali/sheetakari= cooling breath for burning sensation
SITZ BATH= with warm water + turmeric or salt for 15 mins can also help relax pelvic muscles
If you feel better lying down to urinate, that may indicate a postural issue or bladder prolapse, which needs pelvic floor evaluation
DO FOLLOW CONSISTENTLY
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
666 answered questions
21% best answers
done
Accepted response
0 replies
Hi paulami this is Dr vinayak as considering your problem
before going to proper tretment once you should do the USG abd and pelvis and urine routine to rule out proper daignosis
Rx-varunadi kashaya 10ml twice before food
T punarnavadi guggulu 1-0-1 after food
T chandraprabha vati 1-0-1 after food
This will help you get relife
127 answered questions
28% best answers
done
Accepted response
0 replies
Till then start Home Care Remedies for Symptomatic Relief-
1. Barley Water + Gokshura Powder
Boil 2 tbsp barley in 1L water + a pinch of turmeric, drink during day.
Mix ½ tsp Gokshura powder in warm water twice daily — reduces urinary burning, supports bladder health.
2. Punarnava + Varunadi kwath
2. Sitz bath (for burning and relief)
Sit in a tub of lukewarm water with 1 tsp rock salt + few neem leaves, 15 mins daily.
Helps relax pelvic muscles and reduce pain/burning.
628 answered questions
33% best answers
0 replies
Don't worry paulami seal,
Start taking1Varunadi kwath 20ml with equal amount of Lukewarm water empty stomach twice in a day.
2.punarnava tab.1-0-1
3.chandraprabha vati 1-0-1
4.Gokshuraadi guggulu 1-0-1 for chewing
Follow up after 15 days...
443 answered questions
23% best answers
0 replies
You'll definitely get relief 😊
443 answered questions
23% best answers
0 replies
Take gokshura ghanvati 2-2-0 after food with water and
Please donot drink water as per what you may think.
Drink only when thirsty
Take chandraprabha vati 1-0-1 after food with water
Take barley water
Fresh lime water
Coconut water through out the day.
1232 answered questions
15% best answers
0 replies
hello paulami seal,
First of all, you’re not alone—many women silently struggle with similar issues, and I want to reassure you that Ayurveda has a very kind and healing approach to urinary disorders.
What you're describing — burning while urinating, incomplete emptying, constant urge, and relief only while lying down — all indicate Mutrakricchra (difficulty in urination) and possibly Mutraghata (urinary obstruction) according to Ayurveda.
This condition may be due to a combination of:
Pitta vitiation (causing burning sensation and irritation in the bladder)
Apana Vata blockage (responsible for the downward flow of urine, leading to incomplete emptying and discomfort)
Possible mild swelling or spasm in the bladder or urethral path, especially if infection or irritation is chronic
If you're perimenopausal (around 44 years), hormonal fluctuations can also contribute to bladder muscle weakness and altered flow
The fact that you find some relief while lying down means the pelvic floor and bladder relaxation improves urine flow. So we will treat both the inflammation (Pitta) and flow obstruction (Vata) together.
🌿 Prescription (Ayurvedic Treatment for 6–8 weeks)
Chandraprabha Vati – 2 tabs twice daily after meals
Gokshuradi Guggulu – 2 tabs twice daily after meals
Varunadi Kashayam – 15 ml with 45 ml warm water twice daily before food
Punarnavasava – 15 ml with equal water after lunch and dinner
Shatavari Churna – 1 tsp with warm milk at bedtime
These herbs help in clearing the urinary channels, reduce inflammation, improve Apana Vata function, and prevent future recurrence.
