Once get 2 - D echo done Can take Punarnavadi mandura 1-0-1 Salt and water restriction must be done Keep your legs elevated while sitting
Start with Gokshuradi guggul 1-1 -0 after food with water Chandraprbha vati 1-0-1 after food with water Restrict salt intake. Avoid salty snacks pickles papads chutney in your diet. Control diabetes and blood pressure. Do pranayam lom -vilom bhastrika bhamri 5-10mins twice daily. Elevate your both feet to 45 degrees when resting.
Since you have: ✅ Diabetes ✅ High BP ✅ Proteinuria ✅ Leg swelling (water retention) This is not simple swelling. It is most likely related to kidney stress + fluid retention. We must be careful. 🚨 First – Why Your Feet Are Swelling With diabetes + protein in urine: ➡ Kidneys leak protein ➡ Blood protein level drops ➡ Fluid moves into legs ➡ Swelling (edema) BP medicines can also contribute sometimes. Low salt helps, but if kidney filtration is weak, swelling may still continue. ⚠️ Important Questions Please answer: Is swelling more in evening? Does pressing finger leave a dent (pitting edema)? Any breathlessness? Recent kidney test (creatinine level)? Are you on diuretics (water tablets)? These answers matter. 🩺 What You Should Do Medically This requires monitoring, not just home remedy. Ask your doctor about: Serum creatinine eGFR Urine protein level Albumin level If proteinuria continues, treatment adjustment is needed. 🌿 Safe Supportive Measures (With Kidney Caution) Because you have proteinuria, avoid strong Ayurvedic diuretics without supervision. Safe general measures: ✔ Strict salt restriction (hidden salt also) ✔ Avoid packaged foods ✔ Elevate legs 20 minutes, 3 times daily ✔ Gentle ankle exercises ✔ Walk 20–30 minutes daily ✔ Check BP daily ⚠️ Avoid ❌ Punarnava without doctor guidance ❌ Heavy herbal decoctions ❌ Excess fluid intake ❌ Over-the-counter diuretics In kidney patients, wrong herbs can worsen condition.
–Your leg swelling is likely due to mild water retention. Keep following a low-salt diet, elevate your legs when resting, avoid standing for long periods, and watch your feet carefully for any sores. Since it hasn’t improved, we may need to check your kidney and heart function and review your medications. If swelling worsens, or you have shortness of breath, chest pain, or redness in your legs, come in immediately. — go with these tests first - Serum creatinine & eGFR Electrolytes (Na, K) Urine protein/albumin Echocardiogram BNP or NT-proBNP KFT
1.Punarnava mandur 2 tab twice daily with warm water after meals 2.Gokshuradi guggulu 2 tab twice daily with warm water after meals 3.Chandraprabha vati 2 tab twice daily with warm water after meals 4.Dashmoolarishta 20 ml with 20 ml water twice daily after meals Lifestyle & Diet Strict low-salt diet (as your doctor advised). Avoid fried, heavy, and very oily foods. Include lauki (bottle gourd), cucumber, coconut water, barley water. Gentle leg elevation when resting. Daily light walking or yoga (avoid prolonged standing). WARM REGARDS DR. ANJALI SEHRAWAT
✓Medicines Punarnavadi Mandoor – 250 mg twice daily after food Chandraprabha Vati – 2 tablets twice daily after food Gokshuradi Guggulu – 2 tablets twice daily after food Triphala Churna – 3 gm night with warm water ✓Daily Must-Do Legs elevated 20–30 min 3–4 times/day (lie down with pillows under legs) Warm salt water foot soak – 10–15 min evening (1 tbsp rock salt in tub) then pat dry Compression stockings (mild grade 15–20 mmHg) during day if doctor approves Salt <5 g/day (no added salt, avoid pickles/papad/processed food) ✓Diet Low-salt: moong khichdi + minimal salt, cooked lauki/pumpkin, pomegranate, thin buttermilk + roasted jeera Avoid completely: packaged food, bakery items, cheese, excess milk ✓Repeat: serum creatinine, eGFR, urine albumin/creatinine ratio, electrolytes in 4 weeks If swelling increases, breathlessness or weight gain sudden then go to hospital immediately Regards Dr Gursimran Jeet Singh MD Panchakarma
