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10 conditions we keep a page for
Ayurvedic treatment for urinary disorders
A burning bladder, a stone that will not move and a creatinine number that has crept up are three different medical problems, and the honest answer is different for each. Infections are cleared by the right antibiotic — and, when the urethra rather than the bladder is involved, by treating the partner in front of you as well. Stones are managed by their size and position on a scan, and no preparation dissolves a calcium oxalate one. Kidney function is protected by blood pressure, sugar, salt, protein and the medicines you avoid, not by flushing the kidneys with herbs. What a plan here genuinely changes is the symptom burden, how often it comes back, the metabolic ground under the kidney, and the timing of the referral that matters.
Fever with shivering and pain on one side below the ribs, vomiting so you cannot keep fluids down, urine that stops entirely while the bladder aches, blood with clots you cannot pass, a testicle that became painful and swollen within hours, or new confusion, breathlessness and leg swelling in someone already told their kidneys are weak — those are same-day emergencies. Go now, and tell us afterwards so the plan can be rebuilt around what happened.
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What we keep a page for under urinary disorders
Each of these has its own page — symptoms, the Ayurvedic reading of the condition, what treatment looks like and the questions patients ask before they book.
Urine Infection
Burning, urgency, going again within minutes, cloudy or strong-smelling urine, and a heavy ache low in the belly. Most episodes in an otherwise healthy, non-pregnant woman are bladder infections, and some settle with fluids alone. The ones that need a culture and the right antibiotic are named on that page: fever, pain in the back or side, vomiting, pregnancy, male anatomy, a catheter, diabetes, or the same infection returning.
Read this pageCystitis
Cystitis simply means a bladder that is inflamed, and the commonest cause is the same bacteria behind a urine infection. But not every painful, urgent bladder has bacteria in it — bladder pain syndrome, a stone that has travelled down, radiation, endometriosis, certain medicines and an over-full bladder from a prostate can all do it, and none of those answer to antibiotics or to herbs either. The page separates the two, because the treatment is opposite.
Read this pageFrequent Urination
Needing to go often by day, or getting up more than once or twice at night. Frequency is a symptom with a long list of causes behind it: how much you drink, caffeine and alcohol, sugar spilling into the urine, an overactive bladder, a prostate that never lets the bladder empty, constipation, leg swelling, a water tablet, poor sleep and snoring, anxiety, and rarely a water-balance hormone problem. Three days of recording what you drink and when you go answers more than any single test.
Read this pageUrethritis
Inflammation of the tube that carries urine out — discharge, burning at the tip, itching, soreness after sex. In sexually active adults in India most cases are an infection passed between partners: gonorrhoea, chlamydia and increasingly Mycoplasma genitalium. The guideline treatment is a specific antibiotic for both partners at the same time, and partial treatment is what brings it back. Irritant causes are real too, and the page says how the two are told apart.
Read this pageKidney Stone
Hard mineral deposits that form in the kidney and hurt when they move into the ureter: sudden severe one-sided pain below the ribs, often travelling to the groin, nausea, blood in the urine. Whether it passes on its own or needs a procedure is decided by its size and position on a scan, not by the length of a course of medicine. No herbal preparation dissolves a calcium oxalate stone; uric acid stones are the one exception, and they are dissolved by a prescribed alkali monitored with urine pH.
Read this pageProstate
The word covers four different problems, and mixing them up is where treatment goes wrong. Acute bacterial prostatitis — fever, shaking, a tender swollen prostate, urine that will not pass — needs prompt antibiotics and drainage if pus collects. Chronic prostatitis or pelvic pain syndrome, which is far more common, usually has no bacteria in it at all and is treated with a combination of approaches rather than repeated antibiotic courses. Benign prostatic enlargement, the cause of a weak stream after fifty, is a third thing again.
Read this pageHigh Kidney Creatinine
Creatinine is a waste product of muscle that healthy kidneys clear, so a rising number is a report on filtration — not a toxin to be flushed out. Dehydration, a heavy meat meal, creatine powder, trimethoprim and some other medicines all raise it without any kidney injury behind it. What matters is the trend across months, the eGFR printed beside it, and whether protein is leaking into the urine. Slowing that trend is a blood-pressure, sugar, salt, protein and medicine-avoidance job.
