Aug
1
Cimetidine
August 1, 2009 | Leave a Comment
Generic Name
Cimetidine (sih-MET-ih-dene)
Brand
Tagamet Tagamet HB 91
Type of Drug Histamine H2 antagonist.
Prescribed For
Ulcers of the stomach and duodenum (upper intestine); also used for upset stomach, gastroesophageal reflux disease (GERD), benign stomach ulcer, bleeding in the stomach and duodenum, colorectal cancer, prevention of stress ulcer, hyperparathyroidism, fungal infections of the hair and scalp, herpes virus infection, excessive hairiness in women, chronic itching of unknown cause, skin reactions, warts, acetaminophen overdose, and other conditions characterized by the production of large amounts of gastric fluids. Cimetidine may be prescribed to stop the production of stomach acid during surgery.
General Information
Histamine H2 antagonists work by turning off the system that produces stomach acid and other secretions. Cimetidine is effective in treating the symptoms of ulcer and preventing complications of the disease, although an ulcer that does not respond to another histamine H2 antagonist will probably not respond to cimetidine. Histamine H2 antagonists differ only in their potency. Cimetidine is the least potent; 1000 mg are roughly equal to 300 mg of either nizatidine or ranitidine, or 40 mg of famotidine. These drugs are roughly equal in their ability to treat ulcer disease and their risk of side effects.
Cautions and Warnings
Do not take cimetidine if you are allergic or sensitive to any of its ingredients or any histamine H2 antagonist. Cimetidine has a mild antiandrogen effect, which probably causes the painful, swollen breasts that some people experience after taking this drug for a month or more.
People with kidney or liver disease should take cimetidine with caution because 1/3 of each dose is broken down in the liver and passes out of the body through the kidneys.
Do not self-treat with over-the-counter forms of cimetidine without the advice and supervision of your doctor.
The fact that symptalleviated by cimetidine does not dude the possibility of stomach cancer, which can have symptoms similar to other gastrointestinal (GI) disorders. Make sure your doctor screens for possible malignancy.
these symptoms stop 3-4 days after discontinuing the drug. Call your doctor if this happens to you.
Possible Side Effects
Serious side effects are uncommon.
♦ Most common: mild diarrhea, dizziness, rash, painful breast swelling, nausea and vomiting, headache, confusion, drowsiness, hallucinations, and impotence.
♦ Less common: liver inflammation, peeling or red and swollen rash, breathing difficulties, tingling in the hands or feet, delirious feelings, and oozing from the nipples.
✓ Rare: Cimetidine may affect white blood cells or blood platelets. Some symptoms of these effects are unusual bleeding or bruising, unusual tiredness, and weakness. Other rare side effects are inflammation of the pancreas, hair loss (reversible), abnormal heart rhythms, heart attack, muscle or joint pains, and drug reactions. Contact your doctor if you experience any side effect not listed above.
Drug Interactions
• Separate cimetidine from antacid doses by about 3 hours to avoid reducing cimetidine’s effectiveness. Other drugs that may reduce the absorption of cimetidine are metoclopramide and anticholinergic drugs, including trihexyphenidyl hydrochloride, oxybutynin, and benztropine mesylate.
• Cigarette smoking reverses the healing effect cimetidine has on ulcers.
• Cimetidine may increase the side effects of a variety of drugs, possibly leading to drug toxicity. These drugs include alcohol; aminophylline; oral antidiabetes drugs; benzodiazepine sedatives, except lorazepam, oxazepam, and temazepam; caffeine; calcium channel blockers; carbamweoine; carmustine; chloroquine; tkeCaiTAe; fluorouracil; labetalol; lidoQa« , Tneloprolol; metronidazole; moricizine; mexiletine; narcotic pain relievers; nifedipine; ondansetron; pentoxifylline; phenytoin; procainamide; propafenone; propranolol; quinine; quinidine; tacrine; theophylline drugs, except clyphylline: triamterene; tricyclic antidepressants; valproic acid; and warfarin (a blood-thinner).
• Drugs whose absorption may be decreased by cimetidine are iron, indomethacin, fluconazole, ketoconazole, and tetra-
cycline antibiotics.
• Enteric-coated tablets should not be taken with cimetidine. The change in stomach acidity causes the tablets to disin-
tegrate prematurely in the stomach.
• cimetidine may decrease the effects of digoxin and tocainide.
Food Interactions
None known.
Usual Dose
Adult: 400-800 mg at bedtime; 300 mg 4 times a day with meals and at bedtime; or 400 mg twice a day. To treat GERD-400 mg 4 times a day. Do not exceed 2400 mg a day. Users of Tagamet HB should not take more than 400 mg a day. Smaller doses may be as effective for seniors or those with impaired kidney function.
Overdosage
Little is known about the effects of cimetidine overdose, but victims may experience exaggerated side effects. Two deaths have occurred. Your local poison control center may advise giving ipecac syrup—available at any pharmacy—to induce vomiting and remove any drug remaining in the stomach. Victims who have definite symptoms should be taken to a hospital emergency room. ALWAYS bring the prescription bottle or container.
Special Information
Take cimetidine exactly as directed and follow your doctor’s instructions regarding diet and other treatment in order to get the maximum benefit from the drug.
Do not take the maximum dose continuously for more than 2 weeks without the consent and supervision of your doctor.
Cigarette smoking is associated with stomach ulcers and reduces cimetidine’s effectiveness.
Call your doctor at once if you develop any unusual side effects such as bleeding or bruisiiAg, tiredness, diarrhea, dizziness, rash, 131 NMbdinations. Black, tarry stools or vomiting material that resembles coffee grounds may indicate your ulcer is bleeding.
If you miss a dose of cimetidine, take it as soon as possible. If it is almost time for your next dose, skip the dose you forgot and continue with your regular schedule. Do not take a double dose.
Special Populations
Pregnancy/Breast-feeding: Animal studies reveal no damage to the fetus, although cimetidine does pass into the fetal blood. When this drug is considered crucial by your doctor, its potential benefits must be carefully weighed against its risks.
Large amounts of cimetidine pass into breast milk. Nursing mothers who must take this drug should use infant formula.
Seniors: Seniors may need less medication due to loss of kidney function and be more susceptible to side effects, especially confusion and other nervous system effects (see “Cautions and Warnings”).
Jul
18
Prostatitis Terminology Glossary.
July 18, 2009 | Leave a Comment
Glossary
ACUTE - Often used to describe a disorder, or symptom, that comes on suddenly. An acute condition may or may not be severe, but it is usually of short duration.
ANDROGENS - Bodily hormones that help in the development of male sex characteristics. Testosterone is the most important of these.
ANUS - The exterior opening, through which waste products are excreted, located at the end of the digestive tract.
BACTERIA - A group of single-celled micro-organisms, many -though not all - of which cause diseases.
BENIGN - Not malignant. Characteristic of a mild illness. Recovery is likely.
BIOPSY - The removal of tissue from a patient so that it may be
studied under a microscope in order to make a precise diagnosis.
BLADDER - An elastic sac that stores urine before it is excreted from the body.
BOGGY - A term used to describe the prostate when it is swollen, spongy and soft.
CANCER - A group of diseases in which symptoms are due to the uncontrolled growth of abnormal cells creating a cellular tumour. These cells can spread throughout the body through the bloodstream or the lymphatic system.
CAPSULE - The structure in which an item, such as the prostate, is enclosed.
CATHETER - A hollow, flexible, surgical tube that is used to drain or inject fluid. It is used, in particular, to drain urine via the urethra from the bladder.
CAT SCAN (CT SCAN) - A diagnostic imaging technique using X-rays and computer technology to provide cross-sectional pictures of the body.
CHLAMYDIA - A group of non-bacterial infections in the urethra and genital tract, and one of the most common sexually-transmitted diseases.
CHRONIC - A chronic condition is one that persists fora long time (sometimes in spite of treatment).
CYSTOSCOPE - A lighted viewing instrument that is inserted up the urethra in order to examine the urethra and the bladder.
DYSURIA - Pain on passing urine.
EJACULATION - The act of emission of semen from the penis.
ENZYME - A protein that regulates the rate of a chemical reaction in the body. Every cell in the body produces various enzymes.
ERECTION - The stiffening, hardening and elevation that occur in the penis in response to sexual arousal.
FREQUENCY - The need to urinate at short intervals.
GENITALS - The reproductive organs - both male and female, both internal and external.
GENITO-URINARY - Referring to a man’s or woman’s reproductive and urinary tract.
GLAND - A group of specialised cells that manufacture and release certain chemicals, including hormones and enzymes, for use in the body.