WHEN THERE IS SWELLING AND PAIN IN THE FEET ALONG WITH DIABETES BLOOD PRESSURE AND PROTEIN IN URINE WE HAVE TO BE VERY CAREFUL AND NOT TAKE IT LIGHTLY IN AYURVEDA THIS CONDITION IS RELATED TO SHOTHA WHICH HAPPENS WHEN KAPHA AND WATER ELEMENT ACCUMULATE AND WHEN KIDNEY FUNCTION OR MEDA DHATU METABOLISM IS DISTURBED SINCE YOUR DOCTOR HAS ALREADY SAID THERE IS MILD WATER RETENTION AND ADVISED LOW SALT IT IS IMPORTANT TO CONTINUE THAT ADVICE STRICTLY SOMETIMES EVEN SMALL HIDDEN SOURCES OF SALT IN PICKLES PAPAD PACKAGED FOOD BISCUITS AND SNACKS CAN MAINTAIN SWELLING SO DIET HAS TO BE VERY CLEAN SIMPLE AND FRESH AVOID SITTING FOR LONG HOURS KEEP YOUR LEGS SLIGHTLY ELEVATED WHEN LYING DOWN DO GENTLE ANKLE ROTATION EXERCISES AND SHORT WALKS IF YOUR DOCTOR HAS NOT RESTRICTED MOVEMENT THIS HELPS CIRCULATION AND REDUCES STAGNATION IN AYURVEDA WE SUPPORT SUCH CONDITION BY IMPROVING KIDNEY FUNCTION AND REDUCING EXCESS FLUID NATURALLY BUT ONLY UNDER GUIDANCE PUNARNAVA IS A VERY IMPORTANT HERB FOR WATER RETENTION BUT BECAUSE YOU HAVE PROTEINURIA AND ARE ON REGULAR MEDICATIONS IT SHOULD NOT BE TAKEN WITHOUT MEDICAL SUPERVISION YOU CAN START WITH VERY SIMPLE HOME CARE LIKE BOILING CUMIN AND CORIANDER SEEDS IN WATER AND DRINKING IT WARM DURING THE DAY IF THERE IS NO RESTRICTION ON FLUID INTAKE THIS HELPS REDUCE KAPHA AND SUPPORTS METABOLISM AVOID DAYTIME SLEEP BECAUSE IT INCREASES KAPHA AND WATER LOGGING CHECK YOUR BLOOD SUGAR AND BLOOD PRESSURE REGULARLY BECAUSE UNCONTROLLED LEVELS CAN WORSEN SWELLING ALSO GET KIDNEY FUNCTION TESTS DONE AS ADVISED BY YOUR PHYSICIAN IF SWELLING IS INCREASING OR IF YOU NOTICE BREATHLESSNESS OR SUDDEN WEIGHT GAIN YOU MUST REPORT IMMEDIATELY DO NOT START ANY STRONG DIURETIC HERBS OR OVER THE COUNTER MEDICINES ON YOUR OWN BECAUSE WITH DIABETES AND PROTEINURIA THE BODY NEEDS A BALANCED APPROACH
HELLO, For diabetic patient + Bp + proteinuria + water retention, swelling in feet is usually due to kapha vriddhi + meda dushti + mutravaha srotas dushti in Ayurveda AYURVEDIC MANAGEMENT DIET MOST IMPORTANT -Strict low salt= avoid pickles, papad, packaged food -Avoid= curd at night, bakery, maida, fried items -Reduce rice, prefer barley, red rice, thin wheat chapati -warm water for drinking sip whole day ADD -boiled horse gram soup- reduces edema -bottle gourd, ridge gourd, snake gourd -small quantity garlic in cooking INTERNAL MEDICATIONS 1) PUNARNAVADI KASHAYA= 20ml + equal water twice daily after meals 2) CHANDRAPRABHA VATI= 2 tabs twice daily after meals 3) GOKSHURADI GUGGULU= 2 tabs twice daily after meals 4) VARUNADI KASHAYA= 15ml + equal water twice daily before meals 5) TRIPHALA= 1 tsp with warm water at bedtime EXTERNAL TREATMENT -Daily warm sesame oil massage to legs light pressure, upward strokes -after massage keep legs elevated 15-20 min -weekly mild dashmoola kashaya steam LIFESTYLE -elevate legs while sleeping small pillow -20-30 mins slow walking daily -avoind long sitting or standing -strict sugar control very important IMPORTANT HOME REMEDY BOIL -1 tsp crushed coriander seeds -1 cup water Reduce to half, drink once daily if kidney is stable IMPORTANT Because you have -diabetes -Bp -proteinuria Persistent swelling may indiacate worsening kidney function . Please -check serum creatinine -urine protein levels DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU
