Frequent Urination due Prostrate Gland Enlargement - #26029

Hello Arun Kumar Srivastava ji, Thank you for providing a very detailed health history. It is very good to know that you have already following a balanced combination of both Allopathy and Ayurveda, and that your urinary flow and health have improved with your medications and pranayama practice. But dont worry we are here to improve uour health further YOUR HEALTH CONDITION Age- 63 years Conditions- Diabetes, BP, Cardiac history, Enlarged prostate (BPH), improved with Silodosin Current issues Sometimes increased frequency of urination (especially when RBS > 180) Ayurvedic medicines that you are taking is Gudmar + Jamun Beej Churna, Dadimashtaka Churna, Haritaki Churna Allopathic medicines like - Metformin, Glimepiride, Cardiac medications Lifestyle practices that you are doing - Pranayama daily, regulated sleep Kidney Function- Creatinine 1.41 (slightly high but not alarming) I will suggest you to go for further investigations like- Suggested Investigations To ensure prostate, kidney, and bladder health is stable, and to monitor urinary issues proper ☑️Ultrasound KUB (Kidney, Ureter, Bladder) To check prostate size, bladder wall thickness, any post-void urine retention, or kidney swelling ☑️ Uroflowmetry To evaluate urinary flow rate and help to know if any miild obstruction is there or not ☑️ Urine Routine & Microscopy To check for any infection, crystals, or hematuria ☑️Urine Culture (if burning or cloudy urine) this is optional If you are having frequent urination or burning, it rules out UTI ☑️ Blood Sugar Monitoring Keep fasting <110 and post-meal <160 ideally. If RBS is going above 180, frequent urination is likely to happen ✅AYURVEDIC MEDICATION- Note: Please continue your allopathic medications as prescribed.because stopping them abrutly will take a troll on your health ☑️INTERNAL MEDICATION- 1 Varunadi Kashayam 15 ML-0-15ML +45 ML water after food 2 Gokshuradi Guggulu 2 -0-2 twice daily after food – supports urinary function and prostate health 3 Punarnava Mandoor 1-0-1– supports kidney function 4 Chandraprabha Vati 2-0-2twice daily – balances sugar and urinary tract ✅EVERY 3-6 MONTHS DO REGULAR CHECK UP - ☑️USG KUB to Monitor prostate, kidney status ☑️Serum Creatinine + eGFR for Kidney function ☑️Urine R/M Helps to detect infection or abnormalities ☑️HbA1c helps to know 3 months average sugar ☑️ECG due to cardiac history ✅ Lifestyle & Diet modification ✅ include -Bhramari + Nadi Shodhana Pranayama – continue daily - Drink warm water only try to drink punarnava or gokshura infused water -No fluid 1 hr before sleep -Early dinner (before 7:30 PM) ✅ Diet modification Eat small, frequent meals Avoid banana, potato, rice, sugar, cold milk Add barley, green moong, bottle gourd, Amla You are on the right track. Your improved urination and general health show that your integrated treatment approach is working. Wishing you a good health 🙏 Warm Regards Dr Snehal Vidhate

Don't worry, And start taking1.Gokshuraadi guggulu 1-0-1 for chewing 2.punarnava tab.1-0-1 3.chandraprabha vati 1-0-1 Follow up after 45 days...

Increased frequency in urine is due to diabetes so don’t worry continue the above medication along with that strict diabetic control and regular walking is a must at least 45 minutes daily Meanwhile start taking 1/4 th tsp methi seeds to be soaked overnight and at morning on empty stomach, chew and then drink methi water Follow this for 10 days. You still no relief, then you can go for the above test now culture is not required after seeing the urine test. We can decide whether culture is required or not.

Since you're managing diabetes + prostate + kidneys, these tests are important every 6–12 months, especially only if not done. 🔹 1. Ultrasound KUB recommended if not done recently. Checks for: Prostate size, bladder retention, kidney health, stones. Safe and non-invasive. 🔹 2. Uroflowmetry (optional if no symptoms) ✅ Only if: You notice slow urine flow, hesitancy, or dribbling again. If your flow is normal and smooth now, this can wait. 3. Urine Routine & Microscopy (Urine R/M) is to be done,since you're diabetic. 4. Urine Culture,Recommended only if you have burning, fever, or foul smell in urine orFrequent urinary tract infections. 5. Blood Tests HbA1c (every 3 months): Check your diabetes control KFT (Creatinine, Urea, eGFR): Every 3–6 months Lipid Profile: Since you're under cardiac care PSA (Prostate-Specific Antigen): If enlarged prostate was significant before CBC (for anemia or infections).

