BENIGH HYPERTROPHY OF PROSTATE

WHAT IS BHP?


Benign hypertrophy of prostate is a condition in which there is enlargement of prostate gland as men get older which is a part of aging. But it becomes a problem when the enlarged prostate start to show symptoms.

The prostate surrounds a part of urethra in males which carries urine and semen to penis. When the prostate is enlarged it compresses the urethra thus causing blockage to the flow of urine.

BHP is a benign condition thus it is not related to or cause cancer but both conditions can occur together as well.


RISK FACTORS


  • AGE: BHP is rarely seen in men before their 40s. Thus the enlarged prostate show symptoms usually after 60 years of age.

  • FAMILY HISTORY: Having family history of BHP makes you more prone to have the condition.

  • DIABETES: also increases the predisposition to enlargement of prostate.

  • HEART DISEASES: also increases chances to have BHP.

  • OBESITY: in obese there are chances that you might end up having the symptoms of BHP.

  • LACK OF EXERCISE: if you would exercise regularly chances of having BHP is less.

 

COMPLICATIONS:


  • SUDDEN RETENTION OF URINE: in some cases there is sudden retention of urine due to inability to pass urine thus causing great discomfort. In such cases there is need to insert catheter to empty bladder. Sometimes even surgery is required to empty bladder.

  • URINARY TRACT INFECTION: due to retention of urine there are increased chances of developing UTI.

  • BLADDER STONES: due to inability to empty bladder there are chances of stones in bladder due to formation of concretions caused by concentration of urine.

  • BLADDER WEAKNESS: due to retention of urine frequently the bladder muscles become weak and thus lose the ability to contract over time.

  • DAMAGE TO KIDNEYS: full bladder causes back flow of urine to the kidneys and can also lead to migration of infection to the kidneys which would cause damage to the kidneys.

SYMPTOMS & CAUSES


SYMPTOMS


  • Frequent urination
  • Urgency to urinate
  • Increased urge to urinate especially at night.
  • Weak and feeble stream of urine.
  • Inability to empty bladder thus causing unsatisfactory feeling
  • Dribbling of urine at beginning and end of urination.
  • Urinary tract infection causing burning micturation, pain in lower abdomen etc.
  • Sometimes the patient if not able to pass urine at all thus causing retention of urine.
  • Occasionally blood is also seen in urine.

CAUSES


The exact cause of enlargement of prostate is not known but it is seen that it is an age related process so hormones are thought to play role in BHP.


DIAGNOSIS & TREATMENT


DIAGNOSIS


  • RECTAL EXAMINATION: an enlarged prostate can be felt during a rectal examination.

  • BLOOD TEST FOR PSA ( Prostate specific antigen): Prostate produces PSA thus enlarged prostate would cause increase in levels of PSA but surgical procedures, infection and prostate cancer may also increase PSA levels.

  • URINE FLOW TEST: the measurement of the amount and stream of urine also helps in diagnosis of BHP.

  • POSTVOID RESIDUAL VOLUME TEST: this measures the amount of urine left in bladder after urination thus checks the ability to empty bladder.

  • 24 HOUR URINE CHART: a 24 hour charting of urination helps in keeping track of frequency, amount, stream and time of urination. If it is mostly at night then it suggests for prostate enlargement.

  • TRANSRECTAL ULTRASOUND: would help in visualisation of prostate size.

  • PROSTATE BIOPSY: is done to rule out cancer.

  • CYSTOSCOPY: helps in visualisation of the prostate.

TREATMENT


Conventional treatment includes conservative treatment for the symptoms of enlarged prostate and in cases having much problems invasive surgical procedures are used.


MANAGEMENT


Here are few tips to manage symptoms of BHP:

  • LIMIT CAFFEINE AND ALCOHOL: as they act as irritant to the bladder thus make the symptoms worse and increase urine production as well.

  • LIMIT LIQUID INTAKE EVENING ONWARDS: as this would help in decreasing the urine output at night thus you would not be compelled to go to toilet frequently at night.

  • LIMIT CERTAIN DRUGS: which contain antihistamines and decongestants as they will make the muscles of urethra tight thus making urination more tough.

  • REGULARISE THE TIME OF URINATION: schedule the time of urination as particular intervals like 4-6 hours so that bladder can be retrained to pass urine.

  • DON’T WAIT MUCH: pass urine when you first feel the urge as retention would cause it more difficult to pass urine.

  • REGULAR EXERCISE: would keep you fit thus avoiding obesity as it inactive lifestyle would predispose to enlargement of prostate.

  • HEALTHY DIET: would avoid obesity.

  • DOUBLE VOIDING: urinate again after few minutes of urinating, it would help in keeping the urges low.

  • TEMPERATURE: in cold temperature there are increased symptoms of prostate, thus keep yourself warm.

HOMEOPATHIC MANAGEMENT


Homeopathy can take care of BHP very well just with medicines. The medicines would help in decrease in size of prostate thus would eventually control the symptoms of BHP without any need of surgery. Homeopathic system is quite effective in taking care of almost every chronic disease. Consult a good homeopath for your issue of prostate.


