Seeking Relief for Interstitial Cystitis and Bladder Issues - #40768

Thank you for reaching out and trusting this platform with Health journey. Your pattern of symptoms shows a classic combination of vata aggravation and pitta irritation settled deeply in the bladder wall The burning, stinging urgency, pelvic tightness, and pain after intercourse, all come from a bladder lining that has lost its natural mucosal protection Hyper Mobile Ehlers-Danlos Further, we connective tissue, so bladder cannot repair itself at a normal pace. Because of this, even mild stretching of the bladder or any friction in the pelvic region, triggers sharp burning, and persistent irritation, the pelvic floor remains tight because the nerve in the area or constantly sending danger signals… over four years, this cycle becomes self perpetuating

Your cystoscopy findings, confirm what Ayurveda describes as a raw depleted basti with high vata- pitta and very low unctuousness… when the mucosal layer is destroyed, the bladder behaves as if it is always inflamed, even when urine is normal Frequency increases because the bladder cannot tolerate holding and burning increases because there is no protective coating … before any herb can fully help the tissues must be soothed lubricated, and cooled from inside… the focus now we to rebuild the mucosa calm. The pelvic nurse relax the pelvic floor and reduce pitta heat inside the bladder. When this balance returns, the urgency decreases, burning reduces the bladder gains tolerance again and intercourse becomes less painful… this ceiling takes consistency, not force, and the remedies must be gentle, cooling and unctuous so they do not dry the bladder or aggravate vata you can take the following medicines Gokshura capsule Chandraprabha vati Each capsule twice daily after food with warm water Yasthimadhu churna teaspoon with warm water after food Shatavari gritha-1 teaspoon with warm water at morning Punarnavadi kashaya Chandanasava -Each 10 ML with equal amount of water twice daily after food Apply shatadhautha gritha externally Avoid holding urine, but also avoid going just in case allow the bladder to fill naturally Do sitz bath for 15 minutes daily? Avoid friction, tight clothing and prolong sitting on hard surfaces Practice, low belly, breathing twice daily to reduce pelvic floor, guarding Avoid intercourse until burning and mucosal, healing, improve, forcing it keeps resetting inflammation Avoid coffee, citrus, tomatoes, vinegar, fermented, and packet, food chilli, carbonated, drinks, and excessive our food Keep plenty of fluids, buttermilk, barley, water, coconut water Avoid dry salad, dehydrating foods Eat at regular interval sleep before 10:30 PM

Hello I understand your deep concern and the discomfort you’ve been enduring due to Interstitial Cystitis (IC) and associated bladder irritation. You have also mentioned hypermobile Ehlers-Danlos Syndrome, which may contribute to the weakness and sensitivity of your bladder tissues. But dont worry we are here to help you out😊

✅AYURVEDIC PLAN OF TREATMENT

✅INTERNAL MEDICATION

1. Gokshuradi Guggulu – 1 tablets twice daily after food with lukewarm water (Acts as Mutrala (diuretic yet soothing), helps in mucosal regeneration, and balances Pitta-Vata without over-stimulating urination)

2. Chandraprabha Vati – 2 tablets twice daily after food (Excellent for bladder inflammation, pain, and urinary cleansing.)

3. Yashtimadhu Churna (Licorice powder) – ½ tsp with cold milk twice daily (Helps rebuild the mucosal lining and soothes the burning sensation.)

4. Punarnavadi Kashayam – 15 ml twice daily with warm water (Reduces bladder swelling, regulates fluid balance, and controls inflammation.)

5. Dashmoolarishta – 15 ml twice daily after meals (For calming Vata and relieving pelvic tension and anxiety.)

✅EXTERNAL AND LOCAL TREATMENT

Abhyanga (oil massage) around the lower abdomen with Mahanarayan Taila followed by mild hot fomentation (steam therapy) to ease muscle tension.

✅ HOME REMEDIES

👉 Cooling Infusions: Coriander seed water – Soak 1 tsp overnight in water, strain, and drink in the morning.

👉Tender coconut water – Excellent for cooling Pitta and hydrating without overburdening the bladder.

👉Aloe vera pulp with 1 tsp Ghee once daily for internal lubrication.

✅DIET MODIFICATION

Prefer lukewarm, cooked, and soothing foods – rice gruel, moong dal, bottle gourd, pumpkin, and ridge gourd.

Avoid spicy, sour, salty, fried foods, caffeine, and alcohol.