HELLO ARUN KUMAR JI, You're a 63 year old male with -benign prostatic hyperplasia(BPH) - diabetes mellitus - cardiovascular issues - undercard at safdargunj hospital and also using ayurvedic remedies YOU'RE CYRRENTLY DOING -allopathic medications (Silodosin 8 mg-> now stopped, Metformin 500 mg, Glimepiride 60 mg, etc) -ayurvedic remedies (Gudmar + jamun seed churna, Sugarlo DM, dadimashtaka , haritaki etc) -practice pranayama- bhramari, nadi sodhana - recent creatinine=1.41 mg/dL -sometimes increased frequency of urination when RBS >180 mg/dL RECOMMENDED INVESTIGATION since you're reporting some symptoms again(intermittent frequency urination), follow-up tests are advised to monitor your prostate, kidneys, and bladder function UROLOGICAL INVESTIGATIONS 1) ULTRASOUND KUB (kidney, ureter, bladder) -to rule out residual urine, hydronephrosis or bladder wall thickening 2) POST VOID RESIDUAL URINE -measured via ultrasound or bladder scanner 3) UROFLOWMETRY -to assess urine flow strength and voiding efficiency 4) URINE CULTURE AND SENSITIVITY -if any infection or burning is suspected OTHER TEST 1) SERUM PSA(prostate specific antigen) -to rule out prostate pathology 2) HbA1c= for 3 months average blood sugar control 3) KIDNEY FUNCTION TEST= repeat to monitor creatinine, urea etc 4) FBS/PPBS 5) ECG, ECHO(if not done recently)= for cardiac monitoring YOU'RE ALREADY ON A GOOD AYURVEDIC PROTOCOL, FOR BPH, DIABETES AND RENAL PROTECTION CONTINUE 1) GUDMAR + JAMUN BEEJ CHURNA= supports glycemic control 2) HARITAKI CHURNA AT NIGHT= gentle detox, bowel support 3) DADIMASHTAK CHURNA= strengthens digestion, helpful in diabetes -PRANAYAM= excellent for calming nervous system and bladder tone CONSIDER ADDING 4) CHANDRAPRABHA VATI= 2 tabs twice daily after meals with warm water =supports urinary flow, relieves prostate swelling 5) NISHA AMALAKI CHURNA= 1 tsp twice daily with warm water on empty stomach =helps control blood sugar , support kidney and liver function 6) PUNARNAVADI MANDUR= 2 tabs twice daily after meals =reduces swelling, reduces creatinine, very effective in urinary channel cleansing 7) FOR HEART AND BP SUPPORT= ARJUNA CAPSULES= 2 caps daily twice with water =strengthen heart balance bp and cholesterol DIET PLAN GENERAL TIMING -wake yp by 6am -eat 3 meals, warm, easy to digest - sleep before 10:30 pm RECOMMENDED FOODS GRAINS= barley, ragi, bajra, jowar, brown rice in moderation PULSES= moong dal, masoor dal easily digestible VEGETABLES= bottle gourd, ridge gourd, bitter gourd, spinach, pumpkin FRUITS(LOW SUGAR)= amla, jamun, guava, pomegranate SPICES= haldi, methi, jeera, ajwain, hing OILS= cow ghee small amount, mustard oil for cooking AVOID STRICTLY -milk with salt or sour foods(milk+fruits=NO) -cold drinks, yogurt at night, deep fried food - sugar, jaggery, bananas, mangoes - heavy pulses like chana, rajma,(gas forming) YOGA ASANA -bhujangasana= improves kidney/bladder function -pawanmuktasana= removes gas, supports lower abdomen -uttanpadasana= strengthens urinary and core muscles -moola bandha= tones pelvic floor, supports prostate -vajrasana after meals= improves digestion, sugar metabolism PRANAYAM -nadi sodhana= 10 mins, balances doshas, calms nervous system -bhramari pranayam= 5-10 min, relieves tension, support prostate/ kidney -sheetali/sheetkari= 5 min lower bp and sugar done in hot season only LIFESTYLE TIPS -eat only when hungry, don't overeat -use copper waste (store overnight in copper vessel) - sit in sunlight 15-20 mins daily - massage lower abdomen with warm castor oil or dashmoola oil -avoid suppressing urges- urine, stool SAFE HOME REMEDIES -Fenugrrek = 1 tsp soaked overnight, chew in morning =sugar control, digestion -AMLA JUICE= 15 ml in water morning =improves immunity, sugar control -PUMPKIN SEEDS= 1 tsp daily =supports prostate health -NEEM + TULSI LEAVES = 5 each on empty stomach =natural blood purifier, sugar support AYURVEDA treats your whole system-not just symptoms Focus is on balancing vata(for prostate), kapha(for diabetes), pitta (for bp) be consistent with treatment+yoga+diet DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU DR. MAITRI ACHARYA

