Jul
23
HYPERHIDROSIS
July 23, 2009 | Leave a Comment
HYPERHIDROSIS
• Try Certain Dri (aluminum chloride) ***
• Experiment with MOM (milk of magnesia) **
• Give vinegar or baking soda a whirl
• Try soaking your sweaty feet in tea
• Ask about a prescription for Drysol ****
• Look into iontophoresis
• Consider Botox injections **
Why do we sweat? One important reason is to regulate body temperature doxazosin generic . If we didn’t have sweat glands in the skin all over our bodies, we’d need to stick out our tongues and pant like dogs to cool off in hot weather tramadol perscriptions . Although that may be the function of sweating, plenty of people can tell you that’s not all there is to it anafranil and ocd . They’re the ones who perspire far more than is strictly necessary WT cooling purposes discount flomax online from canada . Almost all of us sweal when we are anxious as well viagra no prescription required .
Nearly 3 percent of adults sweat too much, a condition known as hyperhidrosis soma phentermine hydrocodone pharmacy . Their armpits perspire and soak their shirt or blouse aleve headache medicine . Their hands sweat and make their handshakes slippery, or their feet sweat, contributing to the growth of odor-forming bacteria and fungi loratadine bone pain . Some people find perspiration dripping from their face even when they are not exerting themselves low price levitra . It appears that their nervous system goes into overdrive, telling the eccrine glands in the skin that produce sweat to make more in response to emotion 300mg avapro .641
Excessive perspiration can complicate life, but a surprising number of people don’t discuss this issue with their doctor soma urine drug metabolites chart . That is a shame, because there are some effective treatments is sertraline good for hypochondriasis .
I have a problem with underarm perspiration topamax 15 mg tics . As a funeral director, I must wear a suit and fie, and in warm weather my coat gets soaked within 30 minutes women free testosterone . Some of my jackets have been ruined with perspiration stains, and I am distressed about my image dosing periods for topamax .
It’s also important to discuss this issue with a physician so he or she can rule out any potentially serious medical conditions that might be causing excessive sweating paxil and wieht gain . Infections (including tuberculosis and HIV), certain cancers, panic attacks, an
SOME DRUGS THAT MAY CAUSE SWEATING 642
• bupropion (Wellbutrin)
• citalopram (Celexa)
• clomipramine (Anafranil)
• clozapine (Clozaril)
• duloxetine (Cymbalta)
• escitalopram (Lexapro)
• fluoxetine (Prozac)
• fluvoxamine (Luvox)
• goserelin (Zoladex)
• interferon beta-lb (Betaseron)
• interferon alts-2a (Pegasys)
• niacin (Niaspan)
• rituximab (Rituxan)
• ropinirole (Requip)
• sertraline (Zoloft)
• tositumomab (Bexxar)
overactive thyroid gland, menopause, Parkinson’s disease, and a number of other conditions could be responsible bas There are also some medications that can trigger embarrassing perspiration can i split cialis . In most cases, though, damp armpits or sweaty feet are simply a consequence of sweat glands being hypersensitive to the cues that normally stimulate perspiration opioid testing tramadol .
Over-the-Counter Approaches
The first thing to try for damp armpits is a good strong antiperspirant bupropion weight . Nearly every antiperspirant contains aluminum ultram like . The stronger ones have higher concentrations wellbutrin xl brand or generic . Some readers have reported success with a product called Mitchum antiperspirant drugs to avoid caffeine withdrawl headaches . It contains aluminum zirconium tetrachlorohydrex 20 percent: It can be used on sweaty feet as well as on the underarms typical dose cephalexin .
I suffered for years with sweaty feet and loot odor combining wellbutrin trazodone and tegretol . I tried lots of over-the-counter foot products but none worked silagra info .
One day I rubbed the bottoms of my feet and in between my toes with my underarm deodorant (Lady Mitchum Clear Gel) and it worked! Now I use it on my feet daily and have not had an odor problem since abilify and wellbutrin . Please let your readers know about this product, as it has made a tremendous difference in my life allegra metabolism .
Another antiperspirant that is available without a prescription is Certain Dri the drug pravastatin . It is frequently effective even for people
*** Certain Dri
This antiperspirant contains aluminum chloride and is available without a prescription zoloft side effects teens . Like other aluminum chloride products, it should be applied to dry (not damp) armpits at bedtime ticlid 250mg . After the first few days, it should be applied only two or three times a week casodex drug . Avoid broken skin adverse reactions with cymbalta . Information on sales outlets is available from 800-338-8079 soma titannium folding bikes .
Side effects: May cause irritation or rash vytorin medication pill strengths . Discontinue if this occurs diet to increase testosterone level .
Downside: Unresolved concerns about aluminum safety Cost: $5 to $6 for a roll-on with 1 signs of digoxin toxicity .2 fluid ounces
who perspire heavily levothyroxine liquid dose availability . Certain Dri contains aluminum chloride, which is why it works well benzoyl peroxide virus .
Home Remedies MOM to the Rescue
0 0 *
Q uses of prednisone in hyperthyroid . I want to share a remedy I learned in Brazil does evista cause leg cramps . Just apply milk of magnesia to your armpits cymbalta side effects nightmares . It is the best underarm deodorant!
A benzoyl peroxide storage temperature . What an unusual idea! Milk of magnesia (MOM) contains magnesium hydroxide, which acts as both an antacid and a laxative lithium battery fuel cell . We have never heard of applying it to the underarms, though std penicillin . Perhaps it reduces the acidity of the skin to make odor-forming bacteria less welcome nexium acid reflux information .
0 0 0
We don’t know for certain how MOM would reduce underarm perspiration, though other people have also reported success with it walgreens and lithium orotate . It may be able to inhibit odor by altering the environment for the bacteria that live on the skin and are responsible for the smell of sweat caffeine how long to metabolize . We do know that MOM is safe ranitidine to treat urinary track infection . People have been swallowing milk of magnesia as a laxative for decades digoxin atrial fibrillation . The Phil-
Mqr11qM,K of Magnesia
Shake the bottle well before applying this product to the armpits with your fingers withdraw from amitriptyline . It can be applied in either the evening or the morning, because it does “lot seem to stain clothing methotrexate drug side effects .
Side effects: Be alert for irritation or rash high alt lovastatin . Discontinue if this occurs discount zyrtec-d .
Downside: No scientific studies support the use of MOM as an antiperspirant or deodorant viagra pill color . Proof of its effectiveness is purely anecdotal asacol for ulcerative colitis .
Cost: Approximately $6 for 12 fluid ounces
lips brand is probably the most famous feedster on viagra . We also know that people frequently are low in magnesium side affects of citalopram . (See pages 344 and 386 for a discussion of this “magnificent mineral actos evista .”) Other people have written to say they find milk of magnesia effective at stopping perspiration digoxin analysis mass spectrometry .
You expressed surprise that someone might use milk of magnesia as an underarm deodorant chat forums cymbalta users . I have been using milk of magnesia for several years 35 patients zyrtec tolerance . Despite my initial skepticism, I’ve found it to be a remarkably effective antiperspirant discontinuing testosterone replacement therapy . I apply it directly from the bottle using my fingers mechanism of action of methotrexate .
It is inexpensive (a bottle lasts months), goes on quickly and easily, has no odor, dries clear, does not stain clothing, and is completely effective in stopping odor and perspiration lipitor equine . It contains no aluminum flomax dutasteride research . (Some people worry that aluminum contributes to Alzheimer’s tegretol phenobarbital cross sensitivity .) It contains no other harmful ingredients since it is made to be ingested does ultram cause h pylori .
