Urinary incontinence is the loss of bladder control. The degree of urinary incontinence varying from mild to complete loss of control.
- SIGNS AND SYMPTOMS OF URINARY INCONTINENCE
- CAUSES OF URINARY INCONTINENCE
- PATHOPHYSIOLOGY OF URINARY INCONTINENCE
- DIAGNOSIS OF URINARY INCONTINENCE
- TREATMENTS FOR URINARY INCONTINENCE
- PROGNOSIS OF URINARY INCONTINENCE
- COMPLICATIONS OF URINARY INCONTINENCE
- URINARY INCONTINENCE AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF URINARY INCONTINENCE
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF URINARY INCONTINENCE
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF URINARY INCONTINENCE
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF URINARY INCONTINENCE
- AYURVEDIC PROGNOSIS OF URINARY INCONTINENCE
- CHIKITSA- AYURVEDIC TREATMENT FOR URINARY INCONTINENCE
- AYURVEDIC SAMANA TREATMENT FOR URINARY INCONTINENCE
- COMMONLY USED AYURVEDIC MEDICINES FOR URINARY INCONTINENCE
- HOME REMEDIES FOR URINARY INCONTINENCE
- DIET AND BEHAVIOUR FOR URINARY INCONTINENCE
- YOGA FOR URINARY INCONTINENCE
- RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF URINARY INCONTINENCE
SIGNS AND SYMPTOMS OF URINARY INCONTINENCE
- The major symptom of urinary incontinence is the leaking of urine
- It may occur due to coughing, sneezing, laughing etc
- Intense urge to urinate followed by urinary incontinence
CAUSES OF URINARY INCONTINENCE
- Urinary tract infection (UTI)
- Prostate enlargement
- Certain medications
- During pregnancy
- Menopause
- Neurological disorders
- Alcohol
- Ageing
- Constipation
PATHOPHYSIOLOGY OF URINARY INCONTINENCE
Pathophysiology of urinary incontinence is based on the cause of the disease. In the case of urinary tract infections, the bacterial infection spreads to the urethra, bladder then finally inflammation manifested. In this condition urge, incontinence is manifested. Stress incontinence occurs in case of laughing, coughing, lifting heavy weight etc.
DIAGNOSIS OF URINARY INCONTINENCE
- History taking
- Physical examination
- Urine analysis and bacterial culture
- Neurological examinations
- Imaging techniques
- Blood investigations
TREATMENTS FOR URINARY INCONTINENCE
- Anti-inflammatory medicines
- Antibiotics
- Surgical interventions
- Treatment for underlying pathology
PROGNOSIS OF URINARY INCONTINENCE
- Prognosis is based on the cause of the disease, duration and condition of the patient
- Urinary incontinence due to bacterial infection is easily cured by antibiotic therapy.
COMPLICATIONS OF URINARY INCONTINENCE
- Untreated urinary incontinence may affect the quality of life
URINARY INCONTINENCE AND AYURVEDA
- In Ayurveda,urinary incontinence is symptomatologically managed based on the treatment of mootra krichra, asmari, mootraghata, prameha etc.
NIDANA- AYURVEDIC CAUSES OF URINARY INCONTINENCE
- Excess consumption of unctuous, cold food
- Suppression of urge for urination
- Agantu factors – infections, injuries
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF URINARY INCONTINENCE
- Leaking of urine
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF URINARY INCONTINENCE
In Mootra krichra, the vitiated Pitta Dosha along with Vata (mainly Apana Vayu) on reaching Vasti (bladder) afflicts the Mootravaha Srothas due to which the patient feels difficulty in micturition. The above-mentioned symptomatology has a close resemblance to urinary tract infections. Urinary calculi (asmari) are one of the causes of urinary incontinence. Doshas associated with the predominance of kapha leads to asmari. Prameha chikilsa in Ayurveda is found to be more effective in controlling urge incontinence.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF URINARY INCONTINENCE
- Leaking of urine or dribbling of urine
AYURVEDIC PROGNOSIS OF URINARY INCONTINENCE
- Prognosis of urinary incontinence based on the severity of disease and condition of the patient
CHIKITSA- AYURVEDIC TREATMENT FOR URINARY INCONTINENCE
AYURVEDIC SAMANA TREATMENT FOR URINARY INCONTINENCE
Treatments for the ailments of mutravaha srotas :
- Dasamoolarishtam
- Intake of gokshura churna with yavakshara
- Chandanasava
- Brihatyadi kashaya
- Punarnava mandura
- Chandra prabha vati
- Gomutra hareetaki
- Yoni pichu – with jatyadi taila (in females) in case of urinary tract infections
- In prameha – nishakathakadi kashaya
COMMONLY USED AYURVEDIC MEDICINES FOR URINARY INCONTINENCE
Internal administration
- Dhanwanthararishtam
- Chandanasava
- Mustadi Marma Kashayam
- Dhanadanayanadi Kashayam
- Brihatyadi kashaya
- Punarnava mandura
- Chandra prabha vati
- Nishakathakadi kashaya
HOME REMEDIES FOR URINARY INCONTINENCE
- Heat application on the lower abdomen by a towel dipped with hot water to relieve symptoms associated with calculi and cystitis.
- Maintain weight
- Caffeine-containing drinks are discouraged at any time of day. Because caffeine may stimulate the bladder, it’s especially discouraged in the evening.
DIET AND BEHAVIOUR FOR URINARY INCONTINENCE
- Avoid food items that produce vata dosha imbalance like cold and dry food, hard to digest. Because vata imbalance aggravates the symptoms.
- Avoid intake of more water in the evening.
YOGA FOR URINARY INCONTINENCE
- Nadi Shuddi Pranayam – calms the mind and gets relief from the discomfort associated with urinary incontinence
The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
- Padmasana
- Makarasana
- Mandukasana
RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF URINARY INCONTINENCE
1. Ayurvedic management of post hysterectomy urge and stress urinary incontinence: A case report
- Ayurveda and Urinary Tract Infections
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2964762/
3. A Case Report on Mutrakricchra with Special Reference to the chronic cystitis with Bladder Atony
source https://ayurvedapc.blog/2021/12/22/urinary-incontinence-ayurvedic-treatment-diet-exercises-research-papers-yoga-pranayama/
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