Read this pageRenal Failure
Kidney failure comes at two speeds. Acute — over hours to days, from dehydration, a blocked urine flow, a severe infection or a medicine — is often reversible if it is caught today, and catching it is a nephrologist's job. Chronic — over months and years, from long-standing blood pressure or sugar, glomerular disease, polycystic kidneys or years of obstruction and reflux — is not reversed by anything. The aim then is to slow it, treat what follows it (potassium, phosphate, anaemia, acid, fluid) and reach dialysis or transplant planning early rather than in a crisis.
Read this pageVaricocele
The vein that drains the testicle dilates, usually on the left, and feels like a bag of worms that is more obvious standing and softer lying down. Plenty of men have one and need nothing. It matters where the raised temperature is affecting sperm production, where there is a dull dragging ache, or where a low count is the reason a couple came in. The intervention with evidence behind it is microsurgical repair or embolisation; no tablet shrinks a vein.
Read this pageHydrocele
Fluid collects in the sac around the testicle: a smooth, usually painless swelling that lights up when a torch is held against it. In an adult the real question is why it appeared — infection, injury, filaria in some regions, or occasionally a growth behind it — which is why an ultrasound comes before anything else. Oral medicines do not reabsorb the fluid; aspiration or a small operation does. In a child the same swelling is usually a hernia and needs a surgeon's opinion.
Read this page
Not sure which page is yours? Browse all 160 conditions or send the report to a physician.
How a urinary plan is built at Aksa
The first job on this page is a sorting job, because four of these ten conditions present as the same complaint — burning, or going too often — and their treatments point in different directions. So the history is specific: which symptom came first, day or night, stream or urgency, blood or pain, what a urine strip actually said and what grew in the culture. Where the answer is a procedure, an antibiotic or a nephrologist, that comes first and the plan is built around it rather than in place of it.
- 01
You share your details
Name, number, the complaint in your own words, your age and sex, how long this has been going on, whether you have had a urine test or a scan already, and whether you would rather come alone. A care coordinator calls you back, tells you what to bring and whether to drink water before the visit — a bladder ultrasound needs one full and then empty, which surprises most people.
- 02
The appointment is confirmed
At the Model Town or Burari clinic, or on a video consultation for a report you do not understand, a follow-up question, or a frequency problem where an examination adds nothing. For a first episode of visible blood, a stone, scrotal swelling, retention or any fever with back pain, come in person — those need hands and an ultrasound, not a screen.
- 03
The history, then what the body shows
Onset and pattern, the three-day fluid and void record, stream quality and emptying, night-time rises and snoring, blood and its timing in the stream, discharge and sexual history, previous stones and whether one was ever analysed, every medicine including painkillers, protein and creatine powders and herbal preparations. Then blood pressure, weight and waist, abdominal and flank tenderness, ankle swelling, and where indicated a prostate examination, a scrotal examination and a bladder scanned before and after you pass urine.
- 04
A plan, and the tests that settle it
Herbal medicines chosen for the symptom pattern in front of us and disclosed in full to every other doctor you see, a written fluid, salt, protein, oxalate-aware and caffeine plan, bladder retraining and pelvic-floor work for urgency, the specific imaging or laboratory still outstanding and what each answer would change. If a culture, a CT scan, a cystoscopy, a urologist or a nephrologist is needed, that referral is written the same day.
- 05
Reviews on numbers, not on a course length
Repeat creatinine and eGFR months apart rather than one alarming reading, urine albumin and protein, potassium and bicarbonate where kidney function is reduced, stone recurrence tracked on imaging and on a twenty-four-hour urine, post-void residual and stream where emptying was the problem, and culture proof where an infection kept returning. If the direction has to change, it changes — and the urologist or nephrologist who wrote your other treatment is told.
