What Exams Tests And Procedures Diagnose Bph
A physical exam is required to see if other medical problems may be causing your BPH symptoms. The healthcare provider will order a digital rectal exam to examine the prostate gland. The healthcare provider may feel the prostate by inserting a gloved, lubricated finger into the rectum. The rectal exam allows your doctor to roughly estimate the size and consistency of the prostate. Most importantly, it allows the doctor to feel for lumps or hard areas that could indicate the presence of prostate cancer. Your doctor may check your urine for blood or signs of infection. Your blood may be tested for kidney problems , for PSA levels , a screening test for enlarged prostate, prostate cancer, prostatitis, and urinary tract infections
Some men are referred to a specialist for further tests. Urologists specialize in diseases of the male and female urinary tracts and of the male genital tract. Before you are treated for BPH. It is important for the doctor to rule out other possible causes of an enlarged prostate, such as prostate cancer, which is benign or non-cancerous.
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Medications For Enlarged Prostate
There are two main classes of pharmaceuticals that work to alleviate enlarged prostate symptoms: alpha blockers and alpha reductase inhibitors
- Alpha Blockers. Alpha blockers relax the smooth muscle around the bladder neck and within the urethra.
- Inhibitors. Inhibitors stop the conversion of the male hormone testosterone to DHT to reduce the prostates size, eliminating blockage.
Dont be surprised if your physician prescribes a combination of the two medications, as they have been shown to work more effectively together than alone. The downside is that combination therapy may increase the likelihood of experiencing side effects from the medications. Be sure to work with your doctor to assess the benefits and costs before starting on combination therapy.
What Are The Symptoms Of Benign Prostatic Hyperplasia
Lower urinary tract symptoms suggestive of benign prostatic hyperplasia may include
- urinary frequencyurination eight or more times a day
- urinary urgencythe inability to delay urination
- trouble starting a urine stream
- a weak or an interrupted urine stream
- dribbling at the end of urination
- nocturiafrequent urination during periods of sleep
- urinary incontinencethe accidental loss of urine
- urine that has an unusual color or smell
Symptoms of benign prostatic hyperplasia most often come from
- a blocked urethra
- a bladder that is overworked from trying to pass urine through the blockage
The size of the prostate does not always determine the severity of the blockage or symptoms. Some men with greatly enlarged prostates have little blockage and few symptoms, while other men who have minimally enlarged prostates have greater blockage and more symptoms. Less than half of all men with benign prostatic hyperplasia have lower urinary tract symptoms.3
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Tips For Coping With An Enlarged Prostate
When a man reaches about age 25, his prostate begins to grow. This natural growth is called benign prostatic hyperplasia and it is the most common cause of prostate enlargement. BPH is a benign condition that does not lead to prostate cancer, though the two problems can coexist.
Although 50% to 60% of men with BPH may never develop any symptoms, others find that BPH can make life miserable. The symptoms of BPH include:
- a hesitant, interrupted, weak urine stream
- urgency, leaking, or dribbling
- a sense of incomplete emptying
- more frequent urination, especially at night.
As a result, many men seek treatment. The good news is that treatments are constantly being improved. Patients and their physicians now have more medications to choose from, so if one doesn’t do the trick, another can be prescribed. And thanks to some refinements, surgical treatments are more effective and have fewer side effects than ever before.
But there are some things men dealing with BPH can do on their own. When symptoms are not particularly bothersome, watchful waiting may be the best way to proceed. This involves regular monitoring to make sure complications aren’t developing, but no treatment. For more troubling symptoms, most doctors begin by recommending a combination of lifestyle changes and medication. Often this will be enough to relieve the worst symptoms and prevent the need for surgery
Causes Of Benign Prostate Enlargement
The exact cause of benign prostate enlargement is unknown, but research suggests that hormones probably play an important role in the condition’s development.
Hormones are powerful chemicals that can have a wide range of effects on the cells of the body.
One theory is that as some men and anyone with a prostate gets older, the levels of a type of hormone called dihydrotestosterone increases, which may stimulate the growth of the prostate.
Another theory suggests that two hormones, testosterone and oestrogen, play a role. Younger men and anyone with a prostate produce high levels of testosterone and much smaller levels of oestrogen. But as they get older, levels of testosterone decrease, which means they then have a higher proportion of oestrogen in their body. It’s been suggested that the relative increase in oestrogen may stimulate prostate growth.
