Hello, Your reports are actually reassuring in several important ways -CT scan/endoscopy/sigmoidoscopy normal -Hormones and testosterone normal -fatty liver resolved -stool PCR now negative -CRP, thyroid, hemoglobin normal -heart evaluation normal That makes a major structural disease, hormonal failure, or ongoing severe infection much less likely What you describe now sounds more like a combination of 1) post-infectious gut dysfunction/IBS- like syndrome after Entamoeba + shigella 2) Gut microbiome disruption after multiple infections + antibiotics 3) Malabsoprtion/ bile flow imbalance contributing to pale stools 4) stress gut pelvic floor interaction 5) possible pelvic floor hypertonicity contributing to erectile/scrotal symptoms Pale stools Matter persistent pale/clay-colored stool should not be ignored completely Even though scans are normal, pale stool can sometimes relate to -low bile flow -pancreatic enzyme issues -rapid transit -dysbiosis -fat malabsoprtion Since high- fat foods worsen symptoms , ask your gastroenterologist whether these are needed: -LFT repeat with bilirubin/GGT/ALP -fecal elastase (pancreatic function) -stool fat test -bile acid evaluation if symptoms persist Why Libido/erections can drop despite normal testosterone Your hormone panel is excellent, so this is likely functional rather than hormonal Chronic gut inflammation/infection can temporarily affect -autonomic nervous system -pelvic floor muscles -nitric oxide signaling -mental sexual response -energy metabolism Loose scrotal texture + weak erections + fatigue commonly occur with -chronic stress physiology -nervous system exhaustion -gut inflammation -pelvic floor dysfunction -sleep disturbance -micronutrient depletion Could it be pelvic floor tightness? Possibly yes - especially if you also have -incomplete bowel evacuation -pelvic heaviness -urinary hesitancy -hard flaccid symptoms -perineal tightness -pain after ejaculation -constipation alternating with loose stools but pelvic floor tightness alone wound not explain pale stools and bloating This looks more like Post- infectious gut dysfunction + autonomic imbalance with possible secondary pelvic floor involvement Ayurvedic view This resembles -weakened agni after infection -grahani type disturbance -vata aggravation in gut/pelvis -depletion after repeated illness and antibiotics After infections and strong medicines, digestion sometimes becomes hypersensitive even when tests normalize Ayurvedic view This resembles -weakened agni after infection -grahani type disturbance -vata aggravation in gut/pelvis -depletion after repeated illness and antibiotics After infections and strong medicines, digestion sometimes becomes hypersensitive even when tests normalize Ayurvedic management Digestive restoration 1) Hinguvachadi gulika= 1 tab twice daily after meals = for digestive support 2) Kutajarishta= 15 ml with equal water twice daily after meals =sometimes used after infective diarrhea and IBS-type symptoms 3) Bilvadi gulika= 1 tab twice daily after meals =may help loose stool tendency and gut stability 4) Buttermilk daily with roasted cumin at lunch time can support gut flora and digestion Avoid heavy detox/panchakarma right now Your body sounds depleted, not overload Avoid -aggressive fasting -harsh detoxes -excessive herbs -strong laxatives -repeated antibiotics unless clearly needed Diet strategy for 4-6 weeks -simple warm meals -rice -moong dal -cooked vegetables -pomegranate -light proteins -avoid excessive fat -avoid alcohol -avoid ultra processed foods Do not over-restrict food excessively Important Nutrients Low vitamin D absolutely can worsen -fatigue -libido -weakness -muscle dysfunction -mood Correct it properly Also consider checking -B12 -magnesium -zinc Helpful physical approach If pelvic floor tightness is suspected -diahpragmatic breathing -pelvic floor physiotherapy -walking -avoiding constant abdominal clenching may help more than strengthening exercises Many men accidentally keep the pelvic muscles chronically contracted after illness/anxiety Your extensive testing strongly suggests you are not dealing with a dangerous hidden disease. The overall picture fits much better with post infectious gut dysfunction, microbiome disturbance, nervous system exhaustion, and possibly secondary pelvic floor dysfunction after months of illness, antibiotics, and stress on the body. Recovery from this can take months even after the infection clears. Focus now should be on rebuilding digestion, restoring nutrition, correcting vitamin D deficiency, restoring nutrition, correcting Vitamin D deficiency, calming the gut- nervous system axis, and avoiding excessive medications or restrictive protocols Do follow Hope this might be helpful Thank you
