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Urological Disorders
Question #28336
67 days ago
300

Testicular pain past 4 months how to reduce - #28336

Raju

How to reduce bilateral testicular pain". Iam suffering from 3months mild bilateral epideytimis how to move on with this problem suggest anything to me in scan and blood reports are nill what should doiwas consulted several doctors

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Doctors' responses

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.
65 days ago
5

Based on Ayurvedic principles, testicular pain, including that associated with epididymitis, is often attributed to an imbalance of the three doshas: Vata, Pitta, and Kapha. A chronic condition like yours (3 months) suggests a deeper imbalance that requires a holistic approach.
​Here is an overview of the Ayurvedic opinion on how to address bilateral testicular pain and mild epididymitis:

​1. Understanding the Dosha Imbalance ​Vata Dosha: An aggravation of Vata can cause pain and discomfort. It is associated with dryness, cold, and movement, and can lead to issues with circulation and nerve function in the affected area.

​Pitta Dosha: An imbalance in Pitta can lead to inflammation, swelling, and a feeling of warmth or redness in the scrotum. This is often a significant factor in epididymitis.
​Kapha Dosha: Kapha imbalance can result in congestion, fluid accumulation, and swelling, which may contribute to the formation of cysts or chronic inflammation.

​Since you have a diagnosis of mild bilateral epididymitis, it is likely that an excess of Pitta (inflammation) and Kapha (swelling/congestion) is at play, possibly aggravated by Vata (pain).

​2. Ayurvedic Treatment Principles ​Ayurvedic treatment for this condition focuses on: ​Reducing Inflammation: Using herbs and therapies that have anti-inflammatory properties.
​Improving Circulation: Promoting blood and lymphatic flow to the area to reduce congestion and swelling. ​Balancing Doshas: Tailoring the treatment to pacify the specific doshas that are out of balance.

​External Applications: ​Castor Oil Compress: Applying a warm compress soaked in castor oil to the scrotum can help reduce pain and inflammation.
​Medicated Oils: Massage with medicated oils like Narayana Taila may be recommended to improve local blood circulation and reduce swelling.
​4. Panchakarma Procedures ​While not a home remedy, an Ayurvedic practitioner may recommend specific Panchakarma treatments for a chronic condition: ​Basti (Medicated Enemas): These are considered highly effective for pacifying Vata and can help improve blood flow and tone the tissues in the pelvic region.
​Virechana (Therapeutic Purgation): This procedure helps to cleanse the body of excess Pitta and toxins, which can be beneficial in reducing inflammation. ​5. Dietary and Lifestyle Recommendations ​Diet: ​Eat Anti-inflammatory Foods: Incorporate turmeric, ginger, and leafy greens.
​Hydrate Well: Drink plenty of warm water and herbal teas to help detoxify the body.
​Avoid Aggravating Foods: Limit or avoid foods that can increase inflammation and congestion, such as excess salt, oily/fried foods, sour buttermilk, and astringent foods.
​Lifestyle: ​Rest and Scrotal Support: Elevating the scrotum and getting adequate rest are crucial to reduce pain and swelling. Wearing an athletic supporter can provide comfort. ​Avoid Heavy Lifting: This can put strain on the pelvic area and worsen the condition.
​Yoga and Pranayama: Gentle yoga poses and breathing exercises can help with stress management and improve blood flow in the pelvic area. ​Avoid Prolonged Sitting: Take regular breaks to stand and stretch to prevent pressure on the testicles. ​Wear Loose-Fitting Clothing: Opt for breathable, loose-fitting underwear and clothing to ensure proper circulation.

Treatment

1) Tab gokshuradi gugglu - 2 tab 3 times

2) Varunadi kashaya 20 ml 3 times after food

3) Tab nityanand rasa 1 tab 3 times after food ​

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HELLO RAJU,

You have had bilateral testicular pain for 3-4 months, since your scans and blood test are normal, dangerous causes like tutors, infections, or torsion are ruled out. Doctors call this chronic epididymal pain/ orchialgia (persistent testicular pain without active infection)

In Ayurveda, this is understood mainly as vata imbalance causing pain, pulling, nerve irritation) sometimes mixed with Pitta (heat, burning, inflammation)