HAEMATURIA - Blood in the urine.
HAEMOSPERMIA - Blood in the seminal fluid.
HESITANCY - Slowness to start the initial urinary flow.
HORMONE - A chemical that is released into the bloodstream by a particular gland or tissue and which has a specific effect on tissues elsewhere in the body.
HYPERPLASIA - Cell proliferation.
HYPERTROPHY - The excessive, abnormal growth of an organ.
IMPOTENCE - Inability to achieve a good enough erection for sexual intercourse.
INCONTINENCE, URINARY - Inability to control the passing of urine.
INTERMITTENCY - Stopping and starting the flow of urine, often resulting in an inability to empty the bladder completely.
INTRAVENOUS PYELOGRAM (IVP) - Also known as urography.
• diagnostic procedure for taking X-ray pictures of the urinary tract.
• dye - or, to give its proper name, a radio-opaque medium - is injected intravenously into the bloodstream, which then shows up on X-rays when it is excreted by the kidneys, ureter and bladder.
KIDNEYS - Two small organs located on either side of the spinal column. Impurities in the blood are removed in the kidneys and dissolved to form urine.
LASER - An acronym, which stands for Light Amplification by Stimulated Emission of Radiation. Laser beams, which are concentrations of light and heat, can be used to cut, and are now being employed increasingly in surgery.
LIBIDO - Sexual desire.
MALIGNANT - Not benign. Cancerous, with the ability to invade other tissues, and to spread, or metastasise, throughout the body.
METASTASIS - A resulting cancer that has spread from another part of the body. Metastases are spread by the bloodstream or the lymph system.
MID-STREAM URINE (MSU) - A urine sample is taken mid-way in the flow of urination - neither at the beginning nor at the end, which gives less opportunity for contamination from surrounding tissues. This gives the best sample for culture or analysis.
NOCTURIA - The urge to urinate during the night, which wakes you up and means you have to get up to go to the toilet. Normally, the kidneys will produce less urine during the night when you are asleep, and the bladder will not signal that it is full until the morning. If the bladder is irritable, however, or if there is residual urine left over in the bladder, a man will be woken by the sensation of a full bladder.
ORCHIDECTOMY - The surgical removal of one or both testicles.
ORGASM - The ultimate climax of the sexual act. In a man, ejaculation normally occurs at this point.
PEAK URINE FLOW - The maximum urine flow that a man can produce, measured in millilitres per second.
PERINEUM - The area between the scrotum and anus.
PROSTATECTOMY - The surgical removal of all or part of the prostate gland.
PROSTATE GLAND - Male gland, about the size of a chestnut, through which the urethra, or urinary pipe, passes.
RADIATION - Energy that is emitted in the form of waves or particles of light. Used in medicine for both diagnosis and treatment.
RADIOTHERAPY - The use of radiation in medicine for the treatment of disease, usually cancer.
RESECTOSCOPE - A surgical instrument that allows the surgeon to see inside the urethra and is used in a transurethral prostatectomy (TURP).
SCROTUM - The pouch at a man’s crotch containing the testicles.
SEMEN - The fluid that is produced by the male on ejaculation.
SEMINAL FLUID - The fluid that is emitted by the penis when a man ejaculates.
SECRETIONS - The manufacture and release by a gland, cell or organ of chemical substances.
SEXUALLY-TRANSMITTED DISEASE - One of the many diseases that can be transmitted through sexual relations. Used to be known as venereal disease.
SITZ BATH - A sit-down bath, which can be beneficial to people suffering from rectal and urinary problems.
SPERM - The male sex cell produced by the testes, also known as spermatozoon (singular) or spermatozoa (plural), which can fertilise the female egg, or ovum.
STERILITY - The inability of a man to father children.
TESTICLES - A man’s two reproductive glands located in his scrotum. The testicles produce sperm and androgens (primarily testosterone).
ULTRASOUND - Also known as sonography. A diagnostic technique in which very high frequency sound waves are passed into the body, and reflected echoes are analysed to build up a picture of the internal organs. The procedure is entirely safe, and quite painless.
URETHRA- Urinary pipe which passes through the penis, through which urine passes from the bladder to the outside. Seminal fluids also pass through the urethra during ejaculation.
URINARY FLOW RATE - How quickly urine is voided from the bladder at the peak of urination. If the urinary flow is weaker than normal, it may indicate that there is some urethral obstruction.
URINE - The pale yellow fluid produced by the kidneys, which is excreted four the body via the bladder and the urethra.
URINE CULTURE - The study of a sample of urine to allow the growth of micro-organisms. This allows a urinary tract infection to be identified.
UROLOGIST - Doctor specialising in disorders of the urinary tract and the male genital tract.
VASECTOMY - Male sterilisation, performed by cutting through the vas deferens on each side of the body, which carry sperm from the testicles to the urethra.
X-RAY - Probably the best known of all imaging techniques, first discovered by Wilhelm Konrad Rbntgen in 1895. It is a useful diagnostic procedure, using electromagnetic radiations of short wave length, which produce high-quality images of bones, organs and internal tissues.
Jul
16
CONSTIPATION. COMPLETE INFORMATION.
July 16, 2009 | Leave a Comment
CONSTIPATION
• Get enough fluid and fiber
• Eat prunes, apples, or apricots
• Sprinkle ground flaxseed on cereal *****
• Chew sugarless gum ****
• Use psyllium powder ****
•Try docusate for less straining **
• Use milk of magnesia for quick relief (occasional use)
• Ask your doctor about a prescription for Mira Lax **
Many people feel that regularity is the key to good health. Is this true or is it a myth? Grandmothers around the world have promoted daily bowel movements for generations, but there is no evidence that a trip to the bathroom each morning is necessary. People vary in the frequency that suits them best. Some do well on a schedule of no more than three times a week. Others feel good on a schedule as frequent as a few times a day.
Constipation is defined as unsatisfactory defecation, 155 but doctors and patients don’t always agree on what is most important. Physicians may prefer objective measures like the number of days between bowel movements. But people may be as concerned about consistency as frequency. They complain about the effort of passing hard “golf balls” or “bricks.”
Sometimes physicians dismiss constipation as a minor complaint. While it is not usually life threatening, constipation can be serious. Almost 100,000 people are hospitalized each year for constipation-related problems. Many more suffer considerable distress and reduced quality of life as a result of this common condition.
Fluids and fiber are the cornerstones of constipation prevention. Those who are constipated are often urged to drink more water. Adequate fluid (at least 6 glasses of water a day) is essential, but unless someone is actually dehydrated, drinking extra water does not solve the problem of hard stools. To-SOME DRUGS THAT MAY LEAD TO CONSTIPATION
• Abilify (aripiprazole)
• Actonel (risedronate)
• Anaprox (naproxen)
• Arimidex (anastrozole)
• Asacol (mesalamine)
• Casodex (bicalutamide)
• Cataflam (diclofenac)
• Catapres (clonidine)
• Cenestin (synthetic conjugated estrogens)
• Clinoril (sulindac)
• Clorpres (clonidine and chlorthalidone)
• Clozaril (clozapine)
• Cognex (tacrine)
• C6rdarone (amiodarone)
• Covers-HS (verapamil)
• Creon (pancreatin)
• Cymbalta (duloxetine)
• Detrol (tolterodine)
• Ditropan XL (oxybutyn n)
• Duragesic (fentanyl►
• EC-Naprosyn (naproxen)
• Effexor (venlafaxine)
• Ferrara (letrozole)
• Geodon (ziprasidone)
• Gleevec (imatinib)
• Imdur (isosorbide
mononitrate)
• Kadian (morphine sulfate)
• Kytril (granisetron)
• Lexapro (escitalopram)
• Lotronex (alosetron)
• Lyrics (pregabalin)
• Meridia (sibutramine)
• Mirapex (pramipexole)
• Myfortic (mycophenolic acid)
• Nalfon (fenoprofen)
• Naprosyn (naproxen)
• Orap (pimozide)
• OxyContin (oxycodone)
• Pacerone (amiodarone)
• Pancrease MT (pancrelipase)
• Paxil (paroxetine)
• Permax (pergolide)
• Rapamune (sirolimus)
• Relafen (nabumetone)
• Remeron (mirtazapine)
• Requip (ropinirole)
• Retrovir (zidovudine)
• Risperdal (risperidone)
• Rythmol (propafenone)
• Thalomid (thalidomide)
• Topamax (topiramate)
• Vicodin (hydrocodone and acetaminophen)
• Zofran (ondansetron)
• Zoloft (sertraline)
• Zyprexa (olanzapine)
gether with fiber, though, the fluids may help. The first step, of course, is to make sure that the diet contains at least 25 grams of fiber a day. That may take some doing, but it can be accomplished with 5 to 10 servings of vegetables and fruits a day, along with whole grains rather than refined bread, pasta, crackers, and the like. For some people, though, even that may not be enough to conquer constipation completely.