Include milk with cardamom and ghee at bedtime for Vata-Pitta balance.

✅LIFESTYLE TIPS

Do gentle pelvic relaxation yoga poses like Supta Baddha Konasana, Apanasana, and Viparita Karani.

Practice Nadi Shodhana Pranayama daily for calming Apana Vata.

Avoid holding urine for long and ensure regular bowel movement.

Maintain emotional calmness — guided meditation and music therapy can help reduce chronic pain perception.

✅ About Gokshura Use

You are right to be cautious — Gokshura is mildly diuretic, but it also possesses Madhura Rasa and Sheeta Virya, making it soothing and reparative for the bladder lining when taken with milk or ghee. It does not worsen frequency in the long run; instead, it helps in mucosal healing and balances Apana Vata when combined properly.

Your condition requires consistent and holistic management — not only to soothe the bladder but also to restore the protective layer, balance Vata-Pitta, and strengthen the pelvic floor.

With faith, patience, and correct regimen, gradual healing is very much possible.

Wishing you a good health😊

Warm Regards Dr. Snehal Vidhate

HELLO,

Your bladder is like a soft protectivereservious that stores uine Its inner lining (mucosa) protects the bladder wall from irritation by urine In interstitial cystitis (IC), this protective lining is damaged or thinned out, exposing the underlying sensitive tissue. This causes -burning, stinging, or pressure in the bladder and urethra -urgency and frequency (feeling like you need to urinate often) -pain during or after sex -pelvic tension from guarding against pain

In your case, this is complicated by hyper mobile Ehlers-Danlos syndrome, where connective tissues (collagen, fascia) are weak and overstretched- including those in the bladder and pelvis. This means healing takes longer and tissue integrity must be rebuilt carefully

Ayurvedically, this condition represents -VATA AGGRAVATION= dryness, pain, hypersensitivity, muscle spasm, tissue thinning -PITTA AGGRAVATION= burning, rednesss, inflammation, raw feeling -The bladder and pelvic area are the main sites affected

TREATMENT GOALS -relieve pain, burning, urgency -rebuild bladder lining and nourish tissues -relax pelvic muscles and nerves -strengthen bladder wall and connective tissues -calm the nervous system

INTERNAL MEDICATIONS

1)GOKSHURA CAPSULE= 500mg twice daily after meals for 3 months = rebuilds mucosa, soothes bladder, mildly diuretic but anti inflammatory. Initially frequency might increase slightly but it balances with time

2) CHANDRAPRABHA VATI= 1 tab twice daily after meals for 2-3 months = classic urinary tonic, Balances Vata pitta, relieves burning and inflammation

3) PUNARNAVA MANDUR= 1 tab twice daily after meals = for 3 months = reduces inflammation, supports kidney/ bladder function, improves circulation

4) SHATAVARI CHURNA= 1 tsp powder in milk twice daily for 3-6 months = deeply cooling, rejuvenating, supports mucosal healing

5) YASHTIMADHU CHURNA= 1/2 tsp powder in milk once daily for 2 months = restores mucusa, anti inflammatory, demulcent

6) ASHWAGANDHA CHAPSULES= 500mg cap at night with warm milk =vata stabiliser, relaxes pelvic muscles, improves tissue strength and nerve tone

GHEE WITH MILK= 1 tsp ghee in warm milk night =nourishes bladder linning, calms vata, supports lubrication and healing

EXTERNAL TREATMENT

1) OIL MASSAGE= daily warm sesame + castor oil gentle body massage = redues vata, relaxes pelvic tension, improves circulation

2) MIL STEAM THERAPY= gentle local steam after oil massage = relieves pelvic tightness and improves blood flow

YOGA AND PRANAYAM The aim is relaxation, grounding, and pelvic release- not exert

ASANAS -supta baddha konasana -apanasana -viparita karani -balasana -gentle hip opening stretches

Avoid deep core exercises or intense yoga- they strain pelvic tissues

PRANAYAM -sheetali/sheetkari= cooling for burning -nadi sodhana= Balances Vata and pitta -bhramari= calming for pelvic nerves and anxiety practice 10-15 min twice daily

DIET -warm, oily, cooked soothing food -milk, ghee, rice , moong dal, root vegetables -alomnds (soaked), coconut, pumpkin seeds -cooling herbs with licorice, coriander, or chamomile -avoid dehydration frequent small sips of warm water

