HELLO,
The epididymis is a thin, coiled tube behind the testicle that stores and carries sperm. When it becomes inflamed for a long time (more than 3 months) it is called chronic epididymitis
Why does it become chronic? Even when infection settles, residual inflammation, thickening, and poor blood flow remain
Common reasons -Past infection (urinary or sexual) -Long sitting, pressure on scrotum -Stress and anxiety -Pelvic floor muscle tightness -Incomplete healing after antibiotics
Why is there a lump? The lump is usually -Thickened epididymal tissue -Fibrosis (scar-like tissue) -Inflammatory residue
It is not cancer in most chronic cases especially if -Slow growing -Mild pain -Soft to firm (not rock hard)
In Ayurveda this condition is mainly -Vata-Kapha imbalance -Affects Shukravaha srotas (reproductive channels) -Stress aggravates Vata, causing pain, tightness, and chronicity -Kapha causes hardness and swelling
This is why -Pain increases with stress -Symptoms persist for months -Lump reduces slowly, not immediately
Hemorrhoids – Why You Have Them Together Hemorrhoids indicate -Apana Vata disturbance (downward energy) -Pelvic congestion -Constipation or straining - Both epididymitis and piles share the same pelvic circulation problem so treating one helps the other.
Can This Affect Erection & Pelvic Floor? Yes indirectly
Reasons -Chronic pain =nervous system tension -Pelvic inflammation =pelvic floor muscle spasm -Stress = reduced blood flow & confidence -Fear of pain =weak erection response This is functional not permanent.
TREATMENT GOALS • Reduce chronic inflammation • Improve blood & lymph circulation • Soften fibrotic lump • Calm Vata (pain, stress) • Correct pelvic floor dysfunction • Improve bowel movement • Restore sexual confidence
INTERNAL MEDICATIONS
1) Kanchanar Guggulu= 2 tablets twice daily after food for 8–12 weeks =Breaks down glandular swelling, Softens hard lumps, Reduces fibrosis
2) Punarnava Guggulu= 2 tablets twice daily after meals for 6-8 weeks =Reduces chronic inflammation, Improves local circulation, Removes fluid congestion
3) Chandraprabha Vati= 2 tablets twice daily after meals for 8 weeks =Balances pelvic organs, Supports urinary & reproductive systems, Relieves dull pain and heaviness
4. Dashamoola Kashaya= 25ml once daily after dinner for 6 weeks =Powerful anti-inflammatory, Best medicine for chronic Vata pain, Improves nerve function
5. Ashwagandha Churna= 1 tsp with warm milk at night =Controls stress trigger, Improves nerve healing, Supports sexual health
EXTERNAL THERAPY
1. Local Oil Application Oil: Bala Taila Method: -Apply gently around scrotum (not squeezing) -Massage for 10 minutes -Follow with warm compress Frequency: Daily Duration: Minimum 6 weeks =Relaxes tissues,Improves blood supply, Softens lump gradually
2. Sitz Bath Method: -Warm water -Add Dashamoola decoction or Epsom salt -Sit for 10–15 minutes Frequency: 3–4 times/week =Relieves pelvic congestion, Helps both epididymitis & piles
HEMORRHOIDS – DETAILED AYURVEDIC CARE Internal Medicines
-Triphala churna – 3–5 g at bedtime
-Abhayarishta – 15 ml at night with warm water
-Arshoghni vati – if pain/bleeding
Local -Jatyadi taila application after bowel movement
Goal -Soft stool -No straining -Reduced pelvic pressure
DIET
Avoid -Spicy, fried, fermented food -Alcohol, smoking -Excess tea/coffee -Processed food -Cold drinks
Include -Warm freshly cooked food -Ghee (1–2 tsp daily) -Pumpkin seeds -Coconut water -Turmeric + black pepper -Papaya, figs, soaked raisins
