Bed wetting in children – Ayurveda consultation and treatment

Ayurveda treatment of Bed wetting by prescribing illness specific medicinal herbs and dietary recommendations:

In ayurveda terminology, we refer it as shayyamutra or “nocturnal enuresis” and in such a condition, a child passes urine in the night while being in the sleep. If we have to translate the meaning of “shayyamutra” – it also implies “shayya” meaning bed and “mutra” being passing urine.

The overall physiological process of urine formation are governed by Prana, vyana and apana vata. And Apana vata is the prime entity which governs the act of micturition. Due to the causes listed below, if apana vata tends to get vitiated, the micturition too gets vitiated and varied signs can be seen depending on patient to patient basis. Mind also is one very important organ in human body which keeps functioning even while we are asleep. Mind is pivotal not only in physiological but pathological functioning in our tissues also. The sleep is activated when tama and kapha are activated and at times this may happen in day time as well. While during night, loss of control of prana and vyana over apana leads to child unknowingly doing urination in the bed.

Lifestyle adjustments are crucial, emphasizing the establishment of a regular routine, adequate hydration, and stress reduction techniques. Ayurvedic practitioners might recommend Abhyanga (oil massage) with warm oils to calm Vata and promote relaxation.

It’s important to approach bedwetting in children holistically, considering not only the physical but also the emotional and psychological aspects. Open communication with the child, addressing any emotional stressors, and creating a supportive environment are integral components of Ayurvedic care for enuresis. As always, consulting with a qualified Ayurvedic practitioner for personalized guidance tailored to the child’s unique constitution is recommended.

Bedwetting, known as Enuresis in medical terms, is a condition characterized by involuntary urination during sleep, particularly in children. In Ayurveda, bedwetting is attributed to the imbalance of certain doshas and the involvement of specific physiological factors. Understanding the Ayurvedic perspective on bedwetting involves considering both physical and mental aspects. Here’s a detailed explanation:

1. Dosha Imbalance:

   • Ayurveda recognizes the role of doshas—Vata, Pitta, and Kapha—in governing various bodily functions. Bedwetting is often associated with an imbalance in Vata dosha, which governs the nervous system and controls the muscles involved in bladder function. Factors leading to Vata imbalance, such as irregular routine, dietary habits, and stress, may contribute to bedwetting.

2. Malfunctioning Apana Vayu:

   • Apana Vayu, a specific subtype of Vata responsible for downward movement and elimination, is closely related to the functioning of the urinary system. Any disturbance in Apana Vayu can lead to irregularities in urination, potentially contributing to bedwetting.

3. Weakness in Bladder Muscles:

   • Ayurveda attributes bedwetting to the weakness of the muscles surrounding the bladder. This weakness may be influenced by Vata imbalance, leading to reduced control over the urinary sphincters during sleep.

4. Dietary Factors (Ahara):

   • Inadequate or improper dietary habits can play a role in bedwetting. Consuming foods that aggravate Vata, such as dry and cold foods, may contribute to dosha imbalance and affect urinary function.

5. Psychological Factors (Manasika Hetu):

   • Ayurveda recognizes the connection between the mind and body. Emotional factors such as stress, anxiety, fear, or psychological trauma can influence Apana Vayu and contribute to bedwetting. Addressing these factors is essential for comprehensive treatment.

6. Inefficient Elimination of Toxins (Ama):

   • The accumulation of toxins (ama) in the body, resulting from poor digestion and metabolism, can affect the functioning of Apana Vayu. Proper elimination of toxins is crucial for maintaining balance in bodily functions.

7. Genetic Predisposition:

   • Ayurveda acknowledges the role of genetic factors in certain conditions. If bedwetting has a familial history, there may be a genetic predisposition that influences the constitution and susceptibility to doshic imbalances.

8. Treatment Approach:

   • Ayurvedic treatment for bedwetting involves a holistic approach that addresses the root causes. This includes dietary modifications to pacify aggravated doshas, lifestyle adjustments to establish a regular routine, and herbal formulations to strengthen the nervous system and bladder muscles.

9. Herbal Remedies:

   • Specific herbs with Vata-balancing properties, such as Brahmi (Bacopa monnieri), Ashwagandha (Withania somnifera), and Shatavari (Asparagus racemosus), may be recommended. These herbs help calm the nervous system and support overall well-being.

