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The Prostate: Part I – BNP What is situated below a body of water, has four zones and is commonly associated with venial pleasures. No it is not some romantic European city, but rather a walnut sized male organ that serves important procreative functions. It also happens to be an organ that plagues men as we age. This organ or gland is the prostate. This is the first of two articles on the male prostate. This article will focus on a disease process that affects older men, something we refer to as benign prostatic hyperplasia (BPH). BPH is a non-cancerous growth in the size of the prostate gland that impairs the flow of urine out of the bladder. The second article will focus of prostate cancer. But first a little about the small yet important male organ. The gland is located just below the bladder. It usually measures one inch by one-and-a-half inches (approximately the size of a walnut). It surrounds the urethra (the tube that takes urine out of the bladder). It is responsible for producing a fluid important in male sexual function. In the past the prostate was described as having “lobes”, but today we refer to it as having concentric zones. These zones are important both on an anatomical as well as histological level. We can separate pathology along these zones as well. For instance most all cancers occur in the peripheral zone while the benign process of enlargement occurs almost exclusively in the transitional zone (which only occupies about 5% of the total prostate volume). The prostate gland is also made up of different cell types. Cancer cells develop from the epithelial cells, but it is the interaction with stromal cells that is important in the behavior of the cancer. BPH develops from an interaction between these cells as well, but it is complex and poorly understood. Testosterone and other hormones and their interactions with this gland are hot topics of research in understanding prostate disease. The prostate gland produces most of what is found in the male ejaculate. The average volume is about 3 mL. This is less than a teaspoon and only 1% of it is sperm. The majority of the semen volume is made of products of the seminal vesicles and the prostate. The male ejaculate is very rich in potassium, zinc, citric acid and fructose. Along with these substances it also contains prostaglandins. There are many other unusual substances found in the semen. Not all is know about their function or purpose. This important male organ is a complex mix of anatomical structures and cell types that make it possible for human reproduction. However beyond the reproductive years of men, this organ becomes one of burden rather than usefulness. We will discuss the finer points of BPH and how to best avoid it and if plagued with it, treatment options. BPH typically affects men from their fourth to fifth decade of life and beyond. Several hormones come into play that have a drastic effect on the transitional zone (the zone that is most central and surrounding the urethra). Namely a metabolite of the male androgen Testosterone called Dihydrotestosterone (DHT) plays a big part on the enlargement of cells of the prostate and the encroachment on the urethra. There are several signs and symptoms that correlate with BPH and they are: slow urinary flow, the urge to urinate all the time, nighttime urination, enlargement and distension of the bladder with continuous urine leakage (incontinence) and urinary obstruction. Autopsies suggest that more than 90% of men older than 70 years have BPH. The average age for symptomatic development is about 65 years for white Americans and about 60 years for African-American men. Ways to prevent the effects of DHT on the prostate gland and the ensuing enlargement are via medications that block the enzyme 5-alpha-reductase, which converts Testosterone to DHT. Proscar is such a drug commercially available through a pharmaceutical company. Proscar works on blocking the effects of androgens on the epithelial cells and can actually shrink the size of the prostate making some of the symptoms of BPH resolve. Alternatively two FDA approved drugs that aid in symptoms of BPH (but act differently than Proscar) are Hytrin and Cardura. Both Hytrin and Cardura are drugs in the alpha1-blocker class. Originally researched as a centrally acting blood pressure reducer for patient with hypertension, it was discovered that this drug would actually relax the prostate tissue surrounding the urethra making symptoms of BPH resolve. Side effects generally include low blood pressure, dizziness, and nasal stuffiness. While neither of these two drugs will “cure” or reverse the process, they certainly do provide symptom relief for the patient plagued with BPH. Another way to treat this disease and a more natural approach is the use of herbs know for their anti-androgenic effects on the prostate. These include the well-studied Saw Palmetto herbal extract that blocks 5-alpha-reductase in the same manner as the prescription drug. Saw Palmetto taken in a standardized dose of 160mg twice daily has shown increased urine flow, with minimal side effects. Saw Palmetto is an herb indigenous to the Lowcountry of Georgia and South Carolina. Pygeum Africanum is shown to do