An
enlarged prostate – a disorder known as benign prostatic hyperplasia or BPH for
short – is a highly common health issue for males over 50 (about 50% of men
experience BPH symptoms when they are 51-60 years old, 70% in their 60s, 80% in
70s and 90% when older than 80).
The
prostate is a small gland that helps make semen. It is found just below the
bladder. And it often gets bigger as a man ages.
While BPH
is the leading cause of prostate disorders, infections can also cause an
enlarged prostate.
Urinary
changes are the main enlarged prostate symptoms. BPH symptoms primarily include
the following:
Frequent
Urination
This is
the most commonly seen symptom of an enlarged prostate. Frequent urination in
men is often a sign of a prostate disorder. This symptom occurs because the
enlarged prostate stresses the urethra, making it harder for urine to flow
freely.
Weak
Urine Flow
BPH can
also cause a weak urine flow, where the stream of urine is not as strong as it
used to be. This weakness can be attributed to the narrowing of the urethra
caused by the enlarged prostate.
Difficulty
Starting and Stopping Urination
Another
symptom of BPH is difficulty initiating and stopping the flow of urine. The
inability to fully manage urination can be frustrating and may require
additional effort to fully empty the bladder.
Incomplete
Emptying of the Bladder
The
enlarged prostate can restrict urine flow, leading to a feeling of incomplete
emptying of the bladder even after urination.
Dribbling
at the End of Urination
BPH can
also cause dribbling or leakage of urine at the end of urination. The inability
to fully cease urine flow occurs because the enlarged prostate obstructs the
urethra, preventing the bladder from fully emptying.
Less
common symptoms might involve the following issues:
Urinary
Tract Infections (UTIs)
In some cases,
BPH can increase the risk of UTIs. The stagnant urine in the bladder, caused by
the obstruction, provides a breeding ground for bacteria.
Blood
in Urine
Although a
rare symptom of an enlarged prostate, blood in urine (hematuria) can occur due
to BPH. But blood in the urine might also be due to an infection or a
potentially serious disorder like kidney disease or cancer.
Kidney
Damage
If left
untreated, BPH can lead to kidney damage. The stagnant urine in the bladder can
back up into the kidneys, causing potential complications.
Sexual
Dysfunction
BPH can
also contribute to sexual dysfunction, including erectile dysfunction and
decreased libido. This occurs because the enlarged prostate can compromise the
normal functioning of the reproductive system.
It is
critical to note that not all individuals with BPH will experience all of these
symptoms. The intensity and combination of symptoms can also vary from person
to person.
We can
manage BPH with lifestyle measures:
Ø Including certain foods, while removing others, may help improve symptoms:
- Avoid high fat foods, incorporate more lean proteins like fish and poultry
- Eat more and many different
vegetables, citrus and other fruits
Ø Make sure to lose weight if you are above
a healthy number.
Ø Regardless of your weight, try exercising
regularly at a moderate to vigorous level, most days of the week.
Ø Cut back on caffeine and alcohol,
particularly at night, since both increase the need to urinate.
Ø Avoid drinking anything within a few
hours of bedtime to reduce middle of the night wakings.
Ø Reducing or managing stress.
Besides, we can use herbal remedies to get relief from symptoms. For example, pygeum bark contains chemicals that might help shrink the enlarged prostate. It can be used with saw palmetto, stinging nettle root and/or bee pollen to treat BPH. Pygeum bark comes from the bark of a tree native to Africa called Prunus africana.
Enlarged
prostate symptoms are often mistaken for signs of prostate cancer (which is a
malignant growth that develops in the prostate gland). While prostate cancer
and BPH share symptom similarities, they have distinct differences that can
help differentiate between the two.
Some
common symptoms of prostate cancer are the same as BPH. These include the
following:
- Difficulty urinating
- Frequent urination
(particularly at night)
- Weak urine flow
- Blood in urine
However,
some symptoms are not related to BPH but are related to prostate cancer. Please
seek medical attention immediately if you are experiencing the following
symptoms:
- Blood in semen
- Painful ejaculation
- Persistent pelvic, lower back
or hip pain
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