Request for Ayurvedic Guidance on Chronic Pelvic / genital organs issues - #34155

Dear Anil Avoid addiction if any. Avoid oily, spicy and processed foods. Regular exercise. Increase intake of raw vegetables and fruits. Regular use of buttermilk. Tab. Bangshil 2-0-2 Cap. Florasante 1-0-1 Cap Ural-BPH 1-0-1 FOLLOW UP AFTER 12WEEKS

Hi Anil as per your symptoms please do start

1.Gandharvahasthadi kwatham tablet 2-0-2 before food (helps to pacify vata which is causing the tightness as per Ayurveda) 2.Chandraprabha gulika 2-2-2 after food (helps to reduce pain and inflammation/infection related to urine) 3.Gokshuradi guggulu 1-0-1after food 4.Dhanwantharam taila- For mild application over pelvic area and do a hot fomentation daily for 10min which helps to relieve the tightness

Follow the above set of medication for 14days and do a follow up here also follow some lifestyle modifications and dietary changes as mentioned below

*Do’s

**Barley Water Boil 1 tbsp barley in 2 cups water → strain → sip throughout the day Acts as a natural diuretic and coolant. 3-4litres of water /day More focus on fruits and vegetables Include Sprouted grains Walking - daily 30min to 1hour Practice yoga and meditation regularly

*Don’ts Tea /coffee Oily too salty sour sweet foods Junk foods Carbonated/soft drinks Maida and its products Avoid gaseous foods like Dhal (not recommended daily )

Hello Anil,

Thank you for sharing your detailed history and health journey. I will break this down step by step so you can clearly understand the possible causes and how Ayurveda can help you in a long-term, sustainable way.

✅ YOUR SYMPTOMS

Weak urine flow since 18 years, with feeling of obstruction and pelvic tightness

Dull ache and sense of swelling in groin/prostate area

Irregular bowel movements, semi-formed stools, gas, flatulence, bloating

Relief with Hingwashtak Churna

Improvement in both digestion and urine flow when digestion is corrected

✅POSSIBLE CAUSES

1. Urinary Issues From modern view: could be due to mild prostatitis, epididymitis, or low-grade chronic inflammation.

2. Digestive Issues Long-standing irregular digestion points to Mandagni (weak digestive fire). Your semi-formed stools, bloating, and flatulence are features of Sangrahani (IBS-like condition).

The link between digestion and urine flow is important: when Ama (toxic residue of weak digestion) is reduced, both digestion and urinary functions improve.

So, treatment must focus not only on urinary system but also on correcting digestion and balancing Vata.

✅AYURVEDIC PLAN OF TREATMENT

✅INTERNAL MEDICATION

1 Varunadi Kashayam – 15 ml + equal warm water, twice daily after food 👉 For urinary obstruction, prostate support, reduces swelling.

2 Gokshuradi Guggulu – 1-0-1 👉 Improves urine flow, nourishes urinary and reproductive system.

3 Punarnavadi ks tab – 1 tab twice daily after food 👉 Reduces pelvic inflammation and water retention, improves circulation.

(You can continue Hingwashtak Churna, Haritaki at bedtime, Kutajarishta as you are already doing, since these are helping digestion).

✅EXTERNAL TREATMENT

1 Warm sitz bath with a pinch of turmeric + rock salt for 10 minutes daily – reduces pelvic congestion.

2 Abhyanga (oil massage) lower abdomen, groin, and low back with Mahanarayan Taila followed by mild hot fomentation – relieves Vata, pain, and stiffness.

If possible at Panchakarma center: Matra Basti (oil enema) with Sahacharadi taila – excellent for Apana Vata regulation.

✅DIET AND LIFESTYLE MODIFICATION

✅Include - 👉 Easily digestible warm foods (khichdi, moong dal, cooked vegetables). 👉 Barley, horse gram, coriander water – good for urinary health. 👉 Cow’s ghee in small amounts – balances Vata. 👉 Fruits like pomegranate, apple, papaya in moderation.

❌Avoid - ❌ Cold drinks, curd at night, heavy oily food, excessive spices. ❌ Long gaps between meals (worsens Vata).

Lifestyle - 👉 Regular warm meals at fixed time. 👉 Avoid prolonged sitting – take short walks. 👉 Gentle yoga like Vajrasana (after food), Pawanmuktasana, Setubandhasana. 👉 Stress management through Pranayama – Anulom Vilom, Bhramari daily 10 min.

✅ Important Notes

Since you already improved urine flow with Sangrahani treatment, this confirms the deep link between digestion and urinary health.

Your condition is chronic, so consistent treatment of at least 3–6 months is required for sustainable improvement.

Regular follow-up with ultrasound once in 6–12 months is advisable to track prostate and urinary tract health.

Panchakarma (Basti therapy especially) can give long-lasting results.

With consistent Ayurvedic care, it is possible to keep this condition under check naturally and avoid recurrent antibiotics or invasive treatments.

