Diet For Prostate Enlargement & its Ayurvedic Treatment

ABSTRACT

The prostate is the small gland of the male reproductive system and helps ejaculate the semen (whitish grey) colour fluid from Penis. This whitish-grey colour fluid contains various enzymes, zinc and Citric acid which help in nourishing the sperm cells and lubricating the urethra. The prostate has 5 lobes- Anterior, Posterior, 2 lateral lobes and 1 lobe on the median side. Commonly, the prostate is Walnut size, but after the age of 40, it grows to the size of Lemon. The prostate is present in front of the rectum, the urethra runs from the centre to the prostate from the bladder to the penis for letting urine out of the body. In this article, we are going to discuss the various alternative treatments and various herbal remedies for Prostate Enlargement in detail.

INTRODUCTION

Benign Prostatic hyperplasia (BPH) causes the prostate to increase in size and it is a non-cancerous enlargement of the prostate gland which is most commonly found in Men between the age of 51-60 years. When the age of the man increases, The presence of the hormone dihydrotestosterone causes the prostate’s cells to multiply. This results in prostate enlargement; this condition is called benign prostatic hyperplasia, or BPH. As a man ages, his prostate goes through two key growth phases. The first happens when the prostate doubles in size early in adolescence. Around age 25, a man enters the second stage of growth, which lasts for the majority of his life. The second growth phase is frequently associated with benign prostatic hyperplasia.

ETIOPATHOGENESIS OF PROSTATE

There are two theories which explain Prostate Enlargement

1. Hormonal Theory
• The serum testosterone level slows down with the decrease in age.
• The principal hormone which acts on the prostate gland is Testosterone which is secreted by the Leydig Cells Of the Testis which controls the Luteinizing hormone.
• The enzyme 5 Alpha-Reductase is present in a high concentration in the prostate gland.
• This converts the Testosterone to the 5-dihydrotestosterone (DHT).
• So in Old age, Oestrogen is increased which acts on the Hypothalamus and further decreases the secretion of LHRH. This results in Decreased LH which further decreases the testosterone level.
• So the disturbed ratio between DHT and Oestrogen is the main reason for BPH.
2. Neoplastic Theory

In this theory there is the proliferation of the prostate

• Fibrous
• Muscular and glandular forms of Fibroadenomas.

CAUSES OF ENLARGED PROSTATE?

• Normally men produce a large amount of Testosterone and a small amount of Estrogen but when the testosterone level in the blood decreases with a higher level of Estrogen it causes the hyperactivity of the substances which promotes the growth of prostate cells.
• DHT (Dihydrotestosterone) is responsible for the growth and development of the Prostate. In older Men, there is a high accumulation of DHT in the prostate which encourages the cells to continue.

SYMPTOMS OF ENLARGED PROSTATE

• Dribbling of Urine
• Difficult in passing Urine
• Urge Incontinence
• Nocturia
• Weak Stream to Pass Urine
• Inability to empty bladder
• Pain during micturition and sometimes bloody urine
• Frequent Urinary tract infection, Damage to Bladder Wall, stones in bladder.
• The colour of pee changes
• Foul smell in urine

DIFFERENTIAL DIAGNOSIS

• Urethral Stricture
• Acute Prostatitis
• Cancer of Prostate
• Calculi of Prostate

DIAGNOSIS

1. Basic Test
• Blood Tests
• Urine Tests
• PSA (Prostate-specific antigen)
2. Advanced Test
• Ultrasound
• Biopsy
• Urine Flow Test
• Urodynamics
• Cystourethroscopy

COMPLICATIONS OF ENLARGED PROSTATE

1. Retention Of Urine
2. Calculi of Bladder
3. Hematuria
4. Bladder instability

TREATMENT

1. Lifestyle Changes
• Reduce the consumption of fluids before bed
• Reduce and avoid diuretics, Caffeine-alcohol which increases the excretion and production of urine.
• Avoid the use of Antihistamines and decongestants which increases the retention.
2. Medications
• Alpha Blockers
• Phosphodiesterase inhibitors
• Anticholinergics
3. Surgery
• TURP (Transurethral resection of the Prostate)
• TUIP (Transurethral incision of the Prostate)
• Simple Prostatectomy

MINIMALLY INVASIVE TREATMENT

Laser Surgery- This is the procedure which is useful in destroying the tissue of the prostate for proper flow of urine. The various procedures are as follows- HOLEP (Holmium Laser Enucleation of the Prostate), PVP (Photovaporization of the Prostate) and UROLIFT (Prostatic Urethral Lift).

AYURVEDIC CONCEPT (the probable diagnosis)

In Ayurveda, Prostate Enlargement is known as Paurush Granthi. This can be correlated with Various other factors such as

• Mutraghata is made of two words – Mutra and Aghata which stands for Low urine output. This obstruction leads to disturbance in patients, Mutraghata contains 12 types, one has Vaatsteela which is due to vitiation of Vata doshas thus causing the enlargement of the Prostate gland. The vitiated Apana Vayu is present between Basti and Guda which forms the lobulated growth such as Asthila. This obstruction leads to swelling in the Basti (Bladder region) and Pain in Basti Pradesh (Urinary bladder). The swelling is movable.
• Mutra Granthi – This is the unmovable cyst swelling which is identical to Stone which is commonly seen at the opening of the bladder region and causes the obstruction of Urine.
• Mutrakricha – Urinary tract Obstruction.

