YOUR BLOOD AND URINE INVESTIGATIONS SHOW A VERY IMPORTANT AND POSITIVE POINT THAT YOUR KIDNEY FUNCTION IS PRESERVED AND SAFE YOUR EGFR IS ABOVE 90 SERUM CREATININE AND UREA ARE WELL WITHIN NORMAL RANGE ELECTROLYTES ARE STABLE AND URINE ALBUMIN CREATININE RATIO IS IN A1 CATEGORY WHICH CLEARLY INDICATES THAT THERE IS NO DIABETIC NEPHROPATHY OR STRUCTURAL KIDNEY DAMAGE AT PRESENT THIS MEANS THE FREQUENT NIGHT URINATION YOU ARE SUFFERING FROM IS NOT DUE TO KIDNEY FAILURE OR LOSS OF FILTRATION BUT DUE TO FUNCTIONAL DISTURBANCE OF THE URINARY SYSTEM AND NERVOUS REGULATION
FROM AYURVEDIC PERSPECTIVE THIS CONDITION IS MAINLY RELATED TO MUTRAVAHA SROTAS DUSHTI APANA VATA PRAKOPA AND EARLY MADHUMEHA EFFECT ON THE BLADDER EVEN WHEN BLOOD SUGAR IS CONTROLLED DIABETES WEAKENS THE NERVE CONTROL OF THE BLADDER LEADING TO POOR SENSATION OF COMPLETE EMPTYING AND INCREASED NIGHT TIME URGE ESPECIALLY DURING VATA KALA WHICH IS NIGHT TIME THIS IS WHY YOU ARE WAKING UP EVERY TWO HOURS
YOUR PAST HISTORY OF URETHRAL STRICTURE AND DILATATION IS A VERY IMPORTANT CONTRIBUTING FACTOR BECAUSE ANY OLD OBSTRUCTION OR PROCEDURE MAKES THE BLADDER AND URETHRA HYPERSENSITIVE AND FUNCTIONALLY WEAK WHICH CAUSES RESIDUAL URINE AND FREQUENT SIGNALS TO PASS URINE EVEN WHEN THE QUANTITY IS LESS THIS IS A COMMON LONG TERM EFFECT SEEN YEARS AFTER STRICTURE DILATATION
STRESS AND ANXIETY FURTHER AGGRAVATE THIS CONDITION BECAUSE THEY DIRECTLY DISTURB PRANA VATA AND APANA VATA LEADING TO OVERACTIVITY OF BLADDER NERVES WHICH IS WHY YOU HAVE CLEARLY NOTICED THAT STRESS WORSENS YOUR NIGHT URINATION AND SLEEP DISTURBANCE
YOUR THYROID REPORT SHOWS BORDERLINE HIGH TSH WHICH CAN ALSO CONTRIBUTE TO METABOLIC SLOWNESS FATIGUE AND NERVOUS IRRITABILITY AND YOUR LIPID PROFILE SHOWS ELEVATED CHOLESTEROL AND LDL WHICH INDICATES MEDA DHATU DUSHTI AND INSULIN RESISTANCE BACKGROUND THIS DOES NOT DIRECTLY CAUSE NIGHT URINATION BUT IT SHOWS THAT METABOLIC BALANCE NEEDS CORRECTION
AYURVEDIC TREATMENT HERE IS AIMED AT CALMING BLADDER NERVES STRENGTHENING MUTRASHAYA REGULATING APANA VATA AND REDUCING NIGHT TIME URGE WITHOUT FORCEFULLY SUPPRESSING URINE AND WITHOUT INTERFERING WITH YOUR METFORMIN
CHANDRAPRABHA VATI 2 TABLETS TWICE DAILY AFTER MEALS WITH LUKEWARM WATER THIS IS A KEY MEDICINE FOR DIABETIC URINARY SYMPTOMS BLADDER IRRITABILITY AND NIGHT FREQUENCY IT STRENGTHENS MUTRAVAHA SROTAS AND IMPROVES BLADDER TONE
GOKSHURADI GUGGULU 2 TABLETS TWICE DAILY AFTER MEALS WITH WARM WATER THIS HELPS IN NORMALIZING URINE FLOW REDUCING BLADDER SENSITIVITY AND SUPPORTING URINARY TRACT HEALTH
ASHWAGANDHA CHURNA 3 GRAMS AT NIGHT AFTER DINNER WITH WARM MILK OR WARM WATER THIS CALMS VATA NERVOUS SYSTEM REDUCES STRESS INDUCED URGE AND IMPROVES SLEEP QUALITY
VARUNADI KWATH 15 ML TWICE DAILY BEFORE MEALS DILUTED WITH EQUAL WARM WATER THIS SUPPORTS BLADDER FUNCTION AND HELPS IN RESIDUAL URINE ISSUES
SHILAJIT CAPSULE 250 MG ONCE DAILY IN THE MORNING AFTER BREAKFAST THIS SUPPORTS METABOLISM BLADDER STRENGTH AND DIABETIC CONTROL
