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

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

Hi, Ural BPH 1-0-1 afterfood Gokshuradiguggulu 1-1-1 after food Continue pranayama Take proteineous diet Take USG abdomen and pelvis Blood test kft, FBS,hba1c ,routine urine test ,psa test

Hello Arun ji! as you have said that your creatinine is 1.41 , and sugar is also at higher side even after taking medicine so it is required to be done some Tests Kindly share your Ultrasound report? and latest blood reports(CBC,RFT)

Namaste Arun ji To monitor urinary and kidney health, I advise the following investigations as part of your routine check-up: Ultrasound KUB with Post-Void Residual (PVR) Uroflowmetry Urine Routine and Microscopy HbA1c Urine Culture (only if there are symptoms like burning, urgency, or cloudy urine) Ayurvedic Recommendations: You can replace Jamun Beej with the following herbs in combination you can have the powder with Luke warm water or in decoction form before meal: Vijayasar (Pterocarpus marsupium) Daruharidra (Berberis aristata) Amalaki (Emblica officinalis) Gokshura (Tribulus terrestris) You may continue Gudmar as long as it's suiting your digestion and sugar profile. You can Add: Chandraprabha Vati – 1 tablet twice daily (after food) You're already on a very positive track. The suggested lab tests will help ensure internal parameters remain well managed. Meanwhile, the above Ayurvedic additions will help further balance blood sugar, support the urinary tract, and strengthen overall vitality. Please feel free to share your reports once done — I’ll be happy to guide you further based on them.

HELLO ARUN, SUMMARY OF CURRENT SITUATION YOU ARE -male patient with benign prostatic hyperplasia -frequent urination, sometimes better, sometimes worse -currently improved with pranayam and some ayurvedic allopathic treatment -taking medications for -daibetes -heart/bp -prostate Based on your symptoms and history, these test can be useful 1) ULTRASOUND KUB (kidney, bladder, ureter) -to check for post void residual urine, prostate size, and any hydronephrosis 2) UROFLOWMETRY -to assess the rate of urine flow and bladder emptying -helpful to see how much obstruction remains 3) URINE ROUTINE (R/M) and CULTURE -you have burning or infection symptoms - urine is cloudy or has odor - can rule out urinary tract infection 4) KIDNEY FUNCTION TEST (KFT) -already done, creatinine 1.41 is borderline high - repeat after 3 months MEDICATIONS -CONTINUE ALLOPATHY MEDICATIONS -CONTINUE AYURVEDIC -gudmar churna+ jamun been churna= good for diabetes -dadimastaka churna+ haritaki churna= good for digestion and general detox -pranayam (brahmari, nadi sodhana)- excellent support for stress and bladder control SUGGESTIONS FOR MANAGEMENT ALLOPATHY -If urination improves, no need to restart silodosin, unless symptoms return -maintain sugar control- RBS should be under 160 mg/dL AYURVEDA -continue that -add -VARUNADI KASHAYA= 20 ml twice daily after meals with water =reduces prostate swelling -CHANDRAPRABHA VATI= 2 tab twice daily after meals =imporves urine flow, reduces inflammation -MADHUMEH NASHINI VATI= 2 tabs twice daily after meals =for diabetes --SHILAJIT RASAYAN VATI= 1 tab twice daily in morning and night =rejuvination, improves stamina and urinary flow LIFESTYLE -continue Pranayam daily- you're doing excellent work -avoid too much water before sleep - reduce caffeine, spicy foods, and late night heavy meals -keep regular bowel movements-constipation worsen BPH symptoms THANK YOU DR. HEMANSHU MEHTA

S. No. Name of medicine & dose 1. 1) Chandraprabha Vati-500mg before food with honey 3 times a day 2.Varunadi Kashaya-20ml before food with water 3 times a day 3.Bastyamayantaka Ghrita-20-ml after food with water 2 times a day