hello Arun Kumar srivastava, You're 63, and you're managing diabetes, heart issues, and previously treated enlarged prostate (BPH). You were on Silodosin 8 mg, later reduced to 0.5 mg, and now stopped with much improvement in urinary flow. You're doing Pranayama (Bhramari, Nadi Shodhana) daily before bed, and that’s helping a lot. Urine is flowing freely, no current kidney blockage, and creatinine is 1.41, which is slightly raised but stable. However, when your random blood sugar (RBS) crosses 180, you're noticing increased frequency of urination which is a typical response in diabetic patients due to osmotic diuresis. You’re also under cardiology and endocrinology care, and using a combination of Allopathy and Ayurvedic medicines like Gudmar, Jamun beej, Dadimashtak churna, and Haritaki.Your condition now is quite stable, but you’re at a stage where routine evaluation is essential to prevent silent complications. Internal Medicines (Continue & Additions): Gudmar churna + Jamun beej churna – 1 tsp mix twice daily (already continuing – good) Dadimashtak churna – 4 pinches + Haritaki churna ½ tsp at bedtime with lukewarm water Chandraprabha Vati – 2 tablets twice daily after food (for prostate, urinary tract, and blood sugar) Varunadi Kashayam – 15 ml + 45 ml warm water twice daily before meals (for prostate and kidney health) Gokshura churna – ½ tsp with warm water at night (for bladder strength and smooth urine flow) Shodhana Karma / External Support: No detox is advised at this age unless under clinical supervision Continue daily Pranayama – Bhramari and Nadi Shodhana for 15 minutes before sleep Gentle foot massage with Ksheerabala taila 101 before bed – helps Vata, improves kidney circulation Pathya : Eat early dinner (before 8 PM) Add cow ghee (1 tsp/day) in lunch for kidney lubrication Include: barley, lauki, methi, palak, moong dal in food Drink warm water boiled with coriander seeds Sit quietly for 10 minutes after meals – don’t rush or lie down immediately Maintain 30-minute walk daily in morning or evening Maintain 7–8 hours of sleep Apathya (What to Strictly Avoid): Tea or coffee more than twice/day Cold water or fridge food Curd at night Raw sprouts, heavy pulses like chana, rajma Excess salt or very spicy food Long gaps between meals Daytime sleeping for more than 30 mins Recommended Investigations (To Be Done): Ultrasound KUB – to check current prostate size, bladder emptying, any residual urine Uroflowmetry – to evaluate urine pressure and stream Urine Routine + Microscopy – to rule out infection Urine Culture – only if pus cells found in routine report HbA1c – 3-month blood sugar control FBS/PPBS – fasting and post meal sugar Serum PSA – if prostate not recently evaluated Repeat KFT (Urea, Creatinine, Electrolytes) – every 6 months LFT – to check liver load (important in long-term medication use) Your health is on the right track, but your body needs gentle support and regular monitoring. With continued Ayurvedic and Allopathic coordination, and lifestyle discipline, you can stay stable and avoid complications. If you have any doubts, you can contact me. Take care, Regards, Dr. Karthika

You can take Chandraprabha vati 1-0-1 after food with water Gokshuradi guggul 2 tablet once after breakfast with water Varunaadi kadha 10ml twice daily after food with water Do kegel exercises Control your diabetes with medicines+ diet+ exercise+pranayam Follow up after 45 days