If constipation arises suddenly or if it starts to interfere with everyday activities, it makes sense to check in with your doctor. There are some conditions, such as an underactive thyroid gland or Parkinson’s disease, that can lead to constipation. In those cases the underlying disease needs to be treated.
Warning signs that should trigger a doctor’s visit include blood in the stool or bleeding from the rectum; dark, tarry stool; weight loss of 10 pounds or more; a family history of colon cancer; or a positive Hemoccult test, a way of identifying invisible blood in the Stoo1.156 Be sure to tell the doctor about any of these issues, so the proper workup can be done.
People taking medications or even supplements should also check with their doctor to see whether one of these might be responsible. A surprising number of prescription drugs can trigger constipation as a side effect. Because of the impact that constipation can have on their sense of well-being, patients sometimes become upset if doctors don’t warn them that a prescribed medication may interfere with bowel function. Narcotics are among the most notorious offenders, but there are many others. Sometimes, switching to a different medicine can ease the problem. The physician should always be involved in such a decision, because some of these drugs may be essential treatment for a serious condition such as cancer or AIDS.
Dietary Approaches
For uncomplicated constipation, focus on increasing the high-fiber foods in the diet. Sometimes, people buy a loaf of softand-squishy “wheat” bread and figure that’s all they need to do to get extra fiber. Wrong! Unfortunately, the “wheat” label may just be a marketing ploy. Consumers need to read the ingredient list to see if the first ingredient is whole-wheat flour. That’s a good start.
Even better is to actually consume the whole grains in pi-FOODS THAT ARE HIGH IN FIBER
• Apples 0 Lima beans
• Barley 0 Oat bran
• Beans 0 Oats (steel-cut)
• Blackberries 0 Pears
• Bran a Popcorn
• Bran cereal 0 Prunes
• Broccoli 0 Raisins
• Bulgur wheat 0 Split peas
• Chickpeas 0 Uncle Sam Cereal
• Fiber One cereal 6 Wheat berries
• Figs • Winter squash
• Lentils
lafs or porridges, which is one reason we are so fond of steel-cut oats. (Also, they taste wonderful.) One of our favorite high-fiber breakfasts is steel-cut oats with extras: blackberries or pieces of apple, together with walnuts or almonds, topped with a sprinkling of freshly ground flaxseed. To boost the protein content of this breakfast, we stir in some egg white while the oats are cooking.
0 0 0
O. My wife is bedridden with emphysema and osteoporosis. Her fractured vertebrae are due to the steroids she takes for emphysema.
The doctor suggested calcium to strengthen her brittle bones. Then she had a problem with bowel movements because of not getting any exercise.
This caused her great distress until she tried eating a quarter of an apple every evening. The apple has made her regular again.
A. Thanks so much for reminding us all of the importance of fiber in the diet. This may help explain the wis-dom behind Grandmother’s recommendation of an apple a day.
O 0 *
Prunes
Why are the marketers changing the name of prunes to “dried plums”? While it is an accurate designation, it’s not particularly catchy. Instead, it is an attempt to get away from the image of self-treatment for constipation that “prune” or “prune juice” conjures up.
O 0 0
Q. A year ago I had a serious problem with constipation (over 2 weeks!). I tried everything I could, including Metamucil, Ex-Lax, milk of magnesia, and a Fleet enema with no results. A visit to the doctor resulted in a prescription but still no relief.
Then I remembered. Prunes are laxatives. I bought some prune juice with pulp and drank 4 ounces a day with plenty of water. Within a few days I was back to normal.
For a few months I drank some every other morning to keep me regular. Now I only need it once a week. Prune juice with pulp is my salvation.
A. Prunes are a time-honored home remedy for constipation. Researchers have confirmed what grandmothers always knew: Prunes stimulate the digestive tract.
In 1951 scientists discovered an ingredient in prunes that is closely related to the chemical laxative oxyphenisatin. This product was taken off the market when it was linked to liver damage.
Experts for the Harvard Health Letter suggest, “it is unlikely that moderate consumption [of prune juice] would cause any problems, but prune use, like everything else, should be prudent.”
Prunes are said to be loaded with antioxidant phytonutrients, so they are a healthy choice if consumed in moderation. They are not the only dried fruit that can be helpful in an attempt to overcome constipation. Dried figs and even apricots provide a little variety. They may not have any specifically laxative components, but they certainly are good sources of fiber, and some people find them quite helpful.
Dried apricots (two a day) and plenty of water can relieve constipation. It helps me and has helped my friends.
Flaxseed
Another source of fiber is not nearly as well known as prunes. Flaxseed has long been used as a source of soluble fiber. It is one of the ingredients in an old-fashioned cold cereal, Uncle Sam Cereal. Once marketed as a “natural laxative,” it is now being touted as a low-glycemic-index or low-carb food. The primary ingredients are wheat berries and flaxseed. Both should help to keep things moving in the right direction.
Constipation has been my problem for more years than I want to count Psyllium seed barely works.
My solution is flaxseeds ground in my coffee grinder I keep it in small batches in the refrigerator and take’/ teaspoon with a glass of juice or water daily. Sometimes I sprinkle it on my cereal or put it in a fruit smoothie. I like the nutty taste and it has been like. a miracle forme.
***** Flaxseed
Ground flaxseed is a good source of soluble. fiber. Not only is it helpful against constipation, it can aid in lowering cholesterol and may help reduce the hot flashes of menopause. Flaxseed is an excellent plant source of omega-3 fatty acids.
Downside: Keeps well until ground, then is susceptible to going rancid. Keep ground flaxseed in the refrigerator for no more than 10 days to 2 weeks.
Cost: Approximately $4 to $5 per month (around 130 a dose)
Besides combating constipation, flaxseed is an excellent source of omega-3 fatty acids and has the added advantage of lowering cholesterol at least modestly. The seeds keep well, but once they are ground (a blender or a coffee grinder works well), they go rancid quickly. Ground flaxseed meal should be kept in the refrigerator or even in the freezer. Someone with a tendency to constipation might well want to get in the habit of incorporating ground flaxseed into meals.
Another way to get the benefits of flax is to make a solution. Simmer 2 tablespoons of flaxseed in 3 quarts of water for 15 minutes. Cool the liquid and strain it. It should be kept in the refrigerator. Add 2 ounces a day to fruit juice.
Sugarless Gum
It might be surprising to learn that something as simple and inexpensive as sugarless gum could counter constipation quite effectively. By the way, the converse is also true. People sometimes have problems with chronic diarrhea because of their gum-chewing habits. Sugarless candy has the same impact.
* 0 0
Q. I read with interest and sympathy a letter about problems with constipation. I wanted to share something that has helped me.
After hearing some people complain that sugar-free jelly beans gave them diarrhea if eaten in quantity, I
sl%priess Gum
Pick a flavor that you like and experiment.to find the right dose. The “sugar alcohols” used to sweeten sugarless gummaltitol, sorbitol, mannitol, and xylitol—are not absorbed from the digestive tract. They act as “osmotic laxatives.” Chewing sugarless gum does not contribute to tooth decay. A gum containing xylitol might even help fight ear infections.
Side effect: Diarrhea
Downside: Many sugarless gums contain aspartame, which some people prefer to avoid.
Cost: Approximately 70 to 150 a dose
decided to see if they would help my frequent constipation. I have found that if I eat 30 sugar-free jelly beans with a glass of water half an hour before bedtime, I stay regular. I hope this idea might help others with the same problem.
A. Thanks for the tip. Many people find that the sweeteners in sugar-free candy can cause diarrhea. How clever of you to turn that side effect to your advantage! Each person will have to experiment to find the right “dose.”
0 * *
Over-the-Counter Remedies
Laxatives are among the most popular products in the pharmacy. Hundreds of millions of dollars are spent each year on these over-the-counter remedies. But overuse of such products can be a serious problem.
Q. My 19-year-old daughter and her girlfriend have been taking laxatives for weight control for several months. They also take over-the-counter diet pills.
My main concern is about the abuse of laxatives. Would you please print the harmful effects laxatives can cause? She won’t listen to me!
A. Chronic laxative abuse can undermine the body’s ability to eliminate waste on its own. We have heard from many elderly people who started using laxatives in their youth and became dependent upon them.
We are more concerned, however, about the potential interactions these young women might experience. Strong laxatives can deplete the body of potassium.
