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What to do for borderline small kidney with mild hydronephrosis and moderate hydronephrosis on the other side?
Urological Disorders
Consultation #52869
96 days ago
659

What to do for borderline small kidney with mild hydronephrosis and moderate hydronephrosis on the other side? - #52869

Client_d8dbb1
$3

My right kidney is boarder line small with mild hydronephrosis.The parenchyma is normal.The left is small, moderate hydronephrosis,normal parenchyma

How long have you been aware of these kidney issues?:

- 1-3 months

Have you experienced any symptoms like pain or discomfort?:

- Severe pain

Have you had any imaging tests done besides the initial diagnosis?:

- Yes, CT scan

Are you experiencing any urinary symptoms?:

- Blood in urine

What is your current diet like?:

- Low in sodium

Do you have any history of kidney stones or urinary tract infections?:

- Yes, urinary tract infections

Are you currently taking any medications for your kidneys?:

- Prescription medications

Doctors' responses

Dr. Ravi Chandra Rushi
Master of Surgery in Ayurveda
96 days ago
5

Need personal consultation for better examination and treatment send Usg report Take Chandra Prabha vati 1tab 2times after food


0 replies
Dr. Raj Ladani
Bachelor of Ayurvedic Medicine and Surgery
95 days ago
5

Hydronephrosis occurs when urine cannot drain properly, causing the kidney to swell. When combined with “small” kidney size, it suggests a chronic process that needs careful management to preserve the remaining normal parenchyma (functional tissue). ​In Ayurveda, this is often viewed as Vrukka Shotha (renal swelling) caused by an imbalance in Vata and Kapha obstructing the Mutravaha Srotas (urinary channels). ​Ayurvedic Perspective & Management ​The goal is to clear the obstruction (Srotovishodhana), reduce swelling (Shothahara), and provide strength to the renal tissue (Rasayana). ​Right Kidney (Mild): Focus is on maintaining flow and preventing further pressure. ​Left Kidney (Moderate/Small): Focus is on aggressive drainage and supporting the diminished kidney structure. ​1. Punarnavadi Kwath (Tablet or Liquid) This is the primary choice for reducing kidney swelling and improving drainage. It acts as a potent diuretic and anti-inflammatory. ​Dose: 15 ml liquid mixed with 45 ml lukewarm water, or 2 tablets. Take twice daily, 30 minutes before food. ​2. Chandraprabha Vati A versatile formulation that clears urinary obstructions, balances Vata, and helps manage the “borderline small” aspect by improving overall kidney health. ​Dose: 2 tablets twice daily after food with lukewarm water. ​3. Varunadi Kwath Specifically targeted at clearing obstructions (like small stones or sludge) that often cause hydronephrosis. It helps “scour” the channels. ​Dose: 15 ml liquid mixed with 45 ml lukewarm water twice daily before food (can be taken alongside Punarnavadi Kwath). ​4. Vastyamayantaka Ghritam If there is any associated burning or if the kidney size reduction is due to “dryness” (Vata), this medicated ghee is used to nourish the urinary system. ​Dose: 1 teaspoon with warm milk or water on an empty stomach in the morning. ​Important Precautions ​Monitor Creatinine/BUN: Since one kidney is already small and the other is borderline, regular blood tests are vital to monitor filtration levels. ​Hydration: Maintain steady water intake, but do not “over-flush” if the hydronephrosis is caused by a physical blockage, as this can increase pressure. ​Diet: Limit high-potassium foods and excessive salt to reduce the workload on the parenchyma.


0 replies
Dr. Gursimran Jeet Singh
Bachelor of Ayurvedic Medicine and Surgery
94 days ago
5

✓Medicines Chandraprabha Vati – 1 tablet twice daily after meals with warm water Punarnavadi Kashayam – 15 ml + 45 ml warm water twice daily before meals Gokshura churna – ½ tsp twice daily with warm water after meals ✓Daily Must-Do Drink 2–2.5 litres warm water in small sips throughout the day Gentle walk 10–15 minutes morning & evening (avoid strain) Legs elevated 15 minutes, 2–3 times daily Vajrasana 5 minutes after meals ✓Diet Warm, light, low-sodium: moong dal khichdi + 1 tsp ghee, cooked lauki, bottle gourd, pomegranate, thin buttermilk with jeera. Strictly avoid: salt, processed food, cold drinks, heavy/oily/spicy food, red meat. Regards Dr Gursimran Jeet Singh MD Panchakarma


0 replies
Dr. Maitri Bhavesh Kumar Acharya
Bachelor of Ayurvedic Medicine and Surgery
94 days ago
5