10. Behavioral and Psychological Support:

    • Counseling and guidance may be provided to address any psychological factors contributing to bedwetting. Creating a supportive and stress-free environment for the child is essential for their emotional well-being.

11. Oil Massage (Abhyanga) and Warm Baths:

    • Gentle oil massages and warm baths are recommended to pacify Vata and promote relaxation. These practices contribute to overall physical and mental well-being.

It’s crucial to consult with a qualified Ayurvedic practitioner for a personalized assessment and treatment plan. While bedwetting is common in children, persistent issues may warrant attention to address underlying imbalances and promote holistic health

Causes of Bed wetting in ayurveda are as follows:

• one very prime reason of bed wetting in children being – the urinary bladder lacking in basic strength in holding the urine for a longer duration in night and thus it tends to pass on the urine.
• child has not been provided good enough training for alerting prior to any such natural urges.
• at times child also gets to drink more of liquids like water or juices or any other such stuff in evening / night
• if one takes more of sweet foods / desserts at night, the tendency of nighr urination stays higher as well
• if child has been subjected to stress, anxiety, depression or any other such mental health problems, the probabilities of bed wetting certainly are on an increase
• In comparison to an adult person, the urine frequency of child is on a higher side because neither the urinary bladder has enough strength to hold urine for longer and also the size as well are small
• some sort of urinary tract infections etc also can be an underlying factor.

Bedwetting, known as Enuresis in Ayurveda, is attributed to various causes that involve imbalances in the doshas, particularly Vata, as well as other physiological and psychological factors. Understanding the Ayurvedic perspective on the causes of bedwetting provides insights into the interconnected nature of the body-mind complex. Here’s a detailed explanation:

1. Vata Imbalance (Vata Vriddhi):

   • The primary cause of bedwetting in Ayurveda is often linked to an imbalance in Vata dosha. Vata governs the nervous system and controls the functions of the bladder and pelvic muscles. Factors such as irregular routines, excessive stress, and dietary imbalances can lead to Vata aggravation, affecting bladder control during sleep.

2. Weakness in Bladder Muscles (Mutravaha Srotas Daurbalya):

   • Weakness in the muscles surrounding the bladder, known as Mutravaha Srotas, can contribute to bedwetting. Vata’s influence on muscle tone may result in insufficient control over the urinary sphincters, leading to involuntary urination during sleep.

3. Disturbed Apana Vayu (Apana Vayu Vaigunya):

   • Apana Vayu, a specific subtype of Vata responsible for downward movement and elimination, is crucial for proper bladder function. Any disturbance in Apana Vayu, such as its irregular flow or blockages, can manifest as bedwetting.

4. Psychological Factors (Manasika Hetu):

   • Ayurveda acknowledges the connection between the mind and body. Psychological factors such as anxiety, fear, and stress can influence the balance of Vata and contribute to bedwetting. Traumatic experiences or emotional disturbances may also play a role.

5. Genetic Predisposition (Kula Pravritti):

   • A familial history of bedwetting may suggest a genetic predisposition. In Ayurveda, the family lineage (kula) is considered, and a susceptibility to Vata imbalances may be inherited.

6. Increased Vata-Pitta Dosha Interaction:

   • Bedwetting can also be influenced by an interaction between Vata and Pitta doshas. Pitta’s heat can aggravate Vata, leading to increased sensitivity and heightened responses in the nervous system, potentially affecting bladder function.

7. Dehydration (Ati Trishna):

   • Excessive thirst and inadequate fluid intake during the day, followed by increased water consumption in the evening, can contribute to bedwetting. Dehydration affects the balance of fluids and aggravates Vata dosha.

8. Irregular Dietary Habits (Vikara Ahara Vihara):

   • Consuming foods that aggravate Vata, such as dry, cold, and light foods, can contribute to doshic imbalances. Irregular dietary habits may disrupt the digestive fire (agni) and influence the overall balance of Vata.

9. Inefficient Elimination of Toxins (Ama):

   • The accumulation of toxins (ama) due to poor digestion and metabolism can impact the functioning of Apana Vayu. Proper elimination of toxins is crucial for maintaining balance in bodily functions, including bladder control.

