Health
To Your Health: Prostate enlargement treatment begins with medication and ends with surgery. Healthy aging
Dear Dr. Roach: In the previous column, we talked about prostate enlargement, or BPH. How do I know if they have BPH or overactive bladder? I wake up three times at night to urinate. I tried Flomax for 3 weeks and it didn’t work. The combination of tamsulosin and finasteride seems dangerous and contains two drugs in one system. Would you rather just have surgery to shrink the prostate and treat it with it, rather than relying on two drugs for life at risk of side effects? — E.M.
Answer: The symptoms of enlarged prostate and overactive bladder look similar in men. Many doctors do trials with tamsulosin (Flomax) or similar drugs, but if they fail, a few simple tests can give an accurate diagnosis. Urologists measure urine flow and bladder pressure to ensure the diagnosis.
Surgery is not suitable for the symptoms of overactive bladder, but if the prostate is found to be the cause of the problem, surgery is one of many options. Although the patient’s personal preferences are very important in determining the best treatment, surgery is usually reserved for those who do not respond to drug therapy. The surgery itself can have side effects. Symptoms in some patients worsen after surgery, and many continue to require drug therapy after surgery.
There are many alternatives to traditional surgery, many of which have a lower risk of side effects. Only a urologist can make a personalized recommendation after a thorough evaluation, but I recommend not rushing surgery.
Dear Dr. Roach: Does blood donation reduce the immune system during a coronavirus pandemic? I am a healthy 58 year old woman. — P.A.
Answer: No, blood donation has a negligible effect on the immune system. There is still a need for blood donations, and blood donations are a major source of funding for blood banks to acquire donors, but most have been cancelled. Check with your local blood bank, such as the American Red Cross, for donations. If you are healthy, consider doing so.
Dear Dr. Roach: A recent column features a reader’s 75-year-old uncle who experiences a burning sensation just before and during urination. If urinary tract infections are really excluded, I would like to suggest an effective one-week test that my uncle can easily self-administer. Remove caffeine, alcohol, and spicy spices for a week to see if the burning sensation subsides. I learned this from a urologist many years ago, and it’s amazing how often this simple adjustment to diet works for people. — B.P.
Answer: I thank BP for writing. Also, drinking too much water from time to time can be a symptom, as very thick urine can cause burns and people can consciously or unconsciously reduce their dose to avoid discomfort during urination. May be alleviated. These are easy solutions to try before doing a more thorough work-up.
What Are The Main Benefits Of Comparing Car Insurance Quotes Online
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