What the physician reads
- Which symptom came first and when: burning, urgency, frequency, night-time rising, leakage, or a stream that will not start
- The obstructive set: hesitancy, a split or weak stream, terminal dribbling, straining, and the feeling of not finishing — these point at a blockage rather than an irritable bladder
- The three-day record: total fluid, tea, coffee and alcohol, how many times you go by day, the largest single void, and how many times you get up after sleeping
- Blood in the urine: visible or only on a strip, at the start or end of the stream, with or without clots, painless or painful, after exercise or after a stone episode
- Fever, rigors, one-sided pain below the ribs, vomiting and feeling systemically unwell — the difference between a bladder and a kidney, and the reason the same sentence ends a consultation
- Discharge and sexual history where the urethra is the complaint: partners, condom use, previous treatment, whether the partner was ever treated, and any eye, joint or skin symptoms that followed
- For men: age, previous prostate diagnosis, any alpha-blocker or finasteride, PSA and its dates, episodes of retention, catheter time, and any prior urethral instrumentation or stricture
- For women: pregnancies and deliveries, menopause, hysterectomy or prolapse, a pessary, leakage on coughing or sneezing, infection after sex, and whether she is pregnant now
- Stones: any passed and analysed, family history, gout, inflammatory bowel disease, bowel surgery, recurrent infection with urea-splitting bacteria, and the true daily fluid and salt
- Back or spinal injury, surgery, saddle numbness, new leg weakness or unexplained incontinence — the cauda equina questions that must be asked before a bladder symptom is called overactive
- Every medicine and supplement: painkillers taken without a prescription, proton-pump inhibitors, lithium, antibiotics, protein and creatine powders, herbal powders and bhasmas and what they contain
- Diabetes, blood pressure, heart failure, liver disease, thyroid, raised calcium, gout, obesity, snoring and witnessed apnoea, and any contrast scan in the last few weeks
- Existing kidney numbers read as a series: creatinine and eGFR across months, potassium, bicarbonate, urea, haemoglobin, calcium and phosphate, and urine protein
- Diet as a kidney and stone variable: salt, animal protein, dietary calcium (a low-calcium diet raises oxalate absorption and makes stones worse), spinach, nuts, tea, colas, fruit and potassium
- Work and water access: driving long hours, outdoor labour in heat, shifts without toilet access, deliberately holding urine, and how much of the day's fluid is actually taken
Your reports, in plain language
Urinary reports are misread in two opposite directions: a single odd urine strip treated as a permanent kidney diagnosis, and a creatinine that has quietly risen for three years treated as a laboratory fluctuation. Bring the printed reports with their dates and their reference ranges, in order — the sequence is the information, not the last number.
- Urine routine and microscopy
- White cells, nitrites, blood, protein, glucose, crystals and specific gravity on a fresh sample. Useful, quick and easy to over-read: white cells without bacteria can follow a stone, a catheter or an inflamed bladder, and microscopic blood is common after exercise. Mid-stream, clean-catch, and for women not during a period.
- Urine culture with antibiotic sensitivity
- The test that decides an antibiotic rather than guessing, and the one that should precede treatment for any infection in a man, in pregnancy, with fever, with a catheter, or for a second or third recurrence. It also names the organism that keeps coming back, and shows whether the last antibiotic was the wrong one — resistance in urinary isolates is common, so the sensitivity column matters more than the culture result.
- Serum creatinine, eGFR, urea and electrolytes
- Creatinine is a filtration marker, and eGFR converts it into a stage. Read them as a series: one raised value after dehydration, a heavy meal, creatine powder or trimethoprim is not kidney disease, and a normal value does not exclude it. Sodium, potassium and bicarbonate matter because kidney function is what keeps potassium safe, and a high potassium is the number that can stop a heart.
- Urine albumin-to-creatinine ratio, or 24-hour protein
- Protein in the urine is both a cause and a consequence of kidney damage, and it is the single strongest reason to slow a decline — which is why an ACE or ARB blood-pressure tablet is often prescribed for it, even when the pressure itself is normal. A random strip is a screening step; the ratio or the twenty-four-hour collection is the measurement.