Vinegar and Baking Soda
If altering the pH of the skin helps control odor, it may explain why some people are enthusiastic about the use of plain vinegar as a deodorant lithium polymer batteries operation . Others report good results with baking soda lithium photography . Both of these kitchen remedies can change the balance of acid and base on the skin, which probably makes life less comfortable for odor-forming bacteria foods and drinks that have caffeine .
0 0 0
Q neurontin msds . Thank you for writing about using vinegar and water on underarms withdrawal effects of zocor . I have had a problem with underarm smell most of my life and have tried almost every product on the market seroquel and kidney infections . Nothing really stopped the odor luvox for binge eating disorder .
When I read about vinegar, I gave it a try pictures of indapamide medication . It has been a miracle nexium 40 mg extended release . I can now go out in the heat, exercise, and go through the day without smelling at all discreet antabuse online consultation . It is amazing and cheap persantine interaction with fluconazole .
A loratadine fetus . Thanks for the testimonial wikpedia cipro . We heard this from another reader: “I had chemo treatment for breast cancer in 2002 and found that all antiperspirants caused redness and irritation doxycycline cures . My doctor advised me not to use any deodorant, but that did not suit me wellbutrin wallmart . I tried plain white vinegar, and it worked so well I’ve kept it up ever
since cialis flagstaff .”
Dilute vinegar (half vinegar and half water) should be applied only to unbroken skin (not after shaving), or it will sting caffeine withdraw alcohol . If it causes any rash or another reaction, it should be discontinued immediately pyridium and interstitial cystitis .
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Several years ago I came across a tip from someone on a Web message board to use baking soda for excessive underarm sweating generic for inderal la . For me it works like magic avandia size . I apply a dab the size of a dime just below the armpit Any more than that and it may be irritating lamisil deaths .
I suffered for years prior to this withdrawal from citalopram . Deodorants and antiperspirants did nothing except cause white stains and stickiness albuterol and hoarseness .
Tea Treatment for Hands and Feet
Many people with overactive sweat glands have a problem with excessive sweating on their hands and feet as well as under their arms nexium osteoporosis . Some of the same products that work as underarm antiperspirants can be used for hands or feet imitrex injection instructions .
My daughter has been plagued with hyperhidrosis since she was quite young cymbalta adderall . Every spring and summer she spends hours readying new sandals for wear She lines the shoes with moleskin or some other absorbent material reglan problems . Her feet perspire so much that if she does not take this precaution her feet slip right out of the shoes catapres clonidine no prescription overnight shipping .
In some cases, tannic acid can be helpful in reducing the sweating of the palms of the hands and soles of the feet lamictal ritalin . One simple home remedy is to make a strong tea solution by steeping five tea bags in a quart of hot water for 15 minutes lamictal use in pregnancy . Then soak the hands or feet in the solution for 30 minutes a day evista foxamax .The drawback of soaking hands in this tannin solution is that it stains the skin as well as acts as an astringent online no prescription celebrex . It is inexpensive, however, and it works for some people how to stop prevacid . Clear tannic acid is available in some topical medications drug classification for evista .
Q maximum thyroxine levels . I read that some people use tannic acid to control excessive sweating of the palms norvasc drug interaction with inderal . I currently use Drysol, but it’s not completely effective can i drink alcohol with ultram .
I know you can boil tea leaves to get a form of tannic acid, but it’s a hassle and stains your palms brown arthritis drugs feldene . I’d like to try tannic acid but don’t know what products to look for pravastatin side effects . Any information would be welcome, as this condition is embarrassing rechargeable lithium polymer aa .
A price of enerdel lithium power system . Commercial products with tannic acid include Ivy-Dry (10 percent) and Zilactin (7 percent) voltarol side effects .
0 * 0
No-Sweat Prescriptions
The two mainstays of prescription treatment for hyperhidrosis both contain aluminum chloride parasites lithium . The first thing a physician is likely to write down on the prescription pad is Drysol, which is 20 percent aluminum chloride hexahydrate paxil cr for sale . (A generic version is available dosage of paxil .) The other prescription option is Xerac AC; it is a weaker concentration at 6 buy estradiol online .25 percent aluminum chloride hexahydrate fats on lipitor .
The guidelines for using both of these prescription antiperspirants are the same as those for using Certain Dri: Apply it to unbroken, dry skin before bedtime (use a hair dryer to dry
Drysol
This antiperspirant contains 20 percent -aluminum chloride hexahydrate synthroid high blood iron levels . It should be applied to dry (not damp) armpits at bedtime propecia semen . Avoid broken skin exelon nuclear management model . Once the amount of sweating iS reduced, Drysol should be applied only as often as needed omeprazole compared to nexium .
Side effects: May cause irritation, itching, or rash boniva spokesmodel . Discontinue if this occurs tramadol and ulcerative colitis .
Downside: Requires a prescription
Cost: $10 to $15 for a bottle (37 lansoprazole max dose .5 nil)
your armpits, if necessary); wash it off in the morning celebrex vioxx . This not only keeps the products from damaging clothing, it also improves their effectiveness by allowing them to penetrate and block the sweat ducts normal dosage of furosemide day . Once perspiration is under control, reduce the frequency of application to once or twice a week, as needed, or even once every 2 or 3 weeks zoloft work . If the doctor recommends “occlusion,” apply the antiperspirant first, then cover the area with plastic wrap dog reactiions to doxycycline . Don’t use tape to hold the plastic in place, though flagyl for dogs . Instead, wear a tight-fitting T-shirt metoprolot and verapamil .
Aluminum chloride hexahydrate 20 percent is said to offer excellent perspiration control for a majority of people drug flomax . There are some concerns about the use of aluminum, however what type of drug is hyzaar . Some research has linked excessive aluminum exposure to an increased risk of Alzheimer’s disease taking 60mg of lexapro .6″ Scientists don’t know for certain that aluminum contributes to Alzheimer’s disease, but they haven’t determined that it does not, either zoloft oral concentrate .
In addition, a recent study suggests that aluminum salts may have estrogenic activity and can stimulate the growth of breast cancer cells in the laboratory flomax 8mg .645 combinar amoxil y advil .646 There is no scientific consensus that aluminum-containing antiperspirants increase the risk of breast cancer what is the generic for viagra . Dismissing the idea as completely wacko is no longer scientifically responsible, however ephedrine aspirin caffeine .
I am 16 and have a problem with excessive sweating in my armpits cytotec pill physician desk reference . This has been going on since I was 12 zovirax 800mg oral . I’ve used a variety of deodorants and antiperspirants who makes sertraline .
Certain Vri worked fora while, but my mom prefers natural approaches walmart viagra price . She worries about aluminum exposure how long for cipro to work .
I’m tired of soaking my shirts or uniform blouses and I’m always so embarrassed that someone will see the stains avapro respiratory . Please help me find a natural, safe cure to stop my sweating citalopram hydrobromide haldol .
If there is any increased risk from aluminum-containing antiperspirants, it is probably small alternatives to taking coumadin . It is understandable, however, that some people would prefer to limit their exposure anti depressant effexor .
Could you remind your readers about Drysol? This is a chemical treatment for underarm sweat walmart pharmacy amlodipine . Apply as directed (two times over 2 nights, then as needed) phenytoin dose adjustment albumin . I go about 4 to 6 days between treatments now lipitor wall street journal 1999 .
I am an extraordinarily heavy sweater, and the premium anti-perspirants did not work side-effects of zoloft . But after I asked my doctor fora referral to the Botox clinic for armpit shots, she prescribed Drysol effexor effect on hot flashes . It works for me tramadol blood preasure . I am dry, and it is a miracle of modern chemistry!
Antiperspirants seem to be more effective for underarms than for sweaty hands and feet W7 Hands and feet may need an aluminum chloride concentration as high as 30 to 40 percent depakote fda 2008 .
