I have some serious. disorder - #26098

Hi Randeep have you gone through any bloodtest/Urine examination /Any scanning, if yes pleased share the details. Meanwhile you can start, 1.Guluchyadi kwatham tab 2-0-2 before food 2.Chandraprabha gulika 2-2-2 after food 3.Gokshuradi guggulu 1-0-1after food

*Do’s 3-4litres of water /day More focus on fruits and vegetables Include Sprouted grains Have Tender coconut water Practice yoga and meditation regularly

*Don’ts Tea /coffee Oily too salty sour sweet foods Junk foods Carbonated/soft drinks Maida and its products

Have you got us scrotum done??

hello randeep, What you’re describing urethral itching, pelvic and testicular pain, penile numbness, and frequent urination that isn’t constant is classic of a condition called Chronic Pelvic Pain Syndrome (CPPS) or non-bacterial chronic prostatitis. This is not an infection but a nerve-muscle-inflammation problem in the pelvic area.

You got some relief from Alfuzosin (for urinary muscle relaxation) and Amitriptyline + Pregabalin (for nerve desensitization) this confirms the issue is linked to pelvic nerve irritation, congestion, and vata imbalance, not just infection.

In Ayurveda, this is mainly a Vata disorder, with some Pitta involvement. Nerves in the pelvic area are overstimulated, blood flow is poor, and there’s muscle tension that causes the discomfort and numbness. The condition can be reversed by calming Vata, improving circulation, and reducing inflammation.

Internal Medicines (6–8 weeks) Chandraprabha Vati – 2 tabs twice daily after food Gokshuradi Guggulu – 2 tabs twice daily after food Punarnavadi Kashayam – 15 ml + 45 ml warm water before food, twice daily Shilajit capsule (pure) – 300 mg in the morning with warm milk Bala churna – ½ tsp at night with milk (for nerve strength)

External Therapies (Do at Home or Nearby Clinic) Abhyanga (massage) with Mahanarayana Taila or Bala Taila on lower abdomen, back, thighs daily Hot Sitz Bath with a pinch of Triphala or Saindhava (rock salt) for 10 mins every evening

If possible, do Basti therapy (medicated enema) with Sahacharadi taila – 5 times alternate days (at clinic) Diet and Daily Tips Include:

Warm water all day Cow ghee – 1 tsp daily in meals Light food – lauki, moong dal, methi, jeera, ajwain Coconut water, pumpkin seeds Do Bhramari and Anuloma Viloma pranayama daily for 10 mins Avoid sitting long hours – get up every 30–40 minutes and walk Avoid strictly:

Curd, sour food, fried, spicy or cold drinks Late night sleep Skipping breakfast or long fasting Tight undergarments and long hours of sitting

Investigations to Confirm Urine Routine and Culture Ultrasound KUB with Prostate PSA (to rule out chronic inflammation) Semen analysis (if planning for fertility) Vitamin D3, B12, TSH Pelvic MRI (if symptoms persist more than 6 months)

You are on the right track. Medicines will help, but real recovery happens when you improve blood flow, nerve strength, and reduce tension from within. This is a fully manageable condition with the right approach.

If you have any doubts, you can contact me. Take care, Regards, Dr. Karthika

dicate a few potential issues, including sexually transmitted infections (STIs), prostatitis, or nerve-related problems.

Simple Remedies 1. Take 20 ml decoction of sandalwood, and tinospora cordifolia. 2. Take 40ml lemon juice with diluted with 500ml water and added with 3gms of baking soda. 1) Chandraprabha vati - before food 3 times a day with ghee 2) dashmula kwath 20 ml after eating half food with water 2 times a day 3) trikanthakadi ghrita-20 ml after food with hot water 2 times Yoga Therapy Asana Padmasana Vajrasana Surya Namaskara Pranayama Anuloma-Viloma, Diet and Lifestyle Pathya: Tender coconut water, lemon juice, grape juice, watermelon. Apathya: Hot, spicy, salty, sour diet, curd, fish.

