💧 Urinary Incontinence in Geriatrics: An Ayurvedic Perspective and Management at Yogakshema Ayurveda Hospital

🧠 Introduction

Urinary incontinence is a common concern in the elderly, affecting their quality of life and confidence. Ayurveda correlates this condition with Mutra Krichra (difficulty in urination) and Mutra Vegadharana (suppression of natural urges), primarily due to Vata dosha imbalance in old age.

🌿 Ayurvedic Perspective

In geriatrics, Vata dosha naturally increases, leading to:

• Impaired bladder control and involuntary urination

• Dryness and weakness in urinary tract

• Reduced nerve coordination

Other Contributing Factors:

• Dhatu Kshaya: Degeneration of tissues (Majja & Mamsa)

• Agni Mandya: Weak digestion leads to poor tissue nourishment

• Ama Accumulation: Toxins block normal bladder function

• Manasika Karana: Stress and anxiety worsen symptoms

📌 Common Causes of Urinary Incontinence in Geriatrics

• Weakened pelvic muscles (age/surgery-related)

• Overactive bladder

• Neurological conditions (Parkinson’s, stroke, MS)

• Prostate enlargement (in men)

• Urinary tract infections (UTIs)

• Diuretics and certain medications

• Chronic constipation

🚨 Signs and Symptoms

• Involuntary urine leakage (esp. during sneezing/laughing/exercise)

• Sudden urge followed by leakage (urge incontinence)

• Frequent urination (day/night)

• Incomplete bladder emptying

• Urine dribbling

🌱 Ayurvedic Approach to Management

Core Principles:

• Pacifying Vata: Herbs like Gokshura, Ashwagandha, Punarnava

• Strengthening Dhatus: Rejuvenating Majja & Mamsa

• Improving Agni: Using Triphala, Ginger, etc.

• Eliminating Ama: Detoxification to reduce inflammation

• Strengthening Muscles: Yoga and localized therapies

🧴 Key Therapeutic Interventions

Panchakarma Therapies:

• Basti – Medicated enema for Vata balance and pelvic strength

• Abhyanga – Oil massage for nourishment and circulation

• Swedana – Herbal steam to promote detox and relaxation

• Uttar Basti – Medicated oil in the bladder to enhance control

Herbal Medicines:

• Gokshura – Strengthens bladder and kidney function

• Ashwagandha – Reduces stress, improves vitality

• Punarnava – Promotes urination and reduces retention

• Chandraprabha Vati – Supports urinary health

• Triphala – Aids digestion and detox

🍲 Dietary & Lifestyle Modifications

• Warm, nourishing diet with ginger, turmeric, healthy fats

• Avoid alcohol, caffeine, excessive raw/cold food

• Stay hydrated, avoid large intake before bedtime

• Gentle exercise, especially pelvic floor (Kegel) exercises

• Scheduled urination to retrain the bladder

• Stress reduction: Yoga, meditation, breathing practices

🧘 Preferable Yogasanas

• Mula Bandha (Root Lock) – Strengthens pelvic base

• Ashwini Mudra (Horse Gesture) – Controls urinary muscles

• Uttanpadasana – Tones lower abdominal muscles

• Supta Pawanmuktasana – Eases pressure, supports digestion

• Shavasana – Induces deep relaxation and stress relief

🩺 Customization of Treatment at Yogakshema Ayurveda Hospital

• Dosha Analysis: Understand which dosha dominates

• Bladder Function Evaluation: To assess severity and type

• Functional Assessment: Impact on quality of life

• Personalized Plan: Herbal therapy, Panchakarma, yoga, diet

🌟 Advantages of the Ayurvedic Approach

• Root-Cause Focused: Treats the underlying dosha imbalance

• Safe & Gentle: Fewer side effects than conventional meds

• Better Bladder Control: Strengthens nerves and muscles

• Improved Daily Life: Encourages comfort, mobility, and confidence

🏥 Yogakshema Ayurveda Hospital: Your Destination for Holistic Healthcare

We offer a healing environment tailored to the needs of geriatric individuals, with experienced Ayurvedic doctors, yoga therapists, and personalized care teams committed to:

• Patient-centered Ayurvedic evaluation

• Integrative treatment plans

• Supportive recovery journey