Archive | June 2016

Benign Prostate Hypertrophy

                                         BPH 1                                      BPH

Prostate Cancer — June Awareness is about MEN!

Prostate cancer is the second most common cancer among men, first is skin cancer.

African-American men are at the greatest risk to develop prostate cancer. 

The American Cancer Society recommends men with an average risk of prostate cancer should begin the discussion about screening at age 50, while men with higher risk of prostate cancer should begin earlier.

Sexual health is a major overall health marker for men — 1 in 4 men will experience some form of sexual health concern by age 65.

Erectile dysfunction and lower testosterone are linked to larger health risks, including heart disease, high blood pressure-HBP, diabetes and obesity. Remember African Americans are high for blood pressure. Perhaps higher rates of obesity and diabetes place African Americans at greater risk for high blood pressure and heart disease. Researchers have also found that there may be a gene that makes African-Americans much more salt sensitive. This trait increases the risk of developing HBP. In people who have this gene, as little as one extra gram (half a teaspoon) of salt could raise blood pressure as much as five millimeters of mercury (mm Hg). Don’t forget bad diet, overweight to obese and sedentary life style play vital factors for getting HBP so on average it’s not just a gene factor but heredity does key in especially if you have disease (DM, Obese, Cardiac disease with HBP in the nuclear family especially).

BPH is monitored but there is no active treatment. Diet and medicine can control symptoms. You will have a yearly exam. Your health care provider will look for worse or new symptoms before beginning active treatment.

Why go to your health care provider? He will do a yearly exam looking for worse or new symptoms before beginning active treatment. Who should do this? Good candidates which are men with mild signs and symptoms of BPH, There are no side effects in having your doctor check you out. Just remember avoidance to the M.D. may make the situation to be harder to reduce your symptoms later on for not going to the M.D. yearly.

The cause of benign prostatic hyperplasia is not well understood; however, it occurs mainly in older men. Benign prostatic hyperplasia does not develop in men whose testicles were removed before puberty. For this reason, some researchers believe factors related to aging and the testicles may cause benign prostatic hyperplasia.

Throughout their lives, men produce testosterone, a male hormone, and small amounts of estrogen, a female hormone. As men age the amount of active testosterone in their blood decreases, which leaves a higher proportion of estrogen. Scientific studies have suggested that benign prostatic hyperplasia may occur because the higher proportion of estrogen within the prostate increases the activity of substances that promote prostate cell growth.

Another theory focuses on dihydrotestosterone (DHT), a male hormone that plays a role in prostate development and growth. Some research has indicated that even with a drop in blood testosterone levels, older men continue to produce and accumulate high levels of DHT in the prostate. This accumulation of DHT may encourage prostate cells to continue to grow. Scientists have noted that men who do not produce DHT do not develop benign prostatic hyperplasia.

Risk factors include aging and a family history of BPH. Other risk factors are obesity, lack of physical activity, and erectile dysfunction (ED).

Can BPH be prevented?

There is no sure way to prevent BPH. Because excess body fat may affect hormone levels and cell growth, diet may play a role. Losing weight and eating a healthy diet, with fruits and vegetables, may help prevent BPH. Staying active also helps weight and hormone levels.

With BPH, the prostate gets larger. When it is enlarged, it can irritate or block the bladder. A common symptom of BPH is the need to urinate often. This can be every one to two hours, especially at night.

Other symptoms include:

  • Feeling that the bladder is full, even right after urinating
  • Feeling that urinating “can’t wait”
  • Weak urine flow
  • Dribbling of urine
  • The need to stop and start urinating several times
  • Trouble starting to urinate
  • The need to push or strain to urinate

In severe cases, you might not be able to urinate at all. This is an emergency. It must be treated right away. It is foolish for someone to not get checked or treated since the condition like any other disease left untreated will only worsen and in time possibly kill you (Ex. CHF OR Diabetes OR even Obesity).

How Can BPH Affect Your Life?

In most men, BPH gets worse as you age. It can lead to bladder damage and infection. It can cause blood in the urine. It can even cause kidney damage. Men with BPH should get treated. Mild cases of BPH may need no treatment at all. In some cases, minimally invasive procedures that do not require anesthesia are good choices. And sometimes a combination of medical treatments works best.