DO’S AND DON’TS


DO’S


  • Maintain a 24 hour urine chart.
  • Schedule your time of urination to retrain your bladder.
  • Take healthy diet.
  • Exercise regularly.
  • Do practice of double voiding as it would help in taking care of frequent urge.
  • Keep yourself warm in winters.
  • Don’t delay the urge, urinate as soon as possible as retention would cause more problem.

DON’TS

  • Don’t take much liquid after evening.
  • Don’t take caffeine.
  • Don’t smoke.
  • Don’t take alcohol.
  • Don’t take antihistamines and decongestants.

 

TIPS TO PREVENT UTI !!

Urinary tract infection could be very serious issue especially when it is recurrent. Here are few tips to avoid recurrent UTI:

  1. MAINTAIN HYGIENE: It is very important especially in females to maintain optimum genital hygiene. The genitals should be washed and cleaned in from front to back side after passing stool to reduce the chance of dragging E. coli from anal region to urethra.

  2. FREQUENT URINATION: helps to flush out the microbes timely and don’t let them to accumulate in the urethra and thus prevent chances of UTI.

  3. DRINK PLENTY OF WATER: enough water would keep you hydrated and would increase urge to pass urine again and again thus prevent chances of UTI.

  4. DON’T SMOKE: smoking also predisposes to UTI so should be avoided especially during UTI.

  5. AVOID DRINKS THAT IRRITATE BLADDER: such as coffee, alcohol, spicy food items etc.

  6. URINATE BEFORE AND AFTER SEXUAL INTERCOURSE: as this would flush out the microbes which would have entered during intercourse.

  7. MENOPAUSAL WOMEN: are more prone to having UTI due to lack of estrogen.

  8. DON’T DOUCHE: cleaning the genitals with high pressure water beam may also predispose to UTI.

  9. HYGIENE DURING MENSES: change tampons and pads frequently as they help microbes to grow thus causing infection.

  10. WEAR COTTON UNDERGARMENTS: as they don’t irritate the area thus prevent infection.

 

BOOST YOUR CHILD’S IMMUNITY!!

Now a days most of the parents are anxious about the immunity of their child as they have recurrent cold, cough, tonsillitis, fever, chest congestion etc. The immune system is much more compromised due to recurrent use of antibiotics. Here are few tips to improve the immunity of your child:

  1. SERVING OF FRUITS AND VEGGIES: fruits and vegetables containing phytonutrients like vitamin c and carotenoids should be added to the diet of the child. Such fruits and vegetables include carrots, green beans, strawberries, oranges, kiwi etc. These phytonutrient rich fruits and veggies boost immunity by increasing white blood cell count in the blood which fight against infection. 4-5 servings of fruits and veggies should be done to a child in one day.

  2. GOOD SLEEP: studies show that good sleep is key to good immune system. A child should get good night sleep as well as nap time in ay as well. Sleep deprivation can compromise the immunity cells thus can lead to recurrent infections.

  3. PHYSICAL ACTIVITY: a child should be encouraged to be physically active and should be spending time outdoors more rather than staying at home and spending time on digital gadgets. It should be done as a family thing which means rather than pushing your child outside; join them and play with them or attract them in some basic exercises.

  4. BREAST FEEDING: a mother should always breastfeed her baby at least till 6 months of age as breast milk contains immunity enhancing antibodies and white blood cells which help in development of immunity in the child. Breast milk also prevents the baby against several infections. More so it is observed that children who are breastfed well are more healthier than those who are less breastfed.

  5. PREVENT GERM SPREAD: this although does not boost immunity but prevents your child from falling sick again and again. Teach your child to wash hands frequently with soap especially before meals, after using toilet, after cleaning nose, after playing outside etc. By maintaining hygiene the spread of infection can be stopped.

  6. AVOID EVEN PASSIVE SMOKING: your child should not be exposed to smoke or any other irritant even passively. Passive smoking affects the immune system of the child by killing the immunity cells and exposing the child to infections.

  7. NO ANTIBIOTICS: repeated use of antibiotics to treat infection in the child compromises the immune system more badly and the immune system becomes so weak that it is not able to fight with infections and child ends up having recurrent infection.

  8. HOMEOPATHY: if your child is sick take him/her to a homeopath who would give your child medicines which are sweet, simple and have no side effects. Homeopathic medicines would help building the immune system of your child and would also treat infections without compromising the immune system further. Homeopathy is a safe, gentle and progressive system of medicine for your child.

SIGNS OF HORMONAL IMBALANCE IN WOMEN!!

Symptoms of hormonal imbalance depends on which gland and hormones are affected. But here are signs and symptoms which are associated with hormonal imbalance:

  • Unexplained weight gain or loss of weight.
  • Excessive sweating or changes in the tendency to sweat.
  • Disturbance in sleep, difficulty to fall asleep.
  • Changes in thermal reaction and sensitivity to cold and hot.
  • Changes in texture of skin, skin very dry or oily.
  • Fatigue which is long standing and unexplainable.
  • Irritability and anger which can’t be explained in most situations.
  • Palpitations.
  • Increased thirst with dryness of throat.
  • Feeling depressed and low without appropriate cause.
  • Reduced desire of sexual intercourse.
  • Frequent headaches.
  • Difficulty in conceiving.
  • Painful or irregular periods.
  • Breast tenderness.
  • Puffiness of face with increase in neck bulge.
  • Deepening of voice.