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Bedwetting Concerns for My 10-Year-Old Daughter
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Pediatrics
Question #44968
81 days ago
818

Bedwetting Concerns for My 10-Year-Old Daughter - #44968

Client_2c347e

Hello Doctor my daughter is 10 year old and she is still writing the bed , It’s frequency is reduced but sometime still she does it , she often end up with drinking lots of water before bed time so giving her vishtinduk vati is safe , how many doses how long or is there any other ayurvedic medicine I can give

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Hello Start with Chandraprbha vati 1-0-1 after food with water This will improve muscle tone of the urinary bladder and help develop control. Syrup Mentat 5ml. Twice daily. After food with water. Vidangarist 5ml. Twice daily after food with water These above medicine are safe .

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Hi, In this disease mainly Vata (Apan Vayu), Pitta(Pachaka), Kapha (Tarpaka), alonga with Manasika dosha tama are involved (vitiated). Dushya involved is Rasa (Ambu) dhatu. Vitiation of Mutravaha and Manovaha srotas is found in the form of untimely and increased fequency of urine at night.

Enuresis is a behavioural problem and the most common chronic problem in childhood next to allergic disorders.

1)Sattvavajaya Chikitsa in Shayyamutra

Complaints not be discussed in front of other people.

Appreciate (mental boost up) if bedwetting frequency decreased for e.g. from 3 to 1 etc.

Mental and physical stress shouldn’t be given to child on bedwetting.

To console the child that it is psychological process and can be cured easily.

Treatment - 1) Divyadi yog 4 gm BD after meal 2) vidangarisht 10 ml with equal amount of water twice a day after meal

+ Counselling

Investigation - URINE EXAMINATION ( ROUTINE AND MICROSCOPIC)

KFT, HBA1C

ADVICE - 1)Avoiding excessive fluid intake in the evening. 2)Ensuring a regular, complete voiding of the bladder before bed. 3)A specific focus on the possibility of intestinal worms and de-worming as part of the treatment plan. 4) avoid constipation - give them healthy and fully fibre rich diet .

Thanku

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Main cause at this age can be Weak bladder muscles + Deep sleep pattern + High Vata in lower body (She drinks lots of water at night → bladder fills fast, but brain doesn’t wake her up because of deep sleep & weak nerve signals.)

Follow this Plan 1 Chandraprabha Vati – ½ tab morning + ½ tab night with warm milk 2 Shatavari Kalpa – 3 gm night with warm milk 3 Kushmanda Rasayana – 5 gm morning with milk

Must-Do Rules No water after 6:30–7 PM Toilet twice after 7 PM + wake her once at 10:30–11 PM for 30–45 days Sleep 9:30 PM strictly

No Vishtinduk Vati - it’s too strong & unsafe for children. Start tonight and it’s completely curable.

Regards Dr Gursimran Jeet Singh MD Panchakarma

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Give tab chadraprabhavati 1 tds And give tab brahmi 1 time

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Client_2c347e
Client
81 days ago

Doctor I wanted to understand the reason behind it sometime also if she watch any horror movies she also again wet bed she is 10 already why it’s happening when to give this tablet night or morning?

Chadraprabhavati give 3 times day Brhami give 1 times morning Also do nasya with cow ghee 2 times day at 6 pm and 6 am

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Reasons 1 bache ki nind bahut deep hoti he to uski vajase 2 body me ak hormon Adh hota he jo rat ko urine kam banata he uski vajase 3 anxity depression fear 4 genetic 5 Consptipation 6 uti Etc ho skte he don’t worry

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Minimize liquid intake after 8 pm Tab.Neo 1-0-1 Vidangarishta 10ml twice after meal Follow up after 4weeks.