Yoga Asanas -Malasana -Baddha Konasana -Supta Baddha Konasana -Happy Baby pose -Gentle pelvic rocking Avoid forceful core workouts or cycling during pain
Pranayama -Anulom Vilom – 10 minutes -Bhramari – 5 minutes -Deep belly breathing Avoid aggressive Kegels initially
HOME REMEDIES -Warm water every morning -Turmeric milk at night -Castor oil pack on lower abdomen (weekly) -Avoid holding urine or stool
INVESTIGATIONS ADVISED (ONCE) To rule out serious causes • Scrotal ultrasound with Doppler • Urine routine & culture • ESR / CRP (inflammation markers) • Blood sugar (if healing is slow)
9. EXPECTED IMPROVEMENT -Pain= 3-4 weeks -stress response = 2-3 weeks -lump softening= 6-12 weeks -bowel improvement- 1-2 weeks -sexual confidence= 4-8 weeks
-Chronic epididymitis is not dangerous -It requires patience and consistency -Surgery is rarely needed -Stress control is as important as medicine -Healing is gradual but reliable
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
For Epididymitis: Giloy ghanvati 1-0-1 after food with water, will help reduce inflammation. Kanchanar guggul 1-0-1 & Vriddhivadhika vati 1-0-1 both after food with water will help reduce the size of the lumps. For hemorrhoids: Pilex tablet 2-0-2 after food with water Abhayarist 15ml twice daily after food with water Local application on affected area in anal apply kasisadi oil twice daily. Avoid spicy, heat producing foods like eggs chicken prawns if non-vegetarian. Yes with pain Erectile functions can affect. Do sitz bath twice daily with warm water
Hello 💊 MEDICINES (INTERNAL)
1) For Epididymitis + Lump (Shotha + Granthi)
Chandraprabha Vati
➡️ 2 tabs BD after meals with warm water ✅ 45 days
Punarnavadi Mandur
➡️ 2 tabs BD after meals ✅ 45 days
Gokshuradi Guggulu
➡️ 2 tabs BD after meals ✅ 45 days
(These work as anti-inflammatory + urinary tract support + swelling reduction.)
2) For Chronic inflammation, burning, infection tendency
Guduchi Ghana Vati
➡️ 1 tab BD after meals ✅ 60 days
Kanchanar Guggulu (for lump/cystic swelling tendency)
➡️ 2 tabs BD after meals ✅ 60 days
3) For Hemorrhoids (Piles)
Abhayarishta
➡️ 15 ml + equal water at bedtime ✅ 45 days (helps constipation + piles)
Triphala Churna
➡️ 1 tsp at night with lukewarm water ✅ 30–45 days
🧴 LOCAL / EXTERNAL TREATMENT
For Piles
Jatyadi Taila / Piles ointment
➡️ Local application after sitz bath, BD
Sitz bath
➡️ Warm water + Triphala decoction OR rock salt ✅ 10 min, BD
For Scrotal Pain/Swelling
Dashmool Taila
➡️ Very gentle application around lower abdomen/groin (not aggressive massage) once daily
✅ Supportive underwear recommended.
🍽️ DIET (PATHYA–APATHYA)
✅ Recommended
Warm, light, easily digestible food
Moong dal, khichdi, rice, roti
Bottle gourd, ridge gourd, pumpkin
Coconut water (if no cold sensitivity)
2.5–3 L warm water/day
❌ Strict Avoid
Spicy, fried, junk food
Alcohol, smoking
Excess tea/coffee
Sour foods in excess (curd at night, pickles)
Red meat, processed food
Sitting long hours
🚻 BOWEL & CONSTIPATION RULES
Never strain during stool
Use squat posture if possible
Add Isabgol 1 tbsp with warm water at night (if hard stools)
🧘♂️ LIFESTYLE + YOGA (IMPORTANT FOR BOTH CONDITIONS)
For Stress + Pelvic floor (helps erectile function too)
✅ Anulom Vilom – 10 min ✅ Bhramari – 5 min ✅ Shavasana – 10 min
Avoid these until symptoms reduce
❌ heavy weight lifting ❌ cycling long distance ❌ prolonged sitting ❌ masturbation excess / sex during pain phase
🩺 Erectile Function + Pelvic Floor
✅ Yes, stress + chronic pain + inflammation + piles can affect erection and pelvic floor. But it is usually functional and reversible.
