Diabetic patient and urine frequently and motion hard - #34448

Start with Chandraprbha vati 1-0-1 after food with water Gokshuradi guggul 2-0-0 after food with water Take Shiva tablet 0-0-2 at bedtime with warm water. Do kegel exercises daily. Include fresh green vegetables ,in your diet.

Need thoroughly examination.

Chandraprabha vati 1-0-1 Gokahuradi guggulu 1-0-1 Hartaki churna 0-0-1 tsp Eat neem leaves daily Amla juice 5 ml daily Soak fenugreek seeds overnight on empty stomach chew and then drink the water Take dry jamun powder 1/4 th tsp daily with warm water daily

Hello Sumedh Thank you for sharing the detailed history of your father. Since he is 70 years old, has been living with type 2 diabetes for 35 years, and is now facing urinary difficulty (urge but not passing smoothly) along with constipation, this definitely needs careful attention.but dont worry we are here to help you out😊

✅ WHAT SHOULD BE DONE IMMEDIATELY

✅INCESTIGATION(to find exact cause):

Ultrasound abdomen & pelvis ➡️ check for prostate enlargement, post-void residual urine, bladder wall, kidneys. Urine routine & culture ➡️ rule out infection. Kidney function test ➡️to ensure kidneys are safe. PSA test (if needed) ➡️ to assess prostate health.

These tests will clarify whether it is mainly prostate enlargement, diabetic bladder weakness, or a combination.

✅TIPS

Water Intake- Drink 1.5–2 L/day unless doctor has restricted due to heart/kidney reasons.

Avoid bladder irritants: Less tea, coffee, alcohol, and very spicy food.

Timed voiding: Encourage him to go to the toilet every 2–3 hours, even if urge is not strong.

Double voiding technique- After urinating, wait a few seconds and try again to help complete emptying.

Constipation relief:

Warm water in the morning. 1 tsp ghee in warm milk or water at night. Fruits like papaya, pear, figs, soaked raisins, and vegetables with fibre. Light evening walk daily.

✅AYURVEDIC MEDICATION

➡️For urinary issues (prostate + bladder):

1 Varunadi Kashaya 15ml-0-15ml +45 ml water after food – supports healthy prostate and urinary flow.

2 Chandraprabha Vati 2-0-2 after food – balances Vata, reduces urinary obstruction, relieves burning or frequency.

➡️For constipation:

Triphala churna (1 tsp with warm water at bedtime) – regulates bowel movements, also helps in detoxification.

Isabgol husk (1–2 tsp with warm water) – softens stool, safe in diabetes.

✅MONITORING DIABETES

Since he is on Glizid-MV, it is important to keep sugars in control because high sugar worsens constipation, causes bladder infections, and makes urine symptoms worse. Keep regular monitoring of fasting and post-meal sugars.

Your father’s problem is most likely due to a combination of age-related prostate enlargement and long-standing diabetic effects on the bladder, with constipation making it worse.

👉 With proper evaluation (especially ultrasound and kidney tests), simple lifestyle adjustments (fluid, fibre, walks), and Ayurvedic support (Varunadi Kwath, Chandraprabha Vati, Triphala), his urine flow and bowel movements can be improved significantly.

WIshing you a good health😊

Warm Regards Dr Snehal Vidhate

Don’t worry add Rx Gokshuradi guggulu 1-0-1 Chandraprabha vati 1-0-1 Trifla tab 1-0-1

Also once check USG KUB and PSA

Hello, Can you share his recent diagnostic reports which has S. creatinine, PSA levels, RFT, Hba1C, USG-abdomen? We can answer more appropriately after going through the report. Till then for constipation Triphala churna one teaspoon with warm water at bed can be used. Take care, Kind regards.

1.Chandraprabha vati 2 tab twice daily with water after meals 2.Varunadi kwath 20 ml with 20 ml water twice daily after meals 3.Gokshuradi guggulu 1 tab twice daily after meals with water 4.Triphala tablets 2 tab at bedtime with warm water

ifestyle & Dietary Tips - Hydration: Warm water sips throughout the day; avoid cold drinks - Diet: - Include: Ghee, barley, bottle gourd, pumpkin, soaked raisins - Avoid: Dry, spicy, fried foods; excessive tea/coffee - Routine: - Gentle morning walk - Abhyanga (oil massage) with Bala Taila or Dhanwantaram Taila 2x/week - Fixed sleep and meal times

WARM REGARDS DR.ANJALI SEHRAWAT

Hi sumedh this is Dr Vinayak as considering your problem no need to worry maa… This type of issues are usually common in case of diabetes and due to age there is issue maaa…

