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.
The Relationship Between Constipation And The Prostate Is Kind Of Like The Old Chicken And Egg Conundrum
The egg: Constipation, aka the build-up of feces in the intestine , can put pressure on the bladder and the prostate, which can cause symptoms resembling those associated with an enlarged prostate. The chicken: an enlarged prostate can put pressure on the rectum and cause constipation. But wait, theres more
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.
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What Does A Prostate Orgasm Feel Like
P-spot orgasms are said to feel similar to penile orgasms, only way more intense and felt through the entire body.
There are reports of people having super orgasms, which are a stream of fast, continuous orgasms that cause the body to shudder.
Not everyone ejaculates during a prostate orgasm, but some release a dribble of milky fluid from the urethra.
A little bit of prep can help make the experience a good one whether youre flying solo, or on the giving or receiving end of things.
Symptoms Of Benign Prostate Enlargement
The;prostate is a small gland, located in the pelvis, between the penis and bladder.
If the prostate becomes enlarged, it can place pressure on the bladder and the urethra, which is the tube that urine passes through.
This can;affect how you pee and may cause: ;
- difficulty starting to pee
- a frequent need to pee
- difficulty fully emptying your bladder
In some men, the symptoms are mild and do not need treatment. In others, they can be very troublesome.
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What Is Bph And How Does It Affect Me
The prostate gland surrounds the urethra and assists in reproduction. As a man ages, the prostate gets larger and begins to put pressure on the bladder and urethra, causing uncomfortable symptoms. It may be responsible for blocking the flow of urine out of the bladder, and can cause issues in the bladder, urinary tract, or kidneys.
What Causes Prostate Enlargement
Multiple factors cause prostate enlargement. Documented causes include specific medications, some of which are commonly used for prostate problems, as well dietary issues, disease processes, and hormonal imbalances.;
Nutritional and dietary issues are known to be common causes of BPH. A diet heavily laden with animal fat is one of the most significant causes. Foods known to have high levels of animal fat include red meat and dairy products.
Aside from BPH, a diet high in animal fats is also known for causing cardiac problems and diabetes. Increasing epidemiological evidence suggests that these foods significantly increase the risk of developing BPH.;
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Medications For Prostate Enlargement
Typical medications used to treat prostate issues are Finasteride , dutasteride , and tamsulosin . Finasteride and dutasteride are 5-alpha reductase inhibitors that reduce the amount of the 5-alpha reductase enzyme in the blood. This enzyme converts testosterone in the blood into estrogen. High levels of estrogen exacerbate prostate growth and can result in BPH.;
Men with high estrogen levels also tend to develop breast enlargement . Any man who spends a lot of time at the gym has probably noticed older men with enlarged breasts due to a high estrogen level. Enlarged male breasts are an outward indicator, but BPH is most likely also present inwardly.;
Tamsulosin is an alpha-blocker that works by relaxing the prostate and bladder muscles so that urine flows easier.;
Each of these drugs has a profile of severe sexual side effects. Alpha-blockers can lead to difficulty ejaculating, and 5-alpha reductase inhibitors can destroy libido as well as alter the sensation of orgasm or interfere with erections. For example, in several studies, Finasteride has been shown to increase the risk for men with BPH to develop erectile dysfunction.;
What Is Benign Prostatic Hyperplasia
Benign prostatic hyperplasiaalso called BPHis a condition in men in which the prostate gland is enlarged and not cancerous. Benign prostatic hyperplasia is also called benign prostatic hypertrophy or benign prostatic obstruction.
The prostate goes through two main growth periods as a man ages. The first occurs early in puberty, when the prostate doubles in size. The second phase of growth begins around age 25 and continues during most of a mans life. Benign prostatic hyperplasia often occurs with the second growth phase.
As the prostate enlarges, the gland presses against and pinches the urethra. The bladder wall becomes thicker. Eventually, the bladder may weaken and lose the ability to empty completely, leaving some urine in the bladder. The narrowing of the urethra and urinary retentionthe inability to empty the bladder completelycause many of the problems associated with benign prostatic hyperplasia.