Laxatives are not an effective tool for lasting weight loss. Dietary counseling and exercise may be more helpful in the long run.
We generally suggest that people avoid stimulant chemicals like aloe, cascara sagrada, senna, and castor oil. These can be irritating to the digestive tract. Some of these compounds can interfere with proper nutrition, and chronic use might make a person more susceptible to weakened bones.
Bulk-Forming Laxatives
The first step in treating constipation is to increase your intake of fiber. Since dietary fiber may not be enough, there are several possible sources of fiber sold as “bulking agents” in the pharmacy. Psyllium is a naturally derived fiber from blond ispaghula seed (Plantago ovata). It can usually be bought quite inexpensively. There are also some alternative types of fiber.
Adequate fluid intake is crucial when taking fiber. Swallowing fiber such as psyllium without enough water could lead to choking as a result of the product clumping and swelling in the esophagus. Other digestive tract blockage is also possible if fluid intake is inadequate. 157
If psyllium is not satisfactory, other possible fiber sources are available. Polycarbophil (Equalactin, FiberCon, Fiber-Lax, Konsyl Fiber) may be the next step.
Sold under a number of brand names, including Metamucil, Fiberall, Konsyl, Perdiem Fiber Therapy, Reguloid, and Serutan. Store brands, available in most drugstore chains, are more economical. Psyllium (I tablespoon in 8 ounces of water three times a day) is approved both for constipation and for lowering. cholesterol. It may take a few days to observe the effects. Psyllium is considered safe for daily use. Sugar-free brands may be more economical, but most contain aspartame, which some people would rather avoid.
‘Side effects: Flatulence, bloating, or diarrhea; severe allergic reactions
Downside: May interfere with the absorption of other drugs taken at the same time. Many people object to the gloppy or gritty texture of dissolved psyllium fiber.
Cost: Approximately 8t. to 300 per dose
dude methylcellulose (Citrucel) and powdered cellulose (UniFiber). There’s no good evidence to suggest that any one of these is superior to the others overall, but people do have their favorites.
No bulk-forming laxative should be taken if the person is nauseated, vomiting, running a fever, or suffering abdominal pain. Such symptoms deserve prompt medical attention.
I’ve had such frustration with constipation over the years. I’ve tried a lot of remedies, but the ones that worked were too harsh. Then a friend told me about UniFiber. It is a very fine powder, and I combine it with canned peaches or homemade oat bran muffins. It really regulates my system with no diarrhea or cramping.
Stool Softeners
When the main problem is that the stool is hard, the best remedy may be a stool softener. These are also recommended for people who have had abdominal or colorectal surgery or an episiotomy during labor and delivery and must avoid straining.
Old-fashioned mineral oil is the best-known product in this category. It should be used for only a short time, though. Mineral oil is petroleum-based and is not absorbed into the body. But it can interfere with the absorption of important fat-soluble nutrients, such as vitamin A, vitamin D, vitamin E, and vitamin K. Over weeks or months, this could be detrimental to health.
The doctors’ choice in stool softeners is usually docusate sodium or docusate calcium. Although the evidence of their effectiveness is not strong, 118 they are widely used. They might work better in a postsurgical situation than they do for chronic constipation.
Dacusate Sodium
Available as Colace and Ex-Lax Stool Softener, and generically under various store brand names. Acts as a wetting agent to help stool absorb more water and thus become softer. Expect this product to take up to 3 or 4 days to work.
Side effects: Rash, throat irritation, nausea Cost: Approximately 250 to 500 per dose
This usually works fairly rapidly, within several hours. Each dose should be taken with 8 ounces of water. It is intended for occasional use only.
Side effects: Diarrhea, nausea, weakness
Downside: This laxative contains magnesium, so it should not be used by people with kidney disease. It may disrupt the balance of minerals and fluid in the body.
Cost: Approximately 600 to 750 per dose
Osmotic Laxatives
Compounds that attract water into the digestive tract add moisture to the stool. This softens it and may even help hurry it along. Such agents are called osmotic laxatives. We’ve already discussed sugarless gum, which works in this manner. It also exemplifies the downside of these laxatives: Getting the balance just right can be difficult. It’s not rare for a person to experience diarrhea as a side effect if the dose is too high. Some old familiar remedies fall into this category. Both Epsom salts and milk of magnesia are osmotic laxatives.
Prescription Laxatives
Chronic constipation can be extremely frustrating. If lifestyle changes and over-the-counter approaches are unsuccessful, people turn to their doctors hoping for a miracle. In this situation, miracles are few and far between. Physicians do have a few drugs they can prescribe that may be helpful. One is a type of osmotic laxative called lactulose (Chronulac, Duphalac, Kristalose) that has been around quite a long time. This is a type of sugar that is not absorbed well, so it pulls water into the intestines. It may take a day or 2 to produce results, and it can result in cramping, gas, or diarrhea.
There is another option as well. A prescription laxative containing polyethylene glycol, an ingredient quite similar to those used for cleansing the colon prior to a colonoscopy, can be used for desperate cases. MiraLax is not supposed to be used for more than 2 weeks at a time, however. MiraLax is an osmotic laxative.
The doctors’ big gun in prescription products is Zelnorm
Contains polyethylene glycol, or PEG. It comes as a powder to be dissolved in juice, water, coffee, or tea. Expect results in 2 to 4 days. Do not use for more than 2 weeks.
Side effects: Diarrhea, abdominal cramping, nausea, gas Downside: Prolonged or excessive use may upset the balance of fluids * and minerals in the body or result in laxative dependence.
Cost: Approximately $1.40 to $2 per dose; one dose per day
(tegaserod). It was developed for people who have irritable bowel syndrome with h constipation as the predominant symp- tom. It has also been approved for chronic constipation in adults under the age of 65. Your doctor will be able to evaluate if this last resort is appropriate for you. There have been instances of serious, dehydrating diarrhea that required hospitalization. Another dangerous side effect that worries us is ischemic colitis, a condition in which blood supply to part of the intestine shuts down. It has not been established whether Zelnorm was responsible for this frightening complication. Nevertheless, this drug is probably appropriate only when everything else has failed.
10 Tips for Combating Constipation
1. Pay attention to your diet. Getting plenty of fiber and fluid is essential. In addition, though, some foods tend to be constipating. Cheese has a reputation in this regard, but coconut, which can help ease diarrhea, may be constipating if too much is eaten. Other people have warned of the effects of pomegranate, mango, or peanut butter. The tannins in tea may also contribute to constipation.
2. Sip warm water with a tablespoon of blackstrap molasses. This sweetener contains a number of minerals. Some people find it a tasty way to cope with constipation. Another old-fashioned home remedy for constipation is drinking lemon juice in a cup of hot water first thing in the morning. Afterward, rinse your mouth with plain water, to protect your teeth.
3. Simmer 2 tablespoons of flaxseed in 3 quarts of water for 15 minutes. Cool, strain, and add 2 ounces of the liquid to orange juice every day. An alternative is to use freshly ground flaxseed on cereal or other foods.
4. Chew sugar-free gum. Experiment to find the appropriate dose. Or, if you prefer, eat sugar-free candy. Either may ease constipation; don’t overdo it.
5. Take psyllium powder in 8 ounces of water. For when you’re traveling, Metamucil makes psyllium cookies that are easier to carry, but they’re also more expensive and higher in calories.
6. Stay away from traditional laxative herbs such as aloe, cascara sagrada, and senna. They are harsh and overstimulate the digestive tract. Very occasional use may be acceptable, but overuse can lead to dependence. Instead, try dong quaff, ginger, or milk thistle.
7. Load up on vitamin C. Some people find that about 2,000 milligrams a day is enough to trigger diarrhea. Finding the dose that works for you and backing off just slightly is one approach that may work. Do not try this if you have ever had kidney stones, because excess vitamin C raises oxalate excretion and might increase the risk of a recurrence.159
8. Stir a couple teaspoons of Swedish bitters into a cup of water. Hot water or herb tea may work best. It also comes in capsules that are convenient when traveling.
9. Experiment with a bulk-forming laxative. Some people find that UniFiber or Citrucel works better for them than psyllium.
10. Make sure you get enough magnesium, especially if you are taking calcium supplements. Calcium carbonate can be constipating, but magnesium can help offset this tendency. We generally advise people that a dose above 300 milligrams of magnesium per day may cause diarrhea. The maximum short-term dose of magnesium advised on the label of Phillips’ Milk of Magnesia is 2,000 milligrams for adults. Do not take magnesium or milk of magnesia if you have kidney disease.