- Ultrasound of kidneys, ureters, bladder and prostate
- Size and echotexture of the kidneys (small and scarred means chronic, and no medicine reverses that), hydronephrosis from an obstruction, stones seen and stones missed, the bladder wall, prostate volume, and the post-void residual — the millilitres left behind after you pass urine, which is the number that decides whether a frequency problem is an irritable bladder or an unemptied one.
- Non-contrast CT for stones
- The scan that actually decides management: where the stone sits, how large it is, how dense it is in Hounsfield units, and whether the kidney behind it is obstructed. A stone under roughly five millimetres usually passes on its own, a ten-millimetre stone in the lower ureter usually does not, and density predicts whether shock-wave fragmentation is worth attempting. Ultrasound and a plain X-ray miss small and radiolucent stones.
- Plain X-ray and ultrasound of the kidneys
- Followed serially for stones that show up on film, because a stone that has moved or grown changes the plan. Uric acid stones are invisible on X-ray, which is one reason a negative film does not mean no stone — and one reason the CT is the honest answer when pain says otherwise.
- Stone analysis after you pass one
- The most under-used report in this whole field. Calcium oxalate, calcium phosphate, uric acid, struvite from infection, or cystine — each has a different prevention, and struvite and cystine mean an entirely different follow-up. Strain the urine through a coffee filter or a sieve, let it dry, and bring the fragment. Without it, prevention is guesswork.
- Twenty-four-hour urine metabolic profile
- Volume, calcium, oxalate, citrate, uric acid, sodium, potassium, magnesium and pH collected over a day. Offered to anyone with more than one stone, a bilateral or early stone, or a family history, because it identifies the specific abnormality — high calcium or low citrate in the urine — that a targeted measure then corrects, rather than telling everyone to drink more water.
- PSA, prostate examination, uroflowmetry and symptom score
- A questionnaire score and a flow curve describe how much the prostate is actually costing you; the examination describes its size and consistency. PSA needs context: infection, retention, recent ejaculation, instrumentation and a prostate biopsy all raise it, and a value taken during prostatitis is meaningless. It is not a cancer test on its own, and it should be discussed rather than collected.
- Scrotal ultrasound with Doppler
- For a varicocele, the vein diameter at rest and on straining, and whether it drains; for a swelling, whether it is fluid around the testicle, a hernia, thickened sac, or a solid mass inside the testicle itself. That last distinction is the reason an ultrasound precedes any treatment — a painless solid testicular growth in a young man is a different emergency from a hydrocele, and blood tumour markers are part of that pathway.
- Cystoscopy and urodynamics
- Cystoscopy looks inside the bladder and urethra and is the pathway for painless visible blood, a stricture, a suspected stone in the bladder or an abnormal urine cytology. Urodynamics measures pressure and capacity and is used before surgery for incontinence, or when a frequency problem does not fit the bladder diary. Neither is routine, and both are ordered when the answer changes what is done.
- The kidney series once function is reduced
- Blood count for anaemia, calcium, phosphate, parathyroid hormone and vitamin D, bicarbonate, and the hepatitis and HIV screening done before any dialysis access. Where the cause is unclear or protein is heavy, a nephrologist may recommend a kidney biopsy and immunological bloods. These are not checklists: they are the numbers that decide medicine doses, diet, and when access and transplant assessment are discussed.
None of this is ordered as a package. A test is asked for when the answer would change the plan — and we will tell you which of your reports are still valid instead of making you pay for them twice. Government and municipal facilities in Delhi supply urine culture, ultrasound and CT at low or no cost, and a nephrology or urology outpatient department will see a raised creatinine or an obstructing stone without a referral from us.
What Ayurveda can do here — and what it cannot
Two things cause most of the harm on this page: a blocked infected kidney treated with a flushing course instead of drainage, and a creatinine that has been rising for years while somebody was told their kidneys could be flushed out with a course. Both are avoidable with plain information. What follows is what a plan at Aksa changes and what it does not, written so you can judge any clinic against it — including ours.