Hello, Your report suggests bilateral small kidneys with hydronephrosis (right mild, left moderate) but parenchyma still normal-> this is early functional compromise, not end stage. Main concerns are -chronic urinary obstruction/reflux/recurrent UTI -Low hydration (very important in your case -early renal shrinkage tendency This condition aligns with -Mutravaha srotas dushti -vata + kapha imbalance -early mutrakricchra/mutraghata tendency Goals -remove obstruction -improve urine flow -nourish kidney tisue Internal medication For hydronephrosis + urine flow -Chandraprabha gulika= 2 tabs twice daily after meals =reduces urinary obstruction, prevents UTI recurrence -Gokshuradi Guggulu= 2 tabs twice daily after meals =best for hydronephrosis, swelling, improves kidney filtration For kidney strength -Punarnavadi kashaya= 15ml + 45 ml water twice daily before meals =reduces swelling, supports kidney size and function For recurrent UTI and detox -Varunadi kashaya= 20ml with warm water once daily in evening =clears urianry tract blockage , prevents infection and stone tendency Most Important (don’t ignore this) Your fluid intake (<1 L) is a major cause of worsening hydronephrosis **Correct it immediately -Minimum 2-2.5 L /day -warm water preferred Add= jeera water (light), coconut water (3-4 times/week) Diet -bottle gourd, ash gourd, pumpkin -barley water -horse gram in moderation -fresh fruits avoid excess sour Avoid -excess salt -packaged foods -red meat -spinach, tomato (if UTI tendency high) -cold drinks, tea excess Lifestyle -don’t hold urine (very important) -walk daily 20-30 min -avoid long sitting -manage constipation very important for kidney pressure If constipation -take Gandharvahastadi kashaya= 15ml with warm water at bedtime Must monitor do ultrasound every 3-6 months if -Hydronephrosis increases -Kidney size reduces further -swelling worsens Also check -serum creatinine -urine routine Ayurveda can -slow progression -improve drainage -prevent infection But -If there is mechanical obstruction(stone, stricture), you must rule it out with a urologist Do follow Hope this might be helpful Thank you


0 replies
Dr. Sara Garg
Bachelor of Ayurvedic Medicine and Surgery
96 days ago
5

Kindly share the exact parameters of the reports, And plz explain your symptoms in brief which u are facing at present. Also what is your age?


0 replies
Dr. Haresh Patel
Doctor of Medicine in Ayurveda
96 days ago
5

sent all report in detais start neeri kft 5 ml 2 times day


0 replies
Dr. Khushboo
Bachelor of Ayurvedic Medicine and Surgery
95 days ago
5

The condition you describe is mostly due to the chronic obstructive or inflammatory condition this is pointing towards the mutra Vag srotasa vikar Which is due to vata and Kapha imbalance lead to obstruction So we will focus on supportive care to reduce inflammation improving renal drainage and support your tissue but you have to clearly monitor and ensure regular kidney function test monitor blood pressure regularly And after this if you feel your problem does not subside please visit to your nearest nephrologist or Urologist for further investigation 1) Punarnavadi Kwath- 15 ml with 45 ml lukewarm water twice daily 30 minutes before food 2) Chandraprabha Vati- two tablet twice daily after food 3) Gokshuradi Guggulu- two tablet twice daily after food 4) Varanadi Kwath- 15 ml with 45 ml lukewarm water twice daily 30 minutes before food 5) Purnarnavasava- 20 ml with 20 ml water twice daily after food Increase your water intake to at least 2-2.5 litte Per day coconut water will be highly beneficial Avoid high protein diet heavy processor food high sodium snacks


0 replies
Dr. Raghuveer SN
Bachelor of Ayurvedic Medicine and Surgery
95 days ago
5

Borderline small kidneys with hydronephrosis on both sides means there is urine back pressure due to blockage or poor drainage, and now you also have pain and blood in urine, which is a serious sign. This is not a condition to manage only with medicines at home. You need urgent urologist evaluation to find the cause. It can be stone, narrowing, or obstruction. If blockage is present, sometimes procedure is required to relieve pressure, otherwise kidney damage can progress. Do not delay this step. Meanwhile, take care of these: Increase water intake gradually to around 2–2.5 liters daily unless restricted by your doctor. Do not hold urine. Avoid heavy, oily, spicy food. Keep diet simple with vegetables like lauki, tori, cucumber. Avoid painkillers as much as possible. Medicines (supportive): Chandraprabha vati 1 tablet twice daily after food. Gokshuradi guggulu 2 tablets twice daily after food. Punarnava mandoor 1 tablet twice daily after food. Varunadi kwath 15 ml with equal water twice daily after food. These help support urinary flow and reduce swelling, but they do not remove obstruction if present. Since you have pain and blood in urine, this needs proper investigation and possibly active treatment. Regular follow-up with scans and kidney function tests is important.


0 replies
Dr. Anjali Sehrawat
Bachelor of Ayurvedic Medicine and Surgery
95 days ago
5

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 15 ml with 15 ml water twice daily after meals 4.Guduchighan vati 1 tab twice daily with water after meals 5.Punarnavasava 15 ml with 15 ml water twice daily after meals Lifestyle & Diet Recommendations---- - Hydration: Increase fluid intake gradually to at least 1.5–2 liters/day unless restricted by your doctor. Low intake (<1 L) worsens hydronephrosis. - Kidney-friendly foods: Watermelon, citrus fruits, radish leaf juice, and leafy greens help flush toxins. - Avoid: Excess salt, fried foods, heavy dairy, and alcohol. - Digestive support: Since you have chronic constipation/diarrhea, favor light, easily digestible meals (khichdi, moong dal, boiled vegetables).


0 replies
Dr. Snehal Tasgaonkar
Bachelor of Ayurvedic Medicine and Surgery
95 days ago
5

related to small kidney size it is a birth condition and cannot be treated. for hydronephrosis Syp. Varunadi kwath 2 tsp twice a day before food keep a watch on your symptoms and consult nephrologist in case of any ememrgency


0 replies
Dr. Surya Bhagwati
Bachelor of Ayurvedic Medicine and Surgery
81 days ago
5

Start with Chandraprbha vati 1-0-1 after food with water Varunadikwath 10ml-0-10ml after food with water Punarnavadi kwath tablet 1-0-1 after food with water


0 replies

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