VATA-> pain, irregular, pulling, discomfort that worsens with cold, exertion, stress PITTA-> burning, tenderness, warmth , irritability in the region APANA VATA IMBALANCE-> problems in the pelvic and reproductive system

So the aim is not just to stop pain temporarily but to restore balance in the pelvic region

TREATMENT GOALS -relieves pain and discomfort -reduce hidden inflamamation/ congestion -improve pelvic circulation -strengthen nerves and reproductive organs -prevent recurrence with lifestyle correction

INTERNAL MEDICATIONS

1) GOKSHURADI GUGGULU= 500 mg 2 tabs twice daily after meals =clears urinary/ reproductivec congestion, reduces inflammmation -balances vata pitta in pelvic organs

2) CHANDRAPRABHA VATI= 2 tabs twice daily after meals =supports urinary tract, reduces pelvic congestion, relieves dull chronic pain

3) DASHMOOLARISHTA= 20 ml with equal water after meals twice daily = excellent for vata pain, Deep seated tissue healing, long term strengthening

4) PUNARNAVADI KASHAYA= 20 ml with warm water twice daily before meals =if swelling/ heaviness is felt-> reduces edema, improves circulation

5) ASHWAGANDHA CHURNA= 1 tsp with warm milk at night =rasayana, strengthens nerves, reduces hypersensitivity and fatigue

DURATION= usually 6-12 weeks minimum

EXTERNAL THERAPIES

1) OIL MASSAGE= with Mahanarayan taila -gentle massage on lower abdomen, thighs, groin, not directly scrotum once daily =improves circulation, relaxes muscles and nerves

2) LOCALIZED STEAMING =helps remove stiffness, congestion

3) SITZ BATH -sit in warm water with triphala decoction for 10-15 min daily -cleanses , soothes pelvic nerves, improves blood flow

LIFESTYLE

DO’S -Keep pelvic region; avoid cold exposure -weak loose cotton underweight not tight synthetic -stay physicallyy active= walking, mild yoga -maintain regular bowel habits - constipation increases pelvic congestion -adequate hydration-> 2-3 L warm water daily -balanced sleep avoid late nights

AVOID -Excess cycling, bike riding, prolonged sitting on hard chairs -Excessive sexual acitivt or prolonged abstinence -cold foods ice cream, cold drinks, excessive spicy, oily, deep fired food -alcohol, smoking, caffeine= increase vata-pitta

YOGA ASANAS -bhujangasana=improves pelvic circulation -Makarasana= relaxes pelvic muscles -Pawanmuktasana= relieves pelvic congestion -Vjarasana after meals for digestion

PRANAYAM -Anulom vilom= balances vata pitta -Bhramari= calm pelvic nerve sensitivity -Deep belly breathing- improve apana vata

DIET -warm milk with ghee, dates, almonds -whole grains wheat, rice, barley -moong dal, urad dal, soups -vegetables= pumpkin, bottle gourd, ridge gourd, spinach -fruits= banana, apple, pomegrante, ripe papaya -spices in moderation= cumin, coriander, fennel

AVOID -sour foods (Pickles, curd at night, vinegar) -too much chili, fried snacks -red meat, seafood in excess -carbonated drink, alcohol

HOME REMEDIES -war m water sitz bath with triphala powder decotion daily -gentle massage around Lower abdomen with warm sesame oil -triphala t night

INVESTIGATIONS ADVISED -Scrotal Doppler ultrasound -Urine routine and cultue= to exclue hiden urinary infection -Semen analysis= if there are fertility concerns -blood sugar = sometimes metabolic issue aggravate

RAJU, Your condition is not dangerous, but it is troublesome and persistent In Modern medicine such chronic testicular pain often gas no quick care. Ayurveda looks as it holistically-> reducing pain, calming inflammation, improving circulation, and stngthening pelvic nerves

-With 6-12 weeks of proper ayurvedic internal + external therapy , plus diet, yoga and lifestyle -patiene is key. This is a chronic vata condition; gradual consistent care is needed

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Bilateral testicular pain due to epididymitis is undoubtedly discomforting, especially if you’ve been experiencing these symptoms for three months now. In Ayurveda, such pain can often be related to an imbalance in the Pitta dosha, which may be contributing to inflammation and discomfort in the genital region.

