Hello Baiju ji ,
Thank you for sharing us such a personal and sensitive matter. I really appreciate your openness.
At 42 years, issues like erectile dysfunction, premature ejaculation, frequent urination, piles, fistula, high BP, and borderline high sugar can, without a doubt, impact not only one’s physical confidence but also the mental peace.
Please do not doubt it—these problems are very common in Ayurveda and can be managed effectively through a proper, holistic approach. You ARE NOT alone here, and with the right medication and discipline, this is totally reversible.
✅ AYURVEDIC TREATMENT PLAN (Root-Level Healing)
The objectives of the treatment are to:– –Strengthen the nerves and reproductive tissue –Enhance erection quality and control –Make urine frequency normal –Heal piles and fistula from the inside –Manage BP and sugar naturally Lower stress and anxiety
✅ INTERNAL MEDICATION
1.Ashwagandha churna 1 tsp with warm water morning on an empty stomach followed up by warm water 2.Balaristham 30ml-0-30ml after food 3. Chandraprabha vati 1-0-1 after food 4. Narasimha Rasyana 1 tsp at bed time followed by warm milk
These –Strengthen the erection –Increase the stamina and the control –Support the production of testosterone naturally –Help to alleviate stress which is the main cause of sexual weakness
If fistula happens to be with discharge, never allow it, as sexual strength is also weakened through chronic infection.
✅DIET MODIFICATION (This Alone Can Improve 40–50%)
✅ Include Freshly cooked warm food Moong dal, vegetables, pumpkin, bottle gourd Cow’s milk (if digestion is normal) Ghee (small quantity) Rinsed almonds (4–5 daily)
❌ Avoid:
Alcohol Tobacco Excess tea/coffee Fried & very spicy food Late-night eating Refined sugar
These are the direct aggravators of: – Erectile function – Premature ejaculation – BP and sugar – Piles and fistula
✅LIFESTYLE AND MENTAL HEALTH (VERY IMPORTANT FOR YOU)
Since it has been confirmed that stress is the main cause, you should definitely not sit idle: Keep Anulom Vilom practice daily – 10 minutes Bhramari Pranayama – 5 minutes Do not watch adult content frequently Regular sleep before 11 PM Daily walking for 20–30 minutes
Stress management alone can have a big impact on quality of: –Erection –Ejaculation control –Sugar and BP levels
👉 Do not take any “sexual power capsules” from online or medical stores at random. These mostly exacerbate BP, sugar, and fistula. Your treatment has to be gradual and under a doctor’s supervision only.
Wishing you a good health😊
Warm Regards Dr Snehal Vidhate
Diet and Nutrition 1. Balanced diet: Focus on whole, unprocessed foods like fruits, vegetables, whole grains, lean proteins, and healthy fats. 2. Foods rich in antioxidants: Include foods high in antioxidants like berries, leafy greens, and nuts to help reduce oxidative stress. 3. Omega-3 fatty acids: Find omega-3 rich foods like fatty fish, flaxseeds, and walnuts to support heart health.
Exercise and Physical Activites 1. Regular exercise: Engage in moderate-intensity exercise, like brisk walking, cycling, or swimming, for at least 30 minutes a day. 2. Pelvic floor exercises: Practice Kegel exercises to strengthen pelvic floor muscles.
Stress Management 1. Mindfulness and relaxation: Try techniques like meditation, deep breathing, or yoga to reduce stress and anxiety. 2. Get enough sleep: Aim for 7-8 hours of sleep per night to help regulate hormones and reduce stress. 3. Practise yogasan: Molband, setu bandhasan, chakrasan, veer bhadrasan, halasan, gomukhasan.
Other Lifestyle changes 1. Quit smoking 2. Limit alcohol consumption 3. Maintain a healthy weight
💊Medication💊
Cap. Boostex Forte 2 caps twice a day before food. Tab. Kapikachu Ghana Vati 2 tabs twice a day before food. Tab. Prasham 2 tabs twice a day before food.
Shilajit Gold gum 1 small spoon (the one that comes in the pack) with one cup of hot milk early in the morning.
Shwet Musli Pak 1 tsp with a cup of hot cow milk in the morning
Take purnachandradayaras 1tab bd, makaradwaja 1tab bd, musalipak 1tsp with milk and fistla for go for kshara sutra surgery
Dr RC BAMS MS AYU
Hello sir!
Your problems of erectile dysfunction, premature ejaculation, frequent urge to pass urine, piles and fistula are all connected to long-standing stress, high BP, borderline high sugars and pelvic muscle fatigue. These conditions weaken nerve strength, circulation and pelvic floor control over time. With the right Ayurvedic internal treatment, your erection quality, timing, stamina and urinary frequency can improve. But BP 130/100 and fasting sugar 130 must be kept under control for good results.
Internal medicines: Amapachana vati 2 tablets twice daily after food for 7 days Ashwagandha tablet 500 mg twice daily after food for 2 months Kapikacchu tablet 1 tablet twice daily after food for 2 months Tentex royal 1 capsule at night for 45 days Chandraprabha vati 2 tablets twice daily after food for 2 months Abhayarishta 20 ml with equal water at night for piles and fistula, continue 2 months
External care: Warm water sitz bath daily for 10 days Apply jatyadi taila after washing for 2 weeks
Investigations: HbA1c Lipid profile Kidney function test Urine routine
Diet: Avoid spicy food, bakery, alcohol and smoking Increase water, fruits, ghee and home-cooked meals
You can improve with regular treatment and controlled BP and sugar. I will guide you step by step.
