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Urological Disorders
Question #26098
43 days ago
314

I have some serious. disorder - #26098

Daniel

From past 3 months i am suffering from some serious symptoms like Itching in urethra Pain in testes and pelvic area Penile numbness Frequent urination Frequent urination is not continuously I have taken two types of treatment First one includes Tab Alfuzosin 10 mg Second is Amitriptylline 10 mg plus Pregabalin 75 mg Both thses medication gives me relief but this relief is only when i continuously take medication Can anyone tell me about this condition so that i can take treatment accordingly

300 INR (~3.51 USD)
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Hello. Stop stale junk foods and dry snacks. Do yogasana and kigle excercises. Tab chandraprabha vati 2 tabs after meals. Syrup Neeri KFT 2 tsp 2 times a Day with water. 2 tabs Shankh vati at night.

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Hi Randeep, Your condition is a chronic pelvic pain syndrome. Urethral itching are also related to the post infectious features.

Along with some medication and lifestyle modification you get relieve from your symptoms.

1. Punarnavadi kashaya 15 ml+ 45 ml lukewarm water twice daily before food. ( To reduce any inflammatory conditions)

2. Gokshuradi guggulu 1-0-1 after food. ( Supports prostate and urinary discomfort)

3. Chandraprabha vati 1-1-1 after food. ( To relieve urinary tract infection and nerve irritation)

4. Triphala water sitz bath for 15 minutes in alternative days.

🛑Avoid prolonged sitting. Avoid spicy, acidic foods, caffeine and alcohol.

Do some streching exercises and yoga postures ( Setu bandhasana and suptha badha konasana are some yoga postures which strengthen the pelvic muscles )

Warm regards, Dr. Shaniba

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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

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Hi Randeep, pain in testes is caused by several reasons which includes Varicocele, Hydrocele, Epidydimitis , Some testicular injuries, etc , and penile numbness is caused by some nerve damage /or in severe infections like STI ,Conditions like diabetes neuropathy, etc, since your diagnostic reports are normal there is nothing to worry about those . So please start the medication . May be a mild infection can cause these irritations

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Anonymous Nain
Client
43 days ago

Yes i have done blood,urine and semen culture. All are in normal range I have done Ultrasound of abdomen and scrotum. This was also normal

Anonymous Nain
Client
42 days ago

I want to know what is this condition called No body is telling me that even i contacted urologists

Anonymous Nain
Client
38 days ago

Medicine you prescribed 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 they work for nerve damage

I don’t think you have nerve damage, some inflammation/edema/Swelling around the nerves is causing this numbness. So we have to treat this inflammation, for that this set of medication is enough, follow this set of medicines for 2 weeks. Then you can have * Balaguluchyadi kwatham tab (kottakkal) 2-0-2 after food for 2weeks - 1month (For nerve health )

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Have you got us scrotum done??

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2 replies
Anonymous Nain
Client
43 days ago

Yes i have done Initial analysis was Cyst in right epididyms Seminal vesculitis Further tested for semen culture and found E.Coli Doctor said that cyst is not harmfull And for <link removed>li doctor gave me 21days antibitotic treatment and again tetes the semen and found that the <link removed>li is not present in semen now

Ok You can start on Chandraprabha vati Gokahuradi guggulu Kanchanar guggulu- One tablet each twice daily after food with warm water

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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

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Anonymous Nain
Client
42 days ago

Thanks One thing i forgot to mention is that the looseness in penis skin is not in erect position This happens only in Flaccid position.

Is treatment goal for Pdeundal and CPPS are same

Anonymous Nain
Client
42 days ago

Is there chances that it can be due to pdeundal neurologia If yes how to conform that it is pdeundal or Prostatitis

Hello Randeep,

From what you’ve described itching in the urethra, pain in the testes and pelvic area, numbness in the penis, and frequent urination the symptoms are strongly suggestive of Chronic Prostatitis or CPPS (Chronic Pelvic Pain Syndrome). Since your relief comes only while taking medications like Alfuzosin, Amitriptyline, and Pregabalin, and symptoms return once stopped, it points to a condition that is more functional than structural likely nerve and inflammation-related.

Sometimes, this can also overlap with Pudendal Neuralgia, especially if the numbness and pain increase while sitting and reduce while standing or lying. Anxiety, sitting for long hours, or constipation can worsen this, as it compresses nerves in the pelvic region.

To confirm, you can:

Get a Pelvic Ultrasound or TRUS (Transrectal Ultrasound) to rule out prostate enlargement or congestion. Do a PSA test (though at your age, it’s usually normal). A Urine Culture + Urine Routine to rule out infection. If possible, a Pelvic MRI or Pelvic Floor Physiotherapy evaluation to assess any nerve entrapment or muscle tightness.

Sometimes, a Semen culture is advised if there’s sexual discomfort. Many patients with your exact symptoms often go undiagnosed or are labeled as “psychological” or “stress-related” — but the truth is, it’s a real condition involving pelvic nerve irritation and chronic inflammation, and yes, it can be reversed with the right approach.