Rx-T punarnavadi guggulu 1-0-1after food T chandraprabhaa vati 1-0-1after food Neeri kft 2tsp -0-2tsp after food… Give thsew medicine Kindly send if you have any reports regarding this Bcz in this age there may BPH issues also so kindly rule out that and go a head with proper treatment

Hi Sumedh, As per the details you have mentioned, it looks like your father might be suffering from Prostatic enlargement. When prostate gland get enlarged it caused urinary bladder neck constriction. Therefore patient has difficulty in passing urine satisfactorily. I need you to get two investigations done

1. Ultrasound KUB + Post Void Urine Volume 2. Urowflowmetry ( To check rate of flow of urine )

These tests will help to guide further the line of treatment.

Meanwhile Start - 1. Chandraprabha Vati, 2-0-2 before food 2. Gokshuradi Guggulu 2-0-2 after food 3. Mamejava Ghanvati 2-0-2 before food (for regulating sugar level alongwith Glizid)

I want you to start one Panchakarma procedure for your father. Uttarbasti, which is administration of medicated oil through penile urethra. Uttarbasti with Bala-Ashwagandhadi Tail , 50ml twice in a week for 2 months.

Regards Dr. Gursimran Jeet Singh MD Panchakarma

Given your father’s condition with type 2 diabetes and the difficulties he’s experiencing with urination and bowel movements, it’s essential to consider both his diabetic management and underlying Ayurvedic principles. In Ayurveda, these issues may be linked to an imbalance in Vata dosha, which governs movement in the body, including urine and bowel movements. Here’s a tailored approach:

For the urinary issues, it’s important to maintain proper hydration. Encourage him to drink lukewarm water throughout the day. This not only keeps the body hydrated but also supports overall renal function. Including Barley water could be beneficial – prepare barley water by boiling 1 tablespoon of barley in about 4 cups of water, strain, and drink it through the day.

Regarding the hard motion, focusing on the digestive system is crucial. Eating a diet rich in fiber can help, which mean including whole grains, fresh vegetables, and fruits, especially those rich in water content such as cucumbers and melons. Warm, lightly spiced foods with ginger and cumin can enhance agni, the digestive fire, promoting easier elimination.

Incorporating Triphala at bedtime can aid in regularizing bowel movements. A recommended dose is about half-teaspoon mixed with warm water before sleep. This gentle laxative helps cleanse the colon and supports digestion without harsh effects.

Lifestyle also matters: encourage regular physical activity, adjusted to his capacity, possibly gentle walks which help stimulate peristalsis and improve both circulatory and urinary health. Meanwhile, stress management techniques like yoga or pranayama are very useful for balancing Vata.

On the supplementation side, incorporating Ashwagandha can be supportive for Vata balance and overall energy, but consult his healthcare provider for appropriate doses, considering current medications interactions, which is crucial.

Ensure continuous monitoring of his glucose levels to avoid any complications with his diabetic management. If symptoms persist or worsen, seeking medical consultation is advised to prevent any serious complications.

HELLO SUMEDH,

Your father has had type 2 diabetes for many years. Over time, high sugar levels affect not only the blood but also the nerves, kidneys and bladder

WHAT’S HAPPENING INSIDE -the nerves that control the bladder and intestines may become weak due to long term high sugar (this is called diabetic neuropathy) -The muscle of the bladder lose their strength-> the person feels urine is coming but cannot pass it fully -the intestine movement slows down-> hard stools, incomplete evacuation , and discomfort. -At his age, prostate enlargement (a normal male aging process ) can also block urine flow

So, it’s a combination of -diabetes effect on nerves -vata imbalance -dryness, obstruction -possible prostate or kidney weakness

Ayurveda describes such a state under -Prameha= diabetes and its complications -mutrakrichhra/mutraghata-> difficulty or obstruction in urination -vibandha= constipation or dryness of intestiness

DOSHA INVOLVEMENT -Vata dosha = causes dryness, obstruction, and poor nerve function -Kapha dosha= causes sluggish metabolism and stickiness -pita dosha= may cause burning or irritation if infection is present

So, the main goal is to nourish and balance vata, clear obstruction, support kidneys, and nerves and maintain sugar control

TREATMENT GOALS -improve bladder function- make urination smooth and complete -elieve constipation= ensure easy, regular bowel movement -support kidney and nerve health -balance diabetes naturally -prevent further complications by improving overall digestion and metabolism