A study of aluminum chloride in a salicylic acid gel base found that this worked well for a majority of the patients with sweaty feet and hands lithium chez chas haba . This prescription product needs to be compounded by a pharmacist, because it is not available commercially exelon in wheaton illinois . Once the effect is achieved, the antiperspirant may need to be applied only once a week, or even as infrequently as once every 3 weeks remeron adhd anxiety .
Get a Charge
If aluminum chloride formulations are not effective for underarm sweating, the next step could be a process called ion- tophoresis, in which a device passes a mild electric current through the affected skin naproxen for gout . Nobody seems to know exactly how it works, but the mild electric current, powered by a battery, disrupts the sweat glands somehow organisms resistant to levaquin .
The Drionic device costs approximately $150 dilantin 100 mg 2 . For underarms, it should be used for 20 minutes three times a week for 2 weeks cipro and flue . This may reduce sweating for up to 6 weeks tizanidine veramyst . When excessive sweating resumes, the treatment can be repeated paxil short gut syndrome .
The ‘Drionic device may be more effective for sweaty hands and feet than for armpits triamcinolone acetonide hearing loss dogs . After the initial course of 6 to 10 treatments, maintenance treatments are needed every week or two, or possibly only once a month diet coke caffeine amount . Possible side effects include burning, tingling, irritation, and drying of the skin counterfeit lipitor pfizer . This is a prescription treatment that should be supervised by a physician diabetes pseudoephedrine .
Botox Injections
Botulinum toxin type A may be best known for its use in fighting wrinkles and keeping starlets (and others) from showing their age rechargeable lithium batteries in gsm applications . It is also quite effective for controlling excess perspiration, and the FDA has approved it for this purpose committing suicide with soma . If you opt for this treatment, make sure that the dermatologist or plastic surgeon who administers the injections has had training and ex-Botox
Injections of botulinum toxin into the armpit disable the neurochemical messenger that triggers sweat glands buy diflucan generic . The injections are effective for the great majority of people with excessive sweating ibuprofen discolored urine . They last for 6 to 8 months, then need to be repeated when the effect wears off can you snort zyprexa . Botox injections can also be used for sweaty hands zelnorm online pharmacy .
Side effects: Pain, itching, shoulder muscle soreness, allergic reactions, rash
Downside: Expensive; must be repeated every 6 months or so brand zocor . Other areas (such as the face) may begin to sweat more heavily in compensation ortho tricyclen diflucan .
Cost: $500 or more per treatment
perience in this use of botulinum toxin (Botox) xenical branded . Each treatment requires multiple injections around the armpit and lasts for 6 to 8 months metformin crestor . When it wears off, another treatment is usually quite effective remeron manufacturer .” Each treatment may cost $500 or more remeron drug side effects . It makes sense to do some comparative shopping before determining which doctor will do your injections cymbalta black stool .
Surgery
Only a few people don’t get an adequate response from any of the above treatments what products is asprin in . For them, surgery may be helpful long term effects of using inderal . One option for hyperhidrosis that was not available in times past evolved from cosmetic surgery allegra d line . Liposuction is usually used to remove excess fat, but it also can be employed to take some of the sweat glands from the armpits vytorin food restriction . Not many studies have been done on this approach, so thoroughly check out the plastic surgeon who will perform the procedure riteaid prescription paxil . It may take time, possibly as long as 6 Qv g months after the procedure, to get the full results overdose on caffeine .
There is a more drastic, last-resort surgery that has been studied more fully counterfiet lipitor 2007 . It is known as endoscopic thoracic sympathectomy, or ETS for short famotidine in post cardiac surgery care . In this procedure, the surgeon severs the nerves that lead to the sweat glands of the hands or the armpits cd 5-9 and clomid . Increased sweating of the face or other parts of the body following the surgery is a recognized side effect lowest dosage of viagra . There is also the possibility of surgical complications, so make sure the surgeon you choose has had a great deal of experience with this procedure simvastatin liver . It is the most expensive way to deal with excessive sweating, but unlike the other treatments, it is permanent venlafaxine price .
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Q carisoprodol direction . I am in my forties and have had a problem with my hands and feet sweating excessively all my life licorice digoxin . I’ve heard there is surgery to control this problem, but that seems extreme hot flashes from ultram . Are there any other options?
A ranitidine hc uses . Surgery can be effective, but it is expensive and requires general anesthesia ensayo de consecuencias de mis actos . It is not recommended for sweaty feet because there would be a risk of sexual dysfunction as a complication of the surgery lorazepam dose anxiety overdose coma methocarbamol .
The FDA has approved Botox for use in treating excessive underarm sweating atarax dosing for dogs . Such injections have been used to control sweaty palms and feet generic clozapine .
It makes sense, though, to try topical aluminum chloride first levoxyl shapes . Available in products such as Drysol, it is far less costly and less invasive than surgery or injections and can be quite effective depakote and bipolar .
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Conclusions
Excessive sweating, whether of the underarms, hands, or feet, can cause people a lot of anxiety and disruption in their lives niterider 11.1v flight lithium ion battery . If you have this problem, make sure you tell your doctor about it and ask for help with it ampicillin sodium for horses . There are treatments available, so you don’t need to go on suffering is tramadol hydrocodone .
•Begin with an over-the-counter antiperspirant such as Certain Dri via viagra guys . Apply it before bedtime so it has longer to work and won’t ruin your clothes prozac nation script .
• If you want to avoid aluminum, experiment with milk of magnesia does femara cause blod clots . It can be applied daily to armpits, hands, or feet, since it dries clear toprol xl tablet .
0 Try white vinegar, straight or diluted, on armpits to control sweating and odor coumadin tylenol .
• Ask your doctor about a prescription for Drysol cats amoxicillin . Apply only to dry skin at bedtime and wash it off in the morning zyrtec for tmj .
• If you don’t get satisfactory results from aluminum chloride hexahydrate products viagra blood pressure cuff . consider Botox injections every 6 to 8 months exelon dennis f o’brien .
•Treat your sweaty hands or feet with electric current by using a prescription Drionic device can taking penicillin give you headaches .
• Soak your sweaty feet in a strong tea solution imitrex overdoes . Tannic acid is astringent and helps shut down swept glands drug information prescription ultram .
• Surgery (ETS) offers a permanent solution to hyperhidrosis, but it is also the riskiest and most expensive treatment difference between clarinex and claritin .
Jul
22
HEART DISEASE AND HIGH CHOLESTEROL
July 22, 2009 | Leave a Comment
HEART DISEASE AND HIGH CHOLESTEROL
• Use olive oil in cooking and on salads *****
• Try limiting high-carb foods
• Ask your MD about taking 160 milligrams of
aspirin
• Consider taking fish oil *****
• Combine grape juice and Certo *****
• Drink pomegranate juice *****
• Nibble walnuts four or five times a week *****
• Treat yourself to a little dark chocolate ***
• Take niacin to lower cholesterol ***
• Consider taking magnesium to prevent
atherosclerosis
• Experiment with coenzyme Q,, ***
• Swallow psyllium three times a day ***
•Try red yeast rice ***
• Ask your doctor about statins ****
• If statins cause trouble, ask about Zetia ***
• Ask about fibrate alternatives such as TriCor ***
• Ask about the bile acid binder WelChol
Despite the billions of dollarsspent each year on cholesterol-lowering drugs, heart disease remains our country’s number one killer albuterol false positive test methamphetamine . More than 650,CM Americans—about one erson every minute—die annually from a “coronary event lmg to penicillin . More than 1 million people will have a heart attack this year, and 175,000 probably will not even realize that they suffered “silent” damage to the heart MUSCle ivermectin for scabies .420
Although these stars may seem overwhelming, we are making some progress claritin chewable tablets . Deaths from heart disease have been trending downward over the last 30 years aleve coupons .421 That’s the good news trileptal keppra .’rhe bad news is that even though the trend is in the right direction, you or someone you know is at great risk of dying of heart disease lithium ion phosphate . According to the Centers for Disease Control and Prevention, one out of every three adults (71,300,000) has cardiovascular disease appetite change with metformin .422
So what can you do to avoid having a heart attack? If you watch the ads for cholesterol-lowering drugs like Lipitor (atorvastatin), Crestor (rosuvastatin), and Zocor (simvastatin), you would think that about the only thing that matters is getting your cholesterol under 200 celebrex and uses . For decades Americans have been told that cholesterol is the most important risk factor for heart disease lithium nitrate for concrete . The cholesterol theory evolved from experiments carried out in the middle of the 20th century is lipitor available in generic form . Scientists found they could force rabbits to develop plaque in their arteries by feeding them butter and cheese no prescription order viagra online . As a result of this research, fat was vilified, and most physicians forbade eggs because the yolks were high in cholesterol allegra software . Eating eggs, in fact, became tantamount to a sin kamagra uk site . Needless to say, eating butter or steak was even worse about the drug celebrex .
