Although dysuria often indicates the presence of a urinary tract infection, there are several other causes for dysuria. Dysuria is not a disease by itself, and is only an underlying symptom of other health conditions. Therefore, dysuria should always be treated after evaluation and diagnosis by a health-care professional.
Some common causes of dysuria apart from urinary tract infection are bladder infection, kidney infection, prostate infection, inflammation of the urethra (urethritis), sexually transmitted diseases, venereal diseases like gonorrhoea, genital herpes, vaginitis, excessively acidic urine etc. Sometimes, diabetes, enlarged prostate, kidney stones, pregnancy, depression or advanced age may also cause this condition.
The usual symptoms of dysuria are pain during urination, always feeling the urge to urinate or having the feeling of incomplete urination, scanty urine, pain in sexual organ in men and in lower abdomen in women, presence of blood in urine, feeling of heaviness in the renal region and scrotum, etc.
Ayurvedic perception of dysuria
Ayurveda recognizes eight types of dysuria – three of which are caused by vitiation of different doshas of the body, one caused by vitiation of all three doshas, one caused by failure of the system in expelling waste matter, and others due to presence of stones in the bladder.
If dysuria is caused due to the presence of stones in the kidney or bladder, it is of vata origin, as the vitiation of vayu leads to accumulation of biochemical substances around nucleus of urinary salts, which take the shape of stones.
Treatment and medicines
Pashanabeda: It is the drug of choice for treatment of stones in the kidney or bladder, as unless the condition is treated, dysuria cannot be relieved. A teaspoonful of the powder of the root of this drug can be consumed thrice a day. If taking as a decoction, take in 50ml doses thrice a day.
Varuna: The bark of varuna is useful in treating this condition.
Gokshuradi Guggulu: If the urine is obstructed by a stone in the urinary tract Gokshuradi Guggulu is the drug of choice.
Shilajit and Chandraprabha Vati are other important drugs used in treating this condition.
Some other prescriptions for painful or scanty urine are:
Mix 1gm each of Eladi Churna, Shweta Parpati and ½ gm of Yavakshara with decoction of Pashanabhedadi and consume four times a day.
In case dysuria is caused due to vitiation of Pitta or Kapha, some useful drugs may be 240mg of Trinetra Rasa and Chandrakala
Rasa and 2gm Sheetala Parpati to be given thrice with Trinapanchamula Quath.
500mg of Shilajita and 500mg of cardamom seed powder to be mixed together, and given thrice daily with honey.
Diet and other lifestyle modifications
Ayurveda advises patients to desist from eating pulses and beans. However, certain variety of pumpkin and gourds are said to be useful in treating this condition. Vegetables like tomatoes, spinach and lady-finger may be avoided.
Increase intake of liquids particularly water.
The patient should be asked to give up a sedentary lifestyle and take up walking as an exercise daily.
Constipation should be avoided through proper diet and if necessary mild laxatives can be used.
Fomentation of the renal region with hot pack may be helpful in relieving pain associated with dysuria.