Question #22826
60 days ago
234
ED and PME being a patient of heart problems - #22826
murali
I am 66years of age two years before I had open heart surgery for grafting I had three graftings Now I am not getting proper erection and have premature ejaculation, can I have treatment for this, if yes can you Sugest the treatment?
Ed
300 INR (~3.51 USD)
done
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Doctors’ responses
Namaste Murali ji
At 66 years of age, you have already shown great strength and courage by successfully undergoing a major open heart surgery
I truly appreciate your openness in sharing your current challenges. This honesty is the first and most important step towards healing.
Now coming to your concern regarding erectile dysfunction and premature ejaculation, please understand that these issues are four more common than most people realise, especially after major surgery or in the presence of long term, physical or emotional strain
From Ayurvedic point of view, this condition is not just a matter of a single organ or hormone rather It reflects a deeper imbalance in your Shukra dhatu that is reproductive tissues, VATA Dosa and OJAS( energy) all of which may have been due to surgery medication’s age, mental stress
After surgery, the bodies agni that is digestive fire dhatu -nourishment and circulatory strength are usually compromised. This directly affects the shukra dhatu uttpatti ( formation of reproductive tissue) and manasika sthithi(mental, emotional health) leading to lack of confidence, lowered, libido, early ejaculation, or poor erection
But the good news is Ayurveda offers a very gentle effective line of treatment, especially for someone with a heart history like yours we work carefully to restore your internal strength using Raayanna(rejuvenation) vrushya Chikitsa (aphrodisiac therapy)and medhya rasayana (mental rejuvenation) all in harmony with your heart condition
Suggested Ayurvedic approach —
Herbs like Shatavari ,Ashwagandha
Kapikacchu, Gokshura help strengthen Shukra Data balance Waata and improve stamina
Abhyanga (oil massage) with dedicated oils, improves circulation and strength
Medhya rasayana like Brahmi shankapushpi pr jatamamsi help calm anxiety, and improvement, clarity and control
Specific classical medicines like chandra Prabhavati and kaunch pak maybe beneficial, but it should be taken under supervision, depending upon your cardiac condition and digestion capacity
Alongside this it’s better to follow a cardiac safe diet plan and lifestyle modifications that avoids heavy oily or excessive spicy food and focuses on nourishing and easily digestible meals that support both cardiac and reproductive health
Lifestyle modification-
Sleep early, that is before 10 PM
Wake early
Do light walking
Practice regular Pranayam meditation, at least half an hour daily
Avoid strenuous exercises
Avoid screen time
Can drink warm milk with Ashwagandha churna night?
The medicines which will be prescribed will be based on your overall constitution, post surgery, recovery digestion, blood pressure and sleep, quality, regular monitoring, and gentle corrections. adi near case.
So, S treatment is absolutely possible, but it must be planned individually and carefully. I would request you to share some more details such as.
Your direct sleep and energy levels
Medication, you are currently on
Any blood pressure or sugar?
A basic idea of your diet and daily routine
Ayurveda treats from its root causes, so the result will not be a quick fix. It takes time, but definitely it will show a positive changes within the few weeks. If you follow the main three pillars in a disciplined way, that is the diet lifestyle modification and the Ayurvedic medicine medicines.
Once I have, the second can suggest a complete safe and supportive plan to gradually rebuild your strength confidence, and intimacy, this will be a long-term solution, not a quick fix, and I will be available to guide you closely at every step
You’re not alone in this journey, and with with its deep understanding of body and mind is here to help you live with dignity, strength, and vitality
Thank you
1615 answered questions
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done
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murali mohan
Client
60 days ago
Sir can guide me further
Avoid addiction if any.
Avoid spicy, oily and processed food.
Regular exercise.
Increase intake of raw vegetables and fruits.
