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How to treat Prostrate Enlargement
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Geriatrics & Rejuvenation
Question #26000
61 days ago
234

How to treat Prostrate Enlargement - #26000

Ganesh

I am 65 years old. I have Prostrate enlargement. Because of Glaucoma I am not taking Allopathic Medicines because it increases my Eye pressure, so I am taking Ayurvedic Medicines, though it reduced the symptoms the size of the prostrate is not reducing. Is there a Permanent treatment for Prostrate enlargement in Ayurveda and what is the duration of treatment. Because I am taking Ayurvedic product for almost four years.

Age: 65
Chronic illnesses: Blood Pressure.
300 INR (~3.51 USD)
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Doctors’ responses

Dr. Sumi. S
I am a dedicated Ayurvedic physician with specialized expertise in Shalakya Tantra, focusing on the diagnosis and management of disorders affecting the Netra (eyes), Karna (ears), Nasa (nose), Mukha (oral cavity), Danta (teeth), and Shira (head and ENT region). My training and clinical experience have equipped me to treat a wide range of conditions such as Netra Abhishyanda (conjunctivitis), Timira and Kacha (early and advanced cataract), Adhimantha (glaucoma), Karna Srava (ear discharge), Karna Nada (tinnitus), Pratishyaya (chronic rhinitis and sinusitis), Mukhapaka (oral ulcers), Dantaharsha (dental sensitivity), and Shirashoola (headache and migraine). I routinely incorporate classical Ayurvedic therapeutic techniques like Kriya Kalpas, Nasya, Tarpana, Aschyotana, Karna Purana, Gandusha, Pratisarana, and Dhoomapana, along with internal Rasayana and Shamana therapies, ensuring treatments are both effective and tailored to each patient’s prakriti and condition. Beyond my specialization, I bring over two years of clinical experience managing multi-systemic disorders. My approach blends classical Ayurvedic principles with a sound understanding of modern diagnostics and pathology, allowing me to handle cases related to metabolic disorders (such as diabetes, hypothyroidism, and PCOS), musculoskeletal issues (like arthritis and back pain), gastrointestinal disorders, skin conditions, and women’s health concerns, including infertility and hormonal imbalance. I believe in evidence-informed practice, patient education, and holistic healing. My focus is always on delivering compassionate care that empowers patients to actively participate in their health journey. Through continuous learning and clinical research, I remain committed to upholding the timeless wisdom of Ayurveda in a way that aligns with today’s healthcare needs.
61 days ago
5

Thank you for explaining your condition in detail Ganesh. At 65 years of age, managing Benign Prostatic Hyperplasia (BPH), especially with coexisting glaucoma, requires careful and safe long-term planning. You’ve already taken an important step by turning to Ayurveda to avoid medications that could worsen intraocular pressure.

Recommended investigations: 1.Ultrasound KUB (Kidney, Ureter, Bladder) with post-void residual urine (PVR)

Prostate size (Volume in cc/ml) – to track if it has enlarged further

Serum PSA (Prostate Specific Antigen) – to rule out malignancy

Urine routine and culture – to detect any infection or residual bladder irritation

Uroflowmetry – to assess flow rate and bladder emptying

Blood sugar and creatinine – general check on metabolic health

Internal medicine: Here is a carefully selected list of safe Ayurvedic medicines that you can take considering glaucoma and your age: 1. Varunadi kashayam - 15 ml kashayam with 30ml of warm water half an hour before food twice daily.

2. Kanchanara guggulu 2-0-2 along with kashayam

3. Chandraprabha vati 2-0-2 after food with warm water Diet & Lifestyle Tips

Avoid curd, cold water, sour foods, red meat, and fried food

Include warm water, barley water, horse gram soup, bottle gourd, ash gourd

Sit in Vajrasana after meals for pelvic tone

Avoid holding urine, long sitting hours.

May your recovery be quick and your health fully restored. Please don’t hesitate to reach out for further guidance. With kind regards, Dr. Sumi

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Addressing prostrate enlargement through Ayurveda involves a comprehensive approach aiming to balance the doshas, especially Vata and Pitta, which are often implicated in such conditions. It’s essential to focus on herbal therapies, lifestyle modifications, and dietary adjustments, but knowing that a ‘permanent’ treatment might be misleading as the body’s response to therapy can vary widely among individuals.