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The Risk Factors And Causes Of Prostatitis
Theres no denying it prostatitis is uncomfortable. The pain, frequent urination and flu-like symptoms associated with prostatitis make it almost unbearable at times. The worst part? Trying to figure out why you are living with prostatitis in the first place.;
Prostatitis is a non-cancerous condition in which the prostate gland is inflamed. While the causes can be different for every individual, some causes of prostatitis are simply not known. However, there are few potential causes that have been found to encourage prostatitis.;
Below, youll learn about the different types of prostatitis, the most common potential causes of prostatitis and the risk factors associated with prostatitis to further protect yourself against this condition in the future.;
What Is Prostate Cancer
Prostate cancer is common among American men. Your chance of getting prostate cancer may be affected by your:
- Age. Men age 50 and older run a greater risk.
- Race. Prostate cancer is most common among African-American men.
- Family history. If your father or brother has had prostate cancer, you are more likely to have it, too.
- Diet. Eating high-fat food with few fruits and vegetables may raise your risk.
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Lifestyle And Diet Root Causes Of Bph And Ed
The root cause of erectile dysfunction, whether it comes as a result of BPH or not, is almost always a blood circulation issue.;
To achieve a satisfactory erection, a man must have relatively decent blood circulation throughout his body. The penis becomes erect through a series of neurological and physical processes.
The neurological process occurs in the brain when the man becomes sexually aroused. It initiates physical, sexual arousal, which then triggers the process of inflating the penis with blood to achieve a sufficient erection.;
However, if arteries are clogged with plaque deposits, they certainly cannot deliver adequate blood flow to the penis for an erection. Thus, the erection is either weak, subsides quickly, or is non-existent. The most common circulatory issues that cause ED include but are not limited to the following conditions:;
- High Blood Pressure
- Excessive alcohol use
- Cardiac Insufficiency.;;
Any effort to improve symptoms of either BPH or ED must address the circulation issue if there is to be any degree of improvement. Note that BPH is not included on the list above because it usually occurs in a combination of one or more of the other listed items.
Contrary to popular belief, erectile dysfunction is not a benign condition. An erection is wholly dependent on good blood circulation. The penis requires unimpeded blood circulation to produce an erection for sexual activity.
Frequent Urination Especially At Night
You might also feel the need to pee more often. This can happen because your urine stream stops before your bladder has emptied, so you quickly feel the need to go again.
Youre never really getting all the pee out, Dr. Linehan explains, because the enlarged prostate can block the urinary channel. Since your bladder isnt empty, you wont get the sensation of having just voided it. And you may start to get up at night to go, Linehan adds. Usually if thats happening, the prostate has some type of involvement.
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The Most Common Prostate Problem Among Men Over Age 50 This Condition Can Cause Embarrassing Urination Issues
While BPH does not increase your risk of getting prostate cancer or having sexual problems, it can affect quality of life, specifically by causing annoying and embarrassing urination problems.
“Since prostate enlargement happens gradually, men often think more frequent trips to the bathroom are a natural part of aging,” says Dr. Howard LeWine, chief medical editor at Harvard Health Publishing and an assistant professor of medicine at Harvard-affiliated Brigham and Women’s Hospital. “But a little medication can help relieve symptoms, meaning less urinary urgency and fewer nighttime awakenings to use the bathroom.”
Surgery For An Enlarged Prostate
For most men with very enlarged prostates, surgery can relieve symptoms — but there are both risks and benefits with each type of operation. Discuss them with your doctor. After a careful evaluation of your situation and your general medical condition, your doctor will recommend which is best for you.
TURP : This is the most common surgery for an enlarged prostate, and considered to bring the greatest reduction in symptoms. Only the tissue growth that is pressing against the urethra is removed to allow urine to flow easily. The procedure involves an electrical loop that cuts tissue and seals blood vessels. Most doctors suggest using TURP whenever surgery is required, as it is less traumatic than open surgery and requires shorter recovery time.
With the TURP procedure, patients can expect to have retrograde ejaculation afterwards, says Westney. This is a condition in which a man ejaculates backward into the bladder instead of through the urethra. “Retrograde ejaculation generally isn’t painful,” she tells WebMD. “It shouldn’t be an issue unless fertility is a concern.” Other possible side effects include blood loss requiring transfusion , painful urination, recurring urinary tract infections, bladder neck narrowing, and blood in the urine.