Warm regards, Dr. Karthika
Yavanamrita vati 1-0-1 Yauvan a gold capsule 1-0-1 Shwetha musli pal 1 tsp-0-0 Do kegle exercises
any addiction like cigarate, tobacco etc…???
if yes then try to reduce addiction
tab kamenjoy gold 2-2-2 Gokshur Churna 5 gm Before food Ahwagandha tab 2-2-2 with warm milk bramhi vati 2-0-2 vita ex oil for massage gently on penis
1.Ashwagandha churna 1 tsp twice daily with warm milk after meals 2.Musli pak 1 tsp twice daily with warm milk after meals 3.Triphala guggulu 2 tab twice daily with water after meals 4.Kankayan vati 2 tab twice daily with water after meals 5.Jatyadi taila-Apply on piles and fistula twice daily 6.Bala taila-gently massage on penis twice daily
Adv: Sitz bath for 10-15 min twice daily in warm triphala water
🍲 Diet Tips - Favor warm, light, nourishing meals: khichdi, mung dal, soups, whole grains. - Include dates, figs, almonds, walnuts, sesame seeds (strengthen Shukra dhatu). - Use ghee moderately for nourishment. - Avoid spicy, fried, oily foods, excess salt, alcohol, and red meat (worsen piles and BP). - Sip warm water throughout the day.
🧘 Lifestyle Tips - Yoga & Pranayama: - Ashwini Mudra (strengthens pelvic muscles) - Setubandhasana (bridge pose) - Anulom Vilom (balances stress and BP) - Moola Bandha (helps premature ejaculation control) - Walking: 20–30 minutes daily. - Stress management: meditation, chanting, journaling. - Sleep: 7–8 hours, preferably before 10 pm.
Hello Baiju Start with Musli pak 1tsp twice daily before food with milk Ashwagandha churan 0-0-1tsp at bedtime with warm milk. Avipattikar y1-0-1 after food with water Apply ashwagandha bala oil on penis externally twice daily For piles: Pilex tablet 2-0-2 after food with water Pilex cream local application on affected Anal area twice. Avoid spicy sugary street foods, Junk food, nonveg food. Have early dinner. Be mentally relaxed and remain stress free.
Addressing erectile dysfunction, premature ejaculation, frequent urination, and conditions like piles and fistula requires a holistic approach. Your BP of 130/100 and fasting blood sugar of 130 indicate attention to cardiovascular health and sugar metabolism is important.
For erectile dysfunction and premature ejaculation, Ayurveda focuses on balancing the doshas and strengthening the reproductive tissues. Based on your symptoms, your main imbalances might be in Vata and Pitta doshas. Ashwagandha and Shilajit are traditionally recommended for strengthening reproductive tissues and boosting vitality. Take 500 mg of Ashwagandha with milk twice daily and 300 mg of Shilajit once a day. For premature ejaculation, Atmagupta (Kapikacchu) can also be beneficial. Take it in powdered form, 1 tsp with honey before bedtime.
For frequent urination, focus on maintaining urinary tract health by drinking barley water, which helps reduce pitta and inflammation. Boil 2 tbsp of barley grain in 1 liter of water and sip it through the day.
Regarding piles and fistula, Triphala churna at night with warm water can aid bowel movements and reduce inflammation. 1 tsp nightly is advisable.
Diet plays a crucial role, focus on nourishing foods, avoid spicy, acidic and fried foods which aggravate Pitta. Incorporate ghee in your diet, which is soothing and supports digestion. Daily self-massage with sesame oil can help balance Vata and help stress.
Regular yoga practices like Surya Namaskar and Pranayama can improve circulation and support cardiovascular health. Address stress through meditation, as it can impact both erectile function and energy levels.
Consult an Ayurvedic practitioner in person for personalized treatment and monitoring. Your health condition, including high blood pressure and blood sugar, require monitoring by healthcare professionals to ensure treatments are integrated safely.
Based on the symptoms mentioned, it seems there is a potential Vata imbalance influencing both erectile dysfunction and premature ejaculation, while your urinary frequency and issues with piles and fistula suggest strain on your lower abdomen. Managing Vata and supporting digestive function are essential.
For erectile dysfunction and premature ejaculation, Ashwagandha (Withania somnifera) is often recommended. It helps in balancing Vata and enhancing vitality. Consider taking Ashwagandha churna, around 1-2 grams, mixed with warm milk, once or twice a day, preferably after meals.
Additionally, Shatavari (Asparagus racemosus) can be beneficial for enhancing reproductive health and calming Vata imbalance. Taking Shatavari powder in similar dosages can be supportive.
For improving your urinary symptoms, Gokshura (Tribulus terrestris) may help. It’s known to balance urinary functions. You can consume Gokshura churna, about 1-2 grams, with warm water, daily.
Given your piles and fistula, maintaining soft stools is crucial. Triphala churna could be helpful for regulating bowel movements and ensuring digestive balance, which aids in managing both your piles and fistula. Take 1 teaspoon with warm water before bedtime.
With high blood pressure and blood sugar levels, be cautious with dietary choices. Prioritize a diet rich in whole grains, fresh vegetables, and avoid excessive salt or sugar. Since these conditions have significant health implications, regular monitoring and consultations with a qualified healthcare professional are advisable.
