Hi doctor, I had two episodes of UTI that led to kidney infection which had been treated with strong antibiotic injections this year and last. I am currently taking Niftran, Silodosin 8 mg along with Ayurvedic medicines like Bangshil, Chandraprabha Vati, Punarnavasa, Sukumaram Kashayam along with Brihatyadi Kashayam and Gokharu Kadha as well as Sudarshan Prostate Plus. I am also taking phytonutrients like Quercetin, Saw Palmetto, Cranberry extract, D-Mannose, Prostaquil, Swedish Pollen Flower Extract, etc. I have also done acupuncture without success. My urologist did an X-ray of the urethra and says that there is a mild bladder neck obstruction and a mildly enlarged prostate because of which I am not able to pass urine fully. My urine flow is also weak (peak flow of 17 ml) and it takes some time for urination to begin. I have a history of chronic testicular pain in the left testis for the last ten years and burning sensation at the tip of the penis (since five years). It was suspected as TB of epididymitis and I was given anti-TB drugs for nine months. But, there was only a mild improvement in pain. I consulted two other urologists and they told me that I do not have TB but chronic non-bacterial prostatitis for which there is no effective treatment in allopathy. I am taking painkillers like Tapentadol along with Duzela for the last five years from a pain specialist. There is an improvement in pain on taking these medicines. I have Grade 2 varicocele in left testicle and the pain is confined to the epididymis and spermatic cord. The pain gets worse after exertion. I also take Daflon on and off. My urologist says a permanent solution is bladder neck incision along with varicocelectomy and spermatic cord denervation. I would like to look at Ayurveda for a few more years because the narrowing of the urethra/bladder neck is mild and the prostate enlargement has been reduced after taking ayurvedic medicines. My biggest concern is that I do not want to get UTI again which may lead to kidney infection. I am able to empty my bladder although the urine flow is weak at times. My libido is low and testosterone level is borderline. I am taking Mildfil 5 mg along with Silodosin. My right testis had atrophied after a hernia surgery about thirty-five years back. My LFT and kidney function tests are all normal. I have slight cholesterol. I do not have any other major complaints apart from GERD. I seek your advice on improving my health condition. Please let me know if you need any other information or details.
Hi. You are loaded with many medicines. From my view, I suggest you can take the following medicines. Since you are taking medicines for a long time, you may do a KFT (kidney function test) and report it soon. If you are satisfied with your sexual power then it is fine. Take Salam panja 100 g plus Ashwagandha powder 100 g - mix together in a mixer and consume 5 g before breakfast and before bed with warm milk and little sugar. Do not use hot water on the scrotum. Pour cold water while bathing. Continue all for three months and revert back later. For more information consult an ayurveda specialist online -->