Why Does Chemotherapy Cause Constipation
The powerful anticancer medicines you take can affect the healthy cells in your body, including the cells that line the inside of your intestines. Your intestines help your body to take in food, water, and other liquids. If your chemotherapy medicines affect the cells that line the inside of your intestines, your intestines may work too slowly. This causes your intestines to take in too much water. This makes your stool hard and dry.
What The Caregiver Can Do
- Encourage or help the patient with appropriate skin care after using the bathroom. Use warm water and pat the area dry.
- Help the patient keep a diary that records specific foods or drinks that may affect how frequently the patient goes to the bathroom.
- Help the patient maintain a bladder or bowel plan.
- Encourage the patient to go to the bathroom at consistent time frames during the day, like after a meal.
- Encourage regular daily exercise, as permitted by the health care team.
How May My Constipation Be Treated
Constipation is a common side effect or unwanted change in your body when you have chemotherapy treatment. Constipation can make you feel very uncomfortable. The most important thing for you to remember is to not let your constipation go on for days and days, but to get help right away. If you do not have a bowel movement for two days, you should tell your health care team right away. There are medicines that your doctor or health care team can give to you that will make your constipation better.
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Possible Cancer Protection From Prostate Drugs
Early research suggested that 5-alpha-reductase inhibitors , a class of drugs used to treat prostate enlargement, might increase the risk of developing more aggressive prostate cancer. However, newer studies have found that not only do the drugs appear to pose no extra risk, they may even protect against prostate cancer.
For instance, research from the Prostate Cancer Prevention Trial study in 2013 showed that taking the 5-ARI finasteride for seven years could lower the chance of getting low-grade prostate cancer by 25% among men ages 55 and older. A follow-up study of almost 9,500 men, published in the Nov. 1, 2018, issue of the Journal of the National Cancer Institute, also showed that finasteride lowered the risk by a similar amount , and found the protective effect lasted for at least 16 years.
What Are The Signs And Symptoms Of Prostate Cancer
As the second most common cancer found in American men, prostate cancer typically doesnt present warning signs in its early stages, but several signs and symptoms can signal the disease in its more advanced stages. Men of all ages need to watch for these warning signs. Here are the signs and symptoms we see most commonly among patients at Regional Cancer Care Associates.
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Did You Know About The Connection Between Your Bowel And Your Prostate
Constipation and the prostate are two things that donât really seem to have much of a connection at all. However, this is not the case as constipation can have an influence on your prostate, sometimes even instigating an episode of BPH. In this blog, I take a look at how constipation can affect your prostate and what you can do to prevent this problem.
Dr. Jen Tan
Losing Control Of Your Bowels
It has been estimated that bowel problems, including diarrhea, constipation, incontinence, increased flatulence, rectal bleeding, and increase in the urgency or frequency of bowel movements can occur to up to 20% of all individuals who undergo radiotherapy. Although incontinence, or losing control of your bowels, is in this category, is not as common as the other symptoms in this group. It is also potentially can be one of the hardest of these symptoms to manage. Currently, there are very few treatment options available for total bowel incontinence. Losing control of your bowels as a result of spinal cord compression or prostate cancer treatment may or may not be reversible, and can range from leaking small amounts of feces to total loss of bowel control.
In some instances, bowel control will be regained after treatment and post-recovery. But if this process isnt occurring as fast as anticipated, or isnt happening at all, there are a few lifestyle changes that can help manage bowel incontinence. Many of these are similar to options used for urinary incontinence, and include:
- Anti-diarrheal agents
- Avoiding foods that may irritate the digestive system
- Creating a bowel movement schedule and retraining your bowels
In rare instances, it may be possible to have surgery for bowel incontinence, including anal sphincteroplasty or anal sphincter repair, depending on the underlying cause of the incontinence.5-7
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Living With Bowel Incontinence
You can help manage bowel incontinence by following a bowel care plan and using the toilet before you leave home. You can also make sure you carry your medications, supplies, fecal deodorants, and a change of clothes with you.
Anal discomfort, itching, and irritation can be common. Here are some ways to help manage these symptoms:
- Wash the anal area after a bowel movement or use baby wipes.
- Use a moisture-barrier cream in the anal area.
- Use wick pads or disposable underwear.
- Change soiled underwear frequently to keep the anal area clean and dry.
Risk Factors For Prostate Cancer
Some risk factors have been linked to prostate cancer. A risk factor is something that can raise your chance of developing a disease. Having one or more risk factors doesnt mean that you will get prostate cancer. It just means that your risk of the disease is greater.
- Age. Men who are 50 or older have a higher risk of prostate cancer.
- Race. African-American men have the highest risk of prostate cancerâthe disease tends to start at younger ages and grows faster than in men of other races. After African-American men, prostate cancer is most common among white men, followed by Hispanic and Native American men. Asian-American men have the lowest rates of prostate cancer.
