Chronic scrotal or testis pain remains one of the more challenging urological problems to manage. This is a frustrating disorder to diagnose and effectively treat both the patient and practitioners. The testicles are a susceptible part of men’s bodies, so any minor injury can cause pain or discomfort. This testis pain can be dull, acute, chronic, sharp, which will result in soreness and discomfort.
The cause of scrotal or testis pain includes hernia, trauma, cancer, and prostatitis. Problems in the testicles usually cause abdominal pain and discomfort initially in the groin region before testicular pain. It is not good to ignore the pain in the scrotum, as it might be due to some serious underlying condition, which can cause irreversible damage to the testicles and scrotum. With the help of home remedies, you can do testis pain treatment at home.
Causes of Testicular Pain
Testicular pain can be caused due to various reasons that may vary from one person to another. The testicles are a very sensitive part of the body, and even a minor injury can cause testicle pain or discomfort. The common causes of testicular pain include:
Epididymitis – It means inflammation of the epididymis, which holds the testicles that store sperm. It makes the scrotum red, swollen and causes one-sided testicular pain, which increases gradually. It is commonly caused because of sexually transmitted diseases (STDs).
Testicular Torsion – It occurs when the testicles rotate, causing the spermatic cord, which brings blood to the scrotum to twist. This twist cuts off the blood supply to the testicles and results in sudden pain and swelling.
Trauma – Any injury during exercise, fighting, an accident, or playing sports can cause testicular pain. Discoloration and swelling of the testicle can be the result of a blunt or sharp injury.
Inguinal Hernias – It is a condition where a part of the intestines protrudes through the groin area and slides into the scrotum, leading to swelling and testicular discomfort.
Orchitis – Inflammation of the testicles is called orchitis. It is caused by either bacteria or viruses and is commonly associated with childhood mumps and STDs. It causes tenderness in the scrotum, painful and burning urination, inflamed scrotum, and enlarged prostate.
Urinary Tract Infection (UTI) – UTI in men causes painful and burning micturition, pain in the lower abdomen and groin, frequent urination, along with blood in the urine.
Spermatocele – It is also called a spermatic or epididymal cyst, a benign cyst that occurs near the testicle. It is not visual but can be felt physically. It does not cause any symptoms early, but as the cyst grows with time, it causes pain and discomfort.
Kidney Stones – Stones in the kidneys may cause referred pain in the bladder, urethra, and scrotum.
Undescended Testicles – In this condition, one or both testicles fail to drop into the scrotum. So an undescended testicle might get twisted and stop the blood supply of the testis, thus causing pain.
Testicular Cancer – Testicular cancer usually does not cause any pain or discomfort. However, in cases where cancer grows rapidly, it might cause pain and inflammation in the scrotum.
Diabetic Neuropathy – It causes damage to the nerves of the scrotum and produces pain.
Symptoms Of Testicular Pain
It is a pain that mostly occurs in the left testicle, and in some cases, it can be on both testicles. Sometimes the pain originates from a different region of the abdomen or groin area, and then spasms can be felt in the testicles. Some other associated symptoms of testicular pain include –
- Tenderness and swelling of the testicles
- Redness on testis and groin region
- Pain during sex
- Blood in urine
- Blood in semen
- Nausea and vomiting
- Pain on ejaculation
- Pain during urination
Diagnosis methods of testis pain
To diagnose the underlying causes for the testis pain, the doctor will ask for a complete history of pain or illness. After that doctor might suggest you some tests which include:
- Blood tests
- Urethral swab (for sexually transmitted diseases)
- USG of the abdomen, pelvis, and scrotum
- Nuclear scan
Ayurvedic Treatment Plan for Testis Pain
Management of Testicular pain and swelling is done by giving adequate rest to the patient. Ayurveda considers controlling the symptoms through subduing the vitiated Vata, which causes pain by Sodhan (Purification) and Shaman (Pacification). Panchkarma procedures like the Basti karma (Purgation) and Leech therapy are also considered the best way to manage excess Vata, thus reducing pain.