Firstly, a crucial aspect to consider is your digestive fire, or agni. Weak agni may inhibit the absorption and effectiveness of Ayurvedic herbs. Ensuring your digestion is strong involves eating warm, cooked meals, spices like ginger and cumin can be helpful here. Avoiding heavy, oily, or excessively spicy foods that may aggravate your condition is beneficial.

Herbal formulations such as Gokshura (Tribulus terrestris), Punarnava (Boerhaavia diffusa), and Shatavari (Asparagus racemosus) are traditionally used in Ayurvedic practice for prostate health. Their diuretic and anti-inflammatory properties support urinary function and potentially help manage the size of the prostate. However, precise formulations should be tailored to your individual constitution and symptoms, a qualified Ayurvedic physician should guide this process.

Practicing stress reduction techniques such as meditation, pranayama, or gentle yoga can support your health alongside herbal treatments. Spending some minutes each day focusing on slow, deep breathing or gentle stretches can help calm the mind and support overall well-being.

But it’s worth mentioning that Ayurveda, while effective for many, may not always lead to drastic reductions in prostate size, especially if significant accumulation of tissue is present. The duration of treatment is highly individual, differing not only due to unique Ayurvedic constitutions but influenced by lifestyle adherence, dietary habits, and stress management. It can take several months to notice significant changes, but ongoing improvement in symptoms should be a goal.

Regular check-ups with a healthcare provider remain imperative to monitor the condition’s progress, considering the long-term nature of the treatments involved. If there’s no improvement over such extensive time, it might equally be wise to seek a second opinion or re-evaluate the current therapy to explore alternatives better suited to your overall health.

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Dr. Yesha Vyas Shah
I have been practicing Ayurveda since 2010, with a deep commitment to holistic healing and patient-centered care. My journey in the field began as a Medical Officer at Gareja PHC in Porbandar, Gujarat (2006–2008), where I gained valuable grassroots-level clinical experience. In 2008, I expanded my perspective by working as an Ayurvedic Consultant in Berlin, Germany, which enriched my understanding of global wellness expectations and integrative approaches. Since 2010, I have been serving as a Senior Ayurvedic Consultant at Aarsh Ayurveda Health Care in Porbandar. My core areas of expertise include classical Panchakarma therapies, Ayurvedic weight management, nutrition counseling, and Ayurvedic cosmetology. I have been managing Ayurvedic weight and lifestyle interventions since 2012 and have been practicing Ayurvedic cosmetology, including herbal skin and hair therapies, since 2015. I am known for being a patient listener and for forming strong, compassionate connections with those I treat. I believe that healing starts with being understood, and my consultative approach reflects this principle. My practice integrates traditional Ayurvedic wisdom with a personalized plan that suits the unique prakriti (constitution) and needs of each individual. Currently, I am in the process of launching a dedicated Garbh Sanskar Centre, where expectant mothers can benefit from Ayurvedic prenatal care, emotional well-being programs, and classical rituals designed to support healthy conception, pregnancy, and fetal development. With over a decade of diverse Ayurvedic practice, I strive to offer authentic, evidence-rooted care in a modern context. I aim to empower my patients with lifestyle changes, preventive care, and deep-rooted healing techniques that foster long-term wellness.
61 days ago
5

Prostate is age related problem. Enlarged prostate is most common problem after age of 55. It can be managed well by Ayurvedic medicines and some dietary guidelines.

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Gokahuradi guggulu- Chandraprabha vati- 1 tab twice daily after food with lukewarm water

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For enlarged prostate you can take Vriddhivadhika vati 1-0-1 after food with water Chandraprabha vati 1-0-1 after food with water Kanchanar guggul 1-0-1 after food with water Try doing kegel exercises Follow up after 45 days.

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Namaste Ganesh ji, Thank you for sharing your concern. Your condition Benign Prostatic Hyperplasia (BPH) along with Glaucoma and I can completely understand the challenge of avoiding allopathic medications that may worsen eye pressure. But dont worry we are here to help you out😊

Why Has Your Prostate Not Reduced in Size after taking medication?

