Helen was in her teens , playing all day in her swimming pool of residential colony
“Heli , come back , its time” – Helens mom screamed out amidst her kitchen.It was the 10th call , Helen never replied . She continued and rushed 1 hour later for her pee.
“Mommy , mommy , it hurts”
Mom turned to the toilet after her wild screams. Helen was in the toilet seat , crying aloud with tears all around her cheeks . Next day morning , Helen and mom went to Grace , their family GP. Dr.Grace collected her yellowish brown urine sample and reported severe urine infection plus prescribed medicines .
Years turned out , Helen is in her college days . Her friends Anna was in a dilemma to start a conversation with Helen .
“Our classmates are mimicking you for the toilet rushes. ’’
Helen was taken aback as she knew she had to rush to the toilet whenever pee sensation starts . She would be running from 2nd floor of college to ground toilet . Helen had to rush in between classes or practicals.
Anna’s words were painful , henceforth she stopped talking to other friends who mimicked . She even not joined her annual tour with the thought of repeated pees.As she was too shy to share with Dr.Grace and her divorced parents , she never took a medication.Situations got worsened during her honeymoon period.Igore , her Russian boyfriend was her colleague during her Software employment . Their days took a break with a severe uti which had a painful start. 2 days of medication made the pain to reduce .
Still a worsened situation got after her first childbirth.Repeated rushes and incontinences made her worse . As the surgeons opted for only surgery , she denied the surgical way.
A new position demanded her frequent travels . It made her usage of public toilets and even bushes or building corners for the urgent pee’s.Also her pads started soiling whenever she had a physical exertion or a mild cough.She managed it with pads usage .
Situations took a turn after her travel to Kerala for a rejuvenation package with her boyfriend .A conversation with Dr.Iype revealed her journey of urgent urinary incontinences . The usage of Dhanwantaram taila pichu with vasti treatments made her bladder reduce urgency slowly . Day back , her bags were packed with Ayurveda medicines . 2 months later , a thank you note from Helen was the biggest case discussion file of Ayurveda hospital for urinary incontinence .
This is a story of Helen(All names of this story are only fictional) , but there are enumerable stories of Helen’s who worry to workouts or cough or smile with the thought of wet undergarments.
Let’s Discuss Mootravaha Srotas and Urinary Sytem In This Article.
Channels which carry mootra / urine is called mootravaha srotas .
Mootravaha srotas have their root in basti(urinary bladder) and vankshana(kidneys)
Mootravaha srotas are 2 in number , and they originate from basti(urinary bladder) and medhra(penis)
Etiological factor / Nidana:
- Intake of drinks & foods during urge for micturition
- Indulging in sex during the urge for micturition
- Suppression of urge for micturition
- One who is emaciated and injured
- Injury
Mootravaha Srotodushti Lakshana
Following features develop due to the vitiation of mutravaha srotas are as follows –
- Excessive urination
- Complete obstruction for urination
- Urine comes out with difficulty
- Patient passes little quantity of urine frequently
- Patient passes large quantity of urine associated with pain
Also , injury to mutravaha srotas develops
- Stiffness in bladder
- Obstruction in urination
- Stiffness or numbness in penis
Let’s Understand Natural Filtration System Mechanism Now.
There are 3 mechanisms – filtering waste from blood , creating urine , and excreting it from body . Kidney uses a 3 step process – glomerular filtration , selective reabsorption and tubular secretion.
Urine is transported through ureters to bladder for storage and expelled through urethra during urination.This system is crucial for maintaining fluid balance , blood pressure and electrolyte levels.
Urinary stem functions on SRF system
- Filtration – Blood filtered in nephrons
- Reabsorption – Glucose , aminoacids and water reabsorbed back into blood stream
- Secretion – Additional waste products are secreted from blood into filtrate
A good urinary system works on basis of 7 functions
1.Filter blood
2.Remove waste products
3.Balance body fluids
4.Control electrolyte levels
5.Regulate blood pressure
6.Regulate blood pH
7.Produce hormones
If anyways this balance is hampered , there are various diseases which affects , namely
1.Beningn prostatic hyperplasia (BPH) – Cells of prostate gland begin to multiply .It squeezes urethra and limits flow of urine.Symptoms affect quality of life like frequency , urgency , urination at night and dribbling.
In Ayurvedic parlance , kapha prakopa in apana sthana and mutraghata chikitsa can be done.
2.Chronic kidney disease (CKD) – There is gradual loss of kidney function over time . Kidney damage progress slowly and cause buildup of fluid or body waste.
In Ayurvedic ways , dhatwagni mandhya and amavastha in dhatus considered as vrikkaroga concept . Hence difficult to manage in Ayurveda. Early stage can be managed successfully with improving quality of life .
3.Nephrotic syndrome – Kidney disorder causing body to pass too much protein in urine . Caused damage to blood vessels in the kidneys. Symptoms include severe edema , particularly around eyes , ankles & feet , foamy urine , weight gain due to fluid retention,fatigue , loss of appetite
4.Oliguria – Medical term for urine output.Low urine output is common condition. Exact cause should be evaluated to exact cause and treat accordingly.
5.Over active bladder – Causes frequent and sudden urge to urinate that may be difficult to control.Symptoms such as a sudden urge to urinate that’s difficult to control,experience unintentional loss of urine immediately after an urgent need to urinate (urgency incontinence) , urinate frequently , usually 8 or more times in 24 hours , wake up more than two times in the night to urinate(nocturia).
6.Stricture urethra – Scarring that narrows urethral tube.Symptoms include decreased urine stream , urinary infection etc.
7.Urinary incontinence – Involuntary leakage of urine .It can be due to stress incontinence , urge incontinence , overflow incontinence , functional incontinence & mixed incontinence .
8.Urinary tract infection(UTI) – Infection in any part of urinary system.A strong urge to urinate that doesn’t go away , a burning feeling when urinating , urinating often , pelvic pain etc in centre of pelvis and around pubic bone.
Diseases of Mutravaha srotas
- Prameha
- Mutraghata
- Mutrakricchra
- Asmari
- Kamala
- Pandu
- Jwara
Medicines for urinary disorders
- Brhatyadi kwatha
- Gokshuradi kwatha
- Trnapanchamula kwatha
- Vastyamayantaka kwatha
- Virataradi kwatha
- Kshara parpati
- Taragarbha pottali
Hence , keep your kidneys clean for a healthy life . Remember , early detection save lives . Always remember – Detect early , protect kidney health.
