Bladder prolapse (Cystocele)
The patient is a woman above 70
years of age. Since two years the patient’s urinary bladder had
descended down. The last year had been very difficult and she has had to
manually push up the bladder each time before she can pass urine or
feces. Sitting for a few hours at a stretch has been difficult, and
there has been much discomfort when the bladder is full. This is known
as cystocele in western medicine.
Patient had undergone a
sterilization surgery 50 years ago, an hysterectomy 27 years ago, and an
appendectomy 15 years ago. She is currently on Covance (25mg) and
Eltroxin (100mg).
The patient initially consulted a gynecologist
about her condition. After a physical examination she was informed that
her condition can be addressed only through a surgery. However the
gynecologist told her that since she was all ‘skin and bone’ no surgical
procedure was going to be successful. At this point she considered
Ayurveda.
The ayurvedic physician examined her
condition. Apart from the bladder prolapse the patient suffered from
constipation and was also anaemic. She was advised medicines and a diet.
As this condition was diagnosed as an aggravation of vata, she was
advised to follow a diet without excess pulses, potatoes, and such
vegetables which aggravate vata and also ice cold items.
On
her first visit on 8th Aug 2014 she was prescribed Dhanvantara kashayam,
Dhatri loham and was advised to insert a cotton tampon soaked in
Guggulu Tikta Grutham and Shatadhauta Grutham, and also external
application of Dhanvantara Tailam in the hip, groin, thigh area.
A
week later she reported that she was able to pass urine and stools
comfortably and that with a slight manipulation with the leg she
could push the bladder in.
Then she started a week of oil
treatment (sneha) and sit in a tub filled with warm decoction of vata
reducing medicines after application of medicated oil.
A week
later on 21st August she reported that the bladder would go in on simply
touching, and that her frequency of urination had reduced. She was
advised Guggulu Tikta Grutham, Chandraprabha vati, Dhatri loham and
application of the medicated cotton tampon internally, and external
application of Dhanvantara Tailam. She was advised to come after a
month.
A month later on 17th Sept she reported that she felt
normal, was able to pass gas also normally, and that she felt very
comfortable with keeping the cotton tampon. Her medicines were reduced
to just Guggulu Tikta Grutham and insertion of the medicated cotton
tampon, and external application of Dhanvantara Tailam. She was advised
to come after a month.
A month later, on 15th October she
reported that the bladder had gone in completely, and even when full it
did not descend. It stayed in even while she bent forward to wash
clothes. Her urination was free . She was advised to continue the
medicated tampon alone, and all internal medication was stopped.
She has been intensely grateful to Ayurveda, as she has been able to resume a normal and active life.
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