Support medicine (optional if weakness/low stamina)
Ashwagandha Churna ➡️ ½ tsp at night with warm milk ✅ 60 days
Epididymitis Rest Tight underwear support Warm compress daily Avoid sex & heavy work Lump usually reduces slowly in weeks Kanchanara Guggulu 1tab bd Vridhi vatika vati 1tab bd Varanadhi kashaym 1tab bd
Hemorrhoids Arshakutar ras 1tab bd Kaishora Guggulu 1tab bd Abhayarista 20ml bd Anuloman ds 1tab bd
Warm sitz bath daily Eat fiber, avoid straining Effect on erection / pelvic floor Piles do not directly affect erection Pain, stress, constipation can temporarily reduce erection Gets normal once pain & constipation improve
Chronic epididymitis that has lasted more than six months usually indicates persistent inflammation and congestion in the epididymis often aggravated by vata and kapha imbalance Stress weak digestion and sluggish circulation can worsen the condition The lump in the scrotum is usually due to inflammation swelling or mild fibrosis and can reduce gradually with proper ayurvedic management Non surgical treatment focuses on reducing inflammation improving local circulation strengthening the pelvic floor and balancing doshas
For ayurvedic treatment you can take chandraprabha vati two tablets twice daily after meals with warm water to reduce inflammation and support urinary and reproductive health Punarnava mandur one tablet twice daily after meals with warm water helps reduce swelling fluid retention and congestion Gokshura capsules 500 mg twice daily after meals supports urinary tract and reproductive system health Ashwagandha capsule one capsule at night after food helps calm vata reduce stress and improve pelvic floor strength Triphala churna half teaspoon at bedtime with warm water helps digestion detoxification and maintains bowel regularity
For external care apply warm castor oil locally once daily to improve circulation and reduce congestion Avoid prolonged sitting heavy lifting and excessive stress Perform gentle pelvic floor exercises and deep breathing daily to strengthen muscles and improve blood flow For hemorrhoids you can take hirudoid guggul one tablet twice daily after meals with warm water and apply aloe vera gel externally to reduce inflammation It is important to maintain warm cooked meals avoid cold raw foods and drink warm water frequently Regular use of these ayurvedic medicines along with diet lifestyle and exercises can gradually reduce the lump improve epididymis health reduce hemorrhoid symptoms and support erectile function and pelvic floor strength
Medicines 1 Punarnavadi Mandoor – 250–500 mg twice daily after food 2 Gokshuradi Guggulu – 2 tablets twice daily after food 3 Chandraprabha Vati – 2 tablets twice daily after food 4 Varunadi Kashayam – 15–20 ml + 40 ml warm water twice daily 5 Ashwagandha Lehyam – 5–10 g night with warm milk
For Hemorrhoids 1 Arshoghni Vati – 1–2 tablets twice daily after food 2 Abhayarishta – 15–20 ml + 30 ml warm water after meals 3 Triphala Guggulu – 1–2 tablets twice daily (reduces piles & constipation)
Topical for Hemorrhoids Warm sitz bath (hot water + pinch rock salt + Triphala powder) – 15 min twice daily Apply Jatyadi Ghrita after bath
Chronic epididymitis + hemorrhoids can cause pelvic congestion leading to mild ED & pelvic floor weakness in some men. The above medicines actually support erectile function & pelvic strength (especially Gokshuradi Guggulu + Ashwagandha).
Lifestyle Kegel exercises – 50 reps × 3 daily (strengthens pelvic floor & improves ED) Avoid prolonged sitting, heavy lifting, straining Warm sesame oil lower abdomen massage nightly
See urologist if repeat ultrasound scrotum + urine culture (rule out infection). Continue treatment under supervision.
Regards Dr Gursimran Jeet Singh MD Panchakarma
Ayurvedic medicines for Epididymitis: 1.Punarnava guggulu 2 tab twice daily with water after meals 2.Gokshuradi guggulu 2 tab twice daily with water after meals 3.Chandraprabha vati 2 tab twice daily with water after meals
👉 Local care: Warm compress with Dashmool decoction or gentle application of Castor oil may reduce discomfort
For Hemorrhoids: 1.Arshoghani vati 2 tab twice daily with water after meals 2.Abhyarishta 20 ml with 20 ml water twice daily after meals 3.Pilex forte ointment -apply twice daily
🥗 Lifestyle & Diet - For epididymitis: Avoid prolonged sitting, tight clothing, and suppressing natural urges (urine, stool). - For hemorrhoids: High-fiber diet (papaya, figs, soaked raisins), warm water intake, avoid spicy/fried foods. - Exercise: Gentle yoga (Pawanmuktasana, Vajrasana, Anulom Vilom) to improve pelvic circulation. - Stress care: Meditation + Ashwagandha to reduce recurrence.