You have used Ayurvedic products for 4 years and symptoms are controlled but the size hasn’t reduced. That’s common because: 1. Many Ayurvedic products only control symptoms not reverse glandular hyperplasia 2. Deep Apana Vata correction is needed along with it Rasa-Rakta Dhatu rejuvenation is essential for structural shrinkage 3. Dosage, Anupan and combinations often need to be customized to work effectively

Ayurvedic Treatment Plan for BPH (Prostate Enlargement)

1. Varunadi Kashayam 15 ml + 45 ml warm water before food twice daily (Helps in reducing inflammation, clearing obstruction)

2. Kanchanara Guggulu 2-0-2 tabs twice daily after food Acts directly on glandular swellings and shotha One of the best medicines to shrink benign masses

3. Chandraprabha Vati + Gokshuradi Guggulu Chandraprabha: 2 -0-2 twice daily after food Gokshuradi: 1 -0-1 twice daily Improves urine flow, reduces frequency, relieves dribbling

This medications are safe for glaucoma so no need to worry

**External Panchakarma therapy If you can visit a Panchakarma center: Basti therapy (Asthapana + Anuvasana) with Gokshura, Dashamoola taila will be beneficial

**Diet & Lifestyle Tips

✅ Include Barley water (morning and evening) Cooked ridge gourd, bottle gourd, pumpkin Ghee with warm rice or wheat roti – supports Apana Vata Pomegranate, pear, soaked raisins

❌ Avoid:

Excess tea/coffee, alcohol Long sitting without breaks Spicy, fried, sour foods Holding urge to urinate

✅ Is There a Permanent Treatment?

Yes, Ayurveda can help reduce prostate size, especially in early or moderate stages. But it needs to be consistent with regular followup

Warm Regards Dr Snehal Vidhate

509 answered questions
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HELLO GANESH,

In Ayurveda, prostate enlargement aligns most closely with -Vatasthila= a disease characterised by a stone- like obstruction in the urinary passage caused by vitiated Apana vata. -Mutraghata= a group of disorders involving retention or difficulty in urination -Ashthila= describes a hard swelling in the pelvic region obstruction urine flow

DOSHA INVOLVEMENT

VATA= main dosha, especially Apana vata- responsible for elimination (urine, stool, semen) KAPHA= contributes to tissue overgrowth and obstruction PITTA= may lead to inflammation or burning during urination

Ayurvedic diagnosis CAUSATIVE FACTORS= aging, sedentary lifestyle, suppresion of urges, faulty diet DOSHA VITIATION= primarily vata, secondarily kapha AFFECTED TISSUES= mainly fat, muscle, glandular tissue SROTORODHA= blockage in the mutravaha srotas(urinary channels)

TREATMENT GOAL -pacify vata and kapha - shrink or reduce the size of the prostate - improve urine flow and relieve urinary symptoms - avoid side effects and support eye health-especially important in glaucoma

INTERNAL MEDICINES

1) CHANDRAPRABHA VATI= 2 tabs twice daily after meals with warm water =diuretic, anti inflammatory, rejuvinatize, balances all three doshas

2) KANCHANAR GUGGULU= 2 tabs twice daily after meals = scraping, anti-inflammatory, specifically indicated in glandular enlargement including thyroid and prostate

3) VARUNADI KASHAYA= 20 ml with equal water twice daily before meals = diuretic, anti-inflammatory , reduces glandular swelling

4) GOKSHURA CAPSULES= 1 cap twice daily after meals = mutrala, anti-inflammatory

5) PUNARNAVA MANDUR= 2 tabs twice daily after meal =used to treat water retention, inflammation, and urinary obstruction

6) SHILAJIT RESIN= 500mg in morning with milk = rejuvinator, improves stamina, and strengthen the urinary tract

PANCHAKARMA= IF FEASIBLE GO FOR THIS AT NEABY CENRE

1) BASTI(medicated enema)= most effective treatment 2)UTTARA BASTI= highly effective

ONCE THE CONDITION IS STABILIZE START THIS REJUVINATION THERAPY -ASHWAGANDHA RASAYANA= supports aging prostate tissues -AMALAKI RASAYANA= delays aging related degeneration

DIET -warm, cooked, moist foods -barley, rice, moong dal - ash gourd, bottle gourd, pumpkin -ghee, sesame oil - spices- cumin, fennel, coriander

AVOID -dry, cold, stale foods - spicy, oily, fermented foods - red meat, cheese, fried snacks - suppression of natural urges

LIFESTYLE -practice moola bandha= pelvic floor strenthening - avoid long sitting- get up and walk every 45-60 minutes -mild walking/ yoga daily improves apana vata circulation -no smoking/alcohol

yes, ayurveda offers long term management plan for prostate enlargement with potential for symptom relief and size control.

It is not always a “quick cure” but with proper panchakarma + internal medicine+ rejuvination, sustainable relief is achievable even without allopathy.

