Prostate enlargement, also known as benign prostatic hyperplasia (BPH), is a common medical condition in older men. Its occurrence
in men under 30 is a rarity. This prostate lies beneath the bladder, and it
surrounds the urethra. In case you are unaware of the function of the prostate
gland, it does the work of nourishing and protecting the sperm when it travels
through the vaginal tract for fertilisation during intercourse thus, increasing
the chances of pregnancy. The gland, at birth, is of the size of a walnut. With
age, the gland grows continuously. In some men, this growth makes the prostate
bigger enough to obstruct urine flow, and cause other urinary problems.
What could cause
enlarged prostate?
The period from mid to late 40s, is considered to be the
growing period of the prostate gland. The problem of the enlarged prostate
gland, according to experts, is triggered by a rapid multiplication of cells in
the central portion of the gland. Now, what causes such an episode is yet to be
brought under the light of certainty. Although there is no solid evidence,
there are assumptions which are strongly related to it. The first speculation
is regarding the hormone testosterone and female hormone (oestrogen) levels in
men. Any abnormal change that occurs in these levels may trigger the condition
of prostate gland enlargement in younger and older men. Leaving this aside,
some doctors claim that a condition known as hyperplasia that occurs in the
gland may also be one of the causes. While in some cases, the gland may develop
an increased sensitivity towards normal levels of hormone, and this may result
in the enlargement too.
Symptoms of enlarged
prostate
The symptoms may get worse as men age. Also, the symptoms are
not the same for all, and may vary with individuals. Common signs and symptoms
include experiencing difficulty in initiating urination, dribbling episodes at
the end of each session, and having a weak urine system. Along with these few
pronounced symptoms, increased urgency for urination, increased urination at
night, straining while urinating, and incomplete evacuation during urination may
occur. With time, the symptoms of this prostate problem may become worse and
include bladder stones, impaired kidney function, urinary tract infection (UTI)
and presence of blood in the urine.
Treatment of enlarged
prostate
Not every person who has BPH requires treatment. Only when
the symptoms become severe or bothersome enough, one can decide to get treated.
Treatment options are many, and severity of the symptoms, the enlargement,
medical history, and overall health are some factors which help in determining
the best treatment for an individual. Most cases can be managed with the use of
medications. These may include alpha blockers (muscle relaxants), and 5 alpha
reductase inhibitors (aid in shrinking the gland). In some cases, the patient
may need to be treated with a combination of the above two medicines depending
upon the condition. If administrating medications does not seem promising
enough, then doctors may recommend surgery. The main aim of the surgery is to
reduce the size of the prostate so that it can relieve the urinary problems the
patient is facing. The patient may choose from a wide variety of surgical procedures.
Along with prescribed medications, there are a few self-care
measures that can be followed at home. These measures may help deal with the
symptoms to some extent. It is better to limit drinks in the evening,
especially when it is close to bedtime. Avoid alcoholic drinks, limit
decongestants or antihistamines, avoid delaying the urge to go to the toilet,
and do regular exercises. Keeping yourself warm also helps in reducing the
symptoms. Speaking of natural treatment, some scientists believe that the herb
palmetto may show promising results in treating BPH. However, studies conducted
for the efficacy of the herb showed inconsistent results thus, further
investigation is required.
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