🌿 Local Care (Shamana + Snehana):
Warm water sitz bath: Sit in warm water with triphala powder or Neem leaves for 10–15 minutes daily — helps relax the pelvic muscles and soothe local burning
Apply castor oil to lower abdomen and inner thighs daily — reduces Apana Vata blockages
🥗 Diet Advice:
Avoid sour, spicy, fermented foods (increases Pitta and burning)
Avoid heavy-to-digest, fried, or leftover foods
Take Jeera-coriander-barley water throughout the day (boil 1 tsp of each in 1 litre)
Include lauki (bottle gourd), turai (ridge gourd), and coconut water
Avoid curd, especially at night
🧪 Investigations (If not already done):
Urine Routine and Culture
Pelvic Ultrasound
Post-void Residual Volume test
Blood Sugar (Fasting/PP)
Creatinine
You are already drinking good amounts of water — now with the right Ayurvedic support, we can clear the underlying imbalance and help you pass urine freely, comfortably, and completely. Don’t worry — with consistency, this can be corrected without lifelong medication.
If you have any doubts, you can contact me.
Take care,
Regards, dr.Karthika
208 answered questions
40% best answers
0 replies
Once get us abdomen with KUB, with urine routine
meanwhile you can start on
Chandraprabha vati-
Gokahuradi guggulu-
1 tab twice daily after food with lukewarm water
Chandanasava- 4 tsp with equal quantity of water twice daily after food
1649 answered questions
21% best answers
0 replies
Thank you for sharing this clearly — your symptoms suggest a Mutrakrichra (difficulty in urination) or Mutraghata (urinary obstruction/retention) condition in Ayurveda. At your age, especially with incomplete bladder emptying, burning, and constant urge, it's important to act carefully with both Ayurvedic and medical understanding.
Recommended Medical Investigations:
1.Urine routine and culture
2. Ultrasound abdomen + pelvis
3. Check for Creatinine, Urea and fasting blood sugar
3.Post void residual urine (pvr) scan
Internally you can take
1. Punarnavadi kashayam 15ml with 30 ml of warm water before food
2. Chandraprabha vati 2-0-2 after food with warm water
3. Gokshura pana - take 1 litre of water add 1sp of gokshura choonam, boil the water and you can have it throughout the day
Externally:
Warm Sitz Bath with Triphala decoction – 10 mins daily for pelvic floor relaxation.
Additionally you can have barley water, coconut water
✅ Do’s
Warm, light meals with ghee
Lukewarm water for drinking
Barley water + Gokshura tea daily
Avoid holding urine
Rest lying on your left side for easier urination.
❌ Don’ts
Avoid spicy, sour, fermented foods (increases Pitta)
Avoid excess coffee, tea, and carbonated drinks
Avoid suppressing natural urges
Don’t sit too long in one position without pelvic mobility.
May your recovery be quick and your health fully restored.
Please don't hesitate to reach out for further guidance.
With kind regards,
Dr. Sumi.S
11 answered questions
45% best answers
0 replies
Difficulty urinating and the sensation of incomplete bladder emptying are signs that may point to a few underlying issues from an Ayurvedic perspective. Addressing these effectively involves understanding the balance of your doshas, potentially focusing on balancing vata dosha, often responsible for such disruptions.
First, incorporating warming and soothing herbal teas like coriander seed tea might be helpful. Coriander has cooling and diuretic properties, which can reduce burning during urination. Simply add a teaspoon of coriander seeds to boiling water, let it steep for 10 minutes, then strain and drink it twice a day, preferrably in the morning and afternoon.
Introduce cooling foods into your diet, such as cucumber, watermelon, and coconut water, which can help soothe the urinary tract. Reducing foods that exacerbate pitta dosha—like spicy, oily foods, and caffeine—may prevent further aggravation. Instead, opt for a diet high in fresh vegetables and easily digestible foods.
To strengthen your bladder's function, consider taking Gokshura (Tribulus terrestris) or Punarnava (Boerhaavia diffusa), both known to help in urinary disorders. You can take these in powdered form (churna) around a teaspoon with warm water, twice a day after meals. But, always consult with a trained Ayurvedic practitioner to ensure these are suitable for you.
Practicing pelvic floor exercises or yoga asanas like Malasana (Garland pose) can improve bladder control and ease urination when paired with gentle abdominal stretching.
Since your symptoms are quite pronounced—particularly if burning and urgency persist—it's crucial to rule out any urinary tract infection or other conditions through proper medical evaluation. Modern diagnostic methods can complement the Ayurvedic approach, ensuring the best treatment path is taken. If symptoms persist or worsen, advisably seek immediate medical attention to prevent complications.
