Suffering from Nocturnal Enuresis - #34860

Ashwagandha churna – 1 tsp at night with warm milk (strengthens nerves & bladder).

Shilajit (pure, small dose 125 mg daily) – improves urinary control, energy.

Gokshura powder – ½ tsp with warm water, strengthens urinary system.

Classical Formulations (commonly prescribed for enuresis / mutra rog)

Chandraprabha Vati – 1 tablet twice daily with water.

Bala–Ashwagandha Ghrita – 1 tsp in warm milk at bedtime.

Avoid excess water intake after sunset, especially before bed.

Empty bladder before sleep.

Warm oil massage (sesame oil) to lower abdomen & lower back → strengthens nerves.

Vajrasana (after dinner), Moola bandha, and regular Kegels are correct — continue.

Sleep on harder mattress → prevents deep oversleeping that triggers enuresis.

1. Shilajit Capsules 2 cap in the morning with warm milk 2.Chandraprabha vati 2 tab twice daily with water after meals 3.Punarnava mandur 1 tab twice daily with water after meals 4.Black Mustard Powder - ½ tsp mixed with the first morsel of food

🧘‍♀️ Additional Ayurvedic Practices - Warm sesame oil massage on the lower abdomen before breakfast - Pavanamuktasana and Kapalabhati Pranayama daily - Avoid excessive fluid intake after sunset - Reduce Kapha-aggravating foods (cold, heavy, sweet, dairy-rich)

Warm Regards Dr.Anjali Sehrawat

HELLO ASHISH,

Nocturnal Enuresis means involuntary passing of urine during sleep, commonly known as bedwetting. In adult , this is not a disease by itself but a sign of an imbalance- either physical, nervous or psychological

FROM AN AYURVEDIC VIEWPOINT Ayurveda explains such urinary problems under “Mutrakrichra” (difficult in urination) or “Mutrghata” (urinary retention/ disturbance). Your condition is mainly due to vitiation of -Apana vata= controls urination and defecation -Kapha= causes sluggishness and reduce nerve sensitivity -Sometime Pitta= if there is burning or irritation

When Apana vata becomes weak or displaced due to stress, irregular habits, or toxins, the bladder loses its ability to “hold” urine properly During sleep , when consciousness is reduced this control weakens further, leading to leakage of urine

Even though you’ve tried legal exercises and yoga, the condition may contribute due to -deep rooted vata imbalance- affecting pelvic nerves -ama accumulation disturbaing bladder sensation(toxins) -weak manovaha srotas (mind- nervous connection0 -sleep pattern disturbance or psychological tension -long standing urianry tract weakness So the Ayurvedic goal is not only to control symptoms but to strengthen the entire bladder- nerve - mind connection.

TREATMENT GOALS -control involuntary urination -detoxify bladder channels -improve bladder tone and nerve strength -correct sleep-nervous system link -preent recurrence

INTERNAL MEDICATIONS

1) CHANDRAPRABHA VATI= 2 tabs twice daily after meals with lukewarm water for 3 months =regulates bladder, improves urinary control, balances apana vata and kapha

2) GOKSHURADI GUGGULU= 1 tab twice daily after meals for 2 months =strengthen urinary tract and clears toxins

3) SHILAJIT CAPSULES= 500mg twice daily with milk for 3 months =improves nerve strength, libido, bladder energy

4) ASHWAGANDHA CHURNA= 1/2 tsp with warm milk at night for 3 months =calms vata, reduces stress, promotes sleep and nerve repair

5) SARASWATARISHTA= 15ml + warm water twice daily after meals for 3 months =mental relaxation, memory, anxiety relief

6) YAHSTIMADHU CHURNA= 1/2 tsp with honey morning for 2 months =soothing mild diuretic, nourishes uriary mucosa

7) KAPIKACCHU CHURNA= 1/2 tsp with milk for 1 months =strengthen nervous control over bladder

OIL MASSAGE= daily self massage with Bala Taila on lower abdomen, back and thighs =strenthens muscles, improves vata balance

Gentle sweating after massage= improves circulation, removes stiffness

DIET -warm, light, freshly cooked meals -moong dal , rice gruel, khichdi, wheat porridge -milk with nutmeg , ghee, cardamom at bedtime -pomegranate, black raisins - soaked overnight -mild spices- cumin, coriander, fennel -ghee small amount daily- nourishes vata

AVOID -cold drinks, ice creams, curd- especially at night -coffee , tea, alcohol, spicy junk food -excess fluids after sunset -late night dinners or staying awake beyond 11 pm

LIFESTYLE MODIFICATIONS -maintain regular sleep schedule -avoid holding urine during the day -do not drink too much water after 7 pm -empty bladder before bedtime -avoid mental stress before sleep (no mobile/laptop use 1 hr before bed) -avoid sleeping directly after dinner -practice mind calming before sleep (deep breathing or chanting Om)

YOGASANAS -vajrasana= after meals, improves digestion -moola bandha= strengthens pelvic muscles (root lock) -ashwini mudra (contract and release anal muscles) -bhadrasana, paschimottanasana, shavasana