First, focus on your diet because it plays a crucial role in managing Pitta imbalances. Incorporate cooling and anti-inflammatory foods like cucumber, sweet fruits (such as melons and pears), and whole grains (like barley and oats). Avoid spicy, oily, and direct animal products that can increase Pitta. You can consume coconut water regularly, as it’s cooling and may assist in reducing inflammation.

A key therapeutic approach would be Abhyanga (self-massage) using cooling oils like castor oil or coconut oil, warmed slightly for comfort. Gently massage the lower abdomen and groin area to improve circulation and relieve discomfort. This can be done once daily, preferably in the morning before showering.

Herbal remedies may also support your recovery. Gokshura (Tribulus terrestris) is commonly used in Ayurveda to support urinary tract and reproductive health. You can take it in the form of a powder or capsule, depending on what’s available to you. However, ensure that you consult with a knowledgeable Ayurvedic practitioner before starting any herbal regimen to confirm it suits your specific constitution (Prakriti).

Practicing yoga and Pranayama, especially cooling breaths like Sheetali and Sheetkari, help manage stress and maintain balance in your dosha levels. These techniques can be practiced for 5-10 minutes daily to promote relaxation and ease tension in your lower abdomen.

Drink plenty of water to stay hydrated and flush out toxins, but avoid caffeinated and alcohol beverages as they might exacerbate the issue. Make sure you get sufficient rest and avoid excessive physical activities that could stress the region further. Lastly, do not ignore persistent or worsening symptoms; considering you’ve been consulting several doctors, if the pain continues or worsens, further medical evaluation might be necessary.

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Start with Chandraprabha vati 1-0-1 after food with water Mahayograj guggul 1-0-1 after food with water Follow up after 21 days

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It’s better once consult ayurvedic doctor in person as your scan n blood tests are normal n still pain is persisting we need to do examine and then advise

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Bilateral testicular pain persisting for several months, especially with a history of mild epididymitis, requires careful attention. Since you’ve already consulted several doctors and ruled out abnormalities through scans and blood tests, the focus here can be on alleviating discomfort and supporting healing through Ayurvedic principles.

Considering this is a vata-pitta imbalance, you can start by applying warm sesame oil, which is soothing and vata-pacifying, gently massaging it to the area once or twice daily. This oil massage can be particularly grounding if done before a warm sitz bath, which also helps to relax the muscles and improve blood circulation. Aim for about 10-15 minutes in the sitz bath. Incorporate cooling and anti-inflammatory herbs known within the Siddha tradition, such as ashwagandha and amla, into your diet. These can help reduce pitta aggravation that could be contributing to inflammation.

Addressing your diet is crucial; include foods that are warm, nourishing, and easily digestible to support agni or digestive fire. Emphasize cooked vegetables, soups, whole grains, and maintain regular meal times. Neem and turmeric could be added as supplements or in cooking due to their strong anti-inflammatory properties, but consult an Ayurvedic practitioner to determine the right dose for you.

If there’s no improvement with these methods, further consultation with a healthcare professional would be necessary since continued testicular pain should not be ignored. Regular follow-ups with medical evaluations are advised, as persistent pain could indicate underlying issues needing more immediate intervention. Please prioritize your health and don’t hesitate to seek in-person medical advice if needed.

