It is the infection that occurs in the urinary tract which includes urethra, urinary bladder and may even extend to the kidneys.
The main organism responsible for 85% of UTI cases is bacteria E Coli. Remaining causative organisms include staphylococci species, klebsiella, candida, pseudomonas, enterococci etc. It may be transmitted due to unhygienic practises; it may be transferred from anus to urethra, through infected or wrong catheterization, sex etc.
Women are generally more prone to UTIs as they have shorter urethra as compared to males. Immuno compromised patients, diabetic patients, Kidney or bladder stone patients are generally at risk for developing recurrent UTI.
Mainly, the bacteria enter the urinary tract through urethra. In some cases the bacteria may also reach the urethra and urinary bladder through blood stream. The infection when transmitted till bladder is called as lower urinary tract infection. When the infection is carried till kidneys, it is called as upper urinary tract infection.
Common symptoms include burning sensation during urination, painful micturition, frequent urge to urinate and unsatisfactory urination. In severe cases, signs and symptoms include fever with chills, pain in lower part of abdomen or in the sides of abdomen, nausea, vomiting, passage of smoky urine or blood or pus in urine.
According to Ayurveda Science, this condition has been mentioned under the disease “Mutrakrichra”, which in sanskrit means “difficulty in micturition”.
All the earlier mentioned causative factors lead to aggravation of mainly Vata Dosha along with Pitta and Kapha, which cause dysfunctioning of urinary tract and bladder leading to mutrakrichra.
On looking the modern aspect - The above mentioned factors act either by causing dehydration leading to yellowish urine and burning sensation in urine or by infecting the urinary system which can be through local transmission of bacteria (through urethra) or through blood stream.
The common symptoms include painful, frequent and interrupted micturition.
Specific symptoms according to the dominant Dosha are as follows:-
1. Vata Dosha predominant - Acute pain in lower part of abdomen and urethral opening, increased frequency & low volume urine output, patient presses lower abdomen in order to get relief from pain.
2. Pitta Dosha predominant – Burning sensation in bladder and urethral opening, frequent passage of yellowish or greenish or blood mixed urine.
3. Kapha Dosha predominant – Heaviness in lower abdomen, swelling over bladder, penis & testis, Passage of whitish & greasy urine, Painful micturition, Goosebumps during micturition.
4. Vata, Pitta and Kapha Dosha (Sannipataja) – Burning sensation in the body, Rigors, Pain in the body, Darkness in front of eyes, Increased frequency of urine and Passage of differently coloured urine, pain during micturition.
The main line of treatment includes Tridosha shamak chikitsa (mainly Vata dosha) along with mutra virechaniya aushadhis. If suffering from Kidney stones then it should also be treated accordingly.
Uttar Basti Panchkarma therapy helps in effective treatment of recurrent UTI.
1. Single herbs - Gokshura(Tribulus terrestris), Punarnava (Boerrhavia diffusa), Ela (Elattaria cardomum), Mulethi (Glycyrrhiza glabra), Amla (Emblica officinalis), Bhumyamalki (Phyllanthus niruri), Kusha (Desmostachya bipinnata), Kasha (Saccharum spontaneum), Shar (Saccharum munja), Ikshu (Saccharum officinarum), Chandana (Santalum album), Dhanyak (coriandrum sativum).
2. Powders – Eladi churna, Punarnavadi churna, Yawa kshar churna, Chandanadi churna.
3. Tablets – Chandrakala rasa, Chandraprabha vati, Gokshuradi guggulu, Punaranva mandoor, Tarkeshwar rasa, Hingwadi vati, Shilajeet.
4. Parpati – Shwet parpati.
5. kshar – Muli kshar, Apamarg kshar.
6. Kwath (Decoctions) - Gokshuradi kwath, Punarnavadi kwath, Panchtrinmuladi kwaath, Dhatryadi kwaath.
7. Asava/arishta (Alcoholic Preparations) – Punarnavasava, Chandanasava, Madhukasava.
1. Drink plenty of fluids (4-5 litres/day). This will help in flushing out of bacteria causing the infection.
2. Avoid tea, coffee, alcoholic beverages, smoking, carbonated drinks, hot and spicy food.
3. Eat lot of fiber rich food and food having high proportion of water like cucumber, radish, ridged gourd, bottle gourd, water melon, coconut water, melon, berries, fruit juices, buttermilk etc.
4. Intake of 3-5 gms of Amla powder or 5- 10 ml of Amla juice daily helps in fighting recurrent urinary tract infections as it is rich in Vitamin C which inhibits the growth of bacteria in urinary tract. Guava fruit is also rich in Vitamin C.
5. If suffering from lower abdominal pain, then hot fomentation or hot sitz bath for 5- 10 min of lower part of abdomen helps in reduction of pain.
6. Take 2-3 teaspoon of coriander seeds and soak them in 1 cup of water for overnight. Crush the seeds in morning and filter the water. Regular Intake of this water for 7- 10 days helps in curing UTI.
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