the same yet it is not as effective and there is a fair degree of stomach symptoms. Pygeum is derived from an African evergreen tree. Stinging Nettles (Radix urticae) is another herb used widely in Europe for prostate health that has been shown to lower the residual urine volume in men with enlarged prostates. These phytotherapeutics (plant derived medicines), used and described by the Egyptians as far back as the 15 Century B.C., have a common compounds called phytosterols. The most effective phytosterol is beta sito sterol for BPH. None of the medications or herbs has been shown to prevent prostate cancer. These prescription medications and herbs are for the treatment, reduction in size or prevention of the benign process of enlargement of the prostate. Prostate cancer prevention and treatment is by other means and the subject of the next article. Besides the herbal and drug therapies there are a few surgical therapies worth mentioning. These include the most common transurethral resection of the prostate or TURP. This is where under the care of an urologist the constricted urethra within the prostate gland is “reamed out” thus mechanically or surgically widened the opening. A variant of this is the transurethral incision of the prostate (TUIP) where an incision rather than resection of the tissue is performed. A suitable procedure for patients with prostates 100 mL in volume. This involves an abdominal operation and removal of the whole prostate. Of course symptoms mentioned above for TURP are of greater frequency with this more radical procedure. There is also thermotherapy (a type of microwave treatment) that alleviates irritative symptoms, but not much is available in long-term results in the medical literature. And finally stent placement is an option. This can be used in selected cases of patients with a poor general condition and in the non-operative candidate. Symptoms of BPH include: Obstructive symptoms: Hesitancy in initiating voiding (trouble getting started) Weak urinary stream, prolonged voiding Post-voiding dribbling (mild incontinence) Sensation of incomplete emptying Nocturia (night time urination) Overflow incontinence Acute urinary retention (very painful condition) Irritative symptoms: Dysuria (discomfort in urination) Frequency Urgency Scoring BPH: The American Urological Association Symptom Index (AUASI) and International Prostate Symptom Score (IPSS) are now considered the gold standard measurement tools for the assessment of BPH symptoms and response to treatment. Both questionnaires can be used by a physician in a clinical practice to quantify the subjective symptoms of BPH and monitor therapies. Part II in this series will cover annual examination of the prostate, blood testing, prostate cancer. It will also cover prevention and treatment of prostate cancer. Reference: http://www.prostatehealth.com Lowe, FC. Et al, Phytotherapy in treatment of benign prostatic hyperplasia: a critical review. Urology 48:12-19, 1996 Dreikorn, K. et al, Stellenwert von Phytotherapeutica dei der Behandulng der benighnen Prostatahyperplasia. Urologe (A)34:119-129, 1995 Fitzpatrick, J.M. et al, Phytotherapeutic Agents in Management of Symptomatic Benign Prostatic Hyperplasia. Urological Clinics of North America. 22:407-412, 1995 Wilt T, Ishani A, Mac Donald R.. Serenoa repens for benign prostatic hyperplasia. The Cochrane Database of Systematic Reviews 2002, Issue 3. Art. No.: CD001423. DOI: 10.1002/14651858.CD001423. [Research by Sagalowski and Wilson, 1998] © 2005 free penis enlarement tip vimax penis girth enlargement top rated pennis enlargement pills vimax herbal penis enlargement pills vig rx review penis enargement pic before and after penis enargement pills product enlargement manhattan penile

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Prostate is a male gland that surrounds first part of the urethra and is responsible for production of semen (the sperm carrier). Prostate cancer is the name given to development of cancer in prostate and prostate cancer is generally found in older men i.e. men that are over 50 years of age. Diet and Prostate cancer The risk of prostate cancer can be reduced by including sufficient tomato and tomato products in your diet. Similarly, fresh fruits and vegetables are also said to reduce the chances of occurrence of prostate cancer. On the other hand there are suggestions that animal fat and dairy products can increase the risk of prostate cancer Symptoms of prostate cancer Since prostate cancer affects the abilities of prostate gland the main symptoms are shown by the urinary system. So prostate cancer might lead to more frequent urination or it might lead to difficultly in passing urine (e.g. pain while urinating). It’s important to note that enlargement of prostate gland doesn’t necessarily mean that you have prostate cancer. Also, the occurrence of these symptoms can’t be attributed to prostate cancer without proper tests and diagnosis by a qualified doctor. Diagnosis of prostate cancer There are a number of ways in which diagnosis of prostate cancer is carried out. Your doctor will, of course, enquire about the symptoms first and then prescribe certain tests based on how strong the prostate cancer symptoms are. The various prostate cancer