AVOID -coffee, tea, alcohol -citrus fruits, tomatoes, spicy foods, vinegar -dry, cold, raw foods- salads, crackers -processed or preserved food -carbonated drinks

LIFESTYLE -maintain warmth avoid cold exposure -dont hold urine -avoid excessive sitting pressure use cushion if needed -manage stress through meditation and rest -prioritize good sleep= bladder healing happens best during rest

HOME REMEDIES -Coconut water + 1 tsp ghee=soothes bladder, reduces burning -warm milk + pinch of turmeric= anti inflammatory, healing -Licorice tea= coats bladder -Coriander seed water on lower abdomen at night- relaxes muscles and reduces spasms

Interstitial cystitis can feel overwhelming- especially when It limits daily comfort and intimacy. But healing is possible through consistent, gentle, and patient care. Ayurveda aims not just to mask symptoms but to rebuild the bladder’s natural resilience and soothe the entire nervous system

You are addressing root causes- vata dryness, pitta inflammation and tissue weakness= not just the burning or pain. This requires steady therapy for at least 3 months, followed by maintenance with lifestyle and gentle support

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Take vastayamatakaghritam 1tab bd , chandraprabha vati 1tab bd, silajith gold 1tab bd, chandasava 20ml bd enough

Ayurvedic Strategy for Your Case– Given your raw bladder lining, hypermobility, and pelvic tension, a layered, gentle approach is ideal:

1. Gokshura - Form: Use Gokshura churna or Gokshura guggulu under guidance. - Anupana (vehicle): Combine with warm milk, coconut water, or shatavari to reduce diuretic impact and enhance mucosal healing. - Dose: Start low (e.g., 250–500 mg once daily) and monitor frequency. Gradually increase if tolerated.

2. Supportive Herbs - Shatavari: Rejuvenates mucosa, balances Pitta. - Yashtimadhu (Licorice): Soothes inflammation, supports epithelial repair. - Punarnava: Reduces edema and supports urinary health. - Ashwagandha: Calms Vata, supports pelvic relaxation.

3. Local Therapies - Basti (medicated enema): Especially shatavari taila or baladi taila basti for pelvic tension and Vata calming. - Abhyanga (oil massage): Daily warm oil massage with mahanarayana taila or dhanwantaram taila to relax pelvic muscles and soothe nerves. - Pelvic steaming (yoni dhavana): With decoctions of triphala, gokshura, and neem—only if tolerated.

🧘‍♂️ Lifestyle & Diet Adjustments - Warm, moist, grounding foods: Soups, stews, ghee, rice, cooked vegetables. - Avoid: Sour, spicy, fermented, and dry foods that aggravate Pitta and Vata. - Hydration: Sip warm water with a pinch of coriander or fennel seeds. - Pelvic relaxation: Gentle yoga (supta baddha konasana, viparita karani), breathwork, and somatic therapy.

Start with Chandraprbha vati 1-0-1 after food with water Gokshuradi guggul 2-0-0 after food with water Vrikkdoshar vati 1-0-1 after food with water Usheerasav 15ml. Twice daily after food with water Do yoni picchu, soak cotton swab in shatavari grith and keep near vagina area twice daily for,10 minutes. Do pranamyam lom -vilom bhastrika bhamri kapalbhati 10 mins daily Avoid processed spicy food, street food.

In the context of interstitial cystitis with a Vata-Pitta imbalance, there are several Ayurvedic approaches worth exploring to support your condition. To address your specific concern, Gokshura (Tribulus terrestris) is indeed beneficial for supporting urinary health and may help repair the mucosal lining due to its demulcent properties. While it can have diuretic effects, careful dosage and combination with other herbs can balance its action. Start with a smaller dose, around 500 mg potentially, twice daily, and monitor your body’s response. Combining it with shatavari could provide more cooling, soothing benefit.

In addition to Gokshura, incorporating Punarnava (Boerhavia diffusa) might aid in reducing inflammation without increasing urination frequency. Considering your burning and stinging sensations, using Chandana (Sandalwood) in a cooling form, such as a tablet or a paste mixed with water can provide relief. About 250 mg of Chandana powder mixed with water can be taken once a day for its cooling properties.

Focusing on diet, favor Vata-Pitta pacifying foods. Avoid spicy, overly sour, and pungent foods as these may aggravate your symptoms. Aloe vera juice, about 10 ml with water, consumed on an empty stomach each morning, could also contribute to mucosal healing.