Don’t worry Randeep, If you have any reports then please share those too… And start taking1.Chandraprabhavati 1-0-1 2.Gokshuraadi guggulu 1-0-1 for chewing 3.Ashwagandha choorna 1tsf with lukewarm water milk twice in a day. **Daily Massage your body with MAHANARAYAN TAILAM ×3days in a week Followed by mild fomentation. **And then with KSHEERBALA TAILAM ×3 days in a week followed by mild fomentation… Follow up after 45 days…

Along with these start taking punarnava tab 1-1-1…

Relaxes pelvic muscles, reduces inflammation in the prostate/urethra area.

How to do:

Fill a tub with warm water (not hot).

Add: 1 tbsp Triphala powder (or) 2 tbsp Epsom salt (magnesium sulfate) Sit in the tub for 15–20 minutes, twice daily.

Do this especially after you go for motions, and before bedtime. 2. Castor Oil Pack on Lower Abdomen

Heals inflammation and soothes nerves.

Soak a cloth in warm castor oil

Place it over lower abdomen/groin area

Cover with plastic wrap and place a hot water bag on top

Keep for 20–30 mins before bedtime

Do this 4–5 times/week for 2–3 weeks

HELLO RANDEEP,

YOUR SYMPTOMS -itching in urethra - testicular and pelvic pain -penile numbness -frequent urination- but not constant - relief only when on medications (alfuzosin, amitriptyline+ pregabalin)

POSSIBLE CONDITIONS

1) CHRONIC PROSTATITIS/ CHRONIC PELVIC PAIN SYNDROME this is not due to infection, but inflammation and tension in pelvic muscles and nerves

SYMPTOMS -pain in pelvis, perineum, testicles - burning or itching in urethra - increased urinary frequency - no bacteria in urine culture - erectile issues sometimes -discomfort relieves with muscle relaxants or alpha blockers

2) PUDENDAL NEURALGIA A nerve pain condition caused by compression or irritation of the pudendal nerve, which supplies the genitals, anus and perineum

SYMPTOMS -burning, numbness, pins and needles in penis, scrotum, perineum -pain worse while sitting - urinary frequency or urgency - no relief with antibiotics -better with nerve pain meds like pregabalin, Amitriptyline

LETS DIFFRENTIATE BOTH

PAIN in prostatitis= deep pelvic/testicular pain Pudendal neuralgia= sharp, burning, stabbing

NUMBNESS prostatitis=rare pudendal neurallgia= common on penis/ perineum

SITTING prostatits= usually okay pudendal neuralgia = worsens pain

URINATION prostatitis= frequency, urgency pudendal neuralgia= may be present

EXAMINATION prostatitis= tender prostate pudendal neuralgia= tende pudendal nerve on rectal touch

INVESTIGATIONS prostatitis= urine culture, prostate exam, semen analysis pudendal neuralgia= MRI pelvis(nerve compression), nerve conduction study

MENTION IF ANY OF THE TEST ALREADY DONE AND WHAT IS THE INTERPRETATION

ACCORDING TO AYURVEDA,

your symptoms suggest a disorder of vata dosha, particularly Apana Vata which governs the pelvic region, bladder and reproductive system

ALSO INVOLVED -pitta aggravation= causing burning, itching, inflammation -Mutravaha srotas dushti= disturbance in urinary system channels -Shukravaha srotas dushti= disorder in reproductive channels-testicular pain

so likely it is a vata pita predominant condition, involving mutravaha and sukravaha srotas

TREATMENT GOALS -pacify vata and pitta -strengthen nerves and dhatus - correct mutravaha and shukravaha srotas -avoid recurrence through rejuvination

NTERNAL MEDICINES

1) PROSTOVIN CAPSULES(by charak pharma)= 2 capsules twice daily after food with warm water

2) HIMPLASIA TABLET (by himalaya)= 1 tab twice daily after meals

3) YOGARAJ GUGGULU= 2 tabs twice daily after meals

4) CHANDRAPRABHA VATI= 2 tabs twice daily after meals with warm water =urinary antiseptic, reduces inflammation

5) DASHMOOLARISHTA= 15 ml with warm water twice daily before meals = prostate specific anti inflammatory action, vata shamak

6) VRIHAT VATA CHINTAMANI RAS= 125 mg once daily with ghee =strengthen nerves

7) ASHWAGANDHA+ SHATAVARI CHURNA= 1 tsp each mixed with warm milk at night rejuvinates shukra dhatu, supports nerves

* Continue for 2-3 months, reassess symptoms mostly.