10. Urinary Tract Infections (Mutravaha Srotas Shotha):

    • Infections affecting the urinary tract can disrupt normal bladder function and contribute to bedwetting. In Ayurveda, infections are considered a result of doshic imbalances and compromised immunity.

11. Sleep Disorders (Nidra Dosha):

    • Disorders related to sleep (Nidra Dosha) can also be associated with bedwetting. Irregular sleep patterns and disturbances in the sleep-wake cycle may influence the coordination between the nervous system and bladder control.

Addressing bedwetting in Ayurveda involves a holistic approach that considers the individual’s constitution, imbalances, and specific contributing factors. Treatment strategies include lifestyle modifications, dietary adjustments, herbal remedies, and psychological support to restore balance and promote overall well-being. Consulting with a qualified Ayurvedic practitioner is essential for personalized guidance and an effective, individualized treatment plan. 

Illness specific herbs used in preparing ayurveda medications for Bed wetting:

The primary medicinal herbs which are used as ingredients in the ayurveda formulation for the treatment protocol of Bed wetting patient are as follows:

• Haridra (Curcuma longa)
• Guggulu (Commiphora mukul)
• Haritaki (Terminalia chebula)
• Kataka (Strychnos potatorum)
• Vishatinduka (Strychnos nuxvomica)
• Bimbi (Coccinia indica)
• Nimba (Azadirachta indica)
• Vijaysara (Pterocarpus marsupium)
• Mandukrani (Centellan asiatica)
• Lajjalu (Mimosa pudica)
• Ashvagola (Plantago ovata)
• Pushkarmoola (Inula racemosa)

Ayurveda employs various medicinal plants with properties to balance Vata dosha, strengthen the nervous system, and support overall urinary health in the management of bedwetting (Enuresis). Here are some names of medicinal plants commonly used in Ayurveda for addressing bedwetting:

1. Brahmi (Bacopa monnieri):

   • Brahmi is renowned for its neuroprotective properties and its ability to support the nervous system. It is often used to enhance cognitive function and may help in addressing the psychological aspects associated with bedwetting.

2. Shatavari (Asparagus racemosus):

   • Shatavari is a rejuvenating herb with anti-inflammatory and adaptogenic properties. It is known for its ability to balance Vata and nourish the urinary system, making it beneficial in addressing bedwetting issues.

3. Gokshura (Tribulus terrestris):

   • Gokshura is traditionally used in Ayurveda to support kidney and bladder function. It possesses diuretic properties and helps in maintaining the health of the urinary system, potentially reducing the occurrence of bedwetting.

4. Jatamansi (Nardostachys jatamansi):

   • Jatamansi is valued for its calming and sedative effects on the nervous system. It may be used to address anxiety and stress-related factors contributing to bedwetting.

5. Ashwagandha (Withania somnifera):

   • Ashwagandha, an adaptogenic herb, is known for its stress-relieving properties. It helps balance Vata dosha, strengthen the nervous system, and may contribute to managing emotional factors associated with bedwetting.

6. Varuna (Crataeva nurvala):

   • Varuna is specifically used in Ayurveda for its diuretic and lithotriptic properties. It may aid in promoting proper urinary function and supporting the health of the bladder.

7. Punarnava (Boerhavia diffusa):

   • Punarnava is known for its diuretic and anti-inflammatory properties. It helps in balancing water metabolism, supporting kidney function, and may be beneficial in cases of bedwetting.

8. Musta (Cyperus rotundus):

   • Musta is recognized for its digestive and diuretic properties. It may help in improving digestion, balancing Vata, and supporting urinary health, contributing to the management of bedwetting.

9. Haritaki (Terminalia chebula):

   • Haritaki is a well-known herb in Ayurveda with multiple benefits. It is believed to balance all three doshas and may be used in formulations to address digestive issues and maintain overall health, indirectly influencing bedwetting.

10. Shankhpushpi (Convolvulus pluricaulis):

    • Shankhpushpi is traditionally used for its calming and memory-enhancing properties. It may help in reducing anxiety and supporting a more relaxed nervous system, potentially addressing bedwetting.