INTERNAL TREATMENT

URINARY FLOW AND KIDNEY SUPPORT

1) CHANDRA PRABHA VATI= 1 tab twice daily with warm water after meals for 2 months =cleans urinary channels reduces swelling, supports prostate and bladder

2) PUNARNAVA MANDUR= 1 tab twice daily after meals for 2 months =reduces fluid retention, supports kidney and liver

3) GOKSHURADI GUGGULU= 1 tab twice daily for 2 month after meals =improves urine flow and relieves obstruction

FOR CONSTIPATION RELIEF

1) TRIPHALA CHURNA= 1 tsp with warm water at bedtime for 3 months =natural mild laxatives, balances vata, improves gut health

2) CASTOR OIL= 1 tsp with warm milk once a week =clears bowel gently , lubricates intestines

FOR SUGAR AND NERVE BALANCE

1)NISHA AMALAKI CHURNA= 1/2 tsp twice daily before meals for 3 months =support insulin function, antioxidants, anti inflammatory

2) VIJAYSAR CHURNA= 1 tsp soaked overnight in water drink the water in morning for 3 months =traditional anti diabetic herbs, rejuvinates tissues

DASHMOOLA KASHAYA= 20 ml + warm water twice daily before meals for 2 months =relieves nerve weakness and dryness In bladder/intestines

LIFESTYLE MODIFICATIONS

DO’S -gentle morning and evening walk 20-30 min -warm water baths -light oil massage before bath -maintain fixed sleep schedule -positive, relaxed mental state

DON’TS -avoid sitting for long hours without movement -avoid cold exposure, cold water drinking -avoid daytime sleping -avoid suppressing natural urges -avoid stress, anxiety, anger

YOGA -helps improve nerve control ,digestion and bladder tone -pawanmuktasana= improves digestion and relieves gas -vajrasaa= aids digestion can sit after meals -supta baddhakonasana= supports prostate and bladder -bhujangasana= strengthens abdominal organs -ardha matsyendrasana= helps pancreas and intestines

PRANAYAM -Anulom vilom= 5-10 min daily -bhramari= calms nerves and balances vata -deep diaphragmatic breathing= helps pelvic organ function

DIET -barley, whole wheat, millets bajra, jowar, in mdoeration -green leafy vegetables, bottle gourd, ridge gourd, snake gourd -moong dal, old rice, lightly spiced soups -amla, turmeric, methi, karela, -cow ghee. for lubrication and bowel movement 1 tsp daily -buttermilk with roasted cumin and rock salt after lunch

AVOID -refined sugar, bakery, white flour -cold drinks, curd at night -deep fried or heavy food -too much salt and spicy pickles -alcohol and tobacco -milk + fish or milk + sour foods together

HOME REMEDIES -jeera-dhania-ajwain water= boil 1 tsp each in 3 cups of water-> reduce to half-> drink warm through the day -Methi water= soak 1 tsp fenugreek seeds overnight, chew and drink water in morning -amla juice- + turmeric 1/2 tsp each in mroning for sugar and kidney protection -warm sesame oil massage over lower abdomen daily before bath to aid bladder function

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Given the situation, the symptoms your papa is experiencing align with certain imbalances that we can address through a Siddha-Ayurvedic approach. In Ayurveda, these concerns could be related to vata dosha imbalance, especially at his age, as vata tends to increase with aging, potentially affecting the excretory functions. The urinary discomfort and constipation need to be attentively managed, especially within the context of diabetes.

Firstly, encouraging hydration is essential. Warm water or warmed herbal teas, such as ginger tea, can aid in promoting smoother urine flow. They help in balancing Vata and igniting Agni, which is the digestive fire, assisting both digestion and urination. Constipation can often be addressed by adding healthy fats like a teaspoon of ghee to morning meals, or warm milk at night, which soothes vata and aids bowel movements.

In terms of dietary adjustments, increasing fiber from cooked vegetables like gourds, pumpkins, and carrots could be beneficial for smoother bowel movements. Also, consider including slightly warmed psyllium husk (Isabgol) before bedtime to help stimulate bowel activity gently. Avoid raw, hard, and very dry foods which could exacerbate the vata imbalance.

Specifically for urinary tract health, a decoction of coriander seeds and an infusion of fennel seeds, taken daily, might gently support the urinary system. Two teaspoons of coriander seeds boiled in water, let it cool, and consume twice a day.

However, given his diabetic condition and age, ensure that any new regimen is commenced after consulting his primary healthcare provider to coordinate with his existing medications. If these issues persist or worsen, it would be prudent to seek timely medical evaluation to rule out any complications related to his diabetic history.