All of these recommendations were presented as if they were chiseled in stone how long before prilosec works . The health gurus set them forth as facts rather than articles of faith louisiana swartz accident accutane legal career . Millions of people gave up eggs and started eating high-carbohydrate breakfasts consisting of cereal, toast, or pancakes viagra emails . They thought they were protecting thecasckwv when to increase clomid dose ovulation . imm heart disease drug precautions for viagra . Now it turns out that most, if not all, of these dietary guidelines were built on a foundation of shifting sand selegiline uk .
Cholesterol Conundrum
The late Robert Atkins was ostracized when he challenged the low-fat, high-carb orthodoxy dexamethasone fda . Cardiologists condemned his high-protein weight-loss diet, which included eggs, bacon, and steak aleve stomach bleeding . They were sure cholesterol levels would skyrocket if people ate such sinful food can atenolol cause diabetes .
When scientists actually did the research on healthy people, they could find no problem associated with people consuming cholesterol pravastatin tabs . The conclusion: “Analyses of several studies have also failed to find an association between the incidence of CHD [coronary heart disease> and egg consumption chloramphenicol acne .”423 If anything, eating eggs converts more dangerous LDL cholesterol into a less hazardous form cialis online sale .424,425
Far more heretical than the discovery that eggs posed no problem for healthy people was the observation that an Atkins-type diet did not lead to hellfire and brimstone pictures of allegra beck versace . Research published in the prestigious Annals of Internal Medicine reported that “over 24 weeks, a low-carbohydrate diet program led to greater weight loss, reduction in serum triglyceride level, and increase in HDL [good> cholesterol level compared with a low-fat diet accutane a miracle cure .”426 For this particular study, participants were permitted unlimited amounts of animal foods (meat, fowl, fish, and shellfish), unlimited eggs, 4 ounces of hard cheese cheap soma online order now . 2 cups of salad vegetables (such as lettuce, spinach, or celery) xenical precio venezuela . and I cup of low-carbohydrate vegetables (such as broccoli, cauliflower, or squash) daily requip blurred vision .427
Other studies have also demonstrated that a low-carbohydrate, high-protein, high-fat Atkins-t~pe diet can have a beneficial impact on blood fats augmentin withdrawal symptoms .428 generic cialis pills and generic viagra .419 paxil effect sodium .4-1( In one of the most astonishing experiments ever conducted, overweight patients with existing cardiovascular disease were switched from a diet that was low in saturated fats and cholesterol to a diet that was high in saturated fats and cholesterol and devoid of starches zoloft may . They continued taking their statin medications with no change in dose low testosterone and depression .
Before the experiment, these patients followed their cardi-
F,
‘We need to acknowledge that diverse healthy populations
experience no risk in developing coronary heart disease by increasing their intake of cholesterol, but, in contrast, they may have multiple beneficial effects by the inclusion of eggs in their regular diet pravachol bristol meyers squib .”431
—M prednisone and blisters side effect . L lipitors journals quizilla . Fernandez, Current Opinion in Clinical Nutrition and Metabolic Care, ologists’ instructions to eat no more than two eggs a week and restrict red meat to less than three servings a week generic medication of elavil . During the 6-week experiment, they were to eat two to four eggs daily and half a pound of red meat at each meal testosterone enanthate injection site pain . Such a study seems almost unethical, if not immoral cialis 36 hour . But surprisingly, this highsaturated-fat, no-starch diet led to decreases in body weight without increasing total cholesterol or bad LDL cholesterol promethazine injection . Triglycerides came down and, if anything, the overall lipid profile improved furosemide tablets .432
Three years ago, my husband was up to 217 pounds side effects loratadine . (He’s 49 years old and 6 feet tall pepcid duo chewables .) His cholesterol levels were off the charts, and his triglycerides were 942 pepcid in the news 2007 . His doctor tried him on several cholesterol-lowering medications celebrex for . He could not tolerate the side effects, especially the memory loss the lady allegra collection .
He then went on the Atkins diet and quickly dropped 20 to 25 pounds herbs containing sildenafil . To his doctor’s amazement, his triglycerides dropped to 192, and his cholesterol is almost normal—without medication asprin better .
Please keep your readers posted on further studies is motrin safe for dogs . I thought he was nuts to go on that diet until I saw the results tick bites and doxycycline . Now I follow some of its principles as well administration of phenytoin injectable rectally .
The most telling study actually compared four popular diets: Atkins, Zone, Weight Watchers, and Ornish sanyo lithium battery . Conventional wisdom would predict that the low-fat Dean Ornish diet would beat every other diet hands down on the heart disease risk score buy tramadol online money order . Au contraire cipro and back pain . All of these diets were roughly comparable in helping people lose weigh t allegra lanni .433 Many cardiologists were shocked to learn, however, that those following a high-protein, low-carbohydrate regimen ended up with a better score on heart disease risk factors than those following an Ornish-type low-fat, high-carbohydrate diet tizanidine patient experiences . That is because the higher-fat diets raised good HDL cholesterol more than the Ornish approach albendazole usp manufacturer .
‘Vhe final nail in the coffin of dietary dogma should have been driven by the Women’s Health Initiative doxycycline acne treatment . This long-term research project cost more than $700 million and will likely never be repeated prednisone and oral blisters . Until this ambitious project, we relied mostly on observational studies: Ask people what they eat and see what happens to them lithium ion battery 3.7 v . It is not a very good technique for actually proving whether something works or is dangerous addicted to lexapro . People have notoriously bad memories about what they really eat generic levitra vardenafil uk .
At the end of the 20th century, scientists decided to test their theories in a giant experiment does propranolol decrease effect of salbutamol . More than 48,000 women over 50 years old were recruited into a dietary intervention trial paroxetine par pharm . Some (40 percent) of the women were instructed to re- ivermectin damage .duce the amount of fat in their diet, replacing it with extra vegetables, fruits, and grains zantac alopecia . The training took place in groups and individually, and the women made the suggested dietary changes otc cable nu prilosec site . The other 60 percent of the women were not asked to change the way they ate ween off caffeine .
After approximately 8 years of follow-up and massive number crunching, the results are in, and they’re disappointing antiinflammatory drug celebrex . The researchers had expected that women who adopted the more virtuous low-fat, high-veggie diet would be protected from heart attacks, strokes, breast cancer, and colorectal cancer sprinkle depakote for children . But despite the large number of women participating, the differences in the results of the two groups were not statistically significant lexapro and rheumatoid arthritis .’31
For cardiovascular disease, the investigators found a trend favoring survival in women who ate the least amount of saturated fat and trans fatty acids (and the most vegetables) difference between aspirin ibuprofen . But a trend is hardly the kind of solid evidence policy makers need before they recommend major changes in a country’s diet the clomid challenge . These results were certainly not expected evista breast . The granola gurus were left scratching their heads, wondering what went wrong caverta penegra . They did their best to explain why the low-fat diet was a giant fizzle, but the answers were unsatisfying and could not counteract the loss of trust by the American public liquid motrin for big kids .