- Family history. Men whose fathers or brothers have had prostate cancer have a 2 to 3 times higher risk of prostate cancer than men who do not have a family history of the disease. A man who has 3 immediate family members with prostate cancer has about 10 times the risk of a man who does not have a family history of prostate cancer. The younger a mans relatives are when they have prostate cancer, the greater his risk for developing the disease. Prostate cancer risk also appears to be slightly higher for men from families with a history of breast cancer.
- Diet. The risk of prostate cancer may be higher for men who eat high-fat diets.
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When Should I Call My Doctor
You should call your doctor if:
- You have a fever higher than 100° F or 38° C
- You have pain in your stomach,
- You are unable to pass gas
- You have nausea and/or vomiting with your constipation
- Your stomach looks swollen and/or feels hard when you touch it.
- You have not had a bowel movement in three days after following the directions your doctor has given you to relieve your constipation.
If you have any of these signs talk to your doctor or health care team. There are medicines and treatments that can help you feel better. It is important that you talk to your doctor or health care team about any side effects you may have during or after your treatment. Your health care team can help treat these problems.
Diagnosis Of An Enlarged Prostate
In order to establish the possible underlying causes for an enlarged prostate, doctors will perform a variety of tests.
Tests which are commonly used to find the cause of an enlarged prostate include:
- A digital rectal exam. A physician or nurse will insert a gloved finger into the patientâs rectum to digitally examine the prostate for swelling and/or enlargement.
- Swab tests for urethral discharge or urine. To determine underlying conditions such as STIs/STDs and urinary tract infections. A swab of discharge or urine is taken and sent to a medical laboratory for culturing, so that any microorganisms are identified.
- Urinalysis. A urine sample is sent to a medical laboratory for analysis and may be tested for urea nitrogen or creatinine, among other things.
- Blood tests. A sample of blood is sent to a medical laboratory for analysis, which may include tests for creatinine or blood urea nitrogen, as well as antibodies and infectious agents.
- Prostate-specific antigen test. A blood sample is sent to a medical laboratory to be tested for prostate-specific antigen , an enzyme produced by cells in the prostate. A change in PSA levels can indicate that there is a problem with the prostate.
If patients are referred to a urologist, they may have further tests, including:
Before referring the patient for tests, the physician may also ask questions in order to determine the possible causes of the discomfort, their severity, and their duration. Such questions may cover:
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Signs And Symptoms Of Prostate Cancer
Most prostate cancers are found early, through screening. Early prostate cancer usually causes no symptoms. More advanced prostate cancers can sometimes cause symptoms, such as:
- Problems urinating, including a slow or weak urinary stream or the need to urinate more often, especially at night
- Blood in the urine or semen
- Trouble getting an erection
- Pain in the hips, back , chest , or other areas from cancer that has spread to bones
- Weakness or numbness in the legs or feet, or even loss of bladder or bowel control from cancer pressing on the spinal cord
Most of these problems are more likely to be caused by something other than prostate cancer. For example, trouble urinating is much more often caused by benign prostatic hyperplasia , a non-cancerous growth of the prostate. Still, its important to tell your health care provider if you have any of these symptoms so that the cause can be found and treated, if needed. Some men might need more tests to check for prostate cancer.
Losing Control Of Your Bladder
Urinary incontinence can range from uncontrolled release of a full bladder to slower leakage. Leaking urine can also present in varying ways, from leaking a few drops after coughing, exercising, or bending, to leaking large quantities or leaking during sex. This usually improves over time if its a result of prostate cancer treatment, however, it can be longer-lasting if its from spinal cord compression. The good news is, there are some ways to manage losing control of your bladder, if needed, including:
- Absorbent pads or pants
- Pelvic floor muscle exercises
- Bed protectors
- Urinary sheaths
If urine incontinence continues for longer periods of time, or becomes a serious impairment to quality of life, there are other additional options including:
- Artificial urinary sphincter
- Internal male sling
- Anti-cholinergic medications
All of these options for serious impairment require surgery with the exception of medications. Your doctor will help you determine the side effects and potential benefits for your specific case. Additional lifestyle changes may also be beneficial to help fight urinary incontinence, including eating a well-balanced diet with fiber , exercising , avoiding alcoholic, fizzy, or caffeinated drinks, quitting smoking, and retraining your bladder by creating and maintaining a urination schedule.1-4
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What Is An Enlarged Prostate
The prostate is a small gland, usually about the size of a walnut, that is situated just below the bladder and above the penis. The urethra passes through the prostate, which produces fluid that is mixed with sperm to create semen. When the prostate enlarges, it places pressure on the bladder and the urethra, which can cause urinary problems.
The prostate is made up of four zones:
- Peripheral zone. The area most easily felt during the standard digital rectal exam and the zone from which prostate cancer tends to develop.