Transurethral resection of the prostate (TURP) is a type of prostate surgery done to relieve moderate to severe urinary symptoms caused by an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH).

During TURP, a combined visual and surgical instrument (resectoscope) is inserted through the tip of your penis and into the tube that carries urine from your bladder (urethra). The urethra is surrounded by the prostate. Using the resectoscope, your doctor trims away excess prostate tissue that’s blocking urine flow and increases the size of the channel that allows you to empty your bladder.

TURP is one of the most effective options for treating urinary symptoms caused by BPH.

Other forms of surgeries (minimally invasive) are:

There are several types of minimally invasive procedures to choose from, they include:

  • Prostatic Stent                                                                
  • High Intensity Focused Ultrasound (HIFU)
  • Holmium Laser Enucleation of Prostate (HoLEP)
  • Interstitial Laser Coagulation (ILC)
  • Transurethral Electroevaporation of The Prostate TUVP
  • Transurethral Microwave Thermotherapy (TUMT)
  • Transurethral Needle Ablation (TUNA)
  • Photoselective Vaporization (PVP)
  • UroLift
  • Catheterization 
  • How do you know which is best for you GO to the M.D. (Urologist), whose the expert in making that decision. Guess what guys? Many less invasive procedures can be done right in the doctor’s office. So go find out if you’re having symptoms of BPH!

 

 

 

 

 

QUOTE FOR TUESDAY:

“I think the promise of music as medicine is that it’s natural and it’s cheap and it doesn’t have the unwanted side effects that many pharmaceutical products do.”

Daniel Levitin 2013 meta-analysis, authors Mona Lisa Chanda and Levitin concluded that music has the potential to augment immune response systems, but that the findings to date are preliminary.

QUOTE FOR MONDAY:

‘There’s a very wide range of reactions in the body and mind to music, and brain imaging studies have shown that various parts of the brain may be activated by a piece of music.”

Dr Victoria Williamson (lecturer in psychology at Goldsmith’s College, London.)

QUOTE FOR THE WEEKEND:

 “It is a known fact that listening to Classical music enhances the mathematical ability of a growing child. Also, chanting helps release endorphins in the body creating a calm person, full of positive energy.”
According to Dr Shaan Manohar, ENT specialist, Nanavati Hospital.

Part I How music impacts our brain.

music and the brain   music and the brain

We can usually pick if a piece of music is particularly happy or sad, but this isn’t just a subjective idea that comes from how it makes us feel. In fact, our brains actually respond differently to happy and sad music. Even short pieces of happy or sad music can affect us.

When we hear a form of music we actually match the tone of the music with our mood or reaction to it. This means that sometimes we can understand the emotions of a piece of music without actually feeling them, which explains why some of us find listening to sad music to enjoyable, rather than depressing or sad to others.

We all like to pump up the tunes when we’re powering through our to-do lists, right? But when it comes to creative work, loud music may not be the best option.

It turns out that a moderate level of noises is the sweet level for creativity. Even more than low noise levels, ambient noise apparently gets our creative juices flowing, and doesn’t put us off the way high levels of noise does.

The way this works is that moderate noise levels increase processing difficulty which promotes abstract processing, leading to higher creativity. In other words, when we struggle (just enough) to process things as we normally would, we resort to more creative approaches.

In high noise levels, however, our creative thinking is impaired because we’re overwhelmed and struggle to process information efficiently.

This is very similar to how temperature and lighting can affect our productivity, where paradoxically a slightly more crowded place can be beneficial.

Of course, generalizing based on some studies is very hard. However looking at the science of introverts and extroverts, there is some clear overlap showing the following:

To break it down, here is the connection they has been found about people (again remember this is generally speaking):