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Client_2c347e
Client
81 days ago

Tab neo is aurvedic ? The reason behind this

Yes. There are many factors responsible for bed wetting Fear Worms Increase liquid intake …

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Client_2c347e
Client
81 days ago

Yes she tends to eat lot of sweet shall I give her any worms tablet ? Have you already guided for same

Yes

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Yes definitely give worms medicine 1 time in 1 month for 6 months

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Hello Bedwetting​‍​‌‍​‍‌​‍​‌‍​‍‌ at 10 years can be very stressful to the child and parents as well. By looking for gentle and safe Ayurvedic help, you are definitely on the right way. So don’t worry we got you covered 😊

✅ AYURVEDIC UNDERSTANDING

According to Ayurveda, bedwetting might be related to:

–Inadequate Bladder control –Vata imbalance, primarily Apana Vata –Excessive liquid intake in the evening –Very deep sleep or even stress/anxiety

✅ Note on Vishtinduk Vati

Vishtinduk Vati is NOT suitable for children It has Strychnos nux-vomica, which is a very strong herb (even in a purified form) and should not be given to a 10-year-old because of nervous system toxicity risk.

✅ SAFE AYURVEDIC PROGRAM FOR KIDS

✅ INTERNAL MEDICATION

Since your son is only 10 years we will predominantly focus on external care and minor lifestyle changes that will not only gradually strengthen the bladder but also make bed wetting disappear.

1.Balarishta – 1 tsp + 1 tsp water After dinner and at night give once

Helps strengthen the nerves and increase bladder muscle tone

✅ SIMPLE HOME REMEDIES

✅ Nutmeg (Jaiphal) Remedy

Take a pinch of nutmeg powder Mild one teaspoon milk Give 30 mins before sleep Very effective for bed-wetting in kids.

✅ Warm Oil Abhyanga Before Bed Put warm Bala Ashwagandhadi taila or Sesame oil → lower abdomen + lower back + feet

Vata is being calmed as well as the bladder muscles are getting stronger.

✅ DIET AND LIFESTYLE ADVICE

❌ Avoid Water drinking 1.5–2 hours before sleeping Cold drinks, ice cream, curd in evening Too many sweet snacks at night

👍 Encourage Regular toilet visit before bedtime Early dinner (by 7–8 PM) Mantling her during sleep cold increases Vata → worsens bedwetting)

👉 Mind–Body Support

Sometimes children have a very deep sleep or mild anxiety. Use 5-minute belly breathing Warm bath before bed

Don’t worry though—bedwetting at this age is still very much under control and can be reversed with the right routines and gentle support from Ayurveda. Your daughter will get better step by step.

Wishing you good health😊

Warm Regards – Dr Snehal ​‍​‌‍​‍‌​‍​‌‍​‍‌Vidhate

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Bed wetting at the age of 10 is due to kapha vata imbalance along with Mandagni, n moreover she is drinking water before bedtime, when is in deep sleep and the bladder is sensitive usually this happens do not worry as the frequency is reduced is a good sign But I would recommend not to use vishatinduka vati , it’s especially used in neuromuscular weakness n I usually will not recommend to children instead with safer dose you can give Chandraprabha vati half tab twice daily Punarnava syrup 5 ml twice daily Gokshura tab 1 tab at night Meanwhile encourage her not to take liquids atleast 2 hours before bedtime N also make her to wake for 2 to 3 times at night until the bladder learns to rhythm

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Thank you for reaching out and trusting this platform with your child’s health…. 10 years of age vocational wedding usually happens when the bladder is oversensitive or when child drink, excess water close to bedtime … In her case, the main triggering factor is drinking a lot of water just before sleeping because The bladder gets overfilled and during deep sleep, she’s not able to wake up … Sometimes mild constipation, deep sleep, stress at school and even worms can add to the problem, but the foremost cause year seems to be the late fluid intake…

Vishatinduka vati is not safe for a child of her age because it is a strong stimulant and is not used in children… Instead, we use medicine that strength and bladder control and calm the nerves without causing side-effects

The medicine, which will work for her age are

Chandraprabha vati one tablet after dinner Bal Amrit syrup 1 teaspoon twice daily after food Gokaru-add 1 teaspoon in one cup of water. Boil until it reduces to half and give 2 to 3 teaspoon around 6 PM.

