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Urological Disorders
Question #47691
47 days ago
487

Difficulty with Urination and Pressure on Urethra - #47691

Client_d58ba1

pressure on urethra in urination & seems not fully urinate, urine flow is not good. According to ultrasound prostate is normal in size with slightly prominent median lobe & little residual urine. plz advise,is himplasia tablet of himalayas is good take or any other medicine is better

How long have you been experiencing these urinary symptoms?:

- More than 6 months

Have you noticed any specific triggers for your symptoms?:

- No specific triggers

How would you describe your overall urinary health?:

- Frequent issues
PAID
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YOUR SYMPTOMS SUGGEST FUNCTIONAL PROSTATE AND BLADDER NECK OBSTRUCTION RATHER THAN TRUE PROSTATE ENLARGEMENT SINCE THE ULTRASOUND SHOWS NORMAL SIZE WITH ONLY SLIGHT MEDIAN LOBE PROMINENCE AND MINIMAL RESIDUAL URINE THIS IS A COMMON CONDITION WHERE FLOW IS WEAK DUE TO MUSCLE TIGHTNESS INFLAMMATION OR NERVOUS DYSREGULATION AROUND THE PROSTATE AND BLADDER OUTLET

HIMALAYA HIMPASIA TABLET CAN BE TAKEN AND IT IS SAFE AND USEFUL IN SUCH CASES BUT IT WORKS BETTER WHEN COMBINED WITH SUPPORTIVE MEDICINES RATHER THAN ALONE IT HELPS REDUCE INFLAMMATION AND IMPROVES FLOW GRADUALLY

A MORE EFFECTIVE AYURVEDIC COMBINATION WOULD BE HIMPASIA TABLET ONE TABLET TWICE DAILY AFTER FOOD

VARUNADI KASHAYAM 15 ML WITH EQUAL WARM WATER TWICE DAILY BEFORE FOOD

CHANDRAPRABHA VATI TWO TABLETS TWICE DAILY AFTER FOOD

IF THERE IS BURNING OR DISCOMFORT IN URINATION GOKSHURADI CHURNA HALF TEASPOON TWICE DAILY WITH WARM WATER

IMPROVEMENT IN FLOW AND FEELING OF COMPLETE URINATION USUALLY STARTS IN THREE TO FOUR WEEKS CONTINUE FOR AT LEAST THREE MONTHS

AVOID HOLDING URINE FOR LONG TIME AVOID VERY SPICY FOOD EXCESS TEA COFFEE AND LATE NIGHT DINNERS DRINK WATER IN SMALL FREQUENT QUANTITIES

IF AT ANY TIME YOU DEVELOP ACUTE RETENTION SEVERE PAIN FEVER OR BLOOD IN URINE YOU SHOULD SEEK IMMEDIATE UROLOGICAL CARE

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Client_d58ba1
Client
46 days ago

my problem is since 3.5 years and i was taking urimax0.4 capsule for this advised by allopathic dr.during taking urimax0.4 caps i got relieg by uthis problem. but when taking urimax04. or flotral 10 tab , there is burning in urethra.

YES YOUR EXPERIENCE IS EXPECTED URIMAX AND FLOTRAL GAVE RELIEF BECAUSE THEY RELAX THE BLADDER NECK AND PROSTATE MUSCLES WHICH CONFIRMS THAT YOUR PROBLEM IS FUNCTIONAL RATHER THAN TRUE PROSTATE ENLARGEMENT THE BURNING IN THE URETHRA THAT YOU FEEL WHILE TAKING THESE MEDICINES IS A KNOWN SIDE EFFECT DUE TO LOCAL IRRITATION AND NERVE SENSITIVITY AND NOT DUE TO INFECTION THIS IS WHY THEY ARE NOT COMFORTABLE FOR LONG TERM USE IN YOUR CASE

IN SUCH SITUATIONS AYURVEDIC MEDICINES WORK MORE GENTLY AND SAFELY HIMPASIA TABLET HELPS REDUCE LOCAL INFLAMMATION AND IMPROVES FLOW WITHOUT CAUSING BURNING WHEN COMBINED WITH VARUNADI KASHAYAM AND CHANDRAPRABHA VATI IT SUPPORTS BLADDER NECK RELAXATION AND BETTER EMPTYING AND GOKSHURADI CHURNA HELPS SPECIFICALLY FOR BURNING AND URETHRAL DISCOMFORT THIS APPROACH ADDRESSES THE ROOT CAUSE AND IS BETTER SUITED FOR LONG STANDING PROBLEMS LIKE YOURS

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It looks like BPH initial stage so start with Vatsyamayantaka gritham 10ml melted ghee daily morning in empty stomach followed by a glass of warm water Gokshuradi guggulu tab 1-0-1 after food Varunadhi kashayam 20 ml twice a day after food Chandraprabha vati tab 1-0-1 after food

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Even if the prostate size is Normal, a Prominent Median Lobe acts like a valve flap. When you push to urinate, this flap closes the opening, causing the pressure and poor flow.

