Jul
15
OVER-THE-COUNTER,
THROUGH THE MAIL REMEDIES
Up to two years ago there had been a thriving over the counter and through the mails business of selling non-prescription compounds and “cures” and treatments for BPH.
Several years ago the Post Office Department began challenging many of these products sold through the mail on grounds that they were advertised misleadingly, and that they did not do what they claimed to do. Simple misrepresentation which could ban them from the mail.
That campaign by the U.S. postal authorities put a lot of people out of business who were selling various mail order non-prescription products to treat the prostate.
In March of 1990, the Food and Drug Adminstration said it would ban the sale of all non-prescription drugs used to treat enlargement of the prostate gland. The FDA said their review of the products found little evidence that any of them eliminated, arrested or treated the condition called benign prostatic hypertrophy. There was no date given for enforcing the ban or activating it.
The FDA, evidently not keeping up with current developments in the field, said surgery was the only effective treatment for BPH. A lot of urologists and specialists in the drug field will argue long and hard with their dictum with the various minor-surgical techniques we’ve discussed so far and the new drugs being developed.
What the FDA order does is ban non-prescription products that are advertised for the treatment of the prostate. They did not, and can not ban the sale of certain chemicals or compounds that have been considered by many since the Feinblatt/Gant study in 1958, to be beneficial to reduce BPH symptoms. These chemicals, mainly amino acids, are used in many of the soon to be banned products.
The study was conducted by Dr. Henry M. Feinblatt and Dr. Julian C. Gant and reported in the Journal of the Maine Medical Association in March of 1958, Volume 49, Number 3.
The study deals with the “Value of glycine, alanine and glutamic acid combination,” in the treatment of BPH.
These three chemicals have generally been used by dozens, perhaps hundreds of non-prescription compounds aimed at the general public since 1958.
Were these remedies straight out of the Wild West’s Medicine Man’s wagon of hokkum, or do they have some beneficial results that the traditionalist medical men on the FDA panels refuse to recognize?
Let’s look at the Feinblatt/Gant study that started it all.
The doctors had been using these three amino acids to treat their allergy patients. One of the patients mentioned that his urinary problems had improved since he’d been taking the medications from the doctors.
This stirred their imagination and the two medical men decided to try the three way amino acid combination on a group of non-allergy patients. The tests proved that these BPH sufferers had a dramatic relief from their urinary and BPH symptoms.
They moved from there to a clinically stringent test. A group of 40 patients with benign prostatic hyperplasia were treated with glycine-alanine-glutamic acid capsules for three months.
The patient age range was from 37 to 75 years and weigh from 101 to 192 pounds. BPH complaints ranged in duration at the start of the test from one to six years by various patients.
Placebo capsules were given to half of the patients and the amino acids to half. The patients response results over three months were charted. (Understand here that most such tests should be conducted over six months for best reliability.)
Results of the clinical tests were published in this way. For the control group taking the amino acids, the doctors said the size of the prostate was reduced in 92% of the cases. Nocturia was relieved in 95% of cases. Urgent urination was relieved in 81% and frequency in 73%. Discomfort was reduced in 71% of the cases. No such results were observed in the placebo taking control patients.
Other medical authorities have conducted tests along the same lines to confirm or deny the Feinblatt/Gant findings.
In the Journal of the American Geriatrics Society in 1962, Dr. Frederick Damrau of New York City reported such a test. His conclusions were similar. He said the combination of the three amino acids were used in a controlled cross-over test in forty cases of BPH. After three months on the test the patients reported nocturia was relieved or reduced in 95% of cases, urgency down in 81%, frequency lowered in 73% and delayed urination in 70%. Dr. Damrau said there were no adverse side effects or adverse reactions to the amino acids.
Other evidence the FDA ignored or discounted comes from Japan where a series of nine clinical tests were conducted at the department of urology of Kyoto University in Kyoto.