Conclusions
Constipation accompanied by pain, nausea, vomiting, or fever should not be ignored. It deserves medical attention. Even without such symptoms, persistent constipation should also be brought to a physician’s attention. Uncomplicated constipation may respond to home treatment.
• Begin with diet. Make sure you get six to eight 8-ounce glasses of water or other fluids daily. Concentrate on increasing fiber, and make sure you get 25 to 35 grams daily.
• Ask your doctor to check whether a medical condition or medication may be causing your constipation.
• Eat fruit. Apples, dried apricots, and (in moderation) dried plums, aka prunes, are a wonderful way to establish regularity when needed.
• Sprinkle ground flaxseed on your food, or take a solution of simmered flaxseed in juice.
• Chew sugarless gum or enjoy sugar-free candy for its laxative effect.
• Take psyllium as directed, with an 8-ounce glass of water.
• Docusate may soften stools and ease straining.
• Milk of magnesia may give relatively quick relief, but should not be overused. It’s off-limits for anyone with kidney trouble.
• Drugs such as MiraLax are intended for short-term use of less than 2 weeks.
Jul
15
Living with your Prostate. FAQ.
July 15, 2009 | Leave a Comment
Living with your Prostate
We hope we have shown you two things: firstly, you need to be aware of your prostate gland and what can go wrong with it,
so that you can get treatment for any possible problems if they arise; and secondly, even if problems do arise, they are
unlikely to be as bad as you may fear, and can probably be completely cured remeron zoloft .
BE AWARE AND DON-F DESPAIR are the key words when it comes to the prostate how to get prozac .
A positive outlook on life is one of the greatest weapons we have at our disposal women testosterone libido .
Never forget it methotrexate intolerance and mitochondrial dysfunction .
BE AWARE
It is important to keep an eye on any changes in your urinary habits, particularly after the age of 50 prevacid withdrawal . Changes may creep
up on you slowly over the years, but don’t use that as an excuse for not taking them seriously snorting fluoxetine .
Ask yourself the following questions:
• Do you have to get up at night to urinate?
• Do you urinate much more often than you used to?
• Do you have difficulty passing water?
• Is your flow of urine particularly thin or weak, particularly in the morning’?
• Do you ever experience any pain when you urinate?
• Do you ever notice any blood in your urine?
• Can you urinate as high, or as far, as you used to’?
• Do you get pains in the region of your prostate, in the groin, or around your genitals?
• Do you sometimes find it difficult to start the flow of urine’?
• Do you sometimes find that you involuntarily stop and start urinating?
• Do you sometimes feel as though you haven’t quite emptied your bladder and there’s more to come?
• Do you have to strain to pass water?
• Do you ever suffer from incontinence?
• Does your urine continue dribbling, even when you think you’ve finished’?
• Do you sometimes need to rush urgently to the toilet to urinate?
• Do you ever notice blood in your semen?
Warning symptoms
If you have answered Yes to one (or more) of these questions, you may be experiencing problems with your prostate clomiphene medicina para la ovulacion .
Warning signs of this kind are there to be taken notice of and you should never ignore them interactions with celexa and herbs .
Men are notoriously good at sweeping under the carpet things that make them feel uncomfortable, and signs that all may
not be quite as they should be on the health front come into this category the three uses for chloramphenicol . The reason why you should not do this is a
straightforward, not to say obvious, one prednisones . It is, quite simply, because the sooner you do something about them, the
greater your chances of doing something constructive about them and effecting a cure naltrexone and alcohol .
Men also tend to be frightened of wasting their doctor’s time and being viewed as a nuisance which is safer prednisone or methotrexate . But you shouldn’t worry
about this, your doctor is very unlikely to think this way generic viagra usa . Doctors are there to look after your health, and if something
is really worrying you that’s enough to warrant a visit zyrtec woman and rufus tv commercial .
So the message is:
GO TO SEE YOUR DOCTOR process flow diagram atorvastatin calcium .
CONSULTING YOUR DOCTOR
First of all, your doctor will want to know all your symptoms imitrex uk . To make sure you don’t forget to tell him about any of
these, make a list of them before you go to the surgery loratadine buy . You should also make a note of any questions you want to ask
him paxil and warfarin .
The doctor will take a general medical history, with particular reference to any serious familial diseases such as
diabetes, heart disease or haemophilia, and any drugs you are taking regalis vs viagra . He will also want to know about any important
changes in your health that you have noticed recently, such as general fatigue or lower back pain, which may not seem to
you to be at all relevant but which could be important to the doctor dosage of levaquin .
If you’re worried about your urinary habits, it’s as well to establish a relationship with your doctor, so you can get to
know him and he can get to know you and your anxieties sting lithium sunset mp3 . If you’re just starting to have symptoms, he may not find
anything much wrong now, but he will want you both to keep an eye on things and to monitor the situation online tramadol prescription .
Above all, never be embarrassed to talk to your doctor about your urinary habits zyrtec and edema . He won’t be embarrassed and you
shouldn’t be either femara ovulated on cd .
YOUR LIFESTYLE
There are several changes you can make to your lifestyle which will help keep your prostate healthy daily dose coumadin .
Try to do the following:
• Don’t smoke levaquin classification . Smoking causes spasm in smooth muscle and may, as a result, make matters worse, particularly if a prostate
problem has already been diagnosed celebrex form generic .
• Keep your consumption of alcohol, which can irritate the bladder, as low as possible premarin in stop bleeding . In particular, avoid beer anathesia propofol interaction zoloft .
• Avoid coffee nexium swollen lip problems . Coffee has an irritating effect on the bladder at the best of times, and if the bladder is already
`unstable’, this effect is likely to be heightened prednisone withdrawal and rash .
• Try to keep stress in your life to a minimum, as it can intensify urinary problems such as hesitancy and urgency morrisons ibuprofen 200mg caplets .
This is easier said than done, but you may benefit (wouldn’t we all?) from making every effort not to allow yourself to
be too easily worked up by the pressures of modern-day life what is the strongest testosterone booster . Try learning some relaxation techniques 36 levitra overseas 52 .
• Try to avoid going out in the cold, which can often trigger bladder problems triglycerides and glucophage .
• Wrap up warm thyroxine of pigs tiroidea .
• Get plenty of sleep levitra cialis new viagra .
• Take regular exercise actos 30 . In particular, it is thought that having played a lot of sport regularly as a child,
particularly before reaching puberty, may have a protective effect against the development of cancer of the prostate tamoxifen and breast cancer .
Exercise is still beneficial in adult life because it keeps the muscles around the abdomen active viagra hamster .
• Don’t regularly restrict your fluid intake because you are frightened of having to go to the loo too often diclofenac sodium 75mg ter watson .
Drinking less may not actually help anyway mirtazapine and msds . If you have an important meeting, or are going to the theatre, restrict your
fluid intake from about three hours beforehand, which should help make it easier for you to go out lithium batteries cr123a . You can also restrict
fluid intake at night, which may mean you don’t have to get up so often to urinate drinking and viagra .
DIET
The main thing you can do to protect your prostate and to prevent it from causing you problems later in life is to follow
a prostate-friendly diet clomid buy .
The idea of a diet that’s good for the heart has been around for a long time and people are slowly becoming better
educated about this and following the advice given novo simvastatin . But a diet that’s good for the prostate is a relatively new idea and
not something that most men take very seriously clomid bleeding .
But before you dismiss this idea as being silly or unnecessary, remember, prostate disease is terribly common protonix rebates . The more
you can do about keeping it at bay, the better vitamin b12 absorption on prilosec .
Dietary tips
• Keep your intake of saturated fats (butter, animal fats, palm oil, coconut oil) to a minimum, as the latest
research shows that it can increase the risk of prostate cancer sexual side effects abilify .
• Switch to low-fat milk, cheese, dressings, etc finasteride bioavailability .
• Reduce your consumption of meat, in particular red meat,
which you should eat either not at all or only occasionally dilantin for neuropathy .
• Remove the skin from chicken minocycline hydochloride .
• Increase your consumption of fish recretional use of amitriptyline . Fish oil may have anticancer benefits levaquin antibiotic sore legs side effect .
• Eat a diet that is rich in fibre (fruit and vegetables, particularly potatoes and sweetcorn), wholemeal bread,
pulses, brown rice and pasta caffeine children . Fibre reduces the chances of constipation, and regular constipation can put pressure on the
prostate gland triamcinolone azmacort aristocort .
• Try to eat a minimum of five portions of fruit or vegetables each day switch and paxil to prozac . Ideally, eat them raw or only lightly
cooked tetracycline or minocycline .
