Urine Leakage and Uterine Weakness After C-Section - #38654

Hello I can completely understand your discomfort and embarrassment — urinary leakage after childbirth (especially after a C-section) is more common than many women realize, but don’t worry we are here to help you out 😊

After a caesarean delivery, the pelvic muscles and bladder control mechanisms can become weak due to hormonal changes, pressure during pregnancy, or nerve stretching. This leads to stress urinary incontinence - leakage of urine during coughing, sneezing, laughing, or even simple movements.

✅AYURVEDIC PLAN OF TREATMENT

✅INTERNAL MEDICATION

1 Chandraprabha Vati 2-0-2 after food – Strengthens urinary tract and relieves infection or odor.

2 Dashmoolaristha 30ml-0-30ml after food – Rejuvenates uterus and balances Apana Vata.

3 Shatavari Kalpa 1 tsp with warm milk once a day – Improves uterine tone and hormonal balance.

4 Gokshuradi Guggulu 1-0-1 – For bladder control and strengthening urinary musculature.

✅LOCAL THERAPIES

Yoni Pichu – Vaginal tampon soaked in medicated oil (Bala Taila ) inserted for a short time to strengthen pelvic tissues.

✅ PELVIC STRENGTHENING EXERCISES

Kegel exercises – Contract your pelvic muscles as if stopping urine flow; hold for 5–10 seconds and release. Repeat 10–15 times, twice daily.

Ashwini Mudra (Yoga practice) – Similar to Kegels; helps strengthen Apana region.

Mild Yoga postures like Setu Bandhasana and Bhujangasana strengthen pelvic and lower abdominal muscles.

✅DIET AND LIFESTYLE

Warm, nourishing diet with ghee, milk, and black sesame seeds to balance Vata.

Avoid cold, dry, or spicy foods that aggravate Vata and irritate bladder.

Drink adequate warm water; avoid excess tea, coffee, and carbonated drinks.

Keep genital area dry and clean; change undergarments frequently.

Use mild herbal vaginal washes (with Triphala decoction) for hygiene.

With regular pelvic exercises, Ayurvedic therapy, and internal rejuvenation, your uterine and bladder strength can be restored within 2–3 months.

The odor and leakage will gradually reduce

Wishing you a good health😊

Warm Regards Dr Snehal Vidhate

Take makardwaja 1tab bd, shatavari ghrita 1tsp, Chandra Prabha vati 1tab, Gokshuradi Guggulu 1tab bd

HELLO,

After a c-section, the lower abdomen and pelvic area undergo major stresss -the uterus is surgically cut and sutured -the pelvic floor muscles and bladder support ligaments may weaken -hormonal changes after delivery, especially reduced estrogen, make tissue softer -Improper postpartum care, lack of rest, or doing heavy work too soon worsen this weakness

BECAUSE OF THIS -Urine may leak when coughing, sneezing, laughing, or even walking -the lower abdomen feels weak or heavy -there may be foul smell or dampness in the groin area due to constant leakage

In Ayurevda, this is seen as “apana vata dushti”- disturbance of the vata that controls elimination, menstruation and childbirth

TREATMENT GOALS -pacify apana vata -strengthen pelvic muscles and uterus -improve urinary control -nourish and rejuvenate body -prevent infection

INTERNAL MEDICATIONS

1) ASHOKARISHTA= 20 ML + warm water twice daily after meals for 3 months =tones uterus, stops excessive discharge, improves uterine muscles

2) CHANDRAPRABHA VATI= 1 tab twice daily after meals for 3 months =strengthens bladder muscles, controls leakage, clears urinary chanels

3) GOKSHURADI GUGGULU= 1 tab twice daily after meal for 3 months =improves kidney bladder tone, reduces inflammation

4)SHATAVARI + ASHWAGANDHA CHURNA= 1 tsp with warm milk at bedtime for 3 months =hormonal balance, tissue rejuvenation, cooling tonic, builds strength, improves nerve tone too

5) DASHMOOLA KASHAYAM= 15ml with warm water twice daily before meals for 2 months = reduces vata, improves pelvic circulation

EXTERNAL THERAPIES

1) OIL MASSAGE= whole body with warm Kshherbala taila over lower abdomen ,thighs, and lower back =improves circulation, reduces vata, strengthens muscles

2) YONI PICHU= cotton pad soaked In Ashoka taila gently placed inside vagina for 20 min daily, for 10 days =tones vaginal walls, stregthens uterus, stops leakage

3) SITZ BATH= sit In warm water with dashmoola decoction or salt for 15 min =improves local circulation, reduces odor and soreness

YOGA ASANAS -setu bandhasana= tones pelvic muscles -baddha konasana= strengthens pelvic floor -malasana= tones bladder and uterus -utkatasana= strenghtens thighs and pelvic area -viparita karani= improves pelvic circulation

PRANAYAM -Anulom vilom = balances vata -bhramari=calms mind and reduces stress -ujjayi = improves muscle toe ad energy

DIET -warm, soft, well cooked food- khichdi, soups, porridge -cow ghee, milk, almonds, sesame , moong dal, rice -herbal teas- cumin, fennel, coriander seeds -include methi, shatavari, ashwagandha,gokshura, in diet -maintain daily routine and hygiene -use cotton inner wear; change frequently

AVOID -cold, dry, stale or fermented foods -excess spicy, sour, salty foods -long sitting, or holding urine -excess stress or heavy lifting -tight clothing or synthetic underwear