Shodhan therapy includes Purva Karma like Langhana, Deepana, Pachana, and Snehapana that are followed in panchakarma treatment. For this, 50 ml of Eranda/Arandi Taila (castor oil) has to be administered for Koshtha-Shuddhi Virechan (purgation) along with warm water, and the patient should report at least six Vegas (passed stools six times) during that time. It is advised to take a light semi-solid diet (Peya or Yush) and avoid any type of exertion for three days after Sodhan therapy.
Shamana therapy is also known as pacification therapy. It includes Ayurvedic herbs and herbo-mineral formulations to pacify the aggravated doshas and to maintain their balance state. Shamana therapy drugs include:
- Punarnavadyaristha – 2 tsp three times a day
- Chandraprabha Vati – 1 tablet twice daily after food with water
- Abhrak Bhasma – 1 pinch with milk once daily after food
- Arogyavardhini Vati – 1 tab twice daily after food with water
Diet modifications include the food that you should eat and food that you should not eat. Proper diet is the best medicine for testis pain. In Ayurveda, they are categorized as Pathya and Apathya. You are recommended to adopt these diet modifications in your daily life for treating testis pain.
Food that you should eat includes buttermilk, radish, brown rice, horse gram, ginger, garlic, long pepper, pomegranate, sour fruits, Jaggery, ghee, soup, milk, dairy products, hot water, green vegetables, and salads.
Food that you should avoid includes astringent foods, spicy, savory, salty foods, dry foods, along with foods that increase Vata dosha, indigestion such as meat. Also avoid food made of refined flour, dry fruits, contaminated, cold, and stored foods.
Along with the diet modifications, Ayurvedic treatment for testis pain also suggests some lifestyle changes. These lifestyle changes will not only help you to get rid of testis pain but also help to improve your overall health. Here are the lifestyle changes you should consider:
- Follow a systematic daily way of life (Dincharya) that includes appropriate sleeping as well as waking patterns, good quality sleep, mild Yoga, and Pranayamas
- Avoid anxiety and stress
- Avoid performing excessive exercises
- Avoid suppression of urges (vegavidharan)
- Avoid day sleeping
- Avoid excessive exposure to heat or sun
- Avoid excessive indulgence in sex
- Avoid alcohol and smoking
- Stay hydrated and drink plenty of water
- Avoid unprotected sexual intercourse
- Use condoms and practice safe sex to prevent STDs
- Self-examine your testicles to look for any lumps or changes every month
- Avoid lifting heavy objects and doing excessive exercises; it might aggravate pain
- Apply ice to reduce swelling and redness.
- Avoid stretching and strengthening of pelvic, and groin muscles; it causes spasms
Some Home Remedies for the Treatment of Testicular Pain
Along with the therapies you can also consider some home remedies for testis pain. It is quite easy to prepare them and they also give long-lasting results. The home remedies for testicular pain include:
- Take leaves of Danti, Chitraka, and Palash, fry them in ghee, mix with curd, and have it with your food.
- Take 1/2 tsp of Sunthi (Dry Ginger) powder and 1 tsp of coriander (Dhanaya) powder, boil them in a glass of water, and reduce them to half. Drink this Kwath or decoction two times a day to relieve inflammation or pain.
- Take Haritaki (10 gm), Kalmegh (10 gm), Coriander (10 gm), Clove (15 gm), and candy sugar powder (120) gm, mix all powders, and add honey to it to make it semisolid. Have it 2 gm two times daily, and gradually increase to 5 gm each time. You can Chew and suck the paste and drink water or can take it with milk.
- Crush drumstick leaves, and boil along with castor oil. Take the boiled leaves, crush them, tie on the swollen part overnight, and remove them early in the morning. This remedy gradually subsides swelling and pain.
- Take Nirgundi leaves, and tie them on the affected area overnight. Nirgundi has properties like anti analgesics and anti-inflammatory which reduce pain as well as swelling.
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It is evident that the treatment approach based on Ayurvedic principles can produce encouraging results in the management of Testis pain and swelling. Though there is no clear evidence of testis pain in the Ayurvedic texts, still with the help of Ayurvedic basics in various contexts, once the nature of the disease is understood, it is easy to get the available Ayurvedic Medicine For Testis Pain options and compile them.