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A weak urine stream is a very common problem, especially in elderly people aged above 50 years. Though it can occur in both men and women, it occurs more commonly in males. A weak urine stream indicates that the bladder is not getting emptied properly. When a person has difficulty initiating or maintaining urine flow, it is medically termed which urinary hesitancy. Weak urine stream can arise due to various reasons, among which benign prostate enlargement (BPH) and urinary stricture (narrowing of urethra through which urine leaves the body) are the main causes. Weak urine stream can be attended with other symptoms as well depending on the cause behind it like dribbling after finishing urine, frequent urination, discomfort in the lower abdomen, sensation of incomplete emptying of bladder, and pain while urinating. If not diagnosed and treated well, the condition may worsen and lead to urinary retention (means complete inability to urinate). Urine retention that occurs all of a sudden is a serious health issue needing immediate medical help. 
Homeopathic Management
Homeopathic mode of treatment carries a great scope to manage cases of weak urinary stream. Homeopathic medicines aim to correct the underlying cause behind the thin urine stream to give great relief. These are natural remedies that treat this condition with zero side effects. Along with a weak urine stream, they also manage any associated symptoms present. These medicines are recommended for mild to moderate cases where no associated complication is present. In case of acute urine retention, one should immediately take help from conventional mode of treatment as homeopathy has limitations in treating such critical cases. Homeopathic prescription for weak urine stream varies from case to case based on the cause and characteristic individual symptoms, so one should take homeopathic medicine under the supervision of a homeopathic doctor and avoid self–medication.
Homeopathic Medicines For Weak Urine Stream
1. Clematis – Top Remedy For Weak Stream For Stricture
Clematis is a highly recommended medicine to deal with cases of weak urinary stream due to a urethral stricture. Persons who require this medicine have to strain to initiate urine flow. Urine passes in a thin stream and quite slowly. Urine may start and stop several times till complete urination. After finishing urination, dribbling (passing drop by drop) of urine occurs. There is a frequent desire to pass urine. Urine passed is scanty. Burning may sometimes be felt while urination.
2. Chimaphila – For Weak Stream From Enlarged Prostate
Chimaphila is an effective medicine for weak urine stream due to prostate enlargement. Those needing it have difficulty in starting urine flow, and urine stream is thin like a thread. They need to strain a lot to pass urine. They may need to stand with feet apart and bend forward and strain to empty the bladder. Burning sensation may be felt while passing urine. This medicine is also recommended for cases of difficult urination in cases of prostate enlargement.
3. Cantharis – For Thin Stream Due To Stricture, Urine Infections
This medicine is helpful to manage weak urine flow in case of urethral stricture as well as urinary tract infections. Pain or burning sensation while passing urine is prominent. Burning/ pain may be present before as well as after passing urine. The urge to pass urine is also quite frequent and sometimes almost constant. There is an urge to pass urine even if there is little quantity of urine in bladder.
4. Thuja – For Weak As Well As Split Stream Of Urine
Thuja works well in cases where urine stream is poor as well as split (which means the urine stream goes in two directions instead of one). There is increased frequency to urinate especially at night. The urge to pass urine can also be sudden. In some cases, urine dribbles and has foul smell.
5. Sarsaparilla – Along With Pain Towards End Of Urination
This medicine is useful for persons having weak stream of urine along with severe pain towards the end of urination. The urine passed is scanty. It may contain flakes or sandy particles. This medicine is also of great help for cases of kidney stones.
6. Merc Sol – With Frequent And Urgent Urination
Merc Sol is of great help in cases in which the urine stream is small and weak along with increased frequency and urgency. Only little urine passes at a time. There may be an urge to pass urine every hour. Burning in the urethra may occur especially in the beginning of urination. Sometimes, urine passes drop by drop and may contain mucus and blood. The bladder area may be painful to touch.
7. Alumina – For Frequent And Poor Urine Flow In Elderly
This medicine is highly beneficial for elderly people who suffer from frequent urination attended with poor urine flow. They also face difficulty in initiating urine. They need to strain to start urination. Little amount of urine is passed. One feels burning and smarting pain while urinating. There is always a feeling as if some drops of urine have remained back in the urethra that could not be passed out.
8. Hepar Sulph – With Feeling Of Incomplete Bladder Emptying
Hepar Sulph is suited to those having poor urine flow and a feeling as if the bladder has not been emptied completely. The urine stream does not start immediately when there is an urge to urinate, one has to wait for urine to start. After urinating, one feels that some urine has remained behind in the bladder. Burning or stitching pain may be felt in the bladder.
Causes Of Weak Urine Stream
1. Benign prostate enlargement (BPH) – It refers to the enlargement of prostate gland that surrounds the first part of urethra in males. When prostate enlarges, it puts pressure on the urethra thus blocking flow of the urine. It results in symptoms including frequent urge to urinate, straining to initiate urine, weak urine stream and dribbling after urination.
2. Urinary stricture – It refers to narrowing of urethra (a tube through which urine leaves the body). It is common in males as compared to females. It results when there occurs scar tissue in urethra following an injury to urethra, catheter use, recurrent urinary tract infections, some urinary tract surgery like done for stone removal or prostate surgery. The first complaint it causes is weak urinary stream. Other complaints arising from it includes split stream of urine, frequent and urgent need to urinate and interrupted urination.
3. Underactive bladder – A condition in which the bladder has reduced strength to contract and results in slow emptying of bladder. Its symptoms include poor urinary stream, needing to wait to start urine flow, straining to pass urine, interrupted urine stream, prolonged time to pass urine, decreased sensation of bladder fullness and a feeling as if the bladder has not emptied entirely.
4. Bladder outlet obstruction – It indicates blockage at the base of bladder. It causes symptoms like constant feeling of bladder fullness, abdominal pain, slow urine flow, frequent urine and straining to pass urine.
5. Kidney stones and any tumor blocking the urinary bladder or urethra
6. Nerve damage (for example from diabetes) and nervous system disorders like multiple sclerosis (an autoimmune disease in which there is damage to the myelin sheath that protects the nerves) and Parkinson’s disease (a disorder of nervous system starting with hand tremors at rest followed by muscles stiffness, stooped posture, changes in speech, impaired balance and reduced arm swing).
7. Infections like prostatitis (inflammation of prostate gland that causes pain/burning when urinating, increased frequency and urgency to urinate, weak urine flow, pain in pelvic region, genitals or groins and painful ejaculation) and UTI (urinary tract infection that causespain/ burning with urination, increased frequency to urinate, strong smell from urine and in case of upper tract UTI fever, chills, pain in the upper back and sides and nausea and vomiting occurs.)
8. Use of certain medicines (for example nasal decongestants, anti-allergy medicines, some medicines used to treat cold and antidepressants) and psychological reasons.
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