- Transition zone. This surrounds the part of the urethra that passes through the prostate. It enlarges as men age, causing benign prostatic hyperplasia and consequent urinary symptoms.
- Central zone
- Anterior fibromuscular stroma
The prostate can become enlarged for a variety of reasons. The most common are:
Importance Of Regular Screenings
These common signs and symptoms can be attributed to several other medical conditions or causes. For instance, ED can simply be caused by stress, and pain can be attributed to a pulled muscle or other injury.
So how do you know when any of these red flags are signaling prostate cancer? Only your doctor can determine the root cause of any of these problems. With one in nine men diagnosed with prostate cancer in the United States, its important to receive regular prostate cancer screenings and to inform your doctor of any new signs or symptoms right away.
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Prostatitis: Inflamed Prostate Can Be A Vexing Health Problem
- By Patrick J. Skerrett, Former Executive Editor, Harvard Health
When it comes to prostate trouble, the lions share of attention goes to prostate cancer and an enlarged prostate. A third condition, prostatitis, flies under the radar even though it affects up to one in six men at some point in their lifetimes. It triggers more than two million visits to doctors and untold agony each year.
Prostatitis, which means inflammation of the prostate gland, is an equal opportunity disorder. Unlike prostate cancer and benign prostatic hyperplasia , which predominantly affect older men, prostatitis affects men of all ages.
Prostatitis refers to a loose assemblage of syndromes characterized by urinary problems such as burning or painful urination, the urgent need to urinate, trouble voiding, difficult or painful ejaculation, and pain in the area between the scrotum and rectum or lower back. Although it causes some of the same symptoms as BPH and can occur at the same time, prostatitis is a separate condition.
Some types of prostatitis are caused by bacterial infection. These cases are often accompanied by the classic symptoms of infection, such as fever, chills, and muscle pain along with urinary problems. As a result, they are relatively easy to diagnose and treat, and they usually respond well to antibiotics. Unfortunately, such straightforward forms of prostatitis are the minority.
Tests Used To Check The Prostate
This first step lets your doctor hear and understand the “story” of your prostate concerns. You’ll be asked whether you have symptoms, how long you’ve had them, and how much they affect your lifestyle. Your personal medical history also includes any risk factors, pain, fever, or trouble passing urine. You may be asked to give a urine sample for testing.
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Sexual Function After Surgery
Many men worry about whether surgery for BPH will affect their ability to enjoy sex. Some sources state that sexual function is rarely affected, while others claim that it can cause problems in up to 30 percent of cases. However, most doctors say that even though it takes awhile for sexual function to return fully, with time, most men are able to enjoy sex again.
Complete recovery of sexual function may take up to 1 year, lagging behind a persons general recovery. The exact length of time depends on how long after symptoms appeared that BPH surgery was done and on the type of surgery. Following is a summary of how surgery is likely to affect the following aspects of sexual function.
When Should I Call A Doctor
Your symptoms may not bother you too much. But itÃ¢s important to talk over any urinary problems with your doctor.
ItÃ¢s hard to predict how BPH will play out, and you canÃ¢t assume that the problem will get better on its own. Your doctor also will want to rule out things that cause similar problems.
Some symptoms need quick medical attention. If you have any of these, call your doctor right away or head to an emergency room:
- You canÃ¢t urinate at all.
- You have to pee frequently, itÃ¢s painful, and you have fever and chills.
- You have blood in your urine.
- You feel a great deal of pain in your lower belly and urinary tract.
National Institutes of Health: National Institute of Diabetes, Digestive and Kidney Diseases â Prostate Enlargement: Benign Prostatic Hyperplasia.
Cleveland Clinic: Diseases and Conditions â Benign Prostatic Enlargement .
Johns Hopkins Medicine Health Library: Benign Prostatic Hyperplasia.
Mayo Clinic: Diseases and Conditions â Benign Prostatic Hyperplasia .
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Can An Enlarged Prostate Cause Testicle Pain
4.1/5causetesticular paincancausedenlarged prostatetesticleread here
Prostatitis is pain and swelling, inflammation, or both of the prostate gland. The cause is sometimes a bacterial infection. Pain can occur in the area between the scrotum and anus or in the lower back, penis, or testes.
Additionally, where do you feel prostate pain? It can cause pain in the lower back, in the groin area, or at the tip of the penis. Men with this problem often have painful ejaculation. They may feel the need to urinate frequently, but pass only a small amount of urine.
Besides, can an enlarged prostate cause pain in the groin?
Prostatitis is swelling and inflammation of the prostate gland, a walnut-sized gland situated directly below the bladder in men. Prostatitis often causes painful or difficult urination. Other symptoms include pain in the groin, pelvic area or genitals and sometimes flu-like symptoms.
Can enlarged prostate cause burning sensation?
Some symptoms of BPH are not as common, and they could signal that your condition is more complicated or advanced. Those signs include: Burning or pain when you pee. Blood in your urine.
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