Tab.Neo
2-0-2
Count plus granules
15gms twice with milk
1442 answered questions
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0 replies
Murli ji,
I would not advice you medication for this, because of heart surgery and also the age factor,but you can do the home remedies mentioned below
Ashwagandha Milk (Bedtime Tonic)
-1 tsp Ashwagandha powder + 1 cup warm milk
When: At bedtime
Garlic Cloves (Morning Remedy)
Chew 2 raw garlic cloves daily
When: Early morning on empty stomach
Soak Munakka,kismis,khajoor,badam,kaaju,anjeer,overnight, eat in morning with a glass of warm milk
Pumpkin Seeds or Flaxseeds
How: 1 tablespoon ground flaxseed or pumpkin seeds daily
When: Add to breakfast or smoothies
You pls consult your cardiologist or urologist doctor before starting with the home remedies aswell .
628 answered questions
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Take Cap Ashwashila 1-0-1 after food with water
Apply Shilajit oil on penis twice daily
Take Arjun ghanvati 1-0-1 after food with water, This will strengthen your cardiac muscles
1208 answered questions
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Hello Murali
" NO NEED TO WORRY "
" I WILL HELP YOU TO RECOVER WITH ERECTIL DYSFUNCTION & PREMATURE EJACULATION SAFELY "
* Ur Age is 66 due to Ageing ur Testosterone Levels Fluctuates which may cause Weak Erection
* Aslo due to surgery and BP Fluctuations Penile Blood Flow also improper which leads which Erection Not Sustaining for Long Time.
* There are other Neuromuscular Nutritional reasons that also affect Erection
* Premature Ejaculation might be due to Foreskin Hypersensitivity or Weak Pelvic Floor Muscles and Urogenital Sphincter muscle
" U have a History of Open Heart Surgery so We will Consider HEART SAFETY AYURVEDIC HERBS"
" As there are Limitations for you to give few medicines I'm giving Safety priority "
* "It may take a little long to observe results and recovery "
* Keep Maximum Patience and continue treatment
"In My CLINICAL PRACTICE I HAVE SEEN THE BEST PROMISING RESULTS IN ED PME WITH HEART PATIENTS WITH FOLLOWING TREATMENT"
• SAFE EFFECTIVE AYURVEDIC MEDICINES
* Tab.Ashwagandha 250 mg ( Himalaya Pharma) 1 -0- 1 After Food
* Youvan Churna ( Patanajali Pharma) 2 Tsf Morning -0- 2 Tsf Night After Food
* Sri Gopal Taila ( Baidyanth Pharma) For Penile Application 10 mins Before Sex
• HELPFUL EXCERCISE
- Kegel's Exercise
- Pelvic floor Exercise
• DO'S - Prefer Healthy Highly Nutritious Leafy Vegetables Fruits salads sprouts Fibers Dry Fruits Rest Good Sleep Mild Walking etc
• DON'TS - Avoid Acidic Spicy Salty Sour Masala Fast Foods Bakery Sedentary lifestyles Stress
REGARDS
Dr Arun Desai
God Bless You 😊 🙏
If you have any questions u can ask me.I will answer to the level of your satisfaction.U have text option here
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Hello
Firstly avoid spicy sour food, oil fried items, processed foods carbonate juices , coffee and tea
Avoid if any alcohol smoking addiction
Take good amount of vegetables and green leafy vegetables and bowl fruits
1) cap shilajit gold 0-0-1 after food
2) tab neo 1-0-1 after food
3) triphala guggulu 1-0-1 after food
Thank you
Dr.Nikitha
229 answered questions
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HELLO MURALI,
YES SEXUAL DYSFUNCTION SUCH AS ERECTILE DYSFUNCTION AND PREMATURE EJACULATION IS QUITE COMMON AFTER CARDIC EVENTS LIKE BYPASS SURGERY ESPECIALLY IN OLDER ADULTS.