After TURP, the odds of erection problems range from 5% to 35%. However, this is often temporary — and the ability to have an erection and an orgasm returns after a few months.
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When Should You Call A Doctor For Bph
Urinary symptoms related to enlarging prostate initially affect the quality of life, and if no complications exist, as mentioned above , the decision to treat is optional and is left to the patient. This means that if you don’t feel bothered enough to take a medicine or undergo a procedure for it, you’ll need to follow up with your doctor to ensure the symptoms are stable, and the bladder empties well. This can be assessed by prostate symptom questionnaires and a measure of the strength of the urinary stream and residual urine in the bladder. If complications develop, however, or if the bladder starts holding increasing amounts of residual urine after urination, treatment should be started.
If you experience bladder pain or burning with urination, blood in the urine associated with fever/chills or nausea/vomiting, or if the prostate enlargement condition worsens and symptoms such as blood in the urine or lower back pain are present, consult a doctor immediately. If you cannot reach your doctor when these symptoms are present, seek evaluation at a hospital’s emergency department.
For acute symptoms such as acute urinary retention , you should immediately go to the closest emergency medical facility for bladder drainage, usually with a catheter, which is a tube inserted into the bladder.
Men over 50 years of age should have their prostate checked annually by their physician even if they have no symptoms.
Personal And Family Medical History
Taking a personal and family medical history is one of the first things a health care provider may do to help diagnose benign prostatic hyperplasia. A health care provider may ask a man
- what symptoms are present
- when the symptoms began and how often they occur
- whether he has a history of recurrent UTIs
- what medications he takes, both prescription and over the counter
- how much liquid he typically drinks each day
- whether he consumes caffeine and alcohol
- about his general medical history, including any significant illnesses or surgeries
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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 prostate’s 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.
Benign Prostatic Hyperplasia: The Condition Symptoms And Complications
The problem of an enlarged prostrate, otherwise medically known as benign prostatic hyperplasia or the benign enlargement of the prostate, is a non-cancerous enlargement of the prostate. It is a condition which can greatly affect the way men pass urine. While what causes BPH is not exactly clear, it is normally said to be a part of the aging process in men and is said to be caused by the changes in cell growth and hormonal balance.
How does BPH happen?BPH is the hyperplasia of prostatic epithelial and stromal cells which result in the formation of discrete, large nodules in the prostates transition zone. When they become sufficiently large, the nodules push forward, narrowing the urethra that leads to a greater resistance to urine flow from the bladder . This causes the bladder to work harder during the voiding process, leading possibly to weakness, instability or progressive hypertrophy of the bladder muscle.
If an enlarged prostate causes bladder obstruction and remains untreated, there could be complications such as bladder stones, recurrent urinary tract infections, and even chronic kidney disease, which could lead to possible kidney failure.
Enlarged prostate symptomsWhen the prostate becomes enlarged, it places pressure on the urethra and consequently, the bladder. Men suffering from BPH show the following symptoms:
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Foods To Avoid: Caffeine
Avoiding or limiting your caffeine intake, including coffee, tea, energy drinks and fizzy drinks, is another thing that can make a big difference to your urinary health.
Caffeine has a diuretic effect which means it can increase the urge to go to the toilet. On top of this, drinking these beverages, especially late at night, can irritate the bladder and so will make it more likely that you’ll need to use the loo. As it is difficult for men with an enlarged prostate to empty their bladder completely anyway, consuming caffeinated drinks will only add to the problem.
There are now so many caffeine-free drinks available that it shouldn’t be too much of a challenge to swap your usual brew for something a little kinder to your bladder.
Chamomile tea is particularly beneficial as it has anti-inflammatory properties. If you favour coffee, though, then Bambu, our caffeine-free coffee, is a great alternative.
On top of this, another important drink for your prostate is water. It’s vital you stay well hydrated if you suffer from the condition but remember not to drink anything at least 2 hours before bedtime.
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.