PANCHAKARMA ADVISED(if feasible visit nearby centra)

-BASTI(medicated enema)= best treatment for vata and pelvic issues

-AVAGAHA(sitz bath)= sit in warm decoction of dashmoola kashaya= 15-20 mins

-ABHYANGA(massage) and SWEDANA(steam)= relaxes pelvic and perineal muscles

-KATI BASTI OR GUDA BASTI= for deep vata pacification

HOME REMEDIES -pumpkin seeds= 1-2 tbsp daily- zinc rich, good for prostate - turmeric milk= 1 glass at night with pinch of black pepper - barley water= natural diuretic, reduces inflammation - fenugreek seeds soaked overnight- chew in morning reduces swelling - coriander + cumin tea- 1 tsp each boiled in water best for burning urination= have twice daily

DIET TO BE FOLLOWED -warm , freshly cooked light food - moong dal, barley, rice, bottle gourd, pumpkin -fruits= papaya, pomegranate, watermelon - ghee in moderation -buttermilk-diluted, with cumin powder

AVOID -spicy, fried, oily food - junk food, colas, alcohol, smoking - tomatoes, vinegar, and very sour items - excess coffee/tea - heavy non-veg

YOGA AND EXERCISE(30-45 min daily) -vajrasana=5-10 mins post meal- aids digestion, pelvic circulation -bhujangasana- 3-5 rounds, stimulate prostate - malasana- hold for 1-2 mins, stimulate prostate - setu bandhasana- 3-5 rounds, pelvic blood flow - supta baddha konuşana- relaxing posture, relieves pelvic tension

PRANAYAM -anulom vilom= 5-10 min -bhramari= 3-5 min - mula bandha= 10 reps daily - meditation= 10-15 mins

DURATION OF TREATMENT= 3 months

You have. vata-pitta predominant urinary and nervous disorder, involving Mutrakrichhra, Apana Vata dushti, and possibly Vataja shukra vaha srotas dushti

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Your symptoms such as itching in urethra, pain in the testes and pelvic area, penile numbness and frequent urination could be related to the condition known as chronic prostatitis or possible urinary tract infection. While it’s essential to consult with a urologist or a healthcare professional for an accurate diagnosis, Ayurveda offers holistic strategies that could assist in managing your condition by addressing underlying dosha imbalances.

In Ayurveda, these symptoms suggest a possible imbalance of Vata and Pitta doshas. Vata can contribute to pain and discomfort while Pitta can result in inflammation and burning sensations. Here are several steps to help you:

1. Dietary Adjustments: Favor warm, easily digestible foods. Reduce intake of spicy, pungent, or sour foods which can aggravate Pitta. Include ghee, milk, and cooling items such as cucumber and aloe vera to balance Pitta. Avoid caffeine and alcohol.

2. Hydration: Drinking plenty of warm water can help maintain urinary health and assist in flushing out toxins. You can infuse water with coriander seeds or fresh mint—good for reducing Pitta.

3. Lifestyle Practices: Gentle yoga poses, like bhujangasana (cobra pose) and supta baddha konasana (reclined bound angle pose), can help alleviate pelvic tension. Practice daily for optimal results. Evening walks (if comfortable) can promote circulation.

4. Herbal Remedies: Consider using Gokshura (Tribulus terrestris) and Punarnava (Boerhavia diffusa), traditionally used for urinary system support. Ayurvedic preparations like Chandanasava can be soothing for inflammation. Always consult with an ayurvedic physician for proper dosage.

5. Mindfulness & Stress Management: Stress can exacerbate symptoms. Practices such as meditation and Pranayama (breathing exercises) are beneficial. Focus on regular sleep patterns.

Remember, these are supportive steps, not substitutes for medical interventions. If symptoms persist or intensify, seeking prompt consultation with a health care provider is necessary. Ayurveda offers an integrative approach but should complement rather than replace urgent medical treatment.

