Hello, I totally understand how you feel. Night-time urination very often, a little pain during urination, and anal itching can make living quite unbearable.
The positive side is that these are definitely treatable symptoms with Ayurvedic medicine, mostly if it is the first time these symptoms appear.
YOUR CONCERN & PROBABLE CAUSES
Based on your writing, you are mostly likely:
- Having a problem with a prostate gland - Frequent urination at night (2–3 times) - Mild pain during urination (1–3/10) - Sometimes anal itching - Duration of symptoms: 1–6 months - No significant recent changes in diet or lifestyle
The above symptoms indicate the beginning of prostate enlargement or the inflammation of the same with urinary tract irritation.
POSSIBLE MEDICAL / AYURVEDIC REASONS
1. Benign Prostatic Enlargement (BPH) The enlarged prostate squeezes the passage where the urine comes out, hence the person experiences: - Frequent urination (especially at night) - Incomplete bladder emptying - Burning sensations and mild pain
2. Mutravaha Srotas Dushti
Resistance to the urine flow is the major contributing factor to the occurrence of the irritative symptoms and discomfort.
3. Vata–Kapha Imbalance Vata - frequent urge, disturbed flow Kapha - obstruction, prostate enlargement
4. Pitta Involvement It results in:- Burning or painful urination - Etiology of anal itching
AYURVEDIC UNDERSTANDING
From the Ayurveda point of view, the discussed problem corresponds to: - Mutraghata - Vatashthila - Early stage Mutrakrichchhra
The prolonged Vata–Kapha blockage around the prostate region causes difficulty in urination.
AYURVEDIC MANAGEMENT PLAN
INTERNAL MEDICATION
1. Chandraprabha Vati – 2 tablets twice daily after meals → Helps in removing the inflammation from the prostate and improves the urine flow
2. Varunadi Kashaya – 15 ml with an equal amount of warm water twice daily → Aids in the relief of urinary obstruction and the reduction of prostate size
3. Gokshuradi Guggulu – 2 tablets twice daily → Supports the urinary system, helps to lessen the frequency of urination
4. Triphala Churna – ½ tsp at bedtime with warm water → Improves bowel movement and decreases anal itching
EXTERNAL & SUPPORTIVE
CareWarm sitz bath (10 minutes daily) - Do not sit for long periods - Take gentle walks daily
DIET PLAN
Include
- Foods that are warm, light, and easy to digest - Barley, bottle gourd, ridge gourd - Coconut water - A lot of warm water
Avoid
- Spicy and greasy foods - Excess tea, coffee, and alcohol - Very sour or salty foods - Heavy meals at night
LIFESTYLE ADVICE
- Do not hold urine - Two hours before sleeping, limit your liquid intake - Keep a regular bowel movement schedule - Do Anulom Vilom Pranayama
INVESTIGATIONS ADVISED To check the condition of the prostate:
1. Ultrasound KUB with Prostate Size 2. PSA (Prostate-Specific Antigen) 3. Urine Routine Examination
Your symptoms are indicative of a urinary problem related to the prostate at an early stage, which will improve with timely Ayurvedic treatment and lifestyle changes.
Management at the initial stage can avoid the condition from getting worse and can bring a considerable reduction in urination during the night.
Warm Regards Dr Snehal Vidhate
Hello, Your history of prostate gland problems for 1–6 months, with night-time urination 2–3 times, mild pain during urination (1–3/10), and occasional anal itching, with no recent lifestyle changes, indicates Vata–Kapha predominance in Mutravaha Srotas, along with Apana Vata dysfunction.
Your treatment will focus on reducing prostate congestion, improving urine flow, pacifying Apana Vata, reducing inflammation, and strengthening urinary function, while preventing progression.