Finally, establishing a routine that incorporates stress management techniques like Pranayama or meditation may also be beneficial, as stress can significantly impact bladder function.
26253 answered questions
18% best answers
0 replies
HELLO PAULAMI SEAL,
Difficulty urinating with burning sensation and incomplete bladder emptying can significantly affect your quality of life and may be linked to several underlying conditions.
POSSIBLE CAUSES
-urinary tract infections
-bladder outlet obstruction- urethral stricture
-pelvic floor dysfunction
- interstitial cystitis
-neurogenic bladder
GO FOR THIS INVESTIGATIONS
-urine test
-ultrasound pelvis, bladder
-uroflow meter
-cystoscopy if needed
AYURVEDIC DIAGNOSIS
- mutrakrichhra- difficulty in urination
- mutraghata- urinary retention or incomplete voiding
-often due to vata dosha imbalance obstructing Apana vata which governs urination and elimination
INTERNAL MEDICATIONS
1) NEERI SYRUP= 15 ml twice daily after meals
=mild diuretic, reduces burning and urinary frequency, soothes bladder
2) CYSTONE TABLETS= 1 tab twice daily after meals
= supports kidney/bladder health prevents infection , balances urinary flow
3) MUTRAKRICHANTAK CHURNA= 1 tsp with warm water twice daily in morning and night
= supports comfortable urination, reduces bloating, helps clear retained urine
4) STONVIL SYRUP= 10 ml twice daily
= anti-inflammatory, cooling, mild litholytic, relieves burning micturition
5) URAL SYRUP= 10 ml twice daily with water
= very effective in calming urinary discomfort without being harsh or drying
EXTERNAL AND LOCAL THERAPY
-OIL MASSAGE= with dhanwantaram tailam to lower abdomen and lower back
-STEAM= to lower abdomen=helps relax pelvic muscles and improve flow
DIET AND LIFESTYLE
-warm, easily digestible foods; avoid spicy, sour, fermented items
- drink barley water, coconut water, or coriander water
- avoid suppression of natural urges
-practice yoga for pelvic health= malasana, baddha konasana, viparita karani
WHEN TO SEEK IMMEDIATE CARE
-if burning worsens
-fever, chills could mean infection
-if you cannot urinate at all or develop pain in the flanks
THANK YOU
DR. HEMANSHU MEHTA
274 answered questions
27% best answers
0 replies

FREE! Ask an Ayurvedic doctor — 24/7,
100% Anonymous
100% Anonymous
600+ certified Ayurvedic experts. No sign-up.
About our doctors
Only qualified ayurvedic doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.
Related questions
Popular questions
Hair fall and thinning is happening
Keshav
23 hours ago
FREE
3 answers
Getting Periods for 1 day only with scanty bloodflow
Khushi
19 hours ago
FREE
3 answers
How to reduce inflammation and perimenopause symptoms?
Shivu
20 hours ago
FREE
3 answers
I have severe drowsiness sluginess after eating food why
Rashmi Ranjan
16 hours ago
FREE
2 answers
Can virechana helps in poor metabolism,malabsorption o nutrients from the food
Rashmi Ranjan
17 hours ago
FREE
2 answers
Pcod and fallopian tube blocked
Pushpanjali sahu
15 hours ago
FREE
2 answers
Regarding pennis stretch. .........
Manideep
18 hours ago
FREE
2 answers
Ayurveda cure Autoimmune liver cirrhosis
Rita
20 hours ago
FREE
2 answers
How to stop hairfalland hair thinning?
Sachin
5 hours ago
FREE
1 answers
What is the reason for urticaria and how to heal healing.
Anushka
3 hours ago
FREE
0 answers
How to reduce stomach and abdominal gassz
Amir
6 hours ago
FREE
0 answers
I need to know about fungal infection on skin and scalp.What is remedy to cure this?
Arya
8 hours ago
FREE
0 answers
premature.............................
vikrama singh
12 hours ago
FREE
0 answers
How to reduce tonsil (gath)which is beside larynx.