Some of these tests were double blind, which means there was no way the participants could have any idea if they were receiving the test material or a placebo.
The tests were published in the Acta Urological Japonica, volume 14, 1968.
Results for the amino acids therapy for hypertrophy of the prostate showed that the glycine-alanine-glutamic acid capsules were administered to thirty six cases of diagnosed uncomplicated BPH. The capsules gave satisfactory results in relieving subjective and objective symptoms and no side effects were observed in any of the patients.
In another of the tests, statistical results showed that improvement of symptoms were as follows:
• Urinary frequency reduced in 77.7%
• Nocturia relieved in 68.4%. Difficulty of urination relieved 77.3%
• Feeling of residual urine relieved in 71.4% Side effects were found in only one case and that was relieved with a gastrointestinal drug.
Now, one of the obvious questions is this: If these amino acids are so good, as these tests tend to show, why hasn’t one of the huge pharmaceutical giants leaped on the band wagon and brought out a tested, recognized and approved by FDA combination of these amino acids for the prostate sufferers?
The logical answer could be that their own testing did not match the results of the tests shown above. Or, the situation may be that the amino acids would not be a “proprietary” compound that they could patent, protect and profit from. It would be similar to spending millions to test a salt pill, and bring it out only to find that every othercompany could make the same salt pill.
Jul
7
PROSTATE PROBLEMS AND ALCOHOL, BEER AND COFFEINE.
July 7, 2009 | Leave a Comment
ALCOHOL AND BEER
You knew this was coming. Alcohol is not good for the human body. Alcohol is especially not good for men with BPH.
“Hell, give up beer and a few shots of bourbon and maybe a highball or two? Damn, I’d rather die!” Such typical comments by moderate and heavy drinkers is often answered with the assurance of: “You will die and probably sooner than you expected to.”
For years some urologists have said that alcohol irritates the prostate. It also can cause serious problems with the liver. Some of the flavorings in alcohol can affect the prostate to such a degree that it can cause a kind of chronic prostatitis
For a man with even early BPH, the sudden or overuse of alcohol can bring on a surprise attack of acute retention of urine. This condition results in a desperate need to urinate but it is impossible. A quick trip to a doctor’s office or the emergency room of a hospital for catheterization and draining the bladder follows.
Good old common sense dictates that a man with even early BPH should seriously consider his consumption of alcohol and its relation to his prostatic condition. At this point many men simply don’t want to take the risk or stand the pain and problems associated with alcohol and BPH and stop drinking.
Beer drinkers will be furious, but the pint-in, pint-out and the much used bathrooms at bars and taverns, indicate that it is well known that beer drinking is immediately followed by voluminous urination.
Here common sense leaps up again. Beer drinking in the afternoon may be easily tolerated by some men, but not by others. Late night beer drinking will almost surely trigger two or three additional night time trips to the bathroom that otherwise could have been avoided.
If you insist on drinking beer, use a little common sense so it doesn’t trigger more unpleasant BPH reactions.
COFFEE, COLAS AND CAFFEINE
Yes, caffeine is the big tiger on your back here. Caffeine is a stimulant to the urinary tract: it makes you urinate more and more frequently. For most well people this is no problem, not even a minor inconvenience. Over the years your body will adapt to the added caffeine.
But when you have BPH, it’s different. You don’t need any more stimulation in your urinary tract. Neither do you need any more volume.
The BPH coffee drinker who normally goes through twelve, eight ounce cups of coffee a day is going to have a much harder time living with his urinary tract, than the non-coffee drinker, or even the man who drinks twelve, eight ounces of non-caffeine fluids a day.
Ounce for ounce, coffee and tea contain twice the amount of caffeine that regular cola drinks do. Of course now most of the colas come in caffeine free types as well. This is one place where you can have your cola and not your caffeine.
In the same manner, there are many caffeine free coffee brands now on the market.