THE GOOD NEWS IS IT IS MANAGEABLE, EVEN IN HERAT PATIENTS WITH SAFE AND MILD AYURVEDIC TREATMENT+LIFESTYLE CHANGES AND SPECIFIC YOGA PRACTICES
1)ED- IS INABILTY TO GET OR MAINTAIN AN ERECTION FIRM ENOUGH FOR SEXUAL INTERCOURSE
POST CARDIAC SURGERY, ED MAY OCCUR DUE TO
-DECREASED BLOOD FLOW DUE TO VASCULAR ISSUES
-NERVE DAMAGE OR SIDE EFFECTS OF HEART MEDICATIONS-LIKE BETA BLOCKERS AND DIURETICS
-EMOTIONAL STRESS, FEAR OF EXERTION, OR DEPRESSION
-LOW TESTOSTERONE LEVELS DUE TO AGE FACTOR
2)PME- ELACULATION THAT HAPPENS TOO QUICKLY, OFTEN WITH MINIMAL STIMULATION CAN BE DUE TO
-ANXIETY OR PERFORMANCE PRESUURE
-WEAK PELVIC MUSCLES
-LOW CONTROL OVER PARASYMPATHETIC NERVOUS SYSTEM RESPONSE.
YES,BOTH ED AND PME ARE TREATABLE-EVEN IN HEART PATIENTS
KEY IS TO AVOID STRONG APHRODISIACS OR HEATING HERBS THAT CAN STRESS THE CARDIOVASCULAR SYSTEM
AYURVEDIC SAFE MEDICATIONS
1)ASHWAGANDHA CHURNA- 1 TSP WITH WARM MILK IN MORNING AND NIGHT- ADAPTOGEN, MILD APHRODISIAC, IMPROVES TESTOSTERONE AND STAMIN
2)SHATAVARI GRANULES- 1 TSP WITH WARM MILK AFTER DINNER- SUPPORTS HORMONAL BALANCE AND SEMEN HEALTH
3)KAUNCH BEEJA CHURNA- 1 TSP IN WARM MILK AT NIGHT- STRENGTHEN NERVE AND REPRODUCTIVE FUNCTION
4)ABHRAK BHASMA(LOW DOSE CAUTIOUSLY)- 50 MG/DAY WITH MILK-RASAYANA NERVINE TONIC
AVOID- MUSLI PAK, SHILAJIT, MAHA RASNADI KWATHA, AND OTHER STRONG RASAYANA THAT MAY BE NOT SUITABLE FOR CARDIAC PROBLEM
LOCAL THERAPIES FOR ED AND PME:-
1)PENIL GENTLE OIL MASSAGE- A MILD EXTERNAL MASSAGE OF PENILE SHAFT AND GROIN AREA NOT THE GLANS/HEAD WITH BALA-ASHWAGANDHADI TAILA- WARM 3-5 ML AND GENTLY APPLY FPR 5 MINUTES ALTERNATE DAYS
-KARPURADI TAILA DILUTED WITH BALA TAILA- USE 1 DROP MIXED WITH BALA TAILA ONCE A WEEK- MILD STIMULANT, IMPROVES LOCAL BLOOD FLOW
THIS PROCEDURE WILL IMPROVES IRCULATION, NERVE SENTIVITY, AND TONE
USE LIGHT CIRCULAR STROKES
DO THIS AT NIGHT BEFORE SLEEP, THEN WIPE CLEAN WITH WARM WATER AFTER 30 MIN
DO NOT APPLY INSIDE URETHRA OR ON GLANS
*AVOID VIGROUS MASSAGE
2)AFTER OIL MASSAGE USE A WARM WATER BOTTLE WRAPPED IN CLOTH OVER LOWER ABDOMEN AND INNER THIGHS FOR 5-10 MIN
IT HELPS RELAXES NERVES, REDUCE ANXIETY RELATED TIGHTNESS AND IMPROVES CIRCULATION.