DO FOLLOW CONSISTENTLY FOR 3-6 MONTHS

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Dr. Hemanshu Mehta
I’m Dr. Hemanshu, a second-year MD scholar specializing in Shalya Tantra (Ayurvedic Surgery), with a focused interest in para-surgical interventions such as Agnikarma, Viddhakarma, and Kshara Karma. My academic and clinical journey is rooted in classical Ayurvedic surgical wisdom, complemented by a modern understanding of patient care and evidence-based approaches. With hands-on training and experience in managing chronic pain conditions, musculoskeletal disorders, hemorrhoids, fistula, and other ano-rectal conditions, I provide treatments that emphasize both relief and long-term wellness. I am deeply committed to offering individualized treatment plans that align with the patient’s prakriti (constitution), disease progression, and lifestyle factors. I believe healing is not limited to procedures alone; it also requires compassion, communication, and continuity of care. That’s why I ensure each patient receives personalized guidance—from diagnosis and therapy to post-treatment care and preventive strategies. I also incorporate Ayurvedic principles like Ahara (diet), Vihara (lifestyle), and Satvavajaya (mental well-being) to promote complete healing and not just symptomatic relief. Whether it's managing complex surgical cases or advising on conservative Ayurvedic therapies, my goal is to restore balance and improve the quality of life through authentic, safe, and holistic care. As I continue to deepen my clinical knowledge and surgical acumen, I remain dedicated to evolving as a well-rounded Ayurvedic practitioner who integrates traditional practices with modern sensibilities.
57 days ago
5

HELLO GANESH,

In Ayurveda, BPH is commonly associated with “Vata dosha” imbalance, especially Apana vata , which governs elimination and reproductive function. It may also involve Kapha dosha leading to glandular enlargement and obstruction.

-Mutraghata=urinary obstruction -Asthila= a firm swelling obstructing urine flow

GOALS OF TREATMENT

1) REDUCE SYMPTOMS= difficulty in urination, frequency, incomplete voiding 2) Slow or reverse prostate growth 3) Prevent complications like retention, infection 4) Support urinary and reproductive health

AYURVEDIC MANAGEMENT PLAN

1) INTERNAL MEDICATIONS

-SHILAPRAVANG SPECIAL= 1 tab twice daily after meals with warm water = good for strength and prostate support

-HIMPLASIA BY HIMALAYA= 1 tab twice daily after meals =helps reduce prostate size and symptoms

-PROSTOVIN= 1 tab twice daily after meals =best for prostate enlargement

-KANCHANAR GUGGULU= 2 tab twice daily before meals with warm water =especially good for glandular swelling

-GOKSHURADI GUGGULU= 2 tabs twice daily after meals =diuretic, anti inflammatory

EAT PUMPKIN SEEDS daily 1 tbsp Barley water 2 cups twice daily warm sesame oil abdomen massage daily before bath amla juice once 15 ml daily in morning empty stomach

2) PANCHAKARMA ADVISED -basti=medicated enema -abhyanga and swedana - uttar basti= highly effective

3) DIET AND LIFESTYLE

RECOMMENDED -warm, light, easily digestible food - barley, horse gram, gourd vegetables - cows milk -plenty of warm water - pumpkin seeds=zinc rich, helps prostate - moderate walking, yoga

AVOID -cold,heavy, oily and processed food -excessive salt, spicy or sour foods -alcohol, smoking - prolonged sitting without movement - constipation = worsens vata and prostate pressure

4) YOGA AND PRANAYAM

ASANAS -vajrasana -bhujangasana -baddha konasana - malasana

PRANAYAM -anulom-vilom -bhramari

DURATION OF TREATMENT

Initial symptoms relief= 1-3 months size reduction and tissue rejuvination= often takes 6-12 months or longer maintenance therapy= required in chronic cases

INVESTIGATIONS REQUIRED -ultrasound of prostate=to assess size, post void residual -urine flow test=uroflowmetry - serum PSA to rule out prostate cancer -check blood pressure regularly