Warm Regards DR. ANJALI SEHRAWAT
Hello Thanks for sharing your concerns so openly. I get how tough it is to deal with chronic epididymitis and a scrotal lump, especially when you’re also managing hemorrhoids and worrying about your sexual health.
YOUR CONCERN
- Chronic epididymitis with a scrotal lump that’s stuck around for more than six months - Hemorrhoids (piles) - Stress as a trigger - You keep a fairly active lifestyle and eat well
YOUR MAIN WORRIES - Avoiding surgery - Getting rid of the scrotal lump - Finding the best herbal remedies for hemorrhoids - Understanding how all this affects erections and pelvic health
First off, I hear you. When you’re dealing with inflammation in sensitive spots like the epididymis and rectum, it’s easy to start wondering if this is permanent, or if your sex life is at risk.
Here’s the thing — most chronic cases like yours can be managed without surgery. Ayurveda isn’t just about calming symptoms; it’s about tackling inflammation, improving circulation, and making tissues stronger.
AYURVEDIC PERSPECTIVE
Epididymitis lines up with Vata–Pitta imbalance in the Shukravaha Srotas. That leads to inflammation, sometimes fibrosis or a lingering lump, and often pain or heaviness. Hemorrhoids (Arsha), on the other hand, come from Apana Vata imbalance — usually from constipation, straining, or weak blood flow in the rectal area. Both issues, at their core, have disturbed Apana Vata.
AYURVEDIC PLAN OF TREATMENT
INTERNAL MEDICATION
- Kanchanara Guggulu: 1 tablet twice daily after food Shrinks lumps, breaks down fibrotic tissue, and helps the scrotal lump go down over time.
- Punarnava Mandura: 1 tablet twice daily after food Boosts micro-circulation, eases local swelling, and keeps fluids from pooling.
- Gokshuradi Guggulu: 1 tablet twice daily after food Strengthens your urinary and reproductive systems, balances Apana Vata, and helps when stress makes things worse.
- Chandraprabha Vati: 1 tablet twice daily after food Fights inflammation, supports pelvic organs, and eases pain and heaviness.
EXTERNAL CARE - Gentle oil massage (Abhyanga) with Bala Taila or Mahanarayana Taila around the groin and lower abdomen (be gentle, no rough rubbing).
- Daily warm sitz baths for 10-15 minutes relax the pelvic floor, boost blood flow, and help with both epididymitis and hemorrhoids.
FOR HEMMORRHOIDS
- Abhayarishta: 15mll at bed time
Keeps your bowels moving regularly and reduces straining (that’s the big one).
–Triphala Churna ½ tsp with warm water : Mild laxative, improves tone, and helps keep piles from getting worse.
- Arshoghni Vati 1 tablet twice daily Shrinks the piles, eases pain and inflammation.
- Jatyadi Taila: For external use if you’ve got burning or pain.
NOW ABOUT ERECTION AND PELVIC FLOOR
- Epididymitis doesn’t directly harm erectile function. But chronic pain, stress, and fear can lead to temporary weakness or performance anxiety.
- Hemorrhoids don’t damage the nerves in the penis, but chronic constipation and straining can weaken pelvic floor muscles and shake your confidence in the bedroom.
- Once Apana Vata is back in balance, sexual function usually gets better on its own.
LIFESTYLE CHANGES
- Don’t sit for long stretches. - Never hold in urine or stool. - Go for gentle walks; skip heavy cycling. - Find ways to manage stress — that’s especially important for you.
Surgery? Only if the lump keeps growing, there’s a severe infection, an abscess, fever, or things don’t improve even after good therapy. Most stable, chronic cases like yours don’t need surgery.
you’re not facing a dead end. With the right Ayurvedic medicines, bowel care, and Vata balancing, both epididymitis and hemorrhoids can be managed and improved without surgery. Erectile function is usually just fine.
Warm Regards Dr Snehal Vidhate