Wishing you good health😊

Warm regards, Dr Snehal Vidhate

As per your symptom I recommend you to add Neo tab 1-0-1 Gokshuradi Guggulu 1-0-1

Avoid overdrinking of water at night Avoid spicy and oily food Dinner should be early and light

Take somanatha ras 1tab bd, shivagulika 1tab bd, vastayamatakaghritam ds 1ta bd ,varanadhi kashayam 20ml bd enough

Based on the information provided, your symptoms suggest a possible involvement of: Apana Vata imbalance (governing elimination, including urination and defecation). Mootravaha Srotas Dusti (pathology of the urinary channel, perhaps mimicking Mootrakrichra or chronic inflammation). Purishavaha Srotas Dusti (pathology of the digestive/excretory channel, relating to Sangrahani or IBS-like symptoms). A possible chronic, low-grade Kapha-Pitta imbalance leading to inflammation (Shotha) and congestion in the pelvic region. Your current Sangrahani protocol is acting by correcting Agni (digestive fire) and binding/detoxifying (Grahi and Deepana-Pachana actions), which is likely why your urinary symptoms have also improved, as the health of the digestive system (Koshta) is intimately connected to the health of the lower pelvic region.

1. Analysis of Suggested Herbs for Urinary/Pelvic Health

The herbs you mentioned are highly relevant for Mootravaha Srotas (urinary tract) and genital health.

Gokshura (Tribulus terrestris) Mootrala (Diuretic), Vajikarana (Aphrodisiac), Ashmarihara (Lithotriptic), Vata-Shamak (Vata pacifier) Excellent for toning the urinary tract, prostate health, and pacifying Vata, which is key to your symptoms of tightness and obstruction. Punarnava (Boerhavia diffusa) Shothagna (Anti-inflammatory/Anti-swelling), Mootrala (Diuretic), Kapha-Vatahara (Pacifies Kapha and Vata) Best for addressing the feeling of swelling/dull ache and potential edema/inflammation in the pelvic region. Varuna (Crataeva nurvala) Ashmarihara (Lithotriptic), Mootrala (Diuretic), specifically targets the bladder and urinary tract (Basti Shodana). Strong action on the urinary system, specifically useful where there is an obstruction or reduced tone. Giloy (Tinospora cordifolia) Rasayana (Rejuvenative), Jwara-hara (Anti-pyretic/Anti-infective), Deepana-Pachana (Digestive stimulant/carminative) Excellent immune modulator, anti-inflammatory, and gentle support for chronic low-grade infection/inflammation. Neem (Azadirachta indica) Krimighna (Anti-microbial/Anti-parasitic), Rakta Shodhaka (Blood purifier), Jwara-hara Strong detoxifier and anti-infective. Useful if a bacterial/fungal element is suspected. Most Suitable Selection: A combination focusing on reducing inflammation/swelling, toning the urinary tract, and gentle anti-infective action would be ideal. I recommend focusing on Gokshura, Punarnava, and Giloy initially, as they are broad-spectrum and will synergize well with your existing regimen.

2. Incorporation into Existing Protocol

A simple and effective way to integrate these would be to use them as a combination product or a decoction/powder blend taken at a separate time from your current medications to ensure proper absorption and action.

Morning (Empty Stomach) Amla, Bael, Kamdudha Ras, Sphatika Bhasma Gokshura and Punarnava (in powder or capsule form) To address the urinary tract tone and pelvic swelling. Take 30-60 minutes after the first dose. With Breakfast Hingwashtak Churna

Continue for digestive support. Mid-Day/After Lunch

Giloy Ghanavati (tablet form) or Giloy juice/decoction To support immunity, reduce inflammation, and address a chronic low-grade infection element. After Dinner Kutajarishta

Continue for Sangrahani and Grahi action. At Bedtime Haritaki Churna

Continue for gentle cleansing and Vata regulation. Alternative Combination: A classical formulation like Gokshuradi Guggulu or Punarnavadi Mandur could be excellent as they combine the benefits of these herbs with Guggulu (anti-inflammatory) or Mandur (anemia/inflammation), respectively.

3. Additional Medicines for Sustainable Management

To support the underlying Vata imbalance and chronic inflammation. For Vata Regulation and Pelvic Tone: 1) Chandraprabha Vati:1 tab 3 times after food A highly revered classical preparation for urinary, prostate, and reproductive health. It balances all three Doshas and addresses weakness, infection, and inflammation in the pelvic region. 2) Ashwagandha Churna/Capsule: 1 tsf 2 times after food 3) gokshuradi gugglu-1 tab 2 times after food A powerful Rasayana to help manage stress (a Vata factor) and improve systemic strength and tone. For Chronic Inflammation/Infection Support: Kaishore Guggulu: 1 tab 2 times after food Excellent for chronic inflammatory conditions, especially those involving the joints, skin, and urinary tract, often used to correct Rakta (blood) and Mamsa Dhatus. External Application: Tila Taila (Sesame oil) or Mahanarayana Taila for gentle massage over the lower abdomen and groin area before bathing, specifically to pacify local Vata and reduce tightness/dull ache.

Summary of Recommendations

Continue the successful Sangrahani protocol (Amla mix, Hingwashtak, Kutajarishta, Haritaki). Add a combination of Gokshura and Punarnava (or a classical product like Gokshuradi Guggulu) to specifically target the urinary flow, pelvic swelling, and tightness. Consider integrating Chandraprabha Vati for comprehensive genitourinary support. Incorporate a Rasayana like Giloy or Ashwagandha for systemic anti-inflammatory and restorative action. Always start with one new medicine at a time to monitor its effects and dosage, and ensure regular follow-up.