How to treat a enlarged Prostrate - #26076
I am having problems with my prostrate , waking up in the night to use the restroom. Pain in my lower back sometimes, feeling tired. High PSA , Hard MRI didn't show any majorlessons . Need help with this been taking supplements turmeric, nitrous oxide,
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Doctors’ responses
Your condition aligns with “Vataja Mutraghata” and “Ashtheela” as per Ayurvedic texts—conditions involving obstructed urine flow and an enlarged gland in the pelvic region. The root cause lies in the vitiation of Apana Vata, the sub-dosha responsible for pelvic function. When Apana Vata becomes disturbed due to age, stress, irregular habits, or excessive dryness, it leads to tissue stiffness, inflammation, and pressure in the urinary passage.
This also explains:
Nocturia (frequent night urination) – due to Vata pushing urine irregularly Lower back pain + tiredness – linked to Vata imbalance and pelvic nerve tension Elevated PSA – inflammatory markers rising due to congestion, even if no cancer is seen Turmeric and nitric oxide supplements are helpful but insufficient alone at this stage. You need Vata-pacifying, anti-inflammatory, and urinary clearing herbs with supportive therapies.
✅ 2. Ayurvedic Prescription (6–8 Weeks) Internal Medicines:
Varunadi Kashayam – 15 ml + 45 ml warm water twice daily before food Chandraprabha Vati – 2 tablets twice daily after food Gokshuradi Guggulu – 2 tablets twice daily after food Punarnavadi Mandoor – 1 tablet twice daily (to relieve inflammation and back pain) Shilajit Vati (Plain) – 1 tablet morning with milk or warm water (for strength and prostate toning) These work by reducing inflammation, regulating urine flow, and softening the enlarged tissue. Shilajit and Guggulu are time-tested Rasayanas for age-related Vata conditions. 🧴 External Therapy (If available near you) Kati Basti with warm Sahacharadi taila or Mahanarayana taila – over the lower back and sacrum, 5–7 sessions Gentle abhyanga (oil massage) of lower abdomen and thighs + steam therapy Basti therapy (medicated oil enema with Balashwagandhadi taila or Narayana taila) – only under Ayurvedic doctor supervision 🍲 Diet & Lifestyle Tips: Drink warm cumin + coriander seed water throughout the day Avoid cold water, curd, fermented food, red meat, and processed food Take early dinners and avoid fluid intake after 8 PM Use ghee, ash gourd, pumpkin, and barley in the diet Gentle yoga stretches: Supta Baddha Konasana, Makarasana, and Apanasana Sleep before 10:30 PM to help Apana Vata reset naturally 🧪 Optional Investigations (If not done recently): PSA (Free and Total), Testosterone (Total and Free) Serum Creatinine, Urine Culture Vitamin D3, B12 Pelvic floor ultrasound (if frequent urgency continues) 🌼 Final Note: You’re still in a very manageable stage. Ayurveda offers excellent long-term relief for prostate inflammation and enlargement by rejuvenating the pelvic tissues, pacifying Apana Vata, and improving urine flow naturally.
If you start this approach now, you can prevent worsening, reduce PSA levels naturally, and improve sleep and energy.
If you have any doubts, you can contact me. Take care, Regards, Dr. Karthika
Prostate enlargement, or benign prostatic hyperplasia (BPH), is a common issue in aging men. From an Ayurvedic perspective, this condition could be linked to an imbalance in the body’s doshas, primarily Vata and Pitta, affecting the mutravaha srotas (urinary channels). Addressing this involves dietary changes, lifestyle adjustments, and herbs.
Firstly, diet. It’s important to reduce intake of foods that aggravate Pitta and Vata doshas, such as spicy, acidic, and processed foods. Eat more warm, cooked meals that include whole grains, vegetables like pumpkin and asparagus, and healthy fats such as ghee. Include fruits like pomegranates, which are tridoshic, helping to balance all three doshas. Staying hydrated with lukewarm water is beneficial.
Herbs play a crucial role in management. Gokshura (Tribulus terrestris) is an effective herb for urinary issues, promoting a healthy urinary tract. Saw Palmetto can be used as it’s known for supporting prostate health. Punarva (Boerhaavia diffusa) may help reduce inflammation.
Lifestyle changes include regular physical activity to improve circulation, and yoga postures like Malasana and Supta Baddha Konasana can be specifically beneficial. Maintain a regular sleep schedule to manage tiredness and stress levels, as they can further disrupt doshic balance.
Practicing Pranayama, like Anulom Vilom, can help reduce stress and support prostate function. It’s important to regulate bowel movements because constipation can worsen prostate symptoms. Take triphala at night in warm water to support digestion and regularity.
Keep monitoring your condition, and if symptoms persist, seek consultation for customized guidance. Note: if you experience severe symptoms like urine retention or escalating pain, it’s crucial to seek immediate medical attention to rule out complications. Ayurvedic remedies are supportive but should not replace necessary conventional treatments.
With symptoms like frequent urination at night, lower back pain, and high PSA, it’s essential to address possible underlying imbalances within your system. In Siddha-Ayurvedic terms, these may reflect a vitiation in the Vata dosha, impacting the urinary and reproductive systems. It’s important to prioritize any recommendations from your healthcare provider, but here’s how Ayurveda might complement your efforts.
First, ensure your diet and lifestyle align with a Vata-pacifying regimen: emphasize warm, moist, and easy-to-digest foods, incorporating good fats from ghee or sesame oil. Avoid cold, raw, or overly dry foods, which can aggravate Vata. Drinking warm fluids throughout the day can help to maintain an appropriate balance of Agni, the digestive fire, essential for restoration.
Daily oil massages with warm sesame or brahmi oil might provide relief for back pain by supporting circulation and opening up the nadis, the body’s energy pathways. Practicing gentle yoga and pranayama focused on grounding and rhythmic breathing can help stabilize Vata.
To enhance urinary function, consider Sathavari and Varuna herbs, known for promoting bladder health and balancing fluid retention. However, make sure to consult a qualified Ayurvedic practitioner before starting any herbal regime to tailor advice to your specific constitution and current condition.
Lastly, though it’s beneficial to continue focusing on natural supplements like turmeric, bear in mind all treatments should be part of a broader, integrative approach. If any new or worsening symptoms arise, please seek immediate medical attention to ensure that any serious conditions are ruled out or managed appropriately.
Don’t worry Stephen, Please share your reports for further advice and treatment…

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