3)PELVIC TONNING EXERCISES(MULA BANDHA+KEGEL EXERCISES)
HOW TO DO MULA BANDHANA-
SIT IN VAJRASANA OR LIE DOWN
SLOWLY CONTRACT THE MUSCLES OF ANUS AND PELVIC FLOOR AS IF YOR ARE TRYING TO STOP URINATION
HOLD FOR 5-10 SECONDS, RELEASE. REPEAT 10 TIMES TWICE DAILY
HELPS WITH BOTH ED AND PME OVER TIME BY STRENGTHENING CONTROL
DIET FOR SEXUAL AND CARDIAC HEALTH-
INCLUDE- MILK BOILED WITH ASHWAGANDHA/SHATAVARI AT BEDTIME
DATES,SOAKED ALMONDS,WALNUTS- IN MODERATION
COW GHEE-1TSP/DAY IMPROVES OJUS AND REPRODUCTIVE HEALTH
WARM,SOFT NOURISHING FOOD
POMEGRANATE, FIGS, BEETROOT, BOTTLE GOURD
AVOID- EXCESS TEA/COFFEE
DEEP FRIED PROCESSED FOOD
RED MEAT, HIGH SALTY FOOD
COLD WATER
CURD AT NIGHT
YOGA ASANA-10-15MIN/DAY
SETUBANDHASANA
BHUJANGASANA
VAJRASANA+MULA BANDA
PPASCHIMOTTASANA
PRANAYAM-10 MIN
ANULON VILOM
BHRAMARI
UJJAYI
LIFESTYLE-
SLEEP EARLY,WAKE UP EARLY
LIGHT WALK DAILY AFTER MEALS
AVOID SCREEN. EXPOSURE AND LAT E NIGHT STIMULATION
STAY WARM, AVOID COLD EXPOSURE ESPECIALLY IN GROIN/PELVIS
THIS MEDICATIONS ARE SAFE AND EFFECTIVE START TAKING ALONG WITH YOUR ALLOPPATY CARDIAC MEDICATIONS THEY ARE SAFE AND DONT HAVE INTERACTION WITH THAT OF ALOPATHY MEDICATIONS
FOLLOW THIS FOR 3 MONTHS
VISIBLE IMPROVEMENT YOU WILL NOTICE
THANK YOU
HOPE THIS MIGHT BE HELFUL
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Considering your history of heart surgery and current issues with erection and premature ejaculation, it's important to approach this holistically but cautiously. In Ayurveda, issues related to erection and premature ejaculation are often linked to imbalances in the Vata dosha, which governs movement and circulation. However, since your cardiovascular health is a critical concern, you'll need to focus on safe, heart-friendly practices.
First, it's advisable to incorporate Ashwagandha, a well-regarded adaptogenic herb in Ayurvedic practice. It helps in enhancing libido and improving overall vitality. Aim for a dosage of around 500 to 600 mg twice daily, but it's crucial to consult with your cardiologist before starting any new supplement, especially considering your heart condition.
Diet plays a huge role in managing these concerns. Include foods that are known to pacify Vata and nourish the reproductive system. Warm, cooked foods with healthy fats like ghee or olive oil can be beneficial. Ground sesame seeds or almond milk could also aid in strengthening your body. Avoid excessively cold or dry foods, which can aggravate Vata and further exacerbate symptoms.
Pranayama, especially Nadi Shodhan (alternate nostril breathing), is excellent for maintaining balance and improving circulation, which may help in managing erectile issues. Practice this gently, for about 10 minutes each day, ideally during sunrise or sunset. Also consider engaging in mild yoga practices, with postures like Bhujangasana (cobra pose) and Sarvangasana (shoulder stand) that encourage gentle circulation and vitality.
Since your heart health is paramount, make sure you're regularly seeing a cardiologist. Any natural remedy or lifestyle change should complement your current medical care, not replace it. Pay attention to your stress levels, as stress management is crucial in managing Vata imbalances.
Lastly, lifestyle habits like maintaining a consistent sleep schedule and avoiding stimulants such as caffeine can significantly improve your overall well-being and help in controlling symptoms of premature ejaculation. If symptoms persist, seek specialized Ayurvedic consultation for personalized guidance.
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