THANK YOU

DR. HEMANSHU MEHTA

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I am Dr. Hemanshu—right now a 2nd year MD scholar in Shalya Tantra, which basically means I’m training deep into the surgical side of Ayurveda. Not just cutting and stitching, btw, but the whole spectrum of para-surgical tools like Agnikarma, Viddhakarma, and Kshara Karma... these aren’t just traditional, they’re super precise when done right. I’m not saying I know everything yet (still learning every day honestly), but I do have solid exposure in handling chronic pain issues, muscle-joint disorders, and anorectal conditions like piles, fissures, fistulas—especially where modern treatments fall short or the patient’s tired of going through loops. During clinical rounds, I’ve seen how even simple Kshara application or well-timed Agnikarma can ease stuff like tennis elbow or planter fasciatis, fast. But more than the technique, I feel the key is figuring what matches the patient’s constitution n lifestyle... like one-size-never-fits-all here. I try to go beyond the complaint—looking into their ahar, sleep, stress levels, digestion, and just how they feel in general. That part gets missed often. I honestly believe healing isn’t just a “procedure done” kind of thing. I try not to rush—spend time on pre-procedure prep, post-care advice, what diet might help the tissue rebuild faster, whether they’re mentally up for it too. And no, I don’t ignore pathology reports either—modern diagnostic tools help me stay grounded while applying ancient methods. It’s not this vs that, it’s both, when needed. My aim, tbh, is to become the kind of Ayurvedic surgeon who doesn't just do the work but understands why that karma or technique is needed at that point in time. Every case teaches me something new, and that curiosity keeps me moving.
5
148 reviews
Dr. Anjali Sehrawat
I am Dr. Anjali Sehrawat. Graduated BAMS from National College of Ayurveda & Hospital, Barwala (Hisar) in 2023—and right now I'm doing my residency, learning a lot everyday under senior clinicians who’ve been in the field way longer than me. It’s kind of intense but also really grounding. Like, it makes you pause before assuming anything about a patient. During my UG and clinical rotations, I got good hands-on exposure... not just in diagnosing through Ayurvedic nidan but also understanding where and when Allopathic tools (like lab reports or acute interventions) help fill the gap. I really believe that if you *actually* want to heal someone, you gotta see the whole picture—Ayurveda gives you that depth, but you also need to know when modern input is useful, right? I’m more interested in chronic & lifestyle disorders—stuff like metabolic imbalances, stress-linked issues, digestive problems that linger and slowly pull energy down. I don’t rush into giving churnas or kashayams just bcz the texts say so... I try to see what fits the patient’s prakriti, daily habits, emotional pattern etc. It’s not textbook-perfect every time, but that’s where the real skill grows I guess. I do a lot of thinking abt cause vs symptom—sometimes it's not the problem you see that actually needs solving first. What I care about most is making sure the treatment is safe, ethical, practical, and honest. No overpromising, no pushing meds that don’t fit. And I’m always reading or discussing sth—old Samhitas or recent journals, depends what the case demands. My goal really is to build a practice where people feel seen & understood, not just “managed.” That's where healing actually begins, right?
5
44 reviews
Dr. Narendrakumar V Mishra
I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.
5
536 reviews
Dr. Manjula
I am an Ayurveda practitioner who’s honestly kind of obsessed with understanding what really caused someone’s illness—not just what hurts, but why it started in the first place. I work through Prakruti-Vikruti pareeksha, tongue analysis, lifestyle patterns, digestion history—little things most ppl skip over, but Ayurveda doesn’t. I look at the whole system and how it’s interacting with the world around it. Not just, like, “you have acidity, take this churna.” My main focus is on balancing doshas—Vata, Pitta, Kapha—not in a copy-paste way, but in a very personalized, live-and-evolving format. Because sometimes someone looks like a Pitta imbalance but actually it's their aggravated Vata stirring it up... it’s layered. I use herbal medicine, ahar-vihar (diet + daily routine), lifestyle modifications and also just plain conversations with the patient to bring the mind and body back to a rhythm. When that happens—healing starts showing up, gradually but strongly. I work with chronic conditions, gut imbalances, seasonal allergies, emotional stress patterns, even people who just “don’t feel right” anymore but don’t have a name for it. Prevention is also a huge part of what I do—Ayurveda isn’t just for after you fall sick. Helping someone stay aligned, even when nothing feels urgent, is maybe the most powerful part of this science. My entire practice is rooted in classical Ayurvedic texts—Charaka, Sushruta, Ashtanga Hridayam—and I try to stay true to the system, but I also speak to people where they’re at. That means making the treatments doable in real life. No fancy lists of herbs no one can find. No shloka lectures unless someone wants them. Just real healing using real logic and intuition together. I care about precision in diagnosis. I don’t rush that part. I take time. Because one wrong assumption and you’re treating the shadow, not the source. And that’s what I try to avoid. My goal isn’t temporary relief—it’s to teach the body how to not need constant fixing. When someone walks away lighter, clearer, more in tune with their system—that’s the actual win.
5
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