Question #26437
20 hours ago
46
how to Reduce balanitis penile area - #26437
Tejas
I’m experiencing persistent balanitis with redness, swelling, itching, and a white layer on the penis. These symptoms haven’t resolved completely despite maintaining hygiene and avoiding irritants. What could be the cause, and what treatment
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Doctors’ responses
Avoid sour, fermented and processed food.
Maintain local hygiene.
Tab.Protekt
2-0-2
Tab.Septillin
2-0-2
Cutis cream for local application
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Take mahamanjistadi kadha 15 ml twice daily after food with water
Gandhak rasayan 1-0-1 after food with water
Maintain hygeine in penis area.
Apply karanj oil locally twice daily.
Follow up after 1 month
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Visit nearby ayurvedic physician for further(MS SHALYA)advice and treatment.
TAKE CARE
😊
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Thank you for sharing your concern. Persistent balanitis redness, swelling, itching, and white layer over the glans (head of the penis) musually indicates inflammation of the glans penis, often due to:
Possible Causes:
1. Fungal infection (Candida) – most common, especially if moist conditions persist
2. Irritant/contact dermatitis – soaps, lotions, detergents, or latex exposure
3. Diabetes mellitus – high blood sugar increases fungal growth
4. Poorly retractable foreskin (phimosis) – traps moisture, leading to infection
5. Recurrent unprotected intercourse – friction + microtrauma may aggravate inflammation
Your skin here is inflamed either due to a mild infection (usually fungal) or constant moisture/irritation. Even if hygiene is maintained, if the skin doesn’t dry properly, or if blood sugar is high, this cycle continues. The white layer is likely fungal residue or dead skin buildup. This condition won’t resolve fully unless the cause is corrected and healing is supported from inside.
Step 1: Ama Pachana (First 3 days)
To remove internal toxins that feed infection
• Trikatu Churna – ¼ tsp with warm water before meals, twice daily
• Hingwashtaka Churna – ½ tsp after food with warm water, twice daily
Step 2: Internal Medication (From Day 4 onwards)
• Nimbadi Guggulu – 2 tablets twice daily after meals (for skin purification and fungal control)
• Gandhaka Rasayana – 1 tablet twice daily after meals (detox and anti-fungal support)
• Arogyavardhini Vati – 1 tablet twice daily after meals (especially if slight discharge or skin thickening present)
Step 3: External Care
• Clean gently with warm water only (no soap), pat dry completely
• After drying, apply Triphala Churna paste (Triphala + clean water) for 15 minutes, then wash
• Alternatively, apply Neem oil or Jatyadi Tailam gently after drying – 1–2 times daily
Additional Advice
• Avoid synthetic underwear; prefer cotton
• Keep the area dry and exposed to air whenever possible
• No intercourse until healed fully
• Avoid hot, spicy foods and excess sugar
Investigations Suggested
• Blood Sugar – FBS/PPBS and HbA1c
• Urine Routine and Microscopy
• If uncircumcised, check for phimosis or tight foreskin
If not responding in 10–15 days, fungal culture or dermatologist consultation may be required.
With regular care, proper hygiene, and internal cleansing, the issue should resolve completely without recurrence.
Wishing you complete healing.
Warm regards,
Dr. Karthika
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In Ayurveda, balanitis can be understood as a condition caused by an imbalance in the kaf and Pitta Dosha, which governs fluid balance, heat and inflammation in the body. The aggravated Pitta, along with Kapha Dosha (responsible for moisture and accumulation), can lead to symptoms akin to balanitis.
Herbal Remedies:
Neem (Azadirachta indica): Known for its antibacterial and antifungal properties. Neem paste or decoction can be applied locally.
Turmeric (Curcuma longa): A natural anti-inflammatory and antimicrobial. A paste made with turmeric and water can soothe irritation.
Aloe Vera (Kumari): Provides a cooling effect and reduces inflammation.
Causes of Balanitis:
Several factors contribute to balanitis, including:
Poor Hygiene: Accumulation of smegma (a combination of shed skin cells, oils, and moisture) can lead to irritation and infection.
Infections:
Bacterial: Staphylococcus or Streptococcus species.
Fungal: Candida albicans is a common culprit.
Viral: Herpes simplex virus in some cases.
Allergic Reactions: Reaction to soaps, detergents, or latex condoms.
Irritation: Use of scented hygiene products or tight-fitting clothing.
Underlying Medical Conditions:
Diabetes mellitus (increases the risk of fungal infections).
Autoimmune disorders.
Hygiene and Local Applications:
Wash the affected area with decoctions of Triphala or Vetiver (Ushira) to cleanse and soothe the glans.
Avgah chiktsa- immersing penis in a medicated decoration prepared by using some herbs like Vara gives very quick relief from balanitis.
Treatment
1) Nityanand rasa - 2 tab before food with honey 2 times aday
2) tab varishoshana rasa 1 tab at bed time with water
3) chandra prabha vati - before food with triphala kashaya 30 ml and honey 2 times a day
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