If you want to manage your body with a little more “smarts” give the caffeine free drinks a test in your own bathroom. You’ll probably be pleasantly surprised when you make the test.
Oh, the “Principle of the single differential”. When you make any of these intake tests, try to do everything else the same, except for the item you’re testing. If you have two differentials (variables) in your life style, you won’t be able to tell which one made the difference, if there is a difference. It’s an old principle from the physical sciences but it works.
If you drink caffeine fluids, take the test. Try the caffeine free types for a week, doing nothing else different. One BPH patient said it cut his nocturia risings down from two a night to one. After a few weeks you’ll even forget what the caffeine laced drink tasted like.
Don’t forget that many of the current pain pills for headaches, colds and hay fever also contain caffeine. While these aren’t taken often, you might look for some that don’t have caffeine in them, such as the ibuprofen medications.
Jul
7
HOW TO COPE WITH EARLY BPH. LIVING WITH BPH. Early Stages of an Enlarged Prostate.
July 7, 2009 | Leave a Comment
HOW TO COPE
WITH EARLY BPH
Living with the early stages of an enlarged prostate isn’t all that hard:
This is true. Remember, you had BPH for eight to ten years before it caused you any problems at all. You might have had some mild symptoms for another two or three years before you realized it and found out what was causing them. Now you know.
Now is no time to panic. So these problems caused by BPH area small inconvenience, they are something you can learn to live with. The alternative is not a happy thought.
Let’s go back to our typical case history. This gentleman is the one who is sixty years old and has the three most minor of BPH symptoms: a brief hesitancy when urinating, a slower, less forceful stream, and he usually gets up once a night to urinate.
The secret here is that you know what the cause is of these minor problems, which means you can learn to manage them. You have managed a lot of things in your life, right? First the other kids in your family, then a wife, then your own kids, then that business and all the people you had under you. Compared to that, managing early BPH is a breeze.
First the worry. The experts say again and again that BPH is not cancer, has no connection with prostate cancer, does not lead to cancer and is an entirely separate ailment. So get that out of your mind.
You don’t have prostate cancer, it’s only BPH.
Urologists fight this misconception all the time and gradually they’re winning. They point out that cancer of the prostate is almost always on the outside of the prostate lobes. The enlarged prostate grows inward and outward. There is absolutely no casual relationship between the two.
Now, one more concern with prostate cancer. When surgery is needed for BPH, usually at a much later time than in a man’s fifties or early sixties, there is a finding that about ten percent of the BPH prostates will be found to have a cancer.
Remember, cancer can strike any part of the body at any time in life. It has no connection to BPH. When these cancers are found they are not in the usual places where they could be easily diagnosed during your regular BPH exams. So in reality the BPH surgery is a stroke of luck since most of these cancers are just beginning and are caught quickly so they can be eradicated more easily.
So, from here on we don’t worry about BPH causing or being tied in with prostate cancer in any way. Clear?
LIVING WITH BPH
Urologists point out that the minor symptoms of BPH, often the initial ones, may be the only troubles a man suffers with BPH for as much as ten to fifteen years. That means you shouldn’t even be thinking about or concerned with any worry about prostate surgery or other treatment now. Dump it right out of your computer memory hard disc. Why worry about something that isn’t going to happen for ten to fifteen years? You’ll have plenty of time to fret and stew about it and discuss it with your urologist when the time comes. By then some even better treatments undoubtedly will be developed.
Concentrate on today, and how to make your life pleasant and interesting and fulfilling, right now! in spite of BPH.
We know that there is no “cure” for BPH. You can’t take a pill and like a headache your BPH will just go away. It isn’t that kind of a problem. Even with our miracle modern medical cures, there is nothing even on the drawing boards that will magically cure BPH. So we practice positive thinking and forget about that and move on to areas of behavior that we can and should do something about.
Plain old fashioned horse-sense. With the decline of the horse as the basic transportation unit of Americans, not much is heard anymore about horse-sense. Too bad. Horse sense has shaken down to “common sense”, which is almost as good.
