Benign Prostatic
Hypertrophy is one of the major clinical conditions related with ageing process
in men. The primary symptoms of BPH those are due to the prostate obstructing
the urethra include hesitancy, poor prolonged flow and sensation of incomplete
emptying. Secondary symptoms are urinary frequency, urgency of micturition and
urge incontinence. It also affects the quality of life and causes physical and
mental stress to the patient.
Usually associated symptoms are noticed from 60
years of age, and about 50% of men over 80 years have urinary symptoms
associated with BPH.
RISK
FACTORS
•
Age
above 40
•
A
family history of BPH
•
Obesity
•
Absence
of physical activity or exercise
•
Erectile
dysfunction (ED)
•
Heart
and cardiovascular diseases
•
Type
2 diabetes
Signs & Symptoms-
The
symptoms of BPH are often very mild initially, but they become more serious if
case is not treated. Common symptoms include:
The
primary symptoms of BPH those are due to the prostate obstructing the urethra include
hesitancy, poor prolonged flow and sensation of incomplete emptying.
Secondary symptoms are
urinary frequency, urgency of micturition and urge incontinence.
Patients may present
acute urinary retention and develop a painful distended bladder.
If retention
of urine becomes chronic, the bladder may slowly distend due to inadequate emptying over a long
period of time. This can be characterized by pain-free bladder distension and
may result in hydroureter, hydronephrosis and subsequent renal failure.
In
addition to the mechanical effects of the enlarged prostate, clinical symptoms
of lower urinary tract obstruction are also due to smooth muscle-mediated
contraction of the prostate.
Ayurveda describes two conditions known as Mootrakruchra and Mootraaghaata which
are major conditions seen in Benign Prostate Hyperplasia.
Mootrakrichra is characterized by pain, trouble or difficulty
in passing the urine, also known as Dysuria, whereas in Mootraaghaata,
there is total suppression or intermittent flow of urine during urination.
It also affects the
quality of life and causes physical and mental stress to the patient. According to ayurvedic principles,
vitiated kapha dosha is responsible for hyperplasia whereas smooth muscle
contraction, hesitancy, poor prolonged flow, sensation of incomplete emptying,
urinary frequency, urgency of micturition and urge incontinence are result of
vitiated vata dosha.
Ayurvedic
tips in BPH
In case of mild symptoms, self care
according to texts of Ayurveda can provide relief, as follow:
•
Vata gets abated or invalidated when
natural urges are controlled. Therefore, one should not control the natural
urge of passing urine. Don’t hold on the urge to urinate.
•
Go to the bathroom even if you do
not have urge.
•
Alcohol, tobacco, coffee increase
vata and abate it and hence, should be avoided.
•
Vata becomes normal and not abate
when the body is warm. Thus, Yoga as well as regular exercise can keep the body
warm.
•
Mental exertion and stress leads to
increase of vata. Avoiding mental stress and meditation can help to normalize
vata.
•
Avoid foods which cause
constipation as constipation exaggerates vata.
•
Long-term insufficient zinc intake
is also linked to BPH. Good dietary sources of zinc include meat, eggs and
seafood.
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