• Drink plenty of fluids - around 1 geodon withdrawal .75-2 uk pravachol .25 litres/3-4 pints a day - as this also helps prevent constipation diet coke caffeine free printable logo . Drink
milk, mineral waters and diluted fruit juices rather than alcohol or coffee, both of which are diuretics protonix long term . Drinking
sufficient fluids also helps protect your bladder from infections thyroid testosterone .
• Eat plenty of nuts and seeds warning about zyrtec . The World Health Organization (WHO) recommend that everyone should eat at least 30
g of nuts or seeds per day soma cube puzzle dog .
• Green, yellow and orange fruits and vegetables are particularly beneficial because they are rich in
beta-carotene, which converts to vitamin A in the intestine and liver, and has an antioxidant effect which is thought to
protect against cancer prilosec treats such diseases . Rich sources of beta-carotene include carrots, oranges and apricots death due to fosamax .
• Make sure your diet is rich in vitamins C and E, because of their ability to mop up dangerous free radicals which
can form during the body’s metabolic processes and thus weaken their protective powers against cancer 5 cream zovirax . Foods rich in
vitamin C include most fruits and vegetables, particularly citrus fruits, strawberries, potatoes and peppers; while foods
rich in vitamin E include most vegetable oils, eggs, fish, green leafy vegetables and pulses cheap tramadol cod saturday delivery .
• Make sure your diet is rich in zinc ivermectin wormer . Good sources of zinc include shellfish (particularly oysters), fish
(particularly herrings), wholegrain cereals, oatmeal, eggs, cheese, nuts and seeds (particularly pumpkin and sunflower
seeds) toxicology and baclofen overdose .
• Make sure your diet is rich in essential fatty acids, such as sun-
flower oil, safflower oil, linseed oil, walnut oil and soya oil acyclovir en espanol .
• You may find that spicy foods have an adverse effect on your prostate problems valtrex hhv6 . This is because they upset the
bowel, and the prostate rests against it mycin family of drugs .
• You may find it helpful to keep a diary of the food you eat and your symptoms; this should help you work out what
foods or drinks precipitate symptoms, and you can then avoid them scientific study of dogs on prozac .
Food supplements
• Take zinc supplements (around 10 mg three times a day) caffeine supplier . If this amount upsets your stomach or makes you feel
nauseous, both of which are possible side-effects, you can reduce your dose (10 mg just twice a day) clindamycin causes chlamydia .
• Take evening primrose oil natural alternative to provera .
• If you’re worried about your diet, take dietary supplements wellbutrin vs zoloft . Take vitamin C (around 150 mg a day), vitamin E
(around 30-40 mg a day); and beta-carotene (around 15 mg a day) tramadol feline dosage . These are all antioxidants and can help reduce
inflammation as well as protecting against cancer average milligrams lexapro .
I was due to have surgery for an enlarged prostate in a few Q • weeks, but I had a heart attack two months ago fluvoxamine clozapine . My doctor
says that I should leave a gap of at least three months after my heart attack before I have surgery for my prostate diamox slow release . I am
reluctant to wait because the symptoms are quite severe and they are really getting me down prilosec oct 42 ct . Is my doctor right’?
AAYes, he is what is zoloft product . It would be unwise for surgery to take place within , three months of a heart attack, as the risks of
another attack are too high indomethacin maximum dos . Some people might actually suggest that you wait six months, by which time the risks will
have fallen dramatically warfarin management education in pediatric patients . An enlarged prostate can be very irritating but it is not a matter of life or death, a heart
attack is, so be patient and wait until you are fit enough to undergo surgery lithium ointment . You might also like to talk to your
specialist about the possibility of having surgery under a spinal anaesthetic rather than a general one antidepressants depression duloxetin cymbalta .
Q• Why might a repeat prostate operation become necessary?
AA repeat operation may become necessary because of • regrowth of obstructing prostate tissue treatment of tramadol withdrawal . Obviously, the younger a
man is when he has his first prostate operation, the more likely he is to need a repeat operation later on neurontin for anxiety and depression . Similarly,
the longer he lives, the greater his chance of needing a second operation azulfidine bleeding . About 15 per cent of patients need to have a
repeat operation within 15 years celebrex generic celecoxib .
My father and my grandfather both had cancer of the
• prostate prilosec diet stomach ulcer . I have heard that this makes it much more likely that will develop this disease too what is ibuprofen 800mg . Is this true, and
is there anything I can do to prevent it? I am 32 years old altace side effects varicose veins .
ANIt is true that men who have a family history of prostate e cancer have a higher risk of developing the same disease lithium benzodiazepine .
This does not mean, however, that it is by any means inevitable, and you should not look on the black side danger of caffeine .
You are right, though, to be alerted to the possible problem spironolactone treats acne . You should, of course, lead as healthy a life as you can,
following a healthy diet, not drinking alcohol excessively, not smoking, minimising stress and getting plenty of
exercise pharmacy nexium .
Other than that, you may be able to persuade your doctor to refer you for regular screening because of your family’s
medical history man health viagra . Although men are unlikely to develop prostate cancer until they are over 50 years old, it would be wise
to start a screening programme now and repeat tests every five years safety of india sildenafil citrate . This should reassure you diclofenac sodium er 100mg .
QIs it true that prostate surgery always causes a man to
• become impotent’?
AANo, this is absolutely not true caffeine and skin health . It used to be truer in the past shelf life of zocor . than it is today what are somas used for . It is the nerves that run on
either side of the prostate that control a man’s ability to obtain and maintain an erection re clomid effects on cycle length . The techniques used in
prostate surgery nowadays do not usually disturb these nerves side effects from sulfamethoxazole . A small minority of patients do, however, suffer some
degree of impotence, though no one is quite sure why this should be pantoprazole fda approval . It has been suggested that the causes may sometimes
be psychological rather than physical, though this is not always the case prescription drugs fluoxetine .
QI have been diagnosed as having an enlarged prostate,
• which I understand is benign caffeine sonic . Is there any danger that this might turn into prostate cancer if I do not have it
removed?
ANo, there is no link between an enlarged prostate and pros-
• tare cancer aleve gel caps ingredients . The exact cause of an enlarged prostate is not
fully understood, and neither is the cause of prostate cancer, but the two are not connected methotrexate and sarcoidosis . It is true that prostate
cancer is occasionally diagnosed when a man is being operated on for an enlarged prostate, but the link here is only one
of diagnosis, not cause aniety and lipitor . It is one of the hidden benefits of prostate surgery, in fact, that if there is any cancer of
the prostate that has not been discovered already, it will be found when the prostate is operated on lithium batteries automobiles .
QAre there any easy remedies that one can buy at the chemists
• and which will cure prostate enlargement?
ANo sexual dysfunction effexor . There are some that may reduce symptoms, but this is
• not the same as a cure cardiac toxicity of ondansetron . Anyone who makes claims to the contrary is being economical with the truth sildenafil toxicity .
QI’m thinking of having a vasectomy depakote dilantin interactions . I’ve heard that a vasec-
• tomy can cause cancer of the prostate diltiazem reversal . Is this true?
AA link has been suggested but it is most unlikely glucophage tablet strengths 1000 ng . There is no
• definitely proven link between vasectomy and prostate
cancer, but if this is something that particularly worries you, you should obviously discuss this with your consultant maximum dose of wellbutrin .
QMy girlfriend tells me that she has had chlamydia ranitidine dosage for dog . This
• happened when she was younger and before she met me can you crush keflex . I
have heard that chlamydia can be linked with a prostate problem, called prostatitis natural alternatives to synthroid . Is she putting me at risk’?
AIt is true that prostatitis is thought to be linked sometimes e with chlamydia mani soma . But if your girlfriend had chlamydia
before she met you and is now completely clear of it, it doesn’t sound as though you have anything to worry about counter naproxen over . If you
want to be completely on the safe side, though, why don’t you both go to your local genito-urinary medicine (GUM) clinic
(you’ll find the number in your telephone directory) and ask for a check-up potassium levels and lanoxin . Explain what it is that’s worrying you and
they will be happy to help wheb to take clomid during pct . You do not need to feel at all embarrassed about going to a Benito-urinary clinic, the staff
are always very sympathetic, friendly and matter-of-fact about these matters, and will do everything they can to make you
feel at home save on strattera . Don’t worry, either, that they’ll think you’re wasting their time is keflex effective against sinus infections . So often, problems are caused by people
who really ought to go to the clinic and, for whatever reason, don’t go until it’s too late, either to treat their
disease easily, or to prevent them from passing it on to other people risperidone side effects . They will be delighted that you have made a move
before it becomes a problem ciprofloxacin filiculitis lichen planus .