Cardiologists, internists, registered dietitians, and most other health professionals like to maintain that they follow “evidence-based medicine viagra florida delivery .” In other words, science, not supposition, is their motto lyrics lithium evanescence . But when data don’t match dietary dogma, they frequently are ignored loratadine 2f pseudoephedrine sulfate . That’s what happened with MRFIT (the Multiple Risk Factor Intervention Trial) orlistat patient . Until the Women’s Health Initiative, MRFIT was the largest (nearly t3M men were recruited) and most expensive ($100 million was spent) study of lifestyle intervention testosterone types info body building .
In the early 1970s, these men were divided into two groups sertraline and depression . One got “special intervention,” which meant intensive counseling and follow-up to modify diet (by lowering saturated fat and cholesterol intake) and control blood pressure cipro is not helping sinus infection .The others got no special attention clopidogrel plavix apotex generic . After 6 years, there was no significant difference between the two groups of men in terms of heart attacks or deaths cialis debt consolidation . The unexpected MRFIT findings matched those of the later Women’s Health Initiative cost of prednisone . This study sank without a trace lithium ion battery pcga-bp2nx . If the facts don’t fit our preconceived notions, perhaps we need to reexamine our faith in the low-fat ap-
proach synthroid intolerance .
No one is suggesting that a high-calorie, high-fat diet of eggs and bacon, burgers and shakes, steaks and fries, and hot fudge sundaes is good for health felodipine and weight gain . And we’re not particularly fans of the high-protein Atkins approach ceclor allergic reaction . But the dietary changes that seemed so obviously beneficial in the early 1990s can no longer be treated as gospel recurrence of seizures with topamax .
Perhaps we should take a tip from the French dosing oral methyl testosterone . They have pretty much ignored our low-fat fanaticism paroxetine introduced . They continue to eat croissants, butter, Brie, and chocolate mousse without a second thought lamotrigine major depression . They get more exercise by walking and climbing stairs lek norvasc . They eat well, but not nearly as much as Americans lipitor fund tracking . And they make meals social occasions to be savored with a glass of wine osteonecrosis treatment zithromax . Following their example of moderation might do us all some good tegretol natural alternative . Despite our national obsession with fighting fat, we weigh far more than the French, and our incidence of heart disease is much higher doxycycline tablets .
Types of Fat
By now we hope we have convinced you that eating fat or cholesterol does not necessarily raise your own cholesterol levels or even your risk of heart disease prozac side hallucinations . There are exceptions, of course secondary effects of zyrtec . Some people do react to dietary fat diverticulosis abcess flagyl . For them, cutting back may be helpful buy carisoprodol online cod . As with everything, though, you must pay attention to your body and monitor your lipid levels ryobi 18v lithium ion batteries . The real issue is not how much fat you eat but what kind absorptivity of etoricoxib .
Walter Willett, MD, DrPH, MPH, is chair of the Department of Nutrition at the Harvard School of Public Health vioxx coumadin . Dr lasix and horse and canada . Willett is arguably the most respected and knowledgeable nutrition expert and epidemiologist in the world seroquel pros and cons . For a very long time he has tried to convince his colleagues and the public that the “fat is bad” belief is baloney acyclovir vs valtrex . It has been an uphill struggle, but at last the tide is turning celebrex vioxx warning . His campaign against trans fats (hydrogenated vegetable oil) has led to labeling that will allow consumers to recognize and avoid this poison lovistatin or lipitor . Although trans fats have been removed from many margarines, you still will find them in lots of processed foods like crackers and cookies 1 2aa 3.6v lithium battery . They are also found at high levels in many fried fast foods avandia lawsuits august 2007 .
The reason trans fats are so dangerous is that they are associated with an increased risk of heart disease propecia offers . That may be because they are pro-inflammatory levitra picture . So are many of the omega-6 fats (found in vegetable oils such as corn, safflower, and sunflower oil) alabama celebrex lawyer . Even though dietitians have been proclaiming that all cholesterol-free vegetable oils are heart healthy, we beg to differ prazosin depression . There is growing evidence that Americans consume way too much omega-6 and not nearly enough omegaL3 fats (found in certain fish as well as walnuts and flaxseed) canon rebel lithium batteries . Because of this imbalance, we suggest you try to limit your intake of omega-6-rich vegetable oils digoxin shortage .
Which fats are the superstars? Clearly, olive oil is one of the very best hiv and levaquin . It is high in monounsaturated fatty acids, and there are lots of data to support its positive health bcnefitS pdr protonix .135AM taking antiacid with synthroid .437 Olive oil can be used to saut6 almost anything toprol makes me cough . We use it not only for all the obvious vegetables like onions, garlic, tomatoes, and peppers, but also for scrambled eggs pain iv protonix morphine . Extra-virgin olive oil is our favorite because of its additional health benefits, such as preventing blood clots, improving the flexibility of blood vessels, and reducing the risk of certain cancers cephalexin vs ciprofloxicin . It may have too strong a flavor for some, however meter to check warfarin . If you don’t like it, look for a “light” olive oil that has a milder aroma and taste azathioprine side affects . Other healthy options include canola, almond, avocado, and walnut oils prevacid patient assistance program .
You won’t want to use pure olive oil or walnut oil for stir-frying in a wok amiloride overdose . Their “smoke point” is too low bupropion and synthroid . For higher-temperature cooking, consider pure canola oil or combine half olive and half canola oil caffeine amounts in drinks periodic table . If that seems a bother, look for
***** Olive Oil
Olive oil is the best source for monounsaturated fat what is ic tramadol . It lowers total cholesterol, bad LDL cholesterol, and blood pressure 123a lithium battery recharge . It also has anti-inflammatory properties that should reduce the risk of atherosclerosis nortriptyline decreased libido .
Cost: Highly variable depending on brand and quality accepted caffeine on pepsi . Can range from about $10 to $50 a liter and up walgreen phar topamax .
BREAD SPREAD
The best way to lubricate bread is with seasoned olive oil amlodipine besylate toprolxl . The Italians really got this one right generic viagra sent overnight . If you feel compelled to use a spread, we recommend the new heart-healthy margarines that no longer have trans fats ondansetron capsules . They include Benecol, Promise, Smart Balance, and Take Control decongestant with cialis . Benecol and Take Control contain ingredients designed to lower cholesterol can i take celexa and nyquil .
“high heat” safflower or avocado oil tamoxifen estrogen cancer . It should be higher in monounsaturated fat (oleic acid) than standard safflower oil headache while taking cefdinir .
A Contrarian Cholesterol Perspective
Most cardiologists believe that cholesterol is like golf: There’s no such thing as too Iowa• score viagra 3 . Anyone who questions that view is considered a menace to the public health ivax clozapine . And the media have accepted the concept that cholesterol is evil without much question bismuth ranitidine subcitrate .
It comes as a shock to a lot of people to learn that cholesterol is essential for good health exelon competitors . It is the basic building block for a number of crucial chemicals in the body clindamycin interaction tylan . including vita?in D as well as sex hormones like testosterone and estrogen difference between zantac and prilosec . Cholesterol also is found in cell membranes throughout the body and is an important component of the nervous system, especially the brain crohn sildenafil . Researchers have discovered that cholesterol is necessary for nerve cells to communicate can i take zyrtec and tylenol . Without adequate cholesterol, the connections between neurons (synapses) fall apart take cymbalta in morning or evening .