This enlargement can be treated well with Ayurvedic herbs which work on the Prakriti and doshas of the body which is the basis of Ayurvedic medicine. The main goal of this Alternate treatment is to get rid of Impurities which reduces the symptoms and helps maintain the harmony of life. This natural treatment contains herbs including Oil and various common spices which are commonly useful in Ayurvedic treatment. Along with the treatment of Prostate Enlargement, Diet plays a very important role which helps to remove toxins and is helpful in people suffering from Prostate Enlargement.

THE VITIATION OF VATA AND APANA DOSHAS IS DUE TO

• Controls or Suppress the Urine
• Overindulgence in Sexual activities
• Old Age
• Indigestion
• Control the urge to Defecation
• Weakness
• Overexertion

SAMPRAPTI (PATHOGENESIS)

• Doshas- Vata (Apana) predominant tridoshas
• Dushya- Rakta, Mamsa, Mutra, Shukra
• Udbhava Sthana- Kostha
• Srotas- Mutravaha, Shukra Vaha
• Sroto Dushti- Sanga
• Roga Marga- Madhyama and Abhyantara
• Sadhayasadhyata- Kricha Sadhya

CHIKITSA

Vaatasthela is one of the subtypes of Mutraghata so the line of treatment involved is as follows

• Nidana Parivarjana
• Shodhana
• Shamana
• Shastra Pranidhana Chikitsa
• Rasayan
• Pathya-Apathya

HERBAL SUPPLEMENTS BY PLANET AYURVEDA FOR PROSTATE ENLARGEMENT

Planet Ayurveda is an FDA-recognized Ayurvedic company that produces various formulations in compliance with the principles given in the Ayurvedic Holistic System. It is well-known for having both ISO 9001:2015 and GMP certifications. These manufactured goods are made entirely of pure herbs, which have no harmful effects on human health and are free of preservatives or additions. To treat various health conditions, Planet Ayurveda offers these alternative herbal supplements in large quantities. For the treatment of Prostate Enlargement, Planet Ayurveda offers several supplements that are safe and effective. Planet Ayurveda provides a Prostate Care Pack which contains pure herbs which cause no side effects on the body as it has no addition of any chemicals or preservatives.

PRODUCTS LIST

1. Shilajit Capsules
2. Tribulus Power
3. Varunadi Vati
4. Kanchnaar Guggul

PRODUCTS DESCRIPTION

1.SHILAJIT CAPSULES

Shilajit Capsules are an herbal formula which is formulated by Planet Ayurveda using the standardised Extract of Shilajit (Asphaltum). This popular herb is known as Fountain of Youth which has anti-ageing properties. Shilajit is useful for shrinking the pile mass thus useful in increasing the flow of urine and is a wonderful remedy for BPH. Cures burning micturition and urinary tract infection decrease the level of PSA (prostate-specific antigen).

Dosage- 1-2 Capsules twice daily after meals with Plain water

2.TRIBULUS POWER

Tribulus Power is a capsule formulation which is made by Planet Ayurveda using the standardised extract of Gokshura (Tribulus terrestris). This helps improve the flow of urine and decreases the retention of urine. Maintains the health of the prostate and supports its proper functioning. Boosts energy and strengthens the penile tissue and has Aphrodisiac properties.

Dosage- 1-2 Capsules twice daily after meals with Plain Water

3.VARUNADI VATI

Varunadi Vati is a tablet formulation which consists of various ingredients such as Punarnava (Boerhavia diffusa), Gokshur (Tribulus terrestris), Shuddha Guggul (Commiphora mukul) and more. Varun helps balance the Vata Doshas thus decreasing the size of the Prostate gland. Has diuretic property which reduces frequent micturition and has many healing properties.

Dosage- 1-2 Tablets twice daily after meals with Plain water

4.KANCHNAAR GUGGUL

Kanchnaar Guggul is a tablet formulation which is prepared by Planet Ayurveda using Kanchnar Bark (Bauhinia variegata), Cardamom (Elettaria cardamomum), Tejapatra (Cinnamomum tamala) and more. Kanchnar has extracts of Triphala and Trikatu too which are rich in Vitamin C which relaxes the muscles of the prostate and improves the flow of urine. Promotes proper functioning and gets rid of various extra toxins from the body.

Dosage- 1-2 Tablets twice daily after meals with plain water.

DIET FOR PROSTATE ENLARGEMENT

Diet is one of the Tri-Upastambha (three pillars of life), as Aahar is the most important factor which is responsible for the growth and development of the human body. All Living and Nonliving beings consist of Panchmahabhuta- Earth (Prithvi), Water (Jal), Air (Vayu), Fire (Teja) and Ether (Akasha) which helps nourish the tissues in the body. Aahar which is swallowed by the throat and nourishes the body tissues. Food is known as Mahabhaisajya which is considered Superior medicine as taken in the right proportion to maintain the balance of the body. Acharya Susruta and Vagbhata state that to facilitate the easy flow of Vata doshas, the stomach should be divided into four sections: one section for a liquid diet, one part for two solid meals, and one empty part. When planning a diet, both during the day and at night, seasonal considerations must be made.

CONCLUSION

The tiny gland in the male reproductive system known as the prostate aids in the ejaculation of semen, or the fluid with a whitish-grey hue coming from the penis. The prostate is walnut-sized, but it swells to lemon-sized after 40. In Ayurveda, Prostate Enlargement is known as Paurush Granthi, along with Medicines, diet plays an important role as One of the Tri-Upastambha, or the three pillars of life is diet because Aahar, the primary factor governing the growth and development of the human body, is so significant. In this article, we discussed Various medicines along with a diet plan for the prostate patients, which will be helpful for healthy living without any side effects on the body.