In this river, the streams of Adhwara group like Bighi, Ghoghra, Hardinath, Jamuni and Thomne merge at different locations.
[8] In Hinduism, river has an important place in its cultural activities, religious rituals and sacred bathings.
A huge number of devotees from both the countries India and Nepal simultaneously offer Arghya of faith during the Chhath festival to the setting and rising sun at the Indo-Nepal Maitri Chhath Ghat near the Madhwapur-Matihani boarder, which stretches for about six kms parallel to the holy Dhouns river.
[10] During the Sawan month in Hinduism, the devotees of Sawan Sombari pilgrimage fill the sacred water from the Uttarvahini Dhouns river at Matihani to do Jalabhisheka on the Shivlingas at Pancheshwar Nath Mahadev Mandir and Narvadeshwar Nath Mahadev Mandir at Madhwapur.
Every year during the heavy rains, the overflowing water of the Dhouns river causes many casualties and loss of wealth, commodities, animals and agricultural products around its connecting areas.