QMy father died recently from a stroke ibuprofen imitrex . His doctor told me
• that he had prostate cancer, but that his was a silent disease sertraline hdl .
What does this mean, and did this have anything to do with his death’?
AIt means that his cancer was not spreading and was not
• causing him any great problem cialis and pregnancy . It was certainly not that
which killed him what does digoxin do . You do not say how old your father was, but prostate cancer of this sort is very common in elderly men long term effects of trazodone .
It is often never even diagnosed and only comes to light during a postmortem cam cymbalta cause yeast infections . Even when it is diagnosed, it often does
not require any treatment, precisely because it is a silent disease 0.075 mg generic synthroid .
QI have had chronic bacterial prostatitis for some years now caitlin cipro level .
• Although recurrences are not as regular as they used to be, I
do still have occasional flare-ups zoloft effectiveness and side effects . My wife has been trying to get pregnant - with no success - for about a year naltrexone trade name . Is
there any connection and, if so, what are our chances?
AThere is some indication that certain forms of prostatitis,
• particularly chronic bacterial prostatitis, may result in lower
male fertility alesse denavir ed . Infection or inflammation of the prostate can cause certain changes in the prostatic fluid, which may
well affect the quality of the semen, and therefore a man’s fertility does nizoral shampoo kill scalp ringworm . Your best bet would be to discuss this with your
doctor and to have both your sperm count and sperm quality checked artane dosing . This is a simple test which is done from a sample of
semen following ejaculation by masturbation coming off of zoloft .
Jul
15
Enlarged Prostate. TREATMENT OF AN ENLARGED PROSTATE.
July 15, 2009 | Leave a Comment
• Having to get up in the night to pass water (nocturia) cymbalta with adderall .
• The need to push or strain to pass water lipitor pill .
• Blood in the semen, known as haemospermia lithium battery danger hazard .
Self-help
Some men find that they are better able to empty their bladders efficiently when they urinate in a sitting or squatting
position rather than standing up cat vomits after taking mirtazapine .
TAKING THE PROBLEM SERIOUSLY
The symptoms of an enlarged prostate must never be dismissed as an inevitable part of the ageing process clomid and cycle length . If a man does
not seek medical help, there are two things that can happen what does soma mean .
Firstly, he may suddenly become totally incapable of passing urine does wellbutrin cause false tsh readings . This is very painful and requires urgent treatment in
hospital, whereby a tube (catheter) has to be passed into the bladder in order to drain off the excess urine is depakote an aromatic anticonvulsant .
When an enlarged prostate is not a problem
If the prostate is enlarged, as detected by a digital rectal examination, but there are no symptoms, there is no need for
treatment seroquel disorders . The size of the gland alone is no indication calling for treatment - still less for surgery allegra famvir myonlinemeds biz . Intervention for
benign enlargement should only be considered when the symptoms become a problem vistaril hydroxyzine .
Secondly, the other thing that may happen is that the bladder can become so stretched that every time a man passes urine
he does not quite empty it actos and heart failure . The bladder expands very gradually, with the result that there is no pain and there may be no
obvious symptoms for a while arimidex hair thinning . Eventually, however, he will pass urine in a dribble, and he may notice that he is
constantly wetting his underpants arrythmia caffeine . He may even find that he is wetting the bed at night (known as enuresis), which is a
distressing and embarrassing symptom ofloxacin ear drops generic name . In extreme cases, the end result of this may be that there is so much back pressure
on the kidneys that they eventually fail price cefpodoxime . This is a very serious condition, known as chronic retention of urine with
renal failure chest pain stops imitrex .
THE RISKS
A benign enlarged prostate is not, in itself, a dangerous condition, but there are three main risks which may arise if
the condition is not treated emerson mirtazapine anxiety .
• Firstly, if the bladder is never completely emptied, there may be a build-up of stagnant urine in it how switch effexor pristiq . This can
become a breeding ground for bacteria and can cause cystitis, which is an inflammation of the inner lining of the
bladder paxil infertility . Treatment is by the administration of antibiotics gloucophage metformin .
• Secondly, the muscular walls of the bladder strengthen in an attempt to force urine through the narrowed urethra benazepril coughing .
As a result, the walls may become thickened and can then pinch the tubes that carry urine from the kidneys to the
bladder, known as the ureters removing caffeine from coffee . Back pressure may cause acute pyelonephritis, which is an inflammation of the kidney,
usually caused by bacterial infection, leading to symptoms such as high fever, chills and back pain quetiapine pharmacokinetic properties . Treatment is usually
by antibiotic drugs, which may need to be given by intravenous infusions doxycycline dog canine fish .
• And finally, the muscles of the bladder may become weakened and no longer able to overcome the resistance to
urine flow metronidazole rectal . They may then cease to function completely, which may be a sudden or a gradual process ultram paroxetine drug interaction . A sudden failure to
function may cause acute retention, which is very painful and requires emergency treatment paroxetine anorgasmia . A gradual failure can lead to
stress THE INTERNATIONAL PROSTATE SYMPTOMS SCORE
The World Health Organization (WHO) recently devised a system, known as the International Prostate Symptoms Score caffeine drink energy in . This
enables you - and your doctor - to judge how severe your prostate symptoms are and how urgently - or if - you need
treatment aleve and red blood cells .
INTERNATIONAL PROSTATE SYMPTOMS SCORE
Less than Less than About More
one time half the half the than half
in live time time the time
Not at all
Almost always
Over the past month:
How often have you had the sensation of not completely emptying your bladder after urinating’?
0 1 2 3 4 5
Needed to urinate
again within two hours 0 1 2 3 4 5 of finishing urinating’?
Stopped and started again several times when urinating’?
0 1 2 3 4 5
Found it difficult to postpone urinating’?
0 1 2 3 4 5
Had to push or strain to start urinating?
0 1 2 3 4 5
Had to get up in the night to urinate’?
0 1 2 3 4 5
How did you score?
• 0-8: your symptoms are very mild cheap wellbutrin xl 150mg 30 count . You may not need any treatment but your symptoms will be closely monitored by
your doctor paxil and sleep apnea . You may benefit from a change in diet or extracts of rye pollen teva generic actonel name .
• 9-17: your symptoms are moderate otc claritin d . Your doctor may prescribe a drug treatment, provided that your rectal
examination and blood tests are normal bactrim and myelosuppression .
• 17 and over: your symptoms are severe where can u sample viagra free . Your doctor will probably refer you to a specialist for further tests and
treatment what is symmetrel used for .
WHAT TO DO
It is not uncommon for a man who is experiencing symptoms of an enlarged prostate to put off going to the doctor tizanidine injected intravenously . He may
do this because he has heard that the doctor will probably give him a rectal examination and he would rather avoid this prilosec prescription strenght .
Or he may do it because he thinks that his symptoms are an inevitable part of growing old and that the doctor will not
take them seriously detrol sideeffects . But he is wrong what are the ingredients in orlistat .
The doctor will take them seriously and, as I have already said, he should not delay is boost plus caffeine free . Treatment nowadays is both
straightforward and effective, and it is sensible to have treatment before your disease progresses and you are at any
risk is remeron safe .
Early screening may help prevent you developing problems in the future with your kidneys dance prints zantac . Even more importantly, it may
ensure that the still more serious but rare problem of prostate cancer is discovered early - and therefore treated early amount of caffeine in starbucks frappuccino .
WHAT YOUR DOCTOR WILL DO
There are several things your doctor and/or a specialist, known as a urologist, may do to investigate an enlarged
prostate, and to decide which treatment would be most appropriate does toprol cause chest discomfort .
These may include any or all of the following:
• Digital rectal examination (DRE) 40 mg zocor .
• Blood tests nonprescription tamoxifen .
• Urine tests neurontin equivlant .
• Ultrasound price of accutane .
• CyStoscopy drug classification for gemfibrozil .
• Intravenous pyelogram (IVP) cephalexin 500mg capsule .
Digital rectal examination (DRE)
The first investigation a doctor will probably do is a digital rectal examination active ingredient in biaxin . To do this, he will gently insert his
gloved index finger into your rectum testosterone propionate injections . He will use a water-based jelly as a lubricant what is venlafaxine hci . A rectal examination does not hurt,
and you should not feel embarrassed - it’s all in a day’s work to a doctor differences between generics of amitriptyline .
The shape and size, as well as the texture and tenderness of the prostate can be felt in this way ibuprofen suicide . If you have an
enlarged prostate, the gland will feel just that - enlarged pravastatin and leg cramps . It will also feel firm and smooth naproxen alcohol .
