Hypertrophy of Prostate

Among old age related diseases enlargement of prostate gland is one that concerns only men. This enlargement of prostate gland is called 'Benign Hypertrophy of Prostate' of BHP.The treatment for enlarged prostate is surgery and removal of gland. The mild enlargement can be managed with certain precautions and help of homoeopathy.

What is prostate?
Prostate is a king gland in males. It is called 'Porash' or purasth granthi' in Hindi. With middle or old age, the prostate gets enlarged. Prostate is the gland situated at the base of bladder. From bladder there is a passage for urine to pass. This passage is called urethra. The prostate gland surrounds urethra. It produces a fluid that mixes with semen to make up part of the seminal fluid. When it is enlarged its weight becomes more than 50 gms. Enlargement is that of middle lobe and if the posterior lobe is affected, it is prostate cancer.

When symptoms of enlargement of prostate are ignored, there are adverse effects on the bladder, urethra, ureters, kidneys and sexual organs. With constriction of passage in the urethra, some of the urine is left in the bladder. This urine stagnates and its residues settle down on the walls of bladder. This condition makes the wall of bladder thick which in turn may make stones (calculi). With obstruction of urine, the urethra becomes elongated. Elongation means compression of canal. When flow of urine is obstructed partially, there has to be back pressure on ureters which are dilated. The sphincter mechanism around ureters gets defective. The back pressure of urine is called hydronephrosis. The urine ascends in the ureters and damages the renal route.

Causes of enlargement
Natural rigidity of old age: In old age most of people suffer from rigidity of joints. There are people who have enlarged prostate but no rigidity of joints, etc.

Postponing urination: Some people are in the habit of postponing urination when travelling or in the public places. Stopping urine voluntarily exerts pressure on the walls of bladder which becomes thick. This thickness extends to starting region of urethra over which prostate is surrounded.

Hormones imbalance: Two testicular hormones govern the prostate, one is male androgenic and the other is female estrogen. The adrenal gland supplements them. Male hormone supply diminishes with the old age while supply of estrogen does not decrease proportionately. This is imbalance of hormones.

Management of BHP
If the weight of prostate is less than 50 gms, it is observed that prostate enlargement can be controlled and urine routine becomes normal. First of all make it a habit to go for urination before taking a bath and after taking lunch or dinner. Never postpone the urge for urination. When there is feeling about urine left in the bladder, keep standing. Wait for a few minutes. Now try to empty the bladder again. Practice this three to four times daily and conduct this routine for at least seven days. You will find that bladder muscles are toned and accustomed with release of urine. If there is no relief, consult a doctor.

Homoeopathy

There are a set of medicines for enlargement of prostate and the most important used are Sabal serr-Q, Ferrum Picrata 3x, and Thuja.

Myths About Nutrition

Now that health concerns have become universal, we’ve been flooded with information about what to eat and what to avoid. Often, the news leaves us confused. Since this isn’t a good situation to be in, we decided to clear up the bewilderment.

Drink milk every day: Many of us believe that a glass of milk a day will keep us healthy. But according to Dr Atul Bhasin, consultant, internal medicine, B L Kapur Memorial Hospital, Delhi, you don’t need to drink milk after the age of one. “All the benefits of milk are available if you eat a balanced diet, including green vegetables and soya protein,” says Dr Bhasin. “As for calcium, sunlight is a good option.”

Small and frequent meals: Have six small meals at intervals during the day, we are told, to boost metabolism and aid digestion. But does it work? Yes, says Brunch columnist Dr Shikha Sharma. “The basic principle is that the more food you put into your body, the harder your body works to digest it,” she explains. “However, the body has a clever way to handle too much food – it puts the excess into storage. Translation: fat. But smaller, more frequent meals kickstart your metabolism, allowing the body to burn calories at a constant rate.” But eating small, frequent meals does not mean snacking on oily or junk food. Satisfy your hunger with dahi, fruit, nimboo paani or juice.

Drink at least 8-10 glasses of water a day: It is never a bad idea to keep well-hydrated, explains Dr Bhasin, especially if you drink a lot of tea or coffee. Caffeine and aerated drinks are dehydrating, so it makes sense to substitute them with water. If you’re tired, cranky, hungry or light-headed, water will help instantly.

Too much rice can make you fat: Rice is a simple carbohydrate that we are told to avoid. “Although rice in itself is not very fattening, it doesn’t fill you the way a chapati does, so you tend to feel hungry sooner,” explains Jyoti Arora, head, nutrition and dietetics, Artemis Health Institute, Delhi. “This is why you tend to eat it in excess.” But rice should not be avoided altogether. Its starch contains minerals and vitamins, so do not overwash it before cooking. Switch to brown rice, and eat it with whole pulses, vegetables and salad to add fibre.

Don’t mix fish and dairy: Certain communities believe mixing seafood and dairy leads to problems. But, says Dr Bhasin, there is no evidence for this. Don’t drink milk after eating papaya: “This is true as having milk after papaya can lead to diarrhea,” says Jyoti Arora. However, if you are constipated, a nighttime meal of papaya followed by a glass of milk can help.

Eating raw cabbage leads to worms: True, if the cabbage hasn’t been washed well. But this applies to all vegetables, raw or cooked. “Wash them well in normal water,” says Dr Bhasin.

Avoid dahi if you have a cold: No need, says Dr Bhasin. But to avoid risk, eat your dahi at room temperature, adds Jyoti Arora. Every morning, eat a few almonds that have been soaked overnight: Yes. “Almonds are a source of minerals and vitamins. You can soak them, but eat them with their skins on,” says Jyoti Arora.

Do not buy cut fruit from a street vendor: “You can’t be sure how long the vendor has kept the fruit in the open, or of the water it was washed in,” says Dr Bhasin. So buy whole fruit and cut it yourself.