How to treat difficulty in urinating

Question

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.

Dr. Nisha Bisht · Accepted Answer

Hello ma'am
Please see a urologist or urogynecologist and get:

Urine routine and culture

Pelvic ultrasound.

Blood sugar, creatinine

Dr. Maitri Bhavesh Kumar Acharya · Answer

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

Dr. Vinayak Kamble · Answer

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

Dr. Nisha Bisht · Answer

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.

Dr. Isha Bhardwaj · Answer

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...

Dr. Isha Bhardwaj · Answer

You'll definitely get relief  😊

Dr. Surya Bhagwati · Answer

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.

Dr. Karthika · Answer

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

Dr. Prasad Pentakota · Answer

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

Dr. Sumi. S · Answer

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

Dr. Ayush Varma · Answer

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.

Dr. Hemanshu Mehta · Answer

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

How to treat difficulty in urinating - #25966

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