Scientists hypothesize that cholesterol helps strengthen the small arteries that feed the brain cialis contraindications . Without it, they become more vulnerable to breakage under stress, which happens when blood pressure rises metformin as treatment for infertility .4is7`hat might help explain research findings showing that very low cholesterol poses problems too straight out of junior high valtrex .
Evidence comes from the Honolulu Heart Program chemical bond of lithium iodide .439 Scientists at the University of Hawaii studied 3,500 Japanese-American men born between 1900 and 1919 cis isomer of sertraline hydrochloride . The volunteers’ total cholesterol levels were measured when they were middle-aged and again in the early 1990s, when they were “Our data accord with previous findings of increased mortality in elderly people with low serum cholesterol, and show that long-term persistence of low cholesterol concentration actually increases the risk of death lamictal as a mooed stabilizer . Thus, the earlier that patients start to have lower cholesterol concentrations, the greater the risk of death prednisone side effects managing .,,4411
—I can you half avalide . J strattera rebate . Schatz et al does prevacid cause orgasm difficulty ., Lancet, 2001
elderly allergies to evista . Then the scientists kept tabs on who survived and who died celexa lawsuits .
To their surprise, the men with the lowest cholesterol levels had the highest risk of dying over the next several years buy ursodiol . Those with cholesterol levels between 188 and 209 fared the best meridia online pharmacy phentermine umaxppc xenical . Even men with elevated cholesterol, over 209, were less likely to die from any cause than were those with the lowest cholesterol readings hcpcs codes for linezolid online . The investigators confessed their confusion: “We have been unable to explain our results thyroxine testosterone . These data cast doubt on the scientific justification for lowering cholesterol to very low concentrations (less than 4 terbinafine hydrochloride 1 solution .65 millimoles per liter) [less than 180 milligrams per deciliter> in elderly people wellbutrin 100sr . “441
Some experts have tried to explain away the link between low cholesterol and higher mortality by suggesting that cholesterol drops when people come down with cancer or other life-threatening diseases ndc number for toradol . But the Honolulu researchers did not find excess cancer in the low-cholesterol group what does macrobid treat . Besides, many of these men had had low cholesterol 20 years earlier er6c 3.6 v lithium .
This isn’t the first study to find a connection between low cholesterol and higher mortality neurontin side effects swollen ankles . A report to the American Heart Association in 1999 showed that people with total cholesterol of less than 180 were twice as likely to suffer a bleeding stroke as those with cholesterol of more than 230 typical cipro dosage . More than 15 years ago, Japanese researchers found that men with chotMeTol under 178 and women with cholesterol under 190 were also at higher risk of brain hemorrhage 350 carisoprodol mg tab .442 In fact, people in Japan have traditionally experienced three times the risk of hemorrhagic stroke compared to Japanese people living in America is generic buspar same as buspar . It is assumed that the lower-fat diet and lower cholesterol in Japan may be the most important difference amoxicillin for cats no prescription .
Research has also shown that American women who eat very little meat or saturated fat may also be at higher risk for bleeding strokes, especially if they also have high blood pressure propecia saw palmetto . For an investigation known as the Nurses’ Health Study, researchers at Harvard University have been following more than 85,000 female nurses since 1980 ibuprofen skin rashes . Every 2 years the women answer questions about their diet, lifestyle, and health lowering testosterone naturely . The investigators found that the women who ate the least saturated fat and animal protein had the highest risk of bleeding, stroke, twice as high as that of women who ate the most fat depakote cf lithium carbonate .44-’
One of the key investigators in the Nurses’ Health Study is Dr cytoxan therapy multiple sclerosis . Willett of the Harvard School of Public Health maoi drugs selegiline . He told us that “in Japan, where cholesterol levels have been low, hemorrhagic stroke rates have been extremely high, so that total cardiovascular mortality has not been very different between the United States and Japan urology testosterone boosters .” In his opinion, “there is indeed some basis for real concern, even though it’s not been absolutely proven that cholesterol levels can be driven down too low tramadol no prescription overnight .’,444
Of course, none of this research means that people with high cholesterol can relax their guard estradiol placenta function . Too much of this blood fat is clearly dangerous and increases the risk of heart attack paxil help mild ocd symptoms . But for people over age 70, or for women with high blood pressure, it may be counterproductive to lower cholesterol much below 200 probiotics and prilosec . Like body temperature or blood sugar level, cholesterol may need to stay in a middle range allegra network . Toq little or too much can have negative health consequences prednisone maximum dose .
Beyond Cholesterol: Other Risks
As we have said before in this book, when all you have is a hammer, everything looks like a nail paxil and mania . When it comes to heart disease, the nail is cholesterol claritin d2c long term effects . That’s because the pharmaceutical industry has been extremely successful at creating hammers to lower this compound norvasc and edema . At last count, Americans were spending more than $16 billion annually on statin-containing medications alone levaquin syphilis .445
One prominent cardiologist believes that worldwide, at least IM Million people should be on statinS neurontin and tooth decay .446 Some physicians have jokingly suggested that it would simplify matters if we just added statins to the water supply or supplied “statin shakers” at every table the way we now have salt shakerS hytrin maker .447 This way people could sprinkle on a statin whenever they eat steak or eggs and not worry about cholesterol fda topamax warning .
We’re not knocking statins tetracycline expiry . They are extraordinarily effective at lowering bad LDL cholesterol, and they do prevent heart STATIN-CONTAINING DRUGS
• Amlodipine/atorvastatin (Caduet)
• Atorvastatin (Lipitor)
• Ezetimibe/simvastatin (Vytorin)
• Fluvastatin (Lescol)
• Lovastatin (Mevacor)
• Pravastatin (Pravachol)
• Rosuvastatin (Cregtor)
• Simvastatin (Zocor)
attacks and strokes and save lives,’Ibey also carry more risks than many physicians and patients have realized 300 coupon prilosec . (More about that shortly topamax pills .) No, what really worries us about physicians’ focus on cholesterol is that they may ignore other things that also contribute to heart disease taking flagyl effect cont . It’s as if the conductor of a symphony orchestra were focusing only on the percussion section hydrochlorothiazide overnight delivery . Listening to a concert that featured just cymbals and drums would not be a very enjoyable experience sony cr2032 lithium 3v .
In an editorial in the New England Journal of Medicine, Lori Mosca, MD, PhD, MPH, director of the preventive cardiology program at Columbia University Medical Center in New York City, states, “More than 20 years ago, 246 risk factors for coronary heart disease (CHD) had already been identified, and the number continues to grow alesse and depression .’”48 Think about that lithium engineer free . Physicians know of more, than 240 risk factors for heart disease, yet most still single out only a couple of them: cholesterol and hypertension keflex mg lb .
When is the last time a cardiologist asked you about your level of anxiety and depression, stress, or anger and hostility’? How about your marital relationship or your support network? These are all key risk factors for heart disease promethazine use in elderly diabetics .9,450
Cardiologists love numbers patent actos how long . Someone with a bad LDL cholesterol of 160 can lower that level to less than 100 with Lipitor within a few weeks fosinopril classification . Stress, marital discord, and hostility are much more difficult to deal with, and progress is not so easily measured amitriptyline pain december amitriptyline pain . And yet they may be just as important as a cholesterol number warfarin volterol .