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I am Dr. P. Prasad, and I’ve been in this field for 20+ years now, working kinda across the board—General Medicine, Neurology, Dermatology, Cardiology—you name it. Didn’t start out thinking I’d end up spanning that wide, but over time, each area sort of pulled me in deeper. And honestly, I like that mix. It lets me look at a patient not just through one lens but a whole system-wide view... makes more sense when treating something that won’t fit neatly in one category. I’ve handled everything from day-to-day stuff like hypertension, diabetes, or skin infections to more serious neuro and cardiac problems. Some cases are quick—diagnose, treat, done. Others take time, repeated check-ins, figuring out what’s really going on beneath those usual symptoms. And that’s where the detail matters. I’m pretty big on thorough diagnosis and patient education—because half the problem is ppl just not knowing what’s happening inside their own body. What’s changed for me over years isn’t just knowledge, it’s how much I lean on listening. If you miss what someone didn’t say, you might also miss their actual illness. And idk, after seeing it play out so many times, I do believe combining updated medical practice with basic empathy really shifts outcomes. Doesn’t have to be complicated... it just has to be consistent. I keep up with research too—new drugs, diagnostics, cross-specialty updates etc., not because it’s trendy, but cuz it’s necessary. Patients come in better read now than ever. You can’t afford to fall behind. The end goal’s the same tho—help them heal right, not just fast. Ethical practice, evidence-based, and sometimes just being there to explain what’s going on. That’s what I stick to.
5
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Dr. Snehal Tasgaonkar
I am an Ayurvedic physician with around 7 yrs clinical experience, though honestly—feels like I’ve lived double that in patient hours. I studied from a govt. medical college (reputed one) where I got deep into classical Ayurvedic texts n clinical logic. I treat everything from chronic stuff like arthritis, IBS, eczema... to more sudden conditions that just pop up outta nowhere. I try to approach each case by digging into the *why*, not just the *what*. I mean—anyone can treat pain, but if you don’t catch the doshic imbalance or metabolic root, it just comes bak right? I use Nadi Pariksha a lot, but also other classical signs to map prakriti-vikruti, dhatu status n agni condition... you know the drill. I like making people *understand* their own health too. Doesn’t make sense to hand meds without giving them tools to prevent a relapse. My Panchakarma training’s been a core part of my work. I do Abhyanga, Swedana, Basti etc regularly—not just detox but also as restorative therapy. Actually seen cases where patients came in exhausted, foggy... and post-Shodhana, they're just lit up. That part never gets old. Also I always tie diet & lifestyle changes into treatment. It’s non-negotiable for me, bcs long-term balance needs daily changes, not just clinic visits. I like using classical formulations but I stay practical too—if someone's not ready for full-scale protocol, I try building smaller habits. I believe healing’s not just abt treating symptoms—it’s abt helping the body reset, then stay there. I’m constantly refining what I do, trying to blend timeless Ayurvedic theory with real-time practical needs of today’s patients. Doesn’t always go perfect lol, but most times we see real shifts. That’s what keeps me going.
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108 reviews
Dr. Surya Bhagwati
I am a Senior Ayurveda Physician with more than 28 years in this field — and trust me, it still surprises me how much there is to learn every single day. Over these years, I’ve had the chance to treat over 1 lakh patients (probably more by now honestly), both through in-person consults and online. Some come in with a mild cough, others with conditions no one’s been able to figure out for years. Each case brings its own rhythm, and that’s where real Ayurveda begins. I still rely deeply on classical tools — *Nadi Pariksha*, *Roga-Rogi Pariksha*, proper *prakriti-vikriti* mapping — not just ticking symptoms into a list. I don’t believe in ready-made cures or generic charts. Diagnosis needs attention. I look at how the disease behaves *inside* that specific person, which doshas are triggering what, and where the imbalance actually started (hint: it’s usually not where the pain is). Over the years I’ve worked with pretty much all age groups and all kinds of health challenges — from digestive upsets & fevers to chronic, autoimmune, hormonal, metabolic and degenerative disorders. Arthritis, diabetes, PCOD, asthma, thyroid... but also things like unexplained fatigue or joint swelling that comes and goes randomly. Many of my patients had already “tried everything else” before they walked into Ayurveda, and watching their systems respond slowly—but surely—is something I don’t take lightly. My line of treatment usually combines herbal formulations (classical ones, not trendy ones), Panchakarma detox when needed, and realistic dietary and lifestyle corrections. Long-term healing needs long-term clarity — not just short bursts of symptom relief. And honestly, I tell patients that too. I also believe patient education isn’t optional. I explain things. Why we’re doing virechana, why the oil changed mid-protocol, why we pause or shift the meds after a few weeks. I want people to feel involved, not confused. Ayurveda works best when the patient is part of the process, not just receiving instructions. Even now I keep learning — through texts, talks, patient follow-ups, sometimes even mistakes that taught me what not to do. And I’m still committed, still fully into it. Because for me, this isn’t just a job. It’s a lifelong responsibility — to restore balance, protect *ojas*, and help each person live in tune with themselves. That’s the real goal.
5
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