🔎 Recommended Investigations (If not done in the last 3–6 months) 1. Ultrasound KUB + Prostate size & Post-void residual urine 2. PSA (Prostate-Specific Antigen) 3. Urine routine & microscopy – rule out infection 4. Blood sugar (Fasting / HbA1c) – diabetes worsens urinary symptoms 5. Renal Function Test – baseline kidney safety
💊 Internal Medicines Phase 1 – 15 days (Urine flow improvement + Pain & frequency control) 1. Varunadi Kashayam – 15 ml + equal warm water twice daily before meals 2. Chandraprabha Vati – 1 tablet twice daily after meals 3. Gokshura (Tribulus) tablets / Churna – 500 mg tablet twice daily after meals 4. Yashtimadhu Churna – ½ tsp with warm water at bedtime
Phase 2 – 45 days (Prostate support + Apana Vata balance) 1. Punarnava Mandur – 1 tablet twice daily after meals 2. Shilajit (Purified, low dose) – 250 mg once daily in the morning with warm water 3. Continue Chandraprabha Vati – Same dose
🌿 External & Supportive Therapies 1. Abhyanga with warm sesame oil (lower abdomen & lower back) – 3× weekly Helps regulate Apana Vata and reduces night-time urination. 2. Sitz bath (warm water) – once daily in the evening Relieves pelvic discomfort and anal itching. 3. Warm water sipping throughout the day Avoid excessive water intake at night
🥗 Diet & Lifestyle Recommendations ❌ Avoid 1. Very spicy food, chilies, excess masala 2. Tea, coffee, alcohol (especially evening) 3. Late-night heavy meals 4. Prolonged sitting and suppression of urine ✅ Include 1. Warm, light, cooked food 2. Bottle gourd, ash gourd, pumpkin 3. Barley water (daytime only) 4. 1 tsp cow ghee daily (supports Apana Vata) 5. Pumpkin seeds (1 small handful daily) 6. Dinner before 7:30 pm
🧘🏻♂️ Yoga & Pranayama Gentle Asanas Vajrasana (after meals) Pawanmuktasana Malasana (only if comfortable) Setu Bandhasana
Pranayama Anulom Vilom – 10 minutes Bhramari – 5 minutes
Kegel-type pelvic floor relaxation (not forceful)
🕉️ Follow-up & Duration * Reduction in night-time urination usually seen in 10–14 days * Pain and urinary comfort improve within 2–3 weeks * Continue medicines for 2–3 months to prevent progression * Reassess prostate size and residual urine after 8–10 weeks
✨ With timely Apana Vata correction, decongestion of the prostate, and disciplined routine, your symptoms are very manageable and progression can be slowed significantly.
With kind regards, Dr. Sumi MS (Ayu)
Gokshuradi guggulu Chandraprabha vati 1 tab twice daily after food with warm water Vidangasava 10-0-10 ml Dashamoola aristha 10-0-10 ml with water Limit liquids atleast 2 hours before bedtime Avoid sweet junk and bakery items
Take prosto 2 bd Take tab chandraprabhavati 2 bd Take goghru tab 2 bd
Chandraprabha vati 1 BD Gokshura tab 1 BD Varunadi kwath 15 ml BD Triphala churna 1 tsp Hs
1.Gokshuradi guggulu 2 tab twice daily with water after meals 2.Chandraprabha vati 2 tab twice daily with water after meals 3.Punaranava mandur 2 tab twice daily with water after meals 4.Varunadi kwath 20 ml with 20 ml water twice daily after
🍲 Diet & Lifestyle - Foods to prefer: Light, easily digestible meals; moong dal, khichdi, warm milk, ghee. - Avoid: Spicy, oily, heavy foods; pickles, alcohol, junk food. - Water: Drink warm water throughout the day, avoid cold water. - Activity: Avoid sitting for long periods; take regular light walks. - Bowel habits: Do not suppress urges; prevent constipation.
🌸 Home Remedies - Apply sesame oil or coconut oil around the anus to reduce itching and swelling. - Sitz bath: Sit in warm water for 10–15 minutes, once or twice daily. - Pumpkin seeds or pomegranate are considered beneficial for prostate health.
Internal Medicines- Gokshuradi Guggulu – 2 tablets morning + 2 tablets night after food Chandraprabha Vati – 2 tablets morning + 2 tablets night after food Varunadi Kashayam – 20 ml + 60 ml warm water morning empty stomach Bangshil OR Fortex – 2 tablets morning + 2 tablets night after food (clears mild infection & itching) Punarnavasava – 15 ml + 30 ml warm water after lunch & dinner
Local Relief Warm sitz bath with Triphala water (1 tsp Triphala in warm water) for 10–15 min nightly
Apply Jatyadi Ghrita thinly around anus if itching severe
Diet Give only: Moong khichdi + ghee Pomegranate, coconut water, pumpkin seeds 1 tbsp daily Avoid completely: spicy, sour, tea/coffee after 4 PM, non-veg, curd
Lifestyle Last water intake before 7 PM (only small sips after) Kegel exercises 50×3 daily Legs elevated 20 min twice daily Sleep 10 PM – 6 AM strictly
Regards Dr Gursimran Jeet Singh MD Panchakarma