SIMPLE HOME REMEDIES -Fenugreek tea= 1 tsp boiled in a cup water- drink once daily for muscle strength -warm milk with shatavari- helps tissue repair -sesame seed laddos or tahini= builds strength and improves calcium levels -triphala powder= cleanses and improves digestion -cumin fennel coriander water= soothes urinary tract and balances pitta

This condition is very common after C section or multiple deliveries- don’t feel embarrassed Recovery is possible with consistent Ayurvedic management, patience, and self care Focus on restoring balance, not just suppressing symptoms Keep positive mental health, stress worsens vata imbalance

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Start with Ashwashila 1-0-0 after breakfast with water Gokshuradi guggul 2 tablet after food with water once daily Do kegel exercises daily Ekangvir ras 0-1 -0 after food with water

After a cesarean section, it’s not uncommon to experience issues like urinary incontinence due to potential laxity or weakness in the pelvic region. From an Ayurvedic perspective, this condition is often associated with an imbalance in Vata dosha, which governs movement and elimination. Addressing this requires a holistic approach focusing on diet, lifestyle, and specific therapeutic measures.

Begin by incorporating Kegel exercises into your daily routine. These exercises strengthen the pelvic floor muscles, supporting both bladder control and uterine health. Aim to do 10-15 repetitions, three times a day. Consistency is crucial to see improvements over time.

Dietary changes also play a crucial role. Include warm, nourishing foods that are easy to digest like soups, stews, and cooked vegetables. Favor whole grains such as quinoa and rice, and reduce consumption of cold, raw, or excessively dry foods which may aggravate Vata. Ensure adequate hydration, but avoid excessive intake of caffeine or alcohol as they may exacerbate urinary leakage.

Applying a warm sesame oil massage to your lower abdomen can be comforting and aid in balancing Vata. Sesame oil has properties that help in nourishing the tissues and improving muscle tone. Do this each evening before a warm bath.

Herbal support can help too- ashwagandha is reputed to provide uterine health benefit and improve overall strength. Take this either in powdered form mixed with warm milk or water, or in capsule form as per package instructions.

Lastly, manage stress levels through practices like deep breathing, yoga, or meditation, which help alleviate Vata imbalances. However, if the problem persists or worsens, seeking an immediate consultation with a healthcare professional is advised to rule out any underlying issues.

Start with - 1. Ashokarishta: 15 ml + water, twice daily after meals. 2. Chandraprabha Vati: 2 tablet twice daily after meals. 3. Shatavari Kalpa: 1 tsp with warm milk nightly.

Local Therapy Yoni Pichu with Shatavari Ghrita 30 mins daily (day 5-15 cycle). Perineal Wash with Triphala decoction 2x/day.

Diet & Lifestyle Eat: Sesame laddoo, ghee (1 tsp/meal), pumpkin seeds. Avoid: Caffeine, spicy, holding urine. Daily: Kegels 30x × 3 sets, 10 mins Supta Baddha Konasana.

Regards Dr Gursimran Jeet Singh

Thank you for reaching out and trusting this platform with your Health journey. After a Caesarean section. It is common for the muscles that support the bladder and uterus. We can lead to mild during Lake and order through the day. This usually happens because the pelvic floor and lower abdominal area, loose stone and control you can start taking Chandraprabha vati 2-0-2 Gokshuradi guggulu 1-0-1 Punarnavadi kashayam 15-0-15 ml Mix with equal quantity of water twice daily after food, these helps in controlling leakage, strengthening the bladder and uterus, and reducing the order along with you can take shatavari churna of teaspoon with warm milk, at night Drink plenty of fluids, avoid coffee, tea, spicy food Within 3 to 4 weeks, you will begin to notice better control, reduced the smell and stronger clean feeling through the day

HELLO,

After a C-section, vata dosha becomes aggravated (due to surgery, tissue injury, and loss of blood), leading to Apana vata imbalance, which governs pelvic organs - bladder, uterus and bowels This cause uterine weakness and urinary leakage

KEY AYURVEDIC GOALS -strengthen pelvic floor muscles and uterus -pacifyvata dosha -rejuvneate tissues -prevent infection and odor

INTERNALLY

1) ASHOKARISHTA= 20 ml with equal water after meals twice daily -tone uterus and bladder

2) DASHMOOLA KASAHYA= 20 ml with equal water twice daily before meals =vata pacification and strength

3) SHATAVARI KALPA= 1 tsp daily with warm milk =rejuvneation

4) GOKSHURADI GUGGULU= 1 tab twice daily after meals =for urinary control and odor

5) PRAVAL PISHTI= 125 mg twice daily with honey after meals =for muscle tone and energy

EXTERNAL THERAPIES

1) OIL MASSAGE= daily gentle massage over abdomen and Lower back using dhanwantaram taila

2) Mild steam over lower abdomen after massage to improve circulation

3) VAGINALTAMPON THERAPY= soak sterile cotton in shatavari taila insert for 10 - 15 min

DIET -warm, easily digestible food- rice gruel, moong dal , ghee, , milk, and cooked vegetables -add jeera, ajwain, hing, turmeric, for digestion and uterine tone -stay hydrated lukewarm water with a pinch of turmeric -practive kegel exercise pelvic floor strengthening -maintain hygiene with gentle herbal washes

DON’TS -avoid cold , dry, or fermented food -avoid lifting heavy weights or suppressing natural urges no excessive sexual activity or straining for at least 2-3 months

LIFESTYLE AND YOGA SUPPORT

ASANAS -setu badhasana -bhujangasana -vajrasana -setu bandhasana

PRANAYAM -Anulom vilom -bhramari

SLEEP= early bedtime, avoid late nights

THANK YOU

DR. HEMANSHU MEHTA