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

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Anonymous Nain
Client
42 days ago

In the begining when numbness started i went to a urologist and told my situation. Doctor said that it is chronic prostatitis and prescribed medicine(Alfuzosin and Amitriptylline) But there was no relief Again he added some antibiotic and done prostatitis massage for 1 week on alternate days. Then i felt some relief in pain only . Again he continued same medicine. During this treatment i felt relief in urethra itching when i took Amitriptylline and now the pain was also reduced but numbness was as before . Now i went for a USG for abdomen and scrotum. Conclusion- 1 seminal vesculitis 2 Cyst in right epididymis I consulted with doctor and he said that cyst is not harmfull and does not require any medication but he said to semen culture. In semen culture <link removed>li. bacteria was found and then doctor stopped all medicine and put me in Antibiotic(Doxy.lb and Septran Ds BD) For 21 days. After 21 days semen was analysed again and this time there was no bacteria but numbness was as before and some mild pain.now doctor again started Alfuzosin+Tofisopam and said after one month stop all medicine and said after 5 or 6month you will be ok. Now i finally want to say that the pain in testes and pelvic area is not major conceren as it is resolved. From past 10 days numbness also gone but itching in urethra is started I consulted another urologist he gave me Pregabalin+amitriptylline for one month. Now again a new problem is when itching is more the Skin if penis become very Loose also the muscle in penis Plz suggest me some some treatment .

Internal Medicines for (8 Weeks) Chandraprabha Vati – 2 tablets twice daily after food Kanchanara Guggulu – 2 tablets twice daily after food Shilapravanga Ras – 125 mg twice daily with warm milk Ashwagandha Avaleha – 1 tsp twice daily with lukewarm milk Vrihat Vata Chintamani Ras (plain) – 1 tablet once daily on empty stomach with honey

Important: Please visit a nearby Ayurvedic hospital or Panchakarma center for complete evaluation. Detailed examination, pulse diagnosis, and clinical analysis are necessary before starting a full course of treatment or therapies like Basti, Abhyanga, or Uttarabasti.

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Anonymous Nain
Client
39 days ago

Mam please your whatsapp.i have droped a msg Please check it

Dr. Khushboo
I am a dedicated Ayurvedic practitioner with a diverse foundation in both modern and traditional systems of medicine. My journey began with six months of hands-on experience in allopathic medicine at District Hospital Sitapur, where I was exposed to acute and chronic care in a high-volume clinical setting. This experience strengthened my diagnostic skills and deepened my understanding of patient care in an allopathic framework. Complementing this, I have also completed six months of clinical training in Ayurveda and Panchakarma, focusing on natural detoxification and rejuvenation therapies. During this time, I gained practical experience in classical Ayurvedic treatments, including Abhyanga, Basti, Shirodhara, and other Panchakarma modalities. I strongly believe in a patient-centric approach that blends the wisdom of Ayurveda with the clinical precision of modern medicine for optimal outcomes. Additionally, I hold certification in Garbha Sanskar, a specialized Ayurvedic discipline aimed at promoting holistic wellness during pregnancy. I am passionate about supporting maternal health and fetal development through time-tested Ayurvedic practices, dietary guidance, and lifestyle recommendations. My approach to healthcare emphasizes balance, preventive care, and customized wellness plans tailored to each individual’s constitution and health goals. I aim to create a nurturing space where patients feel heard, supported, and empowered in their healing journey. Whether treating seasonal imbalances, supporting women’s health, or guiding patients through Panchakarma therapies, I am committed to delivering care that is rooted in tradition and guided by compassion.
43 days ago
5

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.

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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…

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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

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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

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Anonymous Nain
Client
39 days ago

Thanks mam for your valuable time and advise. I understand that penis skin is elastic but in my case it is more elastic and not only the skin but also the muscle/penis shaft has become very loose. Some time i feel like some thing is in urethra like Ant is walking

And again thanks to you And plz tell me how can i contact with you so that i can tell you the daily routine symptoms. Many symptoms go and many come

Yes I am understanding what you are saying but trust me and start the medications and routine I had given and then see the difference in a month atleast start the schedule

And for contact you mail on ask Ayurveda service they will guide you accordingly

Thank you

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Anonymous Nain
Client
42 days ago

Thanks One thing i forgot to mention is that the looseness in penis skin is not in erect position This happens only in Flaccid position.

Is treatment goal for Pdeundal and CPPS are same

Anonymous Nain
Client
42 days ago

In the begining when numbness started i went to a urologist and told my situation. Doctor said that it is chronic prostatitis and prescribed medicine(Alfuzosin and Amitriptylline) But there was no relief Again he added some antibiotic and done prostatitis massage for 1 week on alternate days. Then i felt some relief in pain only . Again he continued same medicine. During this treatment i felt relief in urethra itching when i took Amitriptylline and now the pain was also reduced but numbness was as before . Now i went for a USG for abdomen and scrotum. Conclusion- 1 seminal vesculitis 2 Cyst in right epididymis I consulted with doctor and he said that cyst is not harmfull and does not require any medication but he said to semen culture. In semen culture (E coli ) bacteria was found and then doctor stopped all medicine and put me in Antibiotic(Doxy.lb and Septran Ds BD) For 21 days. After 21 days semen was analysed again and this time there was no bacteria but numbness was as before and some mild pain.now doctor again started Alfuzosin+Tofisopam and said after one month stop all medicine and said after 5 or 6month you will be ok. Now i finally want to say that the pain in testes and pelvic area is not major conceren as it is resolved. From past 10 days numbness also gone but itching in urethra is started I consulted another urologist he gave me Pregabalin+amitriptylline for one month. Now again a new problem is when itching is more the Skin of penis become very Loose also the muscle in penis Plz suggest me some some treatment .