Addressing the muscular tension in your pelvis, gentle stretching exercises under guidance of a professional experienced in dealing with hypermobility and pelvic conditions should be beneficial. Warm oil massage with sesame or Ashwagandha oil on the lower abdomen can offers some relaxation.

To avoid symptom aggravation, ensure you are adequately hydrated but minimize excessive cold or caffeinated beverages. Incorporating meditation or yoga practices that emphasize deep breathing can also help manage Vata imbalance - aiding relaxation.

Take chandraprabhavati 2 bd Take kanchanar gugulu 2 bd Take gokhru with pasandbhed 5 gm 2 times bd

HELLO,

DOSHA INVOLVEMENT= vata (pain, urgency,dryness) +pitta (burning inflamation) AFFECTED SROTAS= mutravaha srotas (urinary system)., mutravaha srotas (urinary system), majja dhatu (connective tissues in EDS) -PATHOGENESIS= vata aggravation leads to pain and constriction , pita vitiation causes burning and mucosal erosion

TREATMENT PRINCIPLES -VATA-PITTA SHAMANA= pacify both doshas -MUTRAVAHA SROTAS REJUVENATION- rebuild bladder mucosa -RASAYANA CHIKITSA= tissue repair and nourishment -STRESS AND PELVIC MUSCLE RELAXATION= through vata pacification

INTERNAL MANAGEMENT

1) GOKSHURADI GUGGULU= 2 tabs twice daily after meals = mildl diuretic, it stabilises urianry flow and supports mucosal healing long term

2) CHANDRAPRABHA VATI= 2 tabs twice daily after meals =balances vata-pitta , relieves burning and frequency

3) SHATAVRI + YASHTI MADHU= 1 tsp with warm milk morning -cooling, demulcent,suppots epithelial repair, supports epithelial repair, excellent for mucosal healing and anti inflammation effect

4) PUNARNAVASAVA + USHEERASAVA= 20 ml each with warm water twice daily after meals = anti inflammatory, reduces bladder irritation, for burning, frequency, and to cool the urinary tract

5) GUDUCHI GHAN VATI= 2 tbs twice daily after meals =for tissue regenration and collagen support useful in EDS

DIET AND LIFESTYLE FAVOUR= warm, cooked, lubricating foods= ghee, milk, rice, barley, pomegranate, coriander water

AVOID= spicy, sour, fried, caffeinated, and citrus foods pitta aggravating

HYDRATION= warm water or coriander-cumin-fennel decoction

STRESS REDUCTION= meditation, restorative yoga, gentle pelvic relaxation

SLEEP= regular, adequate rest to pacify vata

EXTERNAL THERAPIES 1) OIL MASSAGE= daily with warm sesame oil

2) SITZ BATH= with decoction of triphala

THANK YOU

DR. HEMANSHU MEHTA

Gokshura can be helpful in supporting and soothing the urinary system, including the bladder lining. While its diuretic properties might seem concerning for frequent urination, it typically acts as a tonic, promoting overall bladder health and function over time. Since your case is a mix of vata and pitta imbalance, let’s approach it comprehensively.

1. Gokshura: Start with a balanced quantity, say 1-2 grams of gokshura powder, once or twice daily. Mixing it with warm water or milk can provide additional soothing qualities. Observe how your body responds, adjusting as necessary.

2. Diet: Follow an anti-vata-pitta diet. Focus on warm, cooked, moist, and unctuous foods to pacify these doshas. Avoid spicy, acidic, and overly salty foods which may trigger more irritation. Include cooling foods like cucumber, coconut water, and aloe vera juice which can soothe inflammation and irritation.

3. Herbal Tea: Prepare a herbal tea with coriander seeds, fennel seeds, and a pinch of licorice powder. Drink it lukewarm 2-3 times a day. This can help reduce inflammation and support bladder health.

4. Abhyanga: Daily oil massage with warm sesame oil or a vata-specific herbal oil can calm the tense pelvic muscles and alleviate vata disturbances. Massage gently around the lower abdomen and pelvic area.

5. Pelvic Relaxation: Practicing gentle yoga poses or breathing exercises focused on relaxing the pelvic floor might help reduce tension and pain.

For hypermobile Ehlers-Danlos Syndrome, ensure you’re consulting with a healthcare professional as it adds complexity to bladder issues. Always seek immediate medical help if symptoms intensify or new alarming symptoms arise.