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Nocturnal Enuresis (Bed-Wetting) – Ayurvedic Herbal Treatment
Nocturnal enuresis is defined as bedwetting that occurs in children aged 5 years or older, with at least 1-2 episodes per week for at least a three-month period. Nocturnal enuresis can be primary or secondary. Most children with wetness who are 7 years or younger usually outgrow this condition and therefore do not require any treatment. Children over 8 years of age who have nocturnal enuresis may require treatment because it can be embarrassing for the child and his parents, and can affect the child’s academic performance and social relationships with others.
Nocturnal enuresis is called as “Shayya Mootra” in Ayurveda. Most Ayurvedic doctors
treat this condition according to the associated conditions or causes. Those with a tendency to constipation are given Arogyavardhini and Chandraprabha vati. Krumimudgar ras or Krumikuthar ras is given when there is a history of, or evidence of, worms. For generalized weakness, Shatavari (Asparagus racemosus) kalpa or Shatavari Ghruta is used orally and Mahanarayan oil is used to massage the body. Children having a history of loss of appetite, indigestion and loose motions are given Sanjeevani vati (containing mostly Semicarpus anacardium) and Pippalyadi decoction (containing mostly Piper longum). Turmeric (Curcuma longa), Ajvayan (Hyoscyamus niger), Amalaki (Emblica officinalis), Garlic, Ginger, Jeera (Cuminum cyminum), Pudina (Mentha spicata) and Tulsi (Ocimum sanctum) are used regularly in the daily diet. Urinary tract infection is treated with medicines like Gokshuradi Guggulu. Herbal medicines like Brahmi (Bacopa monnieri), Jatamansi (Nardostachys jatamansi) and Shankapushpi (Consecora decussata) are used to reduce stress.
Several herbal combinations are available that improve neuro-muscular tone and strength and thus increase the retention capacity of the urinary bladder. Usually, with these medications, most children recover within 3-4 months of treatment. A select few may require one or two additional courses of shorter duration.
It is advisable to have an early dinner, and to stop liquid consumption two hours before going to bed. The child should be encouraged to empty the bladder at frequent intervals before sleeping. The child should also be encouraged to be free from stress and anxiety. Timely treatment should be given for any underlying disease, if found to be present.
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