ALONG WITH MEDICINES CERTAIN HABITS ARE VERY IMPORTANT AVOID DRINKING LARGE AMOUNTS OF WATER AFTER SUNSET AVOID TEA COFFEE AND ALCOHOL IN THE EVENING AVOID VERY SPICY SOUR AND SALTY DINNER TAKE DINNER AT LEAST TWO TO THREE HOURS BEFORE SLEEP PRACTICE DEEP BREATHING OR ANULOM VILOM FOR TEN MINUTES BEFORE BED TO CALM VATA
WITH THIS APPROACH YOU SHOULD START NOTICING REDUCTION IN NIGHT URINATION WITHIN THREE TO FOUR WEEKS AND SIGNIFICANT IMPROVEMENT IN SLEEP QUALITY OVER TWO TO THREE MONTHS THIS CONDITION IS REVERSIBLE WITH CONSISTENT AYURVEDIC MANAGEMENT AND DOES NOT INDICATE ANY SERIOUS KIDNEY DAMAGE AT PRESENT
Frequent night urination in your condition is happening due to chronic vata imbalance affecting the bladder nerves and sphincter control along with prameha tendency caused by diabetes and old injury weakness of the urinary passage from past stricture dilation this makes the bladder overly sensitive during night hours when vata naturally increases stress anxiety and disturbed sleep further aggravate vata causing repeated urge even when urine quantity is less your reports clearly show kidney function is stable and urine albumin is within safe limits so this problem is not kidney damage but functional weakness of mutravaha srotas and bladder control mechanism
The treatment focus should be on calming vata strengthening bladder muscles improving nerve control and supporting prameha without disturbing allopathic medicines you can start chandraprabha vati 2 tablets twice daily after food with lukewarm water as it is the best formulation for bladder tone urgency frequency and nocturia take gokshuradi guggulu 2 tablets twice daily after meals to support urinary tract strength reduce irritation and improve flow add varunadi kwath 15 ml mixed with equal warm water once in the evening before dinner to reduce bladder irritation and support urinary passage health
For diabetes related bladder sensitivity and nerve weakness take shilajit capsule 250 mg once daily in the morning after breakfast this helps prameha fatigue nerve stability and bladder control without interfering with metformin at night to calm anxiety and improve sleep take brahmi vati 1 tablet or saraswatarishta 15 ml with equal water after dinner this will reduce stress induced vata spikes that worsen night urination
Daily routine is equally important stop fluid intake after 7 pm avoid tea coffee alcohol and cold drinks in the evening avoid spicy salty and dry foods at night gently massage lower abdomen pelvic area and soles of feet with warm sesame oil before sleep and keep the body warm during night practice slow deep breathing or anulom vilom for 5 minutes before bed to relax bladder nerves empty bladder fully before sleeping and again just before lying down
With regular use of these medicines and lifestyle correction improvement usually starts within 2 to 3 weeks with reduced night frequency deeper sleep and better bladder control but consistency is essential and medicines should be continued for at least 6 to 8 weeks for stable results