11. Guduchi (Tinospora cordifolia):

    • Guduchi is an immune-modulating herb with anti-inflammatory properties. It may be used to strengthen the overall immune system and support the body’s resilience, which is essential in addressing underlying factors contributing to bedwetting.

These medicinal plants are often used individually or in various combinations as part of Ayurvedic formulations to address the multifaceted nature of bedwetting. It’s important to note that Ayurvedic treatment is holistic and individualized, and the use of these herbs should be guided by a qualified Ayurvedic practitioner based on the specific needs and imbalances of the individual. 

Over the counter ayurveda medications prescribed for Bed wetting:

• Chywanaprash
• Chandraprabha vati
• Triphala choorna
• Arogyavardhani vati
• Triphala guggulu
• Kalyanaka ghrita
• Gokshuradi guggulu
• Chandarkala rasa
• Tarakeshwara rasa
• Ushirasava
• Lakshadi thailam
• Brahmi rasayana

In Ayurveda, medications used to address bedwetting (Enuresis) are often formulated based on a combination of herbs and natural ingredients. These formulations aim to balance Vata dosha, strengthen the nervous system, and promote overall urinary health. It’s important to note that Ayurvedic treatments are personalized, and the specific medications may vary based on individual constitutions and imbalances. Here are some names of Ayurvedic medications commonly used in the management of bedwetting:

1. Chandraprabha Vati:

   • Chandraprabha Vati is a classical Ayurvedic formulation that contains a blend of herbs like Shilajit, Guggul, Musta, and others. It is known for its diuretic properties and may be used to support urinary health.

2. Yograj Guggulu:

   • Yograj Guggulu is a traditional Ayurvedic preparation that includes Guggulu (Commiphora wightii) along with various herbs like Triphala, Trikatu, and Musta. It is believed to have anti-inflammatory and analgesic properties, potentially aiding in addressing factors contributing to bedwetting.

3. Dashamoola Arishta:

   • Dashamoola Arishta is a fermented herbal preparation that includes the ten roots (dashamoola) along with other herbs. This formulation is considered beneficial for Vata-related imbalances, promoting overall well-being, and may indirectly influence bedwetting.

4. Balarishta:

   • Balarishta is an Ayurvedic fermented liquid preparation containing Bala (Sida cordifolia) and other herbs. It is traditionally used to strengthen muscles and nerves, making it potentially beneficial in cases of bedwetting.

5. Saraswatarishta:

   • Saraswatarishta is an Ayurvedic tonic that includes herbs like Brahmi, Shatavari, and others. It is known for its rejuvenating properties, supporting the nervous system, and addressing stress-related factors associated with bedwetting.

6. Punarnavadi Mandura:

   • Punarnavadi Mandura is a classical Ayurvedic formulation containing Punarnava (Boerhavia diffusa) and other ingredients. It is believed to have diuretic and anti-inflammatory properties, supporting kidney function and urinary health.

7. Chitrakadi Vati:

   • Chitrakadi Vati is a traditional Ayurvedic tablet that contains Chitraka (Plumbago zeylanica) and other digestive herbs. It may be used to address digestive issues and support the balance of Agni (digestive fire), indirectly influencing bedwetting.

8. Guduchyadi Kashayam:

   • Guduchyadi Kashayam is a decoction prepared from herbs like Guduchi (Tinospora cordifolia) and Musta. It is believed to have immune-modulating and diuretic properties, potentially aiding in urinary system health.

9. Shankhavati:

   • Shankhavati is an Ayurvedic tablet containing Shankha Bhasma (calcined conch shell) and other herbs. It is traditionally used to support digestive health and may indirectly contribute to overall well-being.

10. Manasamitra Vatakam:

    • Manasamitra Vatakam is a classical Ayurvedic formulation known for its benefits on the nervous system. It includes herbs like Brahmi, Vacha, and Shankhapushpi, which may have a calming effect, potentially addressing psychological factors related to bedwetting.

It’s important to emphasize that Ayurvedic medications should be prescribed and taken under the guidance of a qualified Ayurvedic practitioner. The selection of medications depends on the individual’s constitution, doshic imbalances, and specific symptoms. Consulting with an Ayurvedic professional ensures a personalized approach to address the underlying causes of bedwetting and promote holistic well-being.

