Manifested symptoms of benign prostatic hyperplasia. What cannot be ignored.
Prostate adenoma always varies according to the severity of symptoms and not all cases creates a problem for men's health. Approximately half of men with BPH experience symptoms and signs that are noticeable and cause significant discomfort.
To prevent serious complications, men are recommended every six months to undergo an appropriate examination in a medical facility. In case of the slightest manifestations of the disease without delay to contact an experienced specialist.
Age men 45 years and older cells of the Central parts of the prostate are reproduced several times faster, leading to growth of the prostate gland. The growing tissue of the prostate begins to squeeze the urethra, partially blocking urine flow.
Due to the fact that the urethra is narrowed, the man has to make more efforts to fully expel urine out of the bladder. Over time the bladder muscle cannot overcome the narrow channel, and the urine remains there, making it impossible to completely empty it.
Many men with BPH have no symptoms. The degree of growth of the prostate gland is not always related to the severity of symptoms. Some patients with a small prostate hyperplasia manifested severe symptoms, while others do not with a significant increase in cancer.
Experts share the symptoms of benign prostatic hyperplasia in 2 categories:
- symptoms emptying;
- symptoms filling.
Symptoms emptying adenoma
- Difficulty beginning the flow of urine.
- The necessity of tension in the muscles of the abdominal wall to begin urination.
- A weak urine stream.
- The discontinuity of the urine stream.
- A long drip at the end of urination.
- Constant feeling of incomplete emptying of the bladder.
The emptying of the symptoms associated with narrowing of the lumen of the urethra as a result of squeezing it giperplazirovannah nodules of the prostate.
Symptoms of filling in the adenoma
Frequent urination and the urge to it day and night (in medicine, this symptom is called nocturia).
- Imperative (i.e., "compelling", "binding") incontinence.
- The imperative urge to urinate.
The cause of filling symptoms is irritation a large amount of urine of some receptor zones of the crowded bubble.
The susceptibility of the bladder to overflow of urine meets a special area of its mucosa, situated between the internal opening of the urethra and the openings of the ureters, forming a triangle, called Lieto. Inthe result disrupts the function of the bladder.
Symptoms of BPH are undulating and periodic in nature. This means that for the duration of the disease, there are periods when the symptoms significantly get worse and worse, and there are days when they weaken and temporarily disappear.
Prostate adenoma – a slow current disease. With age is the enlarged prostate and increased signs of adenoma. However, such progression is observed not in all men: there are cases of improvement.
Stage of benign prostatic hyperplasia
There are three stages of BPH the following symptoms each of them.
Stage I of prostate adenoma
At this stage the patient there have been changes in the vacancy of urination, urine flow occurs at a slower than before, an intensity and urge to use the toilet appears more and more often. The result is the patient to fall several times to get up at night for emptying the bladder.
The first stage is not always urination can bother man, sometimes it runs as usual, without raising any suspicion. However, in most cases, there is a small delay, the pause between feeling the excretion of urine through the urethra and the actual urination.
Over time, patients with BPH is the dynamics to increase urine flow and a significant reduction of its volume in each act.
In the first stage of the adenoma patients also complain of frequent urination, when there is no strength to endure, and must quickly go to the bathroom. The stream becomes sluggish, falling straight down. One of the most common symptoms of the initial stage of BPH is the need of the patient to strain the abdominal muscles to complete urination.
The first stage of development of the disease may last for several years and in this state men can be stable. At this stage, only a small percentage of patients are turning to a urologist with the existing lightly marked symptoms. This is a bug, as at this stage it is easiest to suspend the further development of the disease and completely cure the prostate cancer.
Stage II of prostate adenoma
At this stage the disease starts showing signs of delay of residual urine in the bladder, its amount over time gradually increases. This increases bladder volume and gradually develop degenerative changes, which result in the patient there is a sensation of incomplete emptying.
The second stage of prostate is also characterized by an intermittent and irritating urination, oftenaccompanied by rest periods that last a few minutes.
Due to the increase of residual urine volume is significantly increased pressure in the bladder, which further contributes to compression of the ureters and loss of elasticity of muscles. All this leads to the excretion of urine, expansion the top ways and as a result, impairment of renal function.
Also in the second stage appears dry mouth, increased thirst, and irritability.
Stage III of prostate adenoma
In the third stage, manifested renal insufficiency and the almost complete dysfunction of the bladder and upper urinary tract. The bladder is not fully emptied, even when the patient strains the muscles of the abdomen.
This situation may lead to the risk of urinary tract infections. Over time, more serious problems, including blood in the urine, kidney stones, incontinence, acute delay of urine outflow.
The desire to empty the patient occurs often and in many cases is accompanied by severe pain in the abdomen. Urine is constantly and arbitrarily in the form of droplets, but the patient to go to the toilet can not. This symptom doctors call paradoxical urinary retention.
In the third stage, the patient experiences increased weakness, constant thirst, dry mouth, nausea, which sometimes ends with vomiting, loss of appetite. Also manifested serious mental disorders: General apathy, constant anxiety and excitement, excessive irritability and fear.
In the event of a sudden and complete inability to urinate, you should immediately contact a qualified technician. Full bladder with increased wall is clearly visible during the medical examination, is well detectable on palpation.
The last stage of the adenoma can cause hydronephrosis. This is a condition in which the kidneys are filled with urine due to impaired elimination of urine outside. The main signs of hydronephrosis when prostate cancer is pain in the lumbar region, a strong and persistent urge to urinate, inability to fully empty the bladder, vomiting, nausea and fever.
Hydronephrosis begins to develop acute urinary retention and often leads to kidney damage. When manifestations of the symptoms of urinary retention and hydronephrosis it is necessary to call an ambulance.
Unfortunately, today, despite the large number of new drugs for diagnosis and treatment of benign prostatic hyperplasia, BPH later stages, which lead to the development of serious complications of this disease are notrare.
This is mainly due to the fact that many males do not give due importance to the resulting pathology and assess emerging symptoms of prostate growth as a normal condition, due to older age, and do not require treatment.
In what situations can worsen symptoms of BPH
These symptoms may worsen during the cold period of time or as a result of emotional and physical stress. Also aggravate symptoms of BPH drinking alcohol, Smoking, intake of spicy, salty, fried and smoked food.
Worsen the symptoms manifested can and some drugs, such as pseudoephedrine, diphenhydramine, Oxymetazoline spray and remedies that are prescription drugs: diuretics (diuretics), antidepressants, testosterone (injections, implants, gels), and drugs (pain relievers).
In case of BPH useful plant foods and dairy products. It is recommended to limit the consumption of meat, especially fat and eggs, to exclude completely from the diet of canned food, smoked products, mustard and pepper.
To prevent stagnation in the pelvic organs it is necessary to monitor the proper operation of the intestine:
- try to chair was regular (daily);
- every morning workout;
- move more, Hiking for 1.5 hours.
We must remember that the manifestation of the first symptoms you should not deliberately delay urination, because stretching the bladder can lead to acute urinary retention.