  • Blues fans have high self-esteem, are creative, outgoing, gentle and at ease
  • Jazz fans have high self-esteem, are creative, outgoing and at ease
  • Classical music fans have high self-esteem, are creative, introvert and at ease
  • Rap fans have high self-esteem and are outgoing
  • Opera fans have high self-esteem, are creative and gentle
  • Country and western fans are hardworking and outgoing
  • Reggae fans have high self-esteem, are creative, not hardworking, outgoing, gentle and at ease
  • Dance fans are creative and outgoing but not gentle
  • Indie fans have low self-esteem, are creative, not hard working, and not gentle
  • Bollywood fans are creative and outgoing
  • Rock/heavy metal fans have low self-esteem, are creative, not hard-working, not outgoing, gentle, and at ease
  • Chart pop fans have high self-esteem, are hardworking, outgoing and gentle, but are not creative and not at ease
  • Soul fans have high self-esteem, are creative, outgoing, gentle, and at easePlaying music expands our thinking. We generally assume that learning a musical instrument can be beneficial for kids, but it’s actually useful in more ways than we might expect.   Studies have shown that children who had three years or more musical instrument training performed better than those who didn’t learn an instrument in auditory discrimination abilities and fine motor skills.
  • Instrument playing is a form of exercise that is great for your health as opposed to sitting watching t.v. where no creativity or imagining or brain concentrating takes place.
  • It seems that unfamiliar, or uninteresting, music is best for safe driving. Reason: Less Distracted.

Research on the effects of music during exercise has been done for years. In 1911, an American researcher, Leonard Ayres, found that cyclists pedaled faster while listening to music than they did in silence.

This happens because listening to music can drown out our brain’s cries of fatigue. As our body realizes we’re tired and wants to stop exercising, it sends signals to the brain to stop for a break. Listening to music competes for our brain’s attention, and can help us to override those signals of fatigue, though this is mostly beneficial for low- and moderate-intensity exercise. During high-intensity exercise, music isn’t as powerful at pulling our brain’s attention away from the pain of the workout.

Not only can we push through the pain to exercise longer and harder when we listen to music, but it can actually help us to use our energy more efficiently. A 2012 study showed that cyclists who listened to music required 7% less oxygen to do the same work as those who cycled in silence.

Some recent research has shown that there’s a ceiling effect on music at around 145 bpm, where anything higher doesn’t seem to add much motivation, so keep that in mind when choosing your workout playlist.

We all have a genre; for those wondering what is that actually it is a category of artistic, musical, or literary composition characterized by a particular style, form, or content

“The kind of music one listens to determines one’s reaction to it. No genre is harmful, but there is a preferable choice in different situations. For instance, studies have found that percussion stimulates the left side of the brain, so if one were solving Mathematics problems, or having to reach a logical conclusion, that music would be beneficial. Similarly, for an artiste, instrumental music or Soul would work better,” explains Khurana.

According to Dr Shaan Manohar, ENT specialist, Nanavati Hospital, “Japan has done a study on applying music to water as it freezes and check the patterns of crystals formed. It was concluded that loud drumbeats and music with violent poetry tend to have a destructive effect on the crystals versus Classical music, soft love tracks or devotional lyrics had an enhancing effect on the crystal formation. Loud drumbeats are also known to interfere with the pace of the heart in the very young and the elderly. It is a known fact that listening to Classical music enhances the mathematical ability of a growing child. Also, chanting helps release endorphins in the body creating a calm person, full of positive energy.”

QUOTE FOR THURSDAY:

“If you have a genetic predisposition to ovarian cancer, your doctor may recommend regular pelvic imaging and blood tests to screen for the disease.”

Dr. Edward Tanner (an assistant professor of gynecology and obstetrics at the Johns Hopkins University School of Medicine in Baltimore, Maryland).

 

 

QUOTE FOR WEDNESDAY:

“Each case of posttraumatic stress disorder (PTSD) has unique biological, psychological, and social determinants with differing treatment implications. Studies show that a number of medications are helpful in minimizing PTSD symptoms. Most of the time, medications do not entirely eliminate symptoms but provide symptom reduction and could be more effective when used in conjunction with an ongoing program of trauma specific psychotherapy for patients.”

The U.S. Dept. of Veteran Affairs

QUOTE FOR TUESDAY:

“PTSD was first brought to public attention in relation to war veterans, but it can result from a variety of traumatic incidents, such as mugging, rape, torture, being kidnapped or held captive, child abuse, car accidents, train wrecks, plane crashes, bombings, or natural disasters such as floods or earthquakes.”

National Institute of Mental Health (NIH)

QUOTE FOR MONDAY:

“Some risk factors, like a person’s age or race, can’t be changed. Others are linked to cancer-causing factors in the environment. Still others are related to personal behaviors, such as smoking, drinking, and diet.”

The American Cancer Society