Ayurveda treatment of Bed wetting at Nakra Ayurveda Hospitals and Herbals Pvt Ltd:

At Nakra Ayurveda Hospitals and Herbals Pvt Ltd, we are providing treatment for bed wetting with encouraging results. Not only focusing on the medications, but our primary emphasis is also on recommending a customized dietary regimen to patient and a counselling as well is done so early and long lasting health benefits can be achieved. Our treatment primarily focuses on removing all the causative factors involved and also towards enabling a normalization in the dosha physiology.

In ayurveda medical science, herbal medicinal plants are used and its this very prime reason why we are able to achieve health benefits even in such chronic of ailments and with nil side effects in any regards. So if you are having any questions on Bed wetting, you are welcome to send us an email and we shall get back to you in just few hours with our detailed analysis and consultation.

Ayurvedic treatment for bedwetting (Enuresis) involves a holistic approach, addressing the underlying imbalances in the body and mind. The therapeutic strategies aim to balance Vata dosha, strengthen the nervous system, and promote overall urinary health. Here are the types of treatment used in Ayurveda for bedwetting:

1. Dietary Modifications (Ahara Chikitsa):

   • Ayurveda emphasizes the role of diet in maintaining balance. Dietary modifications involve incorporating warm, nourishing foods and avoiding cold, dry, and processed foods that can aggravate Vata dosha. Hydration is also essential, but excessive fluid intake in the evening may be regulated.

2. Lifestyle Adjustments (Vihara Chikitsa):

   • Establishing a regular daily routine is crucial in balancing Vata dosha. This includes consistent wake-up and sleep times, regular meals, and incorporating relaxation practices such as meditation and gentle yoga to calm the nervous system.

3. Herbal Remedies (Aushadhi Chikitsa):

   • Ayurvedic formulations containing specific herbs are prescribed to address doshic imbalances. These herbs may include Brahmi, Shatavari, Gokshura, Jatamansi, and others known for their adaptogenic, nervine, and diuretic properties.

4. Panchakarma Therapy:

   • Panchakarma, the Ayurvedic detoxification and cleansing therapy, may be recommended to eliminate accumulated toxins (ama) and restore balance. Specific therapies like Basti (medicated enema) and Nasya (nasal administration of medicated oils) may be employed based on individual needs.

5. Medicated Oils and Abhyanga (Oil Massage):

   • External application of medicated oils through gentle massage (Abhyanga) is employed to pacify Vata dosha and promote relaxation. Special attention may be given to massaging the soles of the feet, lower abdomen, and lower back to support the nervous and urinary systems.

6. Yoga and Pranayama:

   • Specific yoga asanas and pranayama techniques that focus on calming the nervous system and improving overall flexibility may be recommended. Practices like Nadi Shodhana (alternate nostril breathing) and Balasana (child’s pose) are beneficial.

7. Behavioral Therapy (Manasa Chikitsa):

   • Addressing any psychological factors contributing to bedwetting is essential. Behavioral therapy involves counseling and creating a supportive environment, acknowledging the emotional well-being of the individual.

8. Aromatherapy (Gandha Chikitsa):

   • Aromatherapy using calming essential oils such as lavender or chamomile may be suggested. Inhaling these aromas can have a soothing effect on the nervous system, potentially reducing anxiety-related triggers for bedwetting.

9. Swedana (Herbal Steam Therapy):

   • Swedana involves exposing the body to herbal steam, promoting relaxation, and alleviating Vata imbalances. It is particularly beneficial in supporting the elimination of toxins through sweating.

10. Mantra and Meditation (Mantra Dhyana):

    • Incorporating mantra chanting and meditation practices can help calm the mind and reduce stress. This supports the overall well-being of the individual, indirectly influencing the occurrence of bedwetting.

11. Psychological Support:

    • Providing emotional support and understanding any psychological factors contributing to bedwetting is crucial. Encouraging open communication and addressing any anxieties or fears helps in the overall management.

Ayurvedic treatment for bedwetting is individualized, and the combination of therapies depends on the unique constitution and imbalances of the person. Consulting with a qualified Ayurvedic practitioner ensures a tailored approach to address the root causes and promote lasting well-being