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COMMON CONDITIONS: MEN’S PROBLEMS  121

         Urinary problems in men





              Many urinary problems in men that start in later life are due
                                                                            WARNING
              to enlargement of the prostate gland, which lies beneath the
              bladder. This condition is usually noncancerous (in which case   Seek immediate medical help if:
              it is called benign prostatic hyperplasia), but sometimes it is   ● You develop pain or swelling in
                                                                     your abdomen and can’t urinate
              due to cancer. The prostate may constrict the bladder outlet,
              causing symptoms such as an urgent or frequent need to urinate
              (including at night); a weak flow; dribbling afterward; and a
              feeling that your bladder has not emptied completely.



              See your doctor first
                                                                  NATURAL REMEDIES
              Make an appointment to see your doctor if:
                                                            Saw palmetto (see p.188) tinctures and
              ● You have problems when urinating,
                                                            supplements are made from the berries of the saw
              especially if there is blood in the urine or   palmetto plant. You can take them to improve urine
              you feel a burning sensation                  flow and bladder emptying if you have benign
              ● You are taking an over-the-counter or
                                                            prostate enlargement.
              prescribed medicine that may be making the    Talk to your doctor first
              problem worse, such as a decongestant or      if you have symptoms
              an antidepressant                             of prostate enlargement.



         What you can do yourself
              Use these self-help measures alongside treatment
                                                            Taking saw palmetto
              from your doctor to help minimize urinary problems.
                                                            You may have to take
              ● Drink 6–8 glasses of fluid a day so your urine  saw palmetto tincture or
              doesn’t get too concentrated and cause irritation.  capsules for 1–3 months
              Avoid drinking too much over a short time, however,  before you see an
              since this may cause a sudden urge to urinate.  improvement in your
                                                            urinary symptoms.
              ● Urinate only when your bladder feels full. Take
              your time so that your bladder empties completely.
              Sometimes sitting on the toilet is more effective.
                                                                       PREVENTION
              ● If you often need to get up at night, drink less in
              the evening and stop drinking a few hours before  Reducing urinary problems The
              bedtime. Empty your bladder before going to bed.  following lifestyle changes and remedies may lead
              ● Reduce your intake of tea, coffee, cola, and  to a long-term improvement in urinary symptoms.
              alcohol. These drinks make your bladder fill quickly  ● Excess weight puts pressure on your bladder,
              and cause a sudden or urgent need to urinate.  so try to lose some weight if you need to do so.
                                                            ● Getting regular exercise can help reduce symptoms
              ● Avoid carbonated drinks, citrus fruits and juices,
                                                            caused by an enlarged prostate, while a sedentary
              and spicy foods, since they may irritate your bladder.  lifestyle tends to make them worse.
              ● Try saw palmetto if you have benign prostate
              enlargement (see NATURAL REMEDIES, right).
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