Enlargement of the prostate gland. The prostate is about the size of walnut and is located just below the urinary bladder in men. An enlarged prostate presses against the urethra making it narrower. The bladder muscle becomes thicker and more sensitive, causing a need to urinate more often.
Causes of BPH
Evidence suggests a link between benign prostate hyperplasia and hormonal activity. As men age, production of androgenic hormones decreases, causing an imbalance in androgen and estrogen levels, and high levels of dihydrotestesterone, the main prostatic intracellular androgen.
Other causes include neoplasm, arteriosclerosis, diabetes, inflammation, and metabolic or nutritional disturbances.
Whatever the cause, BPH begins with changes in periurethral glandular tissue. As the prostate enlarges, it may extend into the bladder and obstruct urinary outflow by compressing or distorting the prostatic urethra. BPH may also cause a pouch to form in the bladder that retains urine when the rest of bladder empties, this retained urine may lead to calculus formation or cystitis.
Sign and symptoms of BPH
Clinical; features of benign prostate hyperplasia depend on the extent of prostatic enlargement and the lobes affected. Characteristically, the condition starts with a group of symptoms known as prostatism, which are caused by enlargement, and include:
- Reduced urine stream caliber and force
- Urinary hesitancy
- Difficulty starting maturation (resulting in straining, feeling of incomplete voiding, and an interrupted stream.)
As the obstruction increases, it causes
- Sense of urgency
- Frequent urination with nocturia
- Urine retention
- Possible haematuria
Diagnosis of BPH
History – a detailed history should be taken assessing prior surgery, infections, stones, tumors, bleeding in the urinary tract.
Physical examination – general physical examination – for general nutritional status and signs of chronic renal failure.
Abdominal examination – for any palpable mass, or bladder.
Examination of male genitalia and digital rectal examination to assess prostate size, and anal tone.
Laboratory tests – mainly include urinalysis, urine culture, complete blood count, and determination of serum creatinine, blood sugar, blood urea nitrogen, and serum electrolytes for mostly patients.
Prostate specific antigen is highly recommended (PSA) for patients more than 50 years of age.
Ultrasound – to evaluate the upper tracts, assess the size and consistency of prostate and measure the volume of post-void residual urine.
Uroflometry – it should always be performed in conjunction with estimation of post-void residual urine volume.
Homeopathic treatment for prostate gland enlargement
Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat prostate gland enlargement but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to treat prostate gland’s diseases that can be selected on the basis of cause, sensations and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. There are following remedies which are helpful in the treatment of prostate gland enlargement:
Sabal Serrulata – great medicine for various prostate diseases especially enlarged and inflamed prostate; swollen, hot, and painful glands.
Conium – chronic hypertrophy of the prostate, with difficulty in voiding urine; catarrh of bladder is associated with these complaints; suited for prostate gland’s disease in aged people.
Baryta Carb – hypertrophy of prostate; after urinatig renewed urinating with dribbling of urine.
Crotolus – haematuria with cancer of bladder or prostate.
Thuja – discharge of prostatic juice in the morning on awaking; frequent pressing to urinate with small discharge, has to strain much; stitches from rectum in to bladder.
Chimaphelia – frequent urination and general discomfort due to prostatic hypertrophy.
Lycopodium – feeling of pressure in the perineum near anus while urinating.
Copavia – induration of prostate in old men, in old men, with no increase in size or slight augmentation with extreme hardness.
Benzoic acid – enlargement of prostate; sensibility of the bladder with copurulent discharge.
Digitalis – excellent remedy for senile hypertrophy of prostate.