PRANAYAM -Anulom vilom= balance vata and mind -bhramari= improves sleep and relaxation -nadi sodhana= enhances nerve contro -ujjayi= calming breath

USEFUL HOME REMEDIES

-NUTMEG MILK= 1/2 tsp nutmeg powder boil in 1 glass milk; take before bed= promotes restful sleep and bladder tone -BLACK SESAME + JAGGERY= 1 tsp daily after lunch - strengthens urinary muscles -SOAKED RAISINS (10) + BLACK PEPPER (2-3)= Morning on empty stomach -AMLA POWDER + HONEY= 1 tsp daily morning for nerve rejuvination -WARM WATER BATH BEFORE SLEEPING= relaxes pelvic area and nerves

Nocturnal enuresis in adults is treatable with a holistic approach - mind, nerves, bladder, and habits all must be corrected together

Ayurveda doesn’t just suppress symptoms, it restores bladder and nerve balance

Improvement is gradual- expect noticeable change in 4-8 weeks, and complete recovery with maintenance over 3 months

Patience, regularity and positivity are the keys

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Ayurveda can offer a unique perspective on managing nocturnal enuresis, also known as nighttime urination or bedwetting. This condition can be viewed as an imbalance in the body’s doshas, primarily Vata and sometimes Pitta. Efforts in Ayurveda often focus on restoring balance through dietary changes, lifestyle adjustments, and herbal remedies.

Begin by assessing your diet. It is recommended to reduce intake of foods that are cold, heavy, or difficult to digest. Avoid excessive consumption of fluids in the evening, especially those containing caffeine or alcohol. Instead, opt for warm, light and easily digestible meals at dinner. Choosing foods that calm Vata, such as cooked vegetables, whole grains, and nuts, may be beneficial. You might also consider incorporating turmeric and ashwagandha into your diet, as they can help support urinary health and reduce stress, which can exacerbate symptoms.

Practicing Abhyanga, or a self-massage with warm sesame oil, before bed may help calm the nervous system and reduce Vata imbalances. This can be particularly helpful if stress is a contributing factor to your condition. Consider setting a regular sleep schedule to help regulate your body’s rhythms, going to bed and waking up at the same time each day.

Additionally, specific herbal remedies may be useful. Gokshura (Tribulus terrestris) and Shatavari (Asparagus racemosus) are known for their supportive effects on urinary health. These herbs might be consumed in powder or capsule form, as advised by a qualified Ayurvedic practitioner, to ensure the dosage is correct.

Ayurveda also emphasizes the role of proper hydration throughout the day while minimizing fluid intake closer to bedtime. Remember that consistency in lifestyle modifications and herbal regimens could take time to show effects, and it is important to persist with these changes under the guidance of an Ayurveda specialist.

If symptoms persist, seeking a personalized consultation can provide deeper insights tailored to your unique dosha and lifestyle. In some cases, a more intensive intervention may be necessary to address the root causes, ensuring a comprehensive approach to your health.

You can start on Chandraprabha vati 1-0-1 Gokshuradhi guggulu 1-0-1

Nocturnal enuresis, or bedwetting, can often be linked to imbalances in the Vata dosha and sometimes Pitta. In Siddha-Ayurvedic tradition, such conditions can relate to stress, dietary issues, or even inefficient urinary function. Below are some steps you can try incorporating:

Dietary adjustments: Focus on a calming diet that balances Vata. Have warm, cooked meals with healthy oils like ghee. Avoid cold, dry, or raw foods, which can aggravate Vata dosha. Include grounding spices such as cumin, coriander, and fennel in your meals. Avoid excessive consumption of stimulants such as caffeine and reduce overly spicy foods which can irritate the bladder.

Herbal Remedies: Gokshura (Tribulus terrestris) and Ashwagandha are known for their ability to strengthen the urinary system and nutritional absorption. Take advice from a qualified practitioner for dosage. Manjishtha is also beneficial to cleanse and cool the pitta while supporting urinary health.

Daily routines: Adhere to a consistent sleep schedule that aligns with the circadian rhythm, reinforcing grounding habits. Refrain from drinking large amounts of water or other fluids 2-3 hours before bedtime. Ensure your bladder is completely emptied before sleeping; this might help reduce incidents at night.

Pranayama and meditation: Continue your yoga practice with particular emphasis on calming and grounding pranayama like Nadi Shodhana (alternate nostril breathing) or Bhramari (bee breath), helping reduce anxiety or stress that might be contributing to the condition.

For serious or worsening symptoms, consult a healthcare professional to explore underlying health issues. Combining modern medical advice with these holistic strategies will support a comprehensive recovery approach. Adjust these steps if you notice any increase in symptoms or discomfort.

Hello Ashish,

Kindly start

Chandraprabha vati= 2 tabs twice daily after meals

Gokshura powder= 1 tsp with warm water twice daily

Shilajit capsule= 1 cap in morning

Punarmava decoction= 1 cup twice daily

Daily walking and yoga

Meditation

Thank you

Dr Hemanshu Mehta