OTHER RISK FACTORS FOR HEART DISEASE
• High level of C-reactive protein (CRP)
• Low level of HDL (good) cholesterol
• High level of LDL (bad) cholesterol
• High level of very low-density (VLDL) cholesterol
• High level of triglycerides
• Elevated level of lipoprotein (a), or Lp(a)
• High blood pressure
• Elevated homocysteine
• High uric acid level
• Insulin resistance
• Depression
• Stress and anxiety
• Anger and hostility
• Low level of physical activity
• Smoking
• Hormone Replacement Therapy (HRT)
• Marital strife
• Family (genetic) history of heart problems
Jul
10
NON MAJOR-SURGICAL BPH TREATMENTS
July 10, 2009 | Leave a Comment
NON MAJOR-SURGICAL w5tbpqac7u
BPH TREATMENTS
Remember our typical early BPH patient example? Well your clock has swept around and you’re now 63, your minor BPH symptoms are more severe. You can’t get through a night without getting up three or four times to urinate. Everytime you wake up you leap out of bed and rush to the bathroom.
During the day you’ve had to hold up a board meeting while you went to the toilet. You can’t take a car drive of more than an hour without stopping. On your business flights you always get an aisle seat so you can hurry to the cramped convenience two or three times during a flight.
Besides that, sometimes it hurts like outrageous sin.
So, you go back to see your urologist. For the past eight years he’s been “monitoring” your BPH. At every examination he assures you that there are no hard lumps or irregular growth of the two side prostate lobes. He says that means you probably don’t have prostatic cancer.
What happens next? You want some relief, you want to feel better and be able to lead a more normal life. It’s a quality of life situation you’re talking about and you want some help, now!
Your urologist agrees and the two of you sit down to talk about the possible ways that your situation can be eased.
You realize that once the prostate starts to grow, nothing we know of now will stop it, except total sterilization. That’s out. What other remedies are there?
THE BALLOON METHOD
One of the new treatments now getting wider acceptance is the use of a balloon. Urologists have borrowed this technique from the heart surgeons. The physician inserts a small tube about the size of spaghetti into the urethra. On the far end of the tube is an un-inflated balloon.
When the balloon is in the proper position in the urethra within the enlarged prostate, the physician inflates the balloon. This inflation is held for different lengths of time. Some urologists use a ten minute period of pressure by the balloon within the urethra to force the urethra to expand back to its original position.
This forces the prostate tissues outward. In some cases the outer casing of the prostate is “cracked” or broken to allow the enlarged prostatic tissue to move in that direction and eliminate the pressure on the urethra.
Just who first developed this technique is not known, but Dr. Flavin Castaneda, a radiologist at St. Francis Medical Center at the University of Illinois in Peoria, is one of the pioneers in the use of this new technique. He says that seventy-five percent of the BPI I patients he has used the balloon treatment on have been symptom free for up to three years after the treatment.
In another part of the country, more than 60 patients have been treated with the balloon dilation method at the University of Minnesota.
For eighty percent of these patients the urination problem was eliminated or significantly eased. This was for patients with enlargement of the side lobes of the prostate. When the narrowing of the urethra was because of enlargement of the middle lobe, the success rate dropped to thirty to forty percent.
Dr. Israel Barken, a urologist in San Diego, California, has been using the balloon treatment.
He says for this procedure the patient is tranquilized and the urethra is numbed with a local anesthetic. Then a thin, flexible tube with a balloon on the tip is inserted into the urethra and guided to the narrowed portion. The balloon is then inflated. He says he uses a time of about 20 minutes. This is an outpatient treatment and no hospitalization is needed. If the patient wants the procedure done in the office or the hospital, he can be accomodated.
Dr. Barken says before this procedure is undertaken, tests are made to assess the extent of the obstruction and to determine its precise location. At this point other tests are done to be sure there is no cancer present or any prostatic infection.
A catheter is left in the bladder until the following morning and then removed.
Dr. Lester A. Klein, an urologist at the Scripps Clinic in La Jolla, California says that at first the balloon treatment was effective on only about thirty percent of the cases. But now with doctors screening out the patients with poor chances for success with the balloon dilation, Dr. Klein says there is a success rate of eighty-six percent.
Dr. Klein is the designer of one of the balloon devices used in the operation and does the procedure himself at Scripps.
Dr. Barken has developed a similar technique using the same principles as Dr. Klein, but without the use of the sophisticated multiple balloons. This helps bring the cost down tremendously.
At this point in mid 1990, urologists who use the balloon technique have praise for it. They say it is effective, and is easy to do with the least amount of stress and worry on the patient. It is non-surgical, and as of yet, there have been no side effects reported. These three factors make it a favorite with patients as well especially when contrasted with surgery.
Another factor is the cost. While few hard figures are obtainable, one Boston urologist said the average total cost for a balloon dilation in the hospital is about $3,600. For the same TURP operation the cost is about $12,000. TURP surgery is one of the operations that remove part or all of the growth in the prostate.
A medical writer in the Wall Street Journal estimated that more than 2,000 of these balloon treatments have been done. A CBS news report about the same procedure said that over 5,000 of them have been undertaken in the past two years.
Not everyone agrees with the use of the balloon dilation treatment. Dr. John W. Schumacher, M.D. from Minneapolis says that this ignores the 10 percent of those who do get a TURP operation and the pathologist find that they have prostate cancer as well. Dr. Schumacher says that if a hundred thousand balloon treatments are used for BPH, then ten thousand of those men who have Stage A or B Cancer won’t find out about it — perhaps until it’s too late to cure them.
Dr. William J. Somers, M.D., a urologist, agrees. He puts hidden cancer of BPH patients at twenty to twenty-five percent.
He says that the use of the balloon dilation or drugs to reduce BPH symptoms is actually doing those twenty-five percent of the patients with hidden cancer a disservice. Other experts say these hidden cancers are rarely fatal in nature.
He maintains that there is no accurate way of determining who has prostate cancer and who doesn’t. Biopsy and ultrasound can help, but he says unless shavings of the gland are examined in a pathology laboratory, the cancer can metastasize and no one will know about it until it’s too late.
Dr. Walter Desmond, Jr. Ph.D. and research manager at Hybritech in San Diego has a slightly different view of the evaluation of the scrapings from a TURP operation. His firm makes a test called the PSA to evaluate the prostate specific antigen level in the blood. A high level can indicate the strong possibility of a silent cancer in the prostate.
He says that some pathologists fail to examine all of the tissue taken out during a TURP operation. Those who don’t evaluate all of the scrapings are shortchanging the patient.
He says the odds are even greater that a hidden cancer may be missed because a proper TURP cuts out the central part of the prostate tissue. The great majority of small cancers start not at the center of the prostate but near or on the surface of the lobes of the prostate, and these areas are often never touched by the surgeon’s electric knife when he cuts out the new canal for the urine to pass through.
Dr. Desmond seems to be saying that if pathologists are finding small cancers in the ten percent, or as high as 30 percent by some scientific evaluations of the TURP scrapings, then the true figure must be much higher than that taking into consideration the two factors presented here.
His slant seems to be that a chemical test such as PSA offers a much better method to detect early prostate cancer than any other method.
Jul
7
EXAMINATIONS TO CONFIRM BPH
The first exam will be the digital one. Since the prostate is right next to the rectum, it can be palpitated. In this slightly uncomfortable digital exam, the doctor is checking to see if your prostate feels enlarged. He is also finding out if there are any hard spots or lumps or nodes on the two lobes he can touch.
The healthy prostate is smooth, elastic and about the size of a walnut. If there is BPH, the prostate will still feel about the same way but it will be obviously enlarged.
Most urologists say that a digital examination can’t confirm 100 per cent the presence of BPH. They point out, however that with such an exam showing the prostate is soft and rubbery, that there is an enlargement outward of two of the prostate lobes, and that the patient reports three symptoms of BPH, there is sufficient evidence to diagnose BPH.
In the fast paced routines in many HMO’s these days, a patient with these workups may very well be told he has BPH, be shown a video tape concerning the problem, and be told what to do to make living with the condition easier.