Along with this lifestyle, support makes a big difference , ask her to reduce water intake or any fluid intake 1 to 2 hours before food Avoid cold water in the evening and empty the bladder twice before sleeping If possible, make her once between 1:59 AM, for a few weeks until our bladder gets used to holding better Avoid curd, chocolate, sugary, drinks, and heavy meals at night because they can irritate the bladder During the day, encourage regular toilet habits show the bladder does not stay over filled

If she has itching near the anus , grinding teeth, disturb sleep, sudden anger, or bloating, then worms can also play role , in that case, you can start her on Vidangasava -5ML twice daily with equal amount of water for 15 days… Just let me know if she has constipation/ any stress if required we can start medicines accordingly other the above is enough

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Take Chandra Prabha vati 1tab od, Brahmi ghrita 1/2 tsp enough

Dr RC BAMS MS

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Hello dear

Like you mentioned her bed wetting is sometimes it may be due to fear, worry or tension and also due to worms.

Keep a watch on the following habits of her and you will see her improve.

Include dal in her dinner Include apple in her dinner Avoid giving her liquids specially juices and water at night Make it a habit to go to the washroom before sleeping. Avoid watching scary things at night. Talk to her about any stress or anything going on in school that is bothering her. Avoid eating sweets at night Ask her to do kegel exercises daily.

💊Medication💊

Tab. Neo 2 tabs twice a day before food Tab. Khadiradi Vati 2 tabs twice a day before food Syp. Vidangarishta 2 tsp twice a day before food

Continue these medications for 21 days atleast.

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Hi Vishtinduk (Nux vomica) is a potent herb, not generally recommended for children because it contains toxic alkaloids.

Safer Ayurvedic Options 1.Shilajit Rasayana 125 mg once daily with warm milk 2.Brahmi Ghrita 1/2 tsp at bedtime with warm milk 3.Chandraprabha vati 1 tab twice daily with water after meals

🧘 Supportive Home Remedies - Limit water intake after 7 pm (especially avoid cold water and milk late at night). - Warm milk with nutmeg (jaiphal) powder – 1 pinch at bedtime helps reduce bedwetting. - Bladder training: Encourage the child to urinate before sleep and once during the night if needed. - Stress reduction: Gentle reassurance, avoid scolding, as stress worsens the issue.

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Vishtinduk Vati can indeed be helpful, but it’s essential to approach this with caution, especially considering your daughter’s age. Generally, Vishtinduk (Strychnos nux-vomica) is potent and typically used under strict supervision due to its strong effects; hence it’s not typically recommended for children. Instead, focusing on lifestyle and dietary modifications in line with Ayurvedic principles may be more appropriate and safer initially.

To begin, reducing the water intake closer to bedtime is crucial. Encourage your daughter to drink sufficient water throughout the day and gradually reduce it after sunset, especially an hour before sleep. The goal is to develop a consistent bedtime routine which includes visiting the bathroom right before bed. This helps in discouraging the habit of bedwetting.

Including small adjustments in diet could also benefit. Foods that are light, easily digestible, and warm such as khichdi or a light vegetable stew may help. Avoid heavy, cold, or too spicy foods in the evening as they might disrupt Vata and lead to restlessness or incomplete digestion.

Herbs like Shatavari or Ashwagandha can provide subtle support. A mild warm milk decoction with a pinch of turmeric and a little nutmeg might also benefit her system by promoting sound sleep and a relaxing mind.

Consider incorporating some gentle yoga and breathing exercises such as Chandravedi Pranayama (Moon breathing) which can promote relaxation and help provide more control over the bladder at night.

Always highlight the importance of emotional support. Nervousness or anxiety may also influence bedwetting, so ensure that she feels secure and not pressurized over this condition.

For any medication, consulting with a pediatrician or an Ayurvedic physician locally could make sure that every decision in her treatment is safe and effective.

