Monday, 29 May 2017

Bladder Prolapse

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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