Question #26000
21 days ago
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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.
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Doctors’ responses
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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Don't worry..
Please share your test reports for further advice and treatment..
Which ayurvedic medicines had you taken?
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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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Tab.Fortege
2-0-2
Cap.Ural BPH
2-0-2
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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
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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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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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