How to treat difficulty in urinating - #25966

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.

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…

You’ll definitely get relief 😊

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.

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

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

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

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.

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