YES, Himplasia is good, but for a median lobe obstruction, it works best when combined with specific decoctions.

Recommended Medicines Tablet Himplasia (Himalaya): 1 tablet twice daily. Time: Before meals.

Varunadi Kwath (Liquid): 15ml mixed with 45ml warm water. Twice daily (Empty stomach - Morning & Evening).

Chandraprabha Vati: 2 tablets twice daily. Time: After meals.

Lifestyle Advice Do Not Strain: Straining makes the median lobe block the path tighter. Relax and let urine flow naturally. Voiding Posture: Try urinating in a Sitting Position (like passing stool). This relaxes the pelvic floor and helps empty the bladder better than standing.

Regards Dr Gursimran Jeet Singh MD Panchakarma

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Hlo,

Based on your ultrasound and symptoms, this does not look like advanced prostate enlargement, but rather an early functional obstruction.

Ayurvedic Understanding Your symptoms: Pressure on urethra Incomplete urination Poor urine flow Mild residual urine Slightly prominent median lobe

In Ayurveda, this condition falls under Mutraghata / Mutrakrichra, mainly due to: ❖ Apana Vata dushti (vitiation) Apana Vata controls urination When disturbed → weak stream, retention, pressure ❖ Mild Kapha–Meda accumulation

Causes early obstruction around bladder neck/prostate Not true Vriddhi (big enlargement), more of functional narrowing So this is reversible, especially since prostate size is normal.

About Himalaya Himplasia ✔ Yes, Himplasia is useful, but: It works slowly Better for established BPH Alone may not fully correct Apana Vata imbalance So I recommend a combination approach.

Ayurvedic Prescription (6–8 weeks) 🌿 1. Himplasia – Himalaya Dose: 1 tablet twice daily after meals Benefit: Reduces median lobe congestion, improves flow

🌿 2. Varunadi Kashayam Dose: 15 ml + 15 ml warm water Twice daily before meals Key action: Opens urinary channels, reduces residual urine

🌿 3. Chandraprabha Vati Dose: 2 tablets twice daily after meals Very important for: ✔ Incomplete urination ✔ Bladder pressure ✔ Urethral discomfort If you take only one extra medicine, choose Chandraprabha Vati.

Simple Diet & Lifestyle Advice (Very Important) ✔ Do Warm water sipping Pumpkin seeds (1 tbsp daily) Light walking daily (improves Apana Vata) Regular bowel habits (no constipation)

✖ Avoid Cold drinks Excess tea/coffee Late-night heavy meals Holding urine

When to Expect Improvement 2–3 weeks: Reduced pressure, better flow 6–8 weeks: Minimal residual urine, comfortable urination Warning Signs (Consult immediately if) Sudden urinary retention Burning + fever Blood in urine

Tq

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Don’t Worry take

CHANDRA PRABHA VATI 1TAB BD GOKSURADI GUGGULU 2TAB BD SARVATHOBHADRAVATI 1TAB BD VASTAYAMATAKAGHRITAM 1TAB BD ENOUGH

DR RC BAMS MS

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Hello I get it, dealing with constant urinary issues like pressure, a weak stream, and that annoying feeling of not fully emptying your bladder for months on end can be super frustrating.

But honestly, relax a bit – this kind of thing is pretty common, and the good news is, your ultrasound results are actually quite reassuring.

YOUR CONCERN

You’re feeling: - Pressure in your urethra when you pee - Like your bladder isn’t totally empty - A weak pee flow - These symptoms have been around for over six months.

Your ultrasound shows: – Normal prostate size – A slightly bigger-than-usual median lobe (that’s part of the prostate) – Just a tiny bit of pee left after you go.

AYURVEDIC UNDERSTANDING

In simple Ayurvedic terms, this sounds like a mix of: –Mutraghata / Mootrakrichra (Vata–Kapha issues) –Basically, Vata getting out of whack can lead to that weak stream and incomplete peeing. –Kapha then steps in, causing those block-like feelings. – Your prostate might be acting up a little, but it’s not a full-blown enlargement yet.

👉 Since your prostate is a normal size, we’re looking at an early, functional block, not advanced BPH.

Is HIMALAYA HIMPLASIA a Good Idea?

✅ Yes, Himplasia tablets are a good fit for you.

Here’s why Himplasia can help: – It supports your prostate. – It eases that median lobe congestion. – It improves your urine flow. – It helps with that feeling of leftover pee.

How to Take It: – 1 tablet, twice a day, after food with warm water. – Do this for at least 8–12 weeks.

👉 It works best for early or mild prostate-related pee problems, exactly like what you’re experiencing.

BUT… To Get Even Better Results (My Suggestion)

Himplasia alone can do some good, but Ayurveda really shines when we also look at your bladder and nerve control.

ADD THESE FOR TOP-NOTCH RELIEF

1. Chandraprabha Vati 1 tablet, twice a day, after food. (Helps your bladder muscle tone and Cuts down on urethral pressure.)