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HELLO,

Bed wetting simply means urinating during sleep after the age when most children stay dry. At 10 Yeats old, it’s still common, though the frequency usually reduces with time

IS IT HARMFUL? No- bedwetting by itself does not harm kidneys, does not cause infections, and is not due to laziness. It is a developmental condition

WHY DOES IT HAPPEN IN OLDER CHILDREN? There are several reasons

1) DEEP SLEEP PATTERN Many children who wet the bed sleep so deeply that their brain does not wake them when the bladder is full

2) BLADDER MATURITY -some childrens bladder- brain communication matures a little late

3) EXCESS DRINKING BEFORE BED -your daughter drinks a lot of water at night- this is one of the strongest triggers

4) FAMIL HISTORY -if either parent had bedwetting during childhood, the child has a higher chance

5) CONSTIPATION -A full rectum presses on the bladder-> less control

6) STRESS, FEAR, SCHOOL PRESSURE -Not always obvious in children, but can worsen enuresis

7) RARE CAUSES -urinary infection, diabetes, kidney problems, spinal issues- but these usually have other symptoms too

According to Ayurveda, bedwetting is often connected to

APANA VATA IMBALANCE Apana vata controls the downward movement- uriantion, bowel movement If weak or imbalanced-> bladder control reduces at niht

WEAK NERVOUS SYSTEM Children with very deep sleep or delayed nervous-system maturity have Majja dhatu weaness

KAPHA DOMINANCE A kapha type child sleeps deep, has slow metabolism, and may not wake when bladder is full

AGNI (DIGESTIVE FIRE) IMBALANCE LEADING TO AMA If digestion is weak-> mild constipation->pressure on bladder

TREATMENT GOALS -improve bladder and nerve conntrol -regulate apana vata -improve digestion and avoid constipation -reduce night time urine production -calm the mind -build confidence

INTERNAL MEDICATIONS

A) STRENGTHEN NERVE AND BLADDER

-BALARISHTA= 10 ml + equal water twice daily after meals

-SHANKHAPUSHPI SYRUP= 1/2 tsp twice daily after meals

=both improves muscular tone, nervous system maturation and reduces anxeity

B) URIANRY SYSTEM TONICS -PURNARNAVA MANDUR= 1 tab twice daily after meals =reduces excess urine production at night and improve bladder function

C) DIGESTIVE AND ANTI CONSTIPATION SUPPORT

-warm ghee in milk =freeing the large intestine reduces bladder pressure

VISHTINDUK VATI IS NOT SAFE FOR CHILDREN Contain toxic alkaloids even in adults, must be used with strict dose control DO NOT GIVE TO YOUR CHILD

EXTERNAL TREATMENT

1) WARM OIL MASSAGE = BALA TAILA -massage lower abdomen + lower back slightly warm oil 10-15 min in evening =strengthen apana vata, relaxes nerves, improves bladder control;

2) WARM SITZ BATH HIP REGION =10 min in warm water before bed- relaxes bladder muscles and reduces frequency

3) WARM COMPRESS ON LOWER BELLY =helps bladder muscles regulate tone

DIET -warm fresh foods -milk with pinch of turmeric -ghee in small amounts -fruits= papaya, figs, pears -soups and khichdi -cumin coriander fennel tea daytime only

AVOID -ice creams or cold drinks at night -excess water after 7 pm -salty snacks in evening increase thirst later -chocolate, caffeinated drinks increase urine output

HOME REMEDIES -Raisins + black gram water boiled decoction daytime only= helps strengthen bladder tone

-Jaggery + warm milk in mornig= improves digestion and reduces constipation

-Ajwain tea= 1/2 tsp in water daytime =reduces gas and constipation

-Mustard oil warm massage

YOGA -vajrasana after meals -baddha konasana -malasana -setu bandhasana -child pose =these are child friendly yoga asana which helps strengthen pelvic muscles and regulate apana vata

PRANAYAM -Anulom vilom -bhramari avoid nighttime kapalbhati

LIFESTYLE MODIFICATIONS -reduce liquids 2 hours before sleep= this alone solves 50% cases -ensure toilet before sleeping= make this non negotiable nightly habit -mid sleep wake up= gently wake her at 2-3 hours after sleep for toiled do this for 2-3 months only -avoid shaming or scolding= shame increase anxiety-> worsen conditon –use waterproof mattress and absorbent pads= reduces stress for child

Your daughter is health, bedwetting is not a disease It improves naturally with supportive care Ayurvedic approach works gently by strengthening nerves, digestion, and bladder tone Do not use Vishttinduk vati Focus on habits, mind, routines, and simple support With proper care, most children stop bedwetting completely

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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