Mayuri Thakre
12 hours ago
FREE
0 answers
How to reduce or cure neurofibromatosis andwhat herbscan I consume to reduce the effects like lumps from forming?
HARIPRIYA
18 hours ago
FREE
0 answers
How to cure endometriosis along with ascites
Khushboo
6 hours ago
FREE
0 answers
Over bleeding menses . Please suggest bleeding prevention ayurvedic treatment and permanent solution for it
Kaushik.M
7 hours ago
FREE
0 answers
Fissure healed but in betweenIget itching episode
Hardik
15 hours ago
FREE
0 answers
Gall bladder stone 9mm,hairfall
Tarsem kaur
5 hours ago
FREE
0 answers
RHD, MITRAL VALVE SHRINK EF44% BREATHING PROBLEM BMV DONE IN 1985
deepa babbar
7 hours ago
FREE
0 answers
Galle ki skin ka latakana takerbaan 1 years se meri face skin bilkul loose hoo rhi hai
Kaushal
8 hours ago
FREE
0 answers
Increase in hair growth and volume because I have very short and thin hair and no volume my age is 21
Ved
11 hours ago
FREE
0 answers
Chronic Constipation, Hard stool and non bleeding piles with fistula
Piyush
12 hours ago
FREE
0 answers
How to get rid of Hairfall and hair thinning.how can I regrow my ahir
Rakesh
6 hours ago
FREE
0 answers
How to detox body and rest my Gut
Deb
11 hours ago
FREE
0 answers
Body detox and need to improve my active ess
Jagadish
6 hours ago
FREE
0 answers
Who treat porosis inorganic why
Sanjay
10 hours ago
FREE
0 answers
About mastrubation daily need. Enquiry
Manideep
18 hours ago
FREE
0 answers
galstone.........................
vikrama singh
12 hours ago
FREE
0 answers
How to calm down anxiety and depression
Maahi
1 day ago
FREE
3 answers
How to reduce infection of pid of body
Anjali Kaur
1 day ago
FREE
2 answers
How long should I wait after eating watermelon (or other melons) before eating other foods?
Haribol
1 day ago
FREE
0 answers
Darkness and hairthinning problem
Himanshuvyas
1 day ago
FREE
1 answers
How to reduce heat in the pelvic area?
Chavan manjiri
1 day ago
FREE
1 answers
How to get glowing skin and face
Deb
1 day ago
FREE
0 answers
How to get rid of molluscam from face.
Deb
1 day ago
FREE
0 answers
Acidity daily daily and chest pain
Sandeep
1 day ago
FREE
1 answers
I have severe drowsiness and sluginess a d sleepiness after eating food
Rashmi Ranjan
1 day ago
FREE
0 answers
Shilajit in cirrhosis and high bp
Rita
1 day ago
FREE
1 answers
How to reduce inflammation in the body
Sailaja kitha
1 day ago
FREE
1 answers
I have foot pain due to heel spurs and planter fascities also I have joint pain and muscle pain
Shilpa
1 day ago
FREE
2 answers
How to cure disc slip in the back
Jyoti Bonia
1 day ago
FREE
1 answers
Mera period dedh month se chalne ka karan kaya ho sakta he
Ishani patel
1 day ago
FREE
2 answers
How to reduce back pain in my body
Satyanjali Ratnesh
1 day ago
FREE
0 answers
Indigestion, gastrointestinal problems make me tired all the time
Nisar
1 day ago
FREE
1 answers
How to get glowing skin, healthy skin,body detox, gut detox
Pooja Magadum
1 day ago
300 INR (~3.51 USD)
6 answers
How to cure PME kindly suggest me something to cure my issue
Dpsgh
1 day ago
300 INR (~3.51 USD)
6 answers
How to remove Facial hair at home
UPASANA PATEL
1 day ago
300 INR (~3.51 USD)
7 answers
How to reduce pimple from my face
Dhrati Dixit
1 day ago
300 INR (~3.51 USD)
9 answers
How to get hard erection at sex time
Jp singh
1 day ago
FREE
1 answers
© 2024 Ask Ayurveda. All rights reserved.