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Nocturnal Enuresis (Bed-Wetting) – Ayurvedic Herbal Treatment

Bedwetting is defined as bedwetting occurring in children aged 5 years and older, with at least 1-2 episodes per week for at least three months. Nocturnal enuresis can be primary or secondary. Most children with bedwetting who are 7 years old or younger usually outgrow the condition and therefore do not require any treatment. Children over the age of 8 who suffer from nocturnal enuresis may require treatment as it can prove embarrassing for the child and their parents and can affect the child’s academic performance and social relationships with others.

Nocturnal enuresis is called “Shayya Mootra” in Ayurveda. Most Ayurvedic doctors

treat this condition according to associated conditions or causes. Those prone to constipation get Arogyavardhini and Chandraprabha vati. Krumimudgar ras or Krumikuthar ras are given when there is a history or signs of worms. For general weakness, Shatavari (Asparagus racemosus) kalpa or Shatavari Ghruta is taken orally and mahanarayan oil is used for body massage. Sanjeevani vati (mainly containing Semicarpus anacardium) and Pippalyadi decoction (mainly containing Piper longum) are given to children with a history of loss of appetite, indigestion and loose motions. Turmeric (Curcuma longa), Ajvayan (Hyoscyamus niger), Amalaki (Emblica officinalis), garlic, ginger, jeera (Cuminum cyminum), Pudina (Mentha spicata) and Tulsi (Ocimum sanctum) are regularly used in the daily diet. Urinary tract infections are 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 to improve neuromuscular tone and strength, thereby increasing bladder retention capacity. Usually, with these drugs, most children are cured 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 stop taking liquids two hours before going to bed. The child should be encouraged to empty the bladder at frequent intervals before bedtime. The child should also be encouraged to avoid stress and anxiety. For any underlying disease, if detected, early treatment should be given.

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