Sir, you do kegel exercises 2-3 times daily Apply ashwagandha bala/ Shilajit oil on penis externally twice daily Take cap. Ashwashila 1-0-1 after food with water Follow up after 1 month

Based on the symptoms you’ve described, it sounds consistent with a condition that could involve both infectious and non-infectious components like chronic prostatitis or interstitial cystitis. Your current medications address symptoms such as urinary difficulties and neuropathic pain, which explains the relief experienced. However, since these symptoms persist, thorough examination of underlying causes through Ayuvedic lens might be beneficial.

In the Siddha-Ayurvedic perspective, these symptoms could be due to an imbalance in the apan vayu, one of the sub-doshas of vata, which is responsible for the elimination process in the body. This can be influenced by factors like stress, diet, and lifestyle. To address this, integrating dietary modifications and specific treatments can be helpful.

1. Focus on a Vata-pacifying diet: Incorporate warm, cooked foods. Avoid cold and raw foods which can aggravate vata. Include ghee, which can help in lubricating the tissues.

2. Herbal Support: Consider taking Gokshura (Tribulus terrestris) which can support urinary system health. It helps reduce swelling and irritation specifically in the lower urinary tract.

3. Abhyanga (oil massage): Daily self-massage with warm sesame oil can help in soothing the vata and aid in relaxing the pelvic region.

4. Yoga & Pranayama: Gentle yoga exercises focusing on pelvic stretches can improve blood flow in the area affected. Coupled with breathing exercises like Anulom Vilom to calm the nervous system.

These interventions target root imbalances beyond symptom relief. However, please consult a qualified healthcare provider to rule out any serious underlying conditions and before making drastic lifestyle changes. If symptoms persist or worsen, seek immediate medical attention for a detailed evaluation and appropriate management.

HELLO RANDEEP,

In Ayurveda prostatitis is closely related to vata dosha aggravation in the apana vata region (pelvis/lower abdomen), often coupled with pitta imbalance (inflammation, burning sensation) and sometimes kapha(blockage or swelling)

The condition can ve viewed as a mix of -mutraghata (urinary obstruction) -SHOTHA- prostate gland inflammation

ADVISED PANCHAKARMA FOR DEEP DETOX AND HEALIN -BASTI- medicated enema -ABHYANGA- oil massage -SWEDANA- to. reduce swelling and pain -UTTARA BASTI-administered through urethra=very powerful and effective

DIET AND LIFESTYLE

DIET -light, digestible food -moong dal, red rice, gourds, green vegetables -avoid spicy, oily, fried, and sour foods -drink warm water, barley water and coconut water -avoid alcohol, tobacco, and excessive sexual activity/masturation

LIFESTYLE -daily gentle yoga especially pawanmuktasana, baddha konasana, vajrasana -avoid sitting for long hours, take breaks if you work at desk -stress management -try bhramari, sheetali, anulom vilom

INTERNAL MEDICATIONS

1) BALA TAILA -internal= 10 drops with warm milk -external= gentle massage over lower abdomen and lower back =recues Vata in pelvic region, strengthens reproductive organs

2) ASHWAGANDHADI LEHYA -1 tsp daily twice with warm milk =chronic pain, weakness, sexual side effects of prostatitis

3) BASANT KUSUMAKAR RAS= 125 mg once daily with milk =strengthen urogenital system

4) TRIPHALA GUGGULU= 2 tabs twice daily after meals =sweeling, constipation related pressure on prostate

5) KSHARA PARPATI= 250 mg twice daily with water or ghee = chronic urinary issues, infections, shotha

6) SHILAPRAVANG SPECIAL(BRAND ZANDU) -1 tab twice daily after food = chronic prostatitis with sexual weakness, fatigue

TAKE warm sitz bath with dashmoola decoction

daily practice of Ashwini mudra and moola bandha can help relieve pelvic congestion

practice vajrasana after meals for 10 mins daily to improve pelvic blood flow

Follow this medications for 4 weeks and then revert back

THANK YOU

DR. HEMANSHU MEHTA