He’ll be told that in the early stages of BPH, a patient is not a good candidate for surgery or other regular treatment. Rather he will be put on a “maintenance” program where he is checked by a urologist yearly for any progress of the condition.
Many doctors and urologists say this is the proper course of care. They show histories of men in their fifties who have been on maintenance care for ten, even fifteen years before the prostate enlarged to such a point that surgery or one of the new treatments was necessary.
Another test your urolgist may make is a peak flow test. This can be done with an instrument that will record the flow much as the charts below show.
The first chart shows a more or less normal rate of flow with a peak about half way through and stopping quickly. The lower chart shows a much weaker flow and over twice to three times the length of time. This usually means some serious blockage in the urethra and the urologist will want to follow up with other tests.
Some urologists use a stop watch and a timed urination into a glass to approximate the same results.
25 ml/s Flow Rate
Results of UROFLOWMETRY
T100 17 s
TO 17 s
TOmax 7 s
Qmax 24.0 ml/s
Qave 14.1 ml/s Vcomp 247 ml
0 10 20 s
25 ml/s Flow Rate Results of UROFLOWMETRY
I
T100 60 s
TO 51 s
TQmax 8 s
Qmax 10.2 ml/s
Qave 4.1 ml/s Vcomp 211 ml
I T I
10 20 30 40 50 60 70 s
ARE ANY OTHER TESTS AVAILABLE?
Yes, there are several other tests that urologists can use with the prostate. Some of these are used when prostatic cancer is suspected.
However, since some ten percent of all surgery done to relieve BPH results in finding early stages of prostatic cancer development, some men ask for additional tests. They want to make sure that their prostate is not cancerous as well as having BPH.
These tests in effect become Negative Testing, to assure the patient that there is no cancer in the prostate lobes that can’t be felt by the digital exam.
One of these routines is a simple blood test called the prostate specific antigen (PSA) test. If this test shows an elevation of the antigen, it is a positive factor that cancer possiblyy is present in the prostate. A companion test, the PAP test for prostatic acid phosphatase, may show if the cancer has spread outside the prostate to other parts of the body.
A biopsy could be performed on the prostate, but it would be done only if the doctor found hard lumps and suspected spots on the outer lobes when he examines them digitally.
ULTRASOUND TESTING
One of the newer tools of the urologist is the use of ultrasound. This is sometimes called sonography. It simply uses high-frequency sound waves to examine a specific part of the body and make a record of it.
The record can be a sonogram on special film or on paper, or the whole process can be recorded on video tape for critical examination later, and as a record for comparison later of any growth or changes or condition of the examined areas.
The test is quick, simple and painless. A wand instrument called a transducer is passed back and forth over the area being examined. The wand transmits sound waves that are echoed back to it much like a radar does.
The echoes are electronically transmitted to the recording or viewing device.
When examining the bladder and prostate with ultrasound, the bladder needs to be full of urine. Then the test is repeated after the man has urinated to see what urine remains in the bladder.
Ultrasound is becoming more and more popular with urologists and most hospitals have it available. Many urologists now have ultrasound capability as a part of their office equipment for use when needed.
Another use of the ultrasound system is called a transrectal probe. It can be used in conjunction with a surface sonogram.
Many urologists recommend the transrectal. In this test a probe, covered with a rubber balloon which is then filled with water, is inserted into the rectum. This creates an ultrasonic image of the prostate and bladder area that can be recorded and at the same time viewed on a screen.
Some urologists say the transrectal sonogram will show many false leads that are not really cancer. Others say it is a fine method to determine if there is an area that seems to be a cancer and calls for more investigation.
MAGNETIC RESONANCE IMAGING
MRI is an expensive testing method that is painless and quick and can produce a three-dimensional cross section of any part of the body. Users say it is even more detailed than the images produced by a CAT scan.
This test is non-invasive and has no radiation. It uses radio waves in a magnetic field to produce the picture. This test is almost always done in a large hospital.
These days, all testing is expensive. If you have the three-symptom case of BPH, and the digital examination has led to a diagnosis by the physician that as far as he can feel there is no sign of cancer, then it is up to you to decide if you wish to have any more tests to prove to yourself that you are cancer free. Some of these tests, such as ultrasound, are not covered by some of the insurance companies.
One patient was adamant about receiving more tests. He had the three symptom BPH, felt fine, but had a friend who was dying of prostatic cancer. It was well worth it to him to have a $200 sonogram taken that showed no noticeable sign of cancer in his prostate. He was still concerned about the 10 percent of BPH surgery that reveals prostatic cancer. His doctor pointed out to him that such surgeries were performed at a much later point in life than he was. The doctor also said that such BPH problems were much farther developed and had been growing for a greater length of time than his had.
He understood the logic of the urologist. He had been living with his BPH for only about five years. He left the office but a week later called for another appointment. When he came in he said he wanted to take the two blood tests that could reveal the presence of cancer in the prostate, the PAP and PSA tests. Both were made and both showed up negative. Another sign that he did not have prostatic cancer.
The patient was now convinced. He told the urologist that he was not showing disrespect for his qualifications or his skills, but he wanted a little more assurance that he didn’t have cancer than the simple digital examination by the doctor.
Jul
7
BPH SYMPTOMS. WHAT CAUSES BPH?
July 7, 2009 | Leave a Comment
WHAT CAUSES BPH?
No one knows what causes BPH. Just why the prostate starts to enlarge itself in the forty to fifty male years is not understood.
There are two significant factors in this mystery that have been tied down by medical research over the years. One is that a man who has been surgically or hormonally castrated, eliminating the male hormone from his body, never develops an enlarged prostate.
The other uncontested fact is that the onset of BPH is started only with the passage of time.
Castration at an early age to eliminate BPH is a totally unthinkable idea. The other alternative, death at an early age is equally ridiculous as a prevention of BPH.
Which leaves medical science still in kindergarten when it comes to determining the cause of BPH and the chances of scientifically developing a preventive drug or routine and this stops any work on a cure.
Many medical studies have been made in an effort to isolate some other common factor in BPH patients. So far all of these human factors have been ruled out: specific blood types, coronary heart disease, celibacy, hypertension, use of alcohol or tobacco, industrial and environmental conditions.
One constant has been determined: By the age of sixty years, fifty percent of all men will have, to some degree, an enlarged prostate whether or not it is bothering them. By the time American men reach their eightieth birthday, only five out of one hundred will not have BPH.
After broad studies involving Asian men, it was determined that as a group they had fewer cases of BPH and prostatic cancer. However Asian men who moved to the US for a period of time had a significantly increased rate of both BPH and prostatic cancer.
Since Asians typically have had a low cholesterol and low red meat diet, it is speculated that diet may have a larger impact on BPH and prostatic cancer than had been previously thought. With the current wave of anti-cholesterol and anti-fat foods including the campaign against red meat, American men could be experiencing a lower rate of BPH and prostatic cancer in the future.
Is a man’s sex life in any way connected with the cause of BPH or prostatic cancer? A man’s sexual life appears to have no bearing whatsoever on the development of BPH or cancer of the prostate. However, sudden surges in sexual activity, or sudden celibacy often does affect the prostate. These situations will be discussed in a later section.
SO WHAT HAPPENS TO ME NEXT?
Let’s say that you’re reading this book in the first place
because you had some questions about your general health,
or your urination, or your prostate, and after reading the
list of symptoms, bingo! you have three of the symptoms.
Let’s say that you have a hesitancy to start to urinate,
you have a noticeably reduced stream, and you’ve been getting up about three A.M. every night to urinate. What should you do next?
Pick up the phone and get an appointment with your family doctor or call a urologist. It’s time you found out just what’s going on and how serious your BPH really is.
Your next move is to have an examination by a medical professional or a specialist. Just how does a doctor examine you for possible BPH or other prostatic troubles?