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Talking With Your Doctor
Different kinds of doctors and other health care professionals manage prostate health. They can help you find the best care, answer your questions, and address your concerns. These health care professionals include:
- Family doctors and internists
- Physician assistants and nurse practitioners
- Urologists, who are experts in diseases of the urinary tract system and the male reproductive system
- Urologic oncologists, who are experts in treating cancers of the urinary system and the male reproductive system
- Radiation oncologists, who use radiation therapy to treat cancer
- Medical oncologists, who treat cancer with medications such as hormone treatments and chemotherapy
- Pathologists, who identify diseases by studying cells and tissues under a microscope
View these professionals as your partnersâexpert advisors and helpers in your health care. Talking openly with your doctors can help you learn more about your prostate changes and the tests to expect.
What Are Common Prostate Problems What Are The Warning Signs
Here are some examples of non-cancer prostate problems:
Benign prostatic hyperplasia, or BPH, means your prostate is enlarged but is not cancerous. It is very common in older men. An enlarged prostate may make it very difficult to urinate or cause dribbling after you urinate. You may feel the need to urinate a lot, often at night. See your family doctor for an exam. Treatments for BPH include:
- Watchful waiting is also called active surveillance. If your symptoms are not too bad, your doctor may tell you to wait before starting any treatment to see if the problem gets worse. Your doctor will tell you how often you need to return for checkups. You can start treatment later if your symptoms worsen.
- Medications. There are medicines that can help shrink the prostate or help relax muscles near your prostate to ease your symptoms. Talk with your doctor about possible side effects.
- Surgery. If nothing else has worked, your doctor may suggest surgery to help urine flow. There are many types of BPH surgery. Talk with your doctor about the risks. Regular checkups are important after surgery.
- Other treatments. Sometimes radio waves, microwaves, or lasers are used to treat urinary problems caused by BPH. These methods use different kinds of heat to reduce extra prostate tissue.
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Why Is This Relevant
It matters because chronic prostatitis can also cause a set of symptoms and painful defecation is one of them. Some men with prostatitis also have irritable bowel syndrome.
While prostate size itself is not the common factor for problems with bowel movements, in some cases, it can happen.
Besides chronic or acute prostatitis, other BPH-related complications can also affect bowel movements. One of those complications is chronic urinary retention. Although rare, this complication can lead to large bowel obstruction.
You see, a common symptom of enlarged prostate is the inability to empty the bladder completely. When left untreated, this symptom leads to urinary retention.
In turn, urinary retention may lead to compression of the sigmoid colon against the sacrum . As a result, large bowel obstruction may occur. Considered a medical emergency, large bowel obstruction is a blockage that prevents the passing of food and liquid.
In other words, certain complications of BPH may impair bowel movements and lead to a medical emergency.
Besides the abovementioned complications, its also useful to mention that prostate enlargement can contribute to constipation. An enlarged prostate can form too much pressure on the rectum, making it difficult to defecate.
In addition to BPH, other prostate problems can act on the bowels too. A good example is prostate cancer or tumor, which may cause disruptions such as bowel incontinence or fecal incontinence.
What Should You Do If You Think You Have An Enlarged Prostate
An enlarged prostate means that the size of the gland has grown larger than normalits not a cancerous growth, which is why its official name is benign prostatic hyperplasia. Still, enlarged prostate symptoms can mimic prostate cancer symptoms, so if you experience the signs below, its a good idea to check in with your doctor.
Your physician may refer you to a urologist, but start with a checkup first, says Dr. Ramin. The earlier you seek medical attention, the better the outcome should be.
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In some cases, symptoms may not necessarily correlate with the severity of the situation, says Dr. Ramin. Therefore, simple tests like a bladder and prostate ultrasound and urine flow study may reveal the true nature of the disease process.
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Surgical Treatment For Enlarged Prostate
- Transurethral resection of the prostate . In this surgery, the inner portion of the prostate is removed. Used 90% of the time, this is the most commonly used surgical procedure for BPH.
- Open prostatectomy . The surgeon makes an incision and removes the enlarged tissue from the prostate.
- Laser surgery Laser surgery uses laser energy to destroy prostate tissue and shrink the prostate.
- Transurethral incision of the prostate . This surgery does not involve removing prostate tissue. A few small cuts are made in the prostate gland to reduce the prostates pressure on the urethra, making urination easier.
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What Other Problems Might An Enlarged Prostate Cause
A small number of men may find it difficult to empty their bladder properly this is called urine retention. If youve been diagnosed with an enlarged prostate, your doctor will look at your test results to see if youre at risk of urine retention. You may be more likely to get urine retention if:
- youre aged 70 or over
- your prostate is very large
- you have a raised prostate specific antigen level
- you have severe urinary symptoms and a very slow flow.