HELLO RANDEEP,

Thank you for sharing your detailed medical journey- you have been clearly been through a lot, and it’s understandable to want lasting relief after dealing with pain, numbness, and now recurring urethral itching.

You’ve already had thorough allopathic care- including antibiotics, alpha-blockers , antidepressants/nerve stabiliser(like Amitriptyline and pregabalin), and even prostatitis massage. It’s good that pain and numbness are mostly resolved, but the recurring urethral itching and feeling of loose penile skin/muscle now seem to be primary concern.

Fron an ayurvedic perspective, your condition fall under a few overlapping categories -MUTRAKRICHRA= difficulty in urination or discomfort in urinary tract - SHUKRA VAHA SROTAS DUSHTI= disorder of reproductive channels - Possibly Vata-pitta dosha imbalance as I have mentioned earllier

LETS GO FOR SYMPTOMATIC TREATMENT

FOR ITCHING AND URINARY TRACT HEALTH

1) CHANDRAPRABHA VATI= 2 tabs twice daily after meals with lukewarm water

2) GOKSHURADI GUGGULU= 2 tabs twice daily after meals with warm water

3) VARUNADI KASHAYA= 20 ml. twice daily with water before meals

FOR NERVE WEAKNESS AND NUMBNESS

4) ASHWAGANDHA CAPSULES= 1 cap twice daily with warm milk in morning and night

5) BALA TAILA= 10 drops with milk after meals

C) FOR REPRODUCTIVE TISSUE NOURISHMENT

6) SHATAVARI KALPA OR SHILAJIT RASAYAN= if sexual weakness is a concern

7) KAUNCH BEEJ CHURNA= 1 tsp in morning and night with honey =improves nerve tone

LOCAL APPLICATION

- YASHTIMADHU TAILA= gentle local massage around groin/ penis shaft not inside urethra

-WARM SITZ BATH with TRIPHALA DECOCTION AND NEEM LEAVES= daily 15-20 minutes

AVOID ALCOHOL, MASTURBATION AND EXCESSIVE SITTING

AND FOLLOW ABOVE MENTIONED EXERCISE YOGA AND DIET STRICTLY

DO THIS FOLLOW THIS AND TRUST ME USE ALL THIS FOR 1-2 MONTHS AND YOU WILL SEE IMPROVEMENT IN YOUR CONDITION AND THEN THANK ME LATER

THANK YOU

DR. MAITRI ACHARYA

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It’s completely normal for the penis skin to paper loose or more wrinkled when flacid. This skin is highly elastic to accommodate changes in size between flaccid and erect states. If there’s no pain, swelling or change in skin texture or color, it’s likely not a medical concern

But in your case, you are having -discomfort or sensationa changes -a feeling of discomfort or numbness

then it may be related to pudendal nerve issues especially if this is part of CPPS or pudendal neuralgia

AND YES the treatment overlap for both, but not exactly the same

But the treatment I had given will work for the symptoms you are facing and will cure your problem in short span of time with deep healing

so don’t take stress much and take treatment as advised for early healing

THANK YOU

DR. MAITRI ACHARYA

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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.

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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

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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.

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Dr. Hemanshu Mehta
I’m Dr. Hemanshu, a second-year MD scholar specializing in Shalya Tantra (Ayurvedic Surgery), with a focused interest in para-surgical interventions such as Agnikarma, Viddhakarma, and Kshara Karma. My academic and clinical journey is rooted in classical Ayurvedic surgical wisdom, complemented by a modern understanding of patient care and evidence-based approaches. With hands-on training and experience in managing chronic pain conditions, musculoskeletal disorders, hemorrhoids, fistula, and other ano-rectal conditions, I provide treatments that emphasize both relief and long-term wellness. I am deeply committed to offering individualized treatment plans that align with the patient’s prakriti (constitution), disease progression, and lifestyle factors. I believe healing is not limited to procedures alone; it also requires compassion, communication, and continuity of care. That’s why I ensure each patient receives personalized guidance—from diagnosis and therapy to post-treatment care and preventive strategies. I also incorporate Ayurvedic principles like Ahara (diet), Vihara (lifestyle), and Satvavajaya (mental well-being) to promote complete healing and not just symptomatic relief. Whether it's managing complex surgical cases or advising on conservative Ayurvedic therapies, my goal is to restore balance and improve the quality of life through authentic, safe, and holistic care. As I continue to deepen my clinical knowledge and surgical acumen, I remain dedicated to evolving as a well-rounded Ayurvedic practitioner who integrates traditional practices with modern sensibilities.
38 days ago
5

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

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