2. Varunadi kashaya 20 ml, twice a day, before food with warm water. ( Reduces blockages in your pee system and Supports your prostate and urinary tract.)

DIET AND LIFESTYLE

✅ INCLUDE

* Sip warm water all day. * Eat a small amount of pumpkin seeds. * Include bottle gourd and ridge gourd in your diet. * Pee regularly and don’t rush or strain.

❌ AVOID

* Too much tea, coffee, or alcohol. * Cold drinks. * Holding your pee for too long. * Spicy and very oily foods. * Sitting for endless hours.

✔ Yes, Himplasia is good for you. ✔ But adding Chandraprabha Vati will likely give you even better relief. ✔ You absolutely do NOT need surgery at this point.

Warm Regards Dr. Snehal Vidhate

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You can take

Gokshuradi guggulu 1-0-1 Chandraprabha vati 1-0-1

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Follow some simple lifestyle changes and dietary changes and you will see results for your problem.

✔️Do’s✔️

Eat freshly cooked food. Drink warm water. Lunch and dinner on fixed timings. 100 steps after every meal. If possible dinner as early as 7-8 pm.

🧘‍♀️ Yogasan : 🧘‍♀️ 1. Pawanmuktasana 2. Bhujangasana 3. Dhanurasana 4. Paschimottanasana 5. Ardha Matsyendrasana 6. Vajrasana 7. Supta Matsyendrasana 8.Mool Bandh

❌Don’ts:❌

Packed and processed food. Ready to eat items. Oily and spicy food. Sour and fermented products. Dals (only moong dal can be eaten) Besan Raw vegetables and sprouts Curd

💊 Medication 💊

Syp. Stonvil 3 tsp twice a day before food Tab. Kanchanar Guggul 2 tabs twice a day before food Tab. Gandhak Rasayan 2 tabs twice a day before food

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Take these medicines 1. Chandraprabha vati 2BD AF 2. Gokshuradi guggul 2BD BF 3. Neeri kft syp 10 ml BD A F

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1.Chandraprabha vati 2 tab twice daily with water after meals 2.Gokshuradi guggulu 2 tab twice daily with water after meals 3.Varunadi kwath 20 ml with 20 ml water twice daily after meals 4.Syp.Ural 2 tsp thrice daily

🌱 Lifestyle & Diet Tips - Drink lukewarm water throughout the day; avoid excess cold fluids. - Reduce tea, coffee, alcohol, and spicy foods that irritate bladder. - Include barley water, coconut water, bottle gourd juice (alkaline, soothing). - Practice gentle yoga: Vajrasana, Baddha Konasana, and Pranayama (Anulom Vilom). - Avoid holding urine for long periods.

Warm Regards Dr. Anjali Sehrawat

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Hi this is Dr soukhya…may I know your age…bcz age related issues also there for some patients Any how if have recent reports better share those things…so that we are in the right treatment Rx-Syp zymnet 10ml twice after food T gokshuradi guggulu 1-0-1after food T varunadi kashaya 10ml twice after food… Take these medicines if any issues let me know

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its good just take it you can add gokshuradi kadha 15 ml +15 ml luke warm water subha sham khane ke phle for 15 days

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HELLO,

Symptoms like poor urine flow, incomplete voiding, urethral pressure with mild median lobe prominence suggest Vata predominance with Kapha obstruction in Mutravaha srotas -Chronicity (>6 months) indicates Apana vata dushti with mild Granthi (prostate) involvement not severe enlargement

TREATMENT GOALS -normalize Apana vata -reduce Kapha-induced obstruction -improve bladder emptying -prevent progression to BPH

INTERNAL MEDICATIONS

1) VARUNADI KASHAYA= 20 ml twice daily after meals with warm water =reduces obstruction, supports prostate health

2) GOKSHURADI GUGGULU= 2 tabs twice daily after meals =improves urine flow, reduces residual urine

3) CHANDRAPRABHA VATI= 2 tabs twice daily after meals =best for chronic urinary symptoms, bladder tone

4) HIMLPLASIA = 1 tab twice dail after meals

5) PUNARNAVADI KASHAYA= 20 mml twice daily after meals =relieves burning and discomfort

PANCHAKARMA (if available) -MATRA BASTI = with Bala taila highly effective for Apana vata correction -7-14 days gives long term relief

DIET AND LIFESTYLE -warm, light, vata pacifying diet -adequate water intake lukewarm -Avoid alcohol (especially wine), spicy food, late nights -Avoid holding urine or straining Gentle walking, pawanmuktasana, Malasana

EXPECTED OUTCOME -Improvement in flow and emptying= 3-4 weeks -Significant releif with consistency= 6-8 weeks -Prevents progression to surgical BPH if followed properly

WHEN TO REFER -sudden urine retention -increasing residual urine -recurrent UTIs or hematuria

Himplasia alone is not sufficient

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Start with Chandraprbha vati 1-0-1 after food with water Gokshuradi guggul 2-0-0 after food with water. Along with this you can take himplasia . Learn and practice kegel exercises daily, pelvic floor exercises.

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