For example, it makes no sense to drink two gallons of water a day when you know you’re going to have to urinate most of that water the same day. Don’t overload your urinary system. The less you drink the less you’ll have to urinate.
Don’t carry this to extremes. The body is at least 1,259 percent water. You need water, fluids, to survive. But there is a happy medium. Some doctors say a man should drink eight, eight ounce glasses of water a day. That’s half a gallon. Actually what they mean is that the body should intake that much fluid a day: coffee, water, milk, soup, colas, juice, any fluid should count.
Many other doctors say this is much more fluid than the average man needs. Your body will tell you when it wants a drink. As a common sense living-with-BPH, start cutting down on your fluids a little at a time. You’ll be urinating less, but still enough. Talk to your urologist or doctor about this and find out what the minimum daily need is for intake fluids for a man of your size and activity. It may be much less than you suspect.
If you do manual labor in the hot sun all day, you’ll need more water than if you’re in an air-conditioned office where you work on a computer. Your doctor will be able to help you here.
TIME YOUR FLUID INTAKE
If nocturia bothers you, and you’re getting up three times a night to urinate, try limiting your fluid intake in the evening. One doctor suggested not to drink any fluids for four hours before retiring. That way your body will have processed your fluids, and passed them well before your sleeping time.
Using a modified system such as this (some men have one small drink at dinner and nothing after that) many BPH patients can cut to once their nocturnal urination. Now that is a real blessing if you can go from three risings to only one a night. This is a prime example of how you can manage your own life to reduce the interference of BPH with your normal activities.
Jul
7
BENIGN PROSTATIC HYPERPLASIA (BPH). SYMPTOMS OF AN ENLARGED PROSTATE.
July 7, 2009 | Leave a Comment
SYMPTOMS OF AN ENLARGED PROSTATE
Do you have any of the symptoms of an enlarged prostate? Here is a list of those problems that relate directly to BPH. Study the list critically. Have you experienced any of them?
• A slowing of your urinary stream and its force.
• A slowness to begin urination. You say “start now,” but it may be a few seconds before your stream begins.
• A problem with stopping urination. You tighten the muscles to stop the flow or to prevent any more, but you get a series of continuing dribbles.
• A sensation that your bladder is not completely empty when it should be.
• Frequent urination. You may not notice this during the day, especially if you’re near a bathroom. But at night this is much more evident. Doctors call this nocturia, and it may get you up two, three, four times a night.
• In extreme cases, urinary retention — when you simply can’t urinate. The discomfort and pain can be tremendous.
• Nausea, dizziness, unusual sleepiness brought on if retention has caused kidney damage.
A SIMPLE TEST YOU CAN GIVE YOURSELF
Below is a chart with the symptoms listed above. Some of them are worded differently. At the top are the points to be given for each symptom and its severity. Along the left side are the symptoms.
TOTAL SCORE
POINTS 0 1 2 3 4
STREAM Normal Variable Weals Dribbling
Abdominal
VOIDING No Strain strain or re”
HESITANCY None Yes
INTERMITTENCY None Yes
BLADDER Don’t know Variable Incomplete Single Repeated
EMPTYING or Complete retention
Yee ii ,Wd .9 INCONTINENCET— =
URGE None Mild Moderate Savers
tlmo-d~)
NOCTURIA 0-1 2 3-4
DIURIA ci>llh q2-3h qt-2h ci<lh
Intermittency means that your stream starts, stops and starts again once or more before you feel empty. Incontinence means that you can’t stop urinating when you want to, or you dribble, or pass some water when you don’t want to.
Diuria, means how often your need to urinate during the day. Zero points for three hours or more and 3 points for the need to void each hour during the day.
Mark down what you think your symptoms are. If your score reaches 10 or more, you should probably see your doctor soon about the chances you have BPH.