Chronic urine retention
This is where you cant empty your bladder fully, but can still urinate a little. It usually develops slowly over time. Chronic means long-lasting. The first signs often include a weak flow when you urinate, or leaking urine at night. You may feel that your abdomen is swollen, or that youre not emptying your bladder fully.
Chronic urine retention is usually painless. But the pressure of the urine can slowly stretch your bladder muscle and make it weaker. This can cause urine to be left behind in the bladder when you urinate. If you dont empty your bladder fully, you might get a urine infection, need to urinate more often, leak urine at night, or get painful bladder stones. You might also see some blood in your urine. Chronic urine retention can damage your bladder and kidneys if it isnt treated.
There are several treatments for chronic urine retention, including:
- passing a thin, flexible tube called a catheter to drain urine from your bladder
- surgery to widen the urethra.
Acute urine retention
What An Enlarged Prostate Gland Feels Like
The symptoms that come with an enlarged prostate vary from man to man, but they usually start out mild and get worse over time. Here are a few of the signs you might notice.
- An urgent need to urinate
- Frequent need to urinate
- The need to urinate frequently through the night
- A weak urine stream
- Urination that starts and stops
- Trouble starting to urinate
- Trouble emptying your bladder completely
While these are the most common signs of BPH and are more annoying than medically problematic, a few symptoms require immediate attention, including the inability to urinate and blood in your urine.
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Is Prostadine Safe
Prostadine, a natural supplement for prostate health, supports the healthy function of the prostate and the urinary tract. The supplements are 100% natural and plant-based. This eliminates the possibility of side effects.
According to Prostadine reviews from customers, there have not been any side effects after consumption. However, the manufacturers ask that users be aware of the following before using these liquid drops:
This supplement is not recommended for children by the makers.
If you experience any allergic reaction or side effects, discontinue using the liquid drop immediately.
This product is not suitable for children and was designed exclusively for adults.
This dietary supplement does not treat, cure or prevent any medical condition. This dietary supplement is intended to complement your diet.
Is There A Money
Prostadine’s makers guarantee 100% satisfaction on all purchases from their official website. Prostadine is believed to improve overall health and cognitive and mental function.
If you are not satisfied with the results of the product, you can request a full refund. Return all bottles to the customer service address.
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When To Contact A Medical Professional
Contact your provider right away if you have:
- Less urine than usual
- Back, side, or abdominal pain
- Blood or pus in your urine
Also contact your provider if:
- Your bladder does not feel completely empty after you urinate.
- You take medicines that may cause urinary problems, such as diuretics, antihistamines, antidepressants, or sedatives. DO NOT stop or change your medicines without talking to your provider.
- You have tried self-care steps for 2 months and symptoms have not improved.
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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Another type of prostate issue is chronic prostatitis, or chronic pelvic pain syndrome. This condition causes pain in the lower back and groin area, and may cause urinary retention. Symptoms include leaking and discomfort. In severe cases, a catheter may be required to relieve the symptoms. If the problem is unresponsive to other treatments, your doctor may suggest a surgical procedure. If these do not work, your symptoms could progress and become chronic.
An acute bacterial infection can cause a burning sensation. Inflammation of the prostate can affect the bladder and result in discomfort and other symptoms. This is the most common urinary tract problem in men under 50, and the third most common in men over 65. The symptoms of acute bacterial prostatitis are similar to those of CPPS. Patients may experience a fever or chills as a result of the infection.
Treating Benign Prostate Enlargement
Treatment for an enlarged prostate is determined by the severity of your symptoms.
If you have mild to moderate symptoms, you won’t receive any immediate medical treatment, but you’ll have regular check-ups to carefully monitor your prostate.
You’ll probably also be advised to make lifestyle changes, such as limiting your caffeine and alcohol intake, and exercising regularly, to see if they improve your symptoms.
As well as lifestyle changes, medication is usually recommended to treat moderate to severe symptoms of benign prostate enlargement. Finasteride and dutasteride are medications that are commonly used. They block the effects of a hormone called dihydrotestosterone on the prostate gland, which can reduce the size of the prostate and improve associated symptoms.
Alpha blockers may also be prescribed. They help to relax your bladder muscles, making it easier to pass urine. Tamsulosin and alfuzosin are two alpha blockers commonly used to treat benign prostate enlargement.
Surgery is usually only recommended for moderate to severe symptoms of benign prostate enlargement that have failed to respond to medication.
Read more about treating benign prostate enlargement
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