tests include rectal examination (in which the rectum passage is used to feel abnormalities in prostate gland). Then we have blood test that checks the level of prostate-specific antigen in your blood. Ultrasound tests are another means of diagnosing prostate cancer and these are sometimes done in parallel with biopsy of prostate tissue samples. Though these tests are known to be quite good at detecting prostate cancer, they can’t be labeled as 100% accurate and hence some other advanced tests might need to be carried out in certain cases. Treatment of prostate cancer The treatment approach for prostate cancer will depend on whether it is in its early stages or whether it has got more advanced. Note that if the prostate cancer is detected in too advanced stage, it might spread to bones even and become more or less uncontrollable. The best way to keep prostate cancer at bay is to take proactive approach by consulting doctor (and even going for blood test) regularly and hence catch prostate cancer in its early stages. Surgery, radiotherapy and hormonal therapy are the most usual ways of treating prostate cancer. However, chemotherapy may be used too. medical penile enlargement free pnis enlargement exercise permanent penile enlargment where to buy vig rx penile enlargement program penis enhancement surgery picture pnis enlargement cream vig rx results penis enlargment surgery

Crohn's disease is characterized by chronic inflammation of the colon. Most patients also experience abdominal pain and weight loss. The treatment for Crohn’s disease is similar to that of ulcerative colitis in the sense that it can be treated with sulfasalazine, mesalamine preparations, glucocorticoids and 6 mercaptopurine. Antibiotics such as Ciprofloxacin and Metronidazole can also be effective for the complications that come along with Crohn’s disease. Metronidazole is very useful in treating fitulous disease in some patients. The origin of Crohn’s disease is still a mystery in the medical world, however some researchers believe that overeating, chemical poisoning, bacterial and a lack of response by your own immune system may all be connected to Crohn’s disease. Crohn’s disease can often be confused with regional ileitis, which is also a severe, progressive, inflammatory disease of the bowel. Its symptoms include diarrhea with pain. Bowel movements usually contain blood, mucus and pus, brought on by the infection. What makes Crohn’s different is that it can affect any part of the gastrointestinal tract and does not necessarily involve constant unhealthy bowel movements, sometimes bowel movements are regular, other time they are not. No symptoms are noticeable when your Crohn’s is in remission. In fact, most patients in remission may think that they are healed. But the truth of the matter is that there is still chance for the disease to reoccur, unless you take all necessary precautions and pay close attention to your health. If surgery becomes necessary for Crohn’s your disease, you can rest assured it is a well tolerated, reasonably safe procedure, with an operative mortality rate of only 6%. Since diarrhea is one of the main symptoms of Crohn’s disease, it’s not unusual for patients to have some fissures, fistulas or thickening of the anal skin. The skin may also become swollen and discolored around the anus. Crohn’s can also bring about biochemical disturbances in the liver. Many patients hat exhibit this symptom have a family history of allergies that includes hives and asthma. Additional symptoms can include enlargement of the ends of the fingers (called clubbing), thrush in the mouth, lesions in the eyes and arthritis that effects the large joints. Even today there is no effective cure for Crohn’s disease. Although the disease may exhibit relatively mild symptoms, it still can interfere with work and your personal life. Medications that treat the disease can sometimes end up causing other problems. Many Crohn’s patients were found to be eating a similar diet — lots of refined sugars, less dietary fiber, less raw fruits and vegetables. The trouble is that sugary foods tend to contain chemical additives that influence intestinal bacteria, causing them to produce toxic substances that end up, over time, destroying the intestinal lining. This is the reason sugary foods should be avoided (or limited) by Crohn’s patients. Seasonings as well as cold liquid are also not well tolerated. It’s also common for a milk sugar mal-absorption to cause milk intolerance in most Crohn’s patients. Crohn’s disease is also believed to be responsible for providing favorable conditions where substances that produce allergic reaction can develop, especially if the Crohn’s has penetrated the lining of the bowel. If you suspect you have Crohn’s disease, you should first consult your primary care physician before taking other steps. Careful diagnosis and monitoring are the key to living comfortably with Crohn’s. penis enlarement without pills vimax penis enlargement information penile enlargement surgeries pnis enlargement operation penis enlargement surgery photo pennis enlargement traction device easy enlargement free penile surgery way cheap penile enlargement pills penis enlargment surgery

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