What a plan here is for
- Bladder irritation and burning between diagnoses — fluids that are actually achievable, heat, the irritant list (caffeine, alcohol, very spicy and highly acidic food), timed voiding, and the constipation that quietly worsens all of it
- Recurrent cystitis in women: post-coital patterns, emptying after sex, peri-menopausal changes raised with a gynaecologist, spermicide and condom lubricants as irritants, and the honest conversation that a low-dose prophylactic antibiotic is sometimes the right answer
- Stone prevention, which is where a plan earns its keep: a fluid target you can hold through a working day, salt, animal protein, normal dietary calcium rather than low, oxalate-awareness without an elimination diet, citrus, weight and uric acid
- Frequency, urgency and overactive bladder: the bladder diary, graded retraining, pelvic-floor work, caffeine and alcohol, weight, constipation, and the nocturia causes nobody asks about — snoring and apnoea, leg swelling, a water tablet taken too late, and sleep itself
- Chronic prostatitis and pelvic pain syndrome treated as what it is — a multimodal problem: pelvic-floor physiotherapy rather than massage by proxy, warm sitz baths, pain modulation, stress and posture work, an alpha-blocker alongside, and repeated antibiotic courses stopped
- The metabolic ground that decides a kidney's trajectory: blood pressure, sugar, weight, salt, how much protein, smoking, and the medicine list trimmed of what damages filtration — painkillers above all
- Symptom and quality-of-life support in established chronic kidney disease: cramp, itch, appetite, taste, sleep, restless legs, energy and bowel habit, alongside the dietitian conversation on potassium, phosphate, salt and fluid
- Recovery after a course of antibiotics, a stone episode, a catheter or a procedure — the lingering urgency and discomfort that is inflammation rather than infection, and the anxiety that follows any urological diagnosis
- Clear referral timing, written down: to urology for a stone, obstruction, visible blood, varicocele or hydrocele; to nephrology for creatinine, eGFR, protein or potassium; to urogynaecology for prolapse and incontinence; to a paediatric surgeon for a child's groin or scrotal swelling — with what to say when you arrive
What it is not
- A blocked, infected kidney — fever and rigors with a stone stopping the ureter — is a urological emergency needing drainage within hours. Nothing belongs in that window but fluids, antibiotics and a procedure; delay is how a treatable stone becomes a septic illness and a lost kidney.
- A urine infection in a man, in pregnancy, with a catheter, with fever or flank pain, or with vomiting needs a culture and the correct antibiotic. Untreated, it climbs to the kidney and can enter the blood. Pregnancy makes this a matter for the obstetric unit, not for a consultation with us.
- No herbal preparation has been shown to dissolve or break a calcium oxalate stone. Size and position decide management: small distal stones usually pass with time and pain control, larger or obstructing ones need shock-wave fragmentation or an endoscopic procedure. Uric acid stones are the one type that can genuinely be dissolved, and the alkali that does it is a prescribed medicine monitored by urine pH.
- Nothing lowers creatinine in the sense people mean when they ask. Creatinine is a marker of filtration; it moves when filtration changes, when you are dehydrated, or when you stop creatine powder and cut heavy meat. A clinic reporting a creatinine drop after a herbal course is usually reporting hydration, laboratory variation, or a changed muscle load — not recovered kidney function.
- Kidney failure is not treated here. Dialysis and transplant are not replaced, reduced or delayed by any Ayurvedic regimen; those decisions belong to a nephrologist and are made on potassium, acid, fluid, uraemic symptoms and the eGFR trend. Anyone promising to keep you off dialysis should be asked which of those numbers they have changed.
- Herbal medicines in kidney disease carry specific hazards, and they are ours to declare: many powdered herbs are potassium-rich and can push an already raised level into a dangerous one; some traditional preparations contain lead, mercury or arsenic; and Aristolochia species, used in classical formulations, cause irreversible kidney scarring and cancers of the urinary tract. If your eGFR is reduced, everything you take — including ours — must be listed to your nephrologist.
- Painkillers of the ibuprofen, diclofenac and mefenamic acid kind, including combination powders taken without a prescription, are a common and entirely avoidable cause of kidney injury and of the creatinine that then rises. They are the medicine most likely to be taken quietly and the one most likely to be the real reason.
- Varicocele and hydrocele are structural findings. Oral medicine does not close a dilated vein or reabsorb fluid inside the tunica; where treatment is needed it is microsurgical repair, embolisation, aspiration or a small operation. A scrotal swelling is imaged before anything is assumed, because a solid testicular growth in a young man is a different and time-critical diagnosis. A sudden varicocele that does not soften when you lie down needs the kidney and the veins behind it looked at.
- Urethritis and any discharge in a sexually active adult is treated as a sexually transmitted infection until proved otherwise, with guideline therapy for you and your partner at the same time. Partial treatment selects for resistance and returns the infection within weeks; Mycoplasma genitalium is frequently missed and increasingly resistant, and a partner who will not be tested is the usual reason for recurrence.
- Blood in the urine is never put down to heat. Painless visible blood in anyone over forty needs the urological pathway — imaging and usually cystoscopy — because the cause can be a growth of the bladder or the upper tract, and the window in which it is curable is the early one.
- The oil-pouring, medicated-massage and purifying procedures advertised across this field are not offered at Aksa, and no plan here promises to dissolve a stone, lower creatinine or restore failed kidney function within a fixed number of days.
A urine infection, a stone, a prostate, a creatinine number and a scrotal swelling are five different conversations, and the honest answer differs in each. What they share is that all five get worse with time spent on a promise: the infection treated quietly for a year, the obstructed kidney flushed instead of drained, the creatinine watched while a painkiller was continued, the testicular swelling given to tablets instead of to an ultrasound. A plan here earns its place by shortening that delay, not by promising you a different diagnosis.
Who you actually sit with
B.A.M.S physicians at the two Delhi clinics. Consultation is with one of them, not with a counsellor.
Where you can be seen
Two clinics in Delhi, or a video consultation from anywhere in India.
Burari, Delhi
2nd Floor, PVT. 449, KH. No. 137/5/11, Block B, Sant Nagar, Burari, Delhi – 110084
Open all days
Timings and directionsVideo consultation
Speak to the physician from home, with your reports on screen. Prescribed medicines are delivered across India.
How a video consultation runsFrequently asked questions
Not a calcium oxalate one, and I would rather you knew that before paying for a course. Calcium oxalate stones are the majority, they are effectively inert, and nothing you swallow reliably breaks them up. What actually decides management is size and position on a CT scan: a stone under about five millimetres in the lower ureter passes on its own in most people with time and pain control, and a ten-millimetre stone usually needs shock-wave fragmentation or an endoscope. The one genuine exception is a uric acid stone, which can be dissolved by making the urine less acidic with a prescribed alkali, monitored by urine pH — real medicine, and not an herbal one. Where a plan here does have evidence on its side is prevention of the next stone: fluid you can actually drink through a working day, salt, animal protein, normal dietary calcium, and a twenty-four-hour urine if you have formed more than one. Strain your urine when a stone passes and bring the fragment to be analysed; without knowing its composition, prevention is guesswork.
Other treatment categories
The same structure on every category: real pages, written by the physicians who treat them.
Medical disclaimer: this page is educational and is not a substitute for professional medical advice, diagnosis or treatment. Urine infections in men, in pregnancy or with fever, obstructed infected stones, acute urinary retention, acute kidney injury and chronic kidney disease are managed by urology and nephrology services, and dialysis and transplant are not replaced, reduced or delayed by Ayurvedic treatment. Seek emergency care for fever with rigors and one-sided back pain, vomiting with an inability to keep fluids down, urine that stops entirely with a painful bladder, blood with clots, a sudden painful swollen testicle, numbness with new incontinence, or confusion, breathlessness and leg swelling in a person with known kidney disease.
Bring your reports. Bring the stone, if you passed one.
A consultation with a B.A.M.S physician, a plain reading of your urine culture, ultrasound, CT or creatinine trend, an honest answer on what a plan can change in your condition and what belongs with a urologist or a nephrologist — and a full composition list for anything we give you, handed to every other doctor you see.