Blood tests
There are several blood tests that are likely to be done as part of the investigation of an enlarged prostate cialis generics . These may
be done to check for infection, to check how well your kidneys are working, and to eliminate prostate cancer (see Chapter
6) new treatment instead of casodex .
Tests include:
• Full blood count, as a check for infection or anaemia caffeine and conception caremark health resources .
• Urea and electrolytes, to see how well your kidneys are functioning is ibuprofen safe .
• Prostate acid phosphatase (PAP), to check for prostate cancer lasix clarksville tennessee .
• Prostate specific antigen (PSA), to check for prostate cancer chemical formula for caffeine and chocolate .
Urine tests
Similarly, there are a number of urine tests that are likely to be done as part of the investigation of an enlarged
prostate pioglitazone breast cancer . These are done both to determine how badly your stream of urine is affected and to check for infection dont take wellbutrin xl .
Tests include:
• Urinary flow rate, using a urine-flow meter, which determines how badly your ability to urinate normally is
affected is actos a steriod . As you pass urine into a bottle, an electronic device measures both the total amount passed and the speed with
which it is passed sex with levitra . This will reveal the extent of any obstruction to the flow necrotic bone pain zithromax .
• Mid stream urine (MSU), to check for any bacterial infection, which may indicate cystitis, and for any red blood
or pus cells, as well as for any tiny threads of tissue shed from the kidney, known as casts tramadol identifier pt5 .
• Urine dip stick test, to check for sugar and protein buy testosterone now .
Ultrasound
This entails passing high-frequency sound waves through your body, which then bounce back off special tissue plates to
produce an image on a screen kts lithium battery cr2032 . Ultrasound, or sonography, can reveal several things, including:
• The size of your prostate gland itraconazole fluconazole indications .
• Whether there is any residual urine (and, if so, how much), left in your bladder after urinating expiration date of tetracycline .
• The size of your kidneys genital warts and zantac .
Cystoscopy
This entails passing a narrow telescope, known as a cystoscope, through the penis and into the bladder metformin serum creatine . This procedure is
done under general anaesthetic lithium niobate .
It enables the urethra and bladder to be viewed in detail, with the result that the degree of prostate obstruction can be
assessed accurately testosterone vitamins .
Intravenous pyelogram (IVP)
This test entails injecting a radio-opaque form of iodine into a vein herbal equivalent vibramycin . The dye is then concentrated in the kidneys, and
X-rays are taken of the urinary tract ordering ultram delivery flower . These will therefore show any abnormalities diltiazem sustained release . An IVP rules out the possibility that
symptoms are due to urinary tract disease rather than to an enlarged prostate betapace weight gain . It also reveals whether the bladder,
ureters or kidneys have been damaged by back pressure from the enlargement bromocriptine and structure and action .
TREATMENT OF AN ENLARGED PROSTATE
Exactly how the doctors decide to treat your enlarge prostate depends to a large extent on how severe your symptoms are
(this is where the International Prostate Symptoms Score (see page 48) comes in useful and has a practical purpose; on
whether your condition is threatening vital systems such as your kidneys; on how much it is affecting your lifestyle; and
on your general state of health dosage ceroxim cefuroxime axetil oral suspension . Whatever you are offered, it is worth your while checking that you are being offered the
most up-to-date treatment available does amoxicillin affect apri . Treatments are being improved all the time, and it is a good idea to discuss this
with your doctor or specialist will spa white whiten tetracycline stains . You should also voice any particular worries that you have liver caffeine . Don’t worry about wasting
your doctor’s time - that’s what he’s there for and he should be happy to take the time and trouble to talk about your
worries with you and to explain the situation lamictal gum loss .
Is it worth the risk?
You must talk to your doctor in some detail about possible treatments and their risks zelnorm mg . Only you know how much your
symptoms are affecting your life, and only you can decide what risks you are willing to take in order to get rid of them excessive drinking while taking topamax .
Would it be worth a slight risk of impotence, for example, not to have to get up twice in the night to urinate? No one
can answer this on your behalf - it’s got to be your decision motrin advertisement .
If symptoms are mild missed dose of lexapro . zyrtec syrup infant dosage . prevacid non prescription .
In this case, and if tests have ruled out any possibility of prostate cancer, doctors may adopt a `wait-and-see’
approach 26650 lithium . Symptoms may not get any worse, and a modification to diet, along with extracts of rye pollen, may help (see
Naturopathy, Chapter 9) depakote 250 mg .
If symptoms are moderate li-60b lithium ion battery . aciphex nasacort ambien . soma grill in pittsburgh pa .
In this case, a doctor may decide on a drug approach, which may help relieve symptoms med felodipine . Possible drugs include:
• Alpha-blocker drugs, such as indoramin, prazosin and terazosin fluconazole tabletki 150mg . These are the most commonly used form of drug
treatment cetirizine nursing . They relax the nervous system and inhibit contractions in the prostate and urethra singulair swelling due to fluid retention . In this way, they ease
symptoms rather than counteracting the obstruction completely natural alternative for bactrim .
• Antispasmodic drugs, such as flavoxate, oxybutinin and propantheline, which reduce irritation of the bladder viagra houston .
• 5-alpha-reductase inhibitors, such as finasteride, which prevent the hormone testosterone from being converted
into dihydrotestosterone, which is known to cause an enlarged prostate claritin and prostatitis . These drugs shrink the gland and may slightly
improve the flow of urine inventor inventor for penicillin penicillin .
If symptoms are severe caffeine and male health . bupropion sr tab 150mg side effects . discount xenical wholesale stores discount pharmacy .
Symptoms may be so severe that the urethra is blocked off completely, with the result that the sufferer is unable to pass
urine is generic fosamax oral solution available . This is a very painful condition and requires immediate hospitalisation lose weight celexa .
The recommended treatment in this case will probably be catheterisation, which entails inserting a flexible tube, or
catheter, into the bladder under local anaesthetic to drain trapped urine diclofenac in vulture poisoning . This will usually bring instant and welcome
relief and, as such, is a valuable treatment arimidex for males .
It is not, however, considered to be an acceptable long-term solution by most men, who regard it only as a temporary
measure until something permanent can be done sertraline xenadrine . The long-term solution is usually surgery, in the form of a prostatectomy
(see below) digoxin induced gynecomastia .
If, however, surgery is considered to be too dangerous - usually because of ill health or advanced age - a catheter may
be kept in place permanently does toradol react to advil . It will continue to provide drainage into a special bag that is worn attached to the leg jr enterprises ivermectin .
Surgery
For many men, the only acceptable long-term solution is surgery trying to wean off nexium . This entails the removal of either part, or all of, the
prostate gland over the counter prilosec .
Most doctors advise an early operation, because the risk is much increased if the kidneys are already damaged duphaston myoma . If surgery
is performed when symptoms first become a serious nuisance, the results are nearly always very good zithromax for fish .
The removal of part of the prostate is done by a procedure known as transurethral prostatectomy (TURP), in which prostate
tissue is cut away using an electrically-heated wire loop inserted through the urethra testosterone enanthate for bodybuilding . The entire prostate gland is
removed in an operation known as a prostatectomy imitrex sulfa allergy symptoms .
The more common of the two operations is TURP, though an open prostatectomy is sometimes chosen in preference to TURP fellini prozac .
The reasons for this include the following:
• If the prostate is very much enlarged application for plavix .
• If a tumour is suspected, which might be cured through the removal of the entire prostate urologic drugs bactrim .
• If a man also has large bladder stones, which also need to be removed bird ivermectin .
• If a man has bad arthritis in the hips, which cannot therefore be placed up in stirrups, as this is needed for
TURP buy tadalafil count online .
Both transurethral prostatectomy and open prostatectomy are described in detail in Chapter 7 ibuprofen mix with alcohol .
Treatment by stent
A man who is too ill to withstand a major operation may have a stent implant put in place, This is a short, stiff tube
that is placed in the urethra at the point at which it passes through the prostate gland acne caffeine cause does . It holds the urethral walls
open in spite of pressure from an enlarged gland what is zyprexa commonly prescribed for . An advantage of this procedure is that a stent is simple to put in
position and it can be done to a man who is not well enough to have a prostatectomy cipro and c difficile .
There are two types of stent: a permanent mesh type, which is left in position permanently and the skin of the urethra
eventually grows over it, and a temporary spiral type, which can easily be removed but which has the disadvantage that it
is prone to bacterial infection and that it can become dislodged can piroxicam be heated .
Other possibilities
Medical advances have come up with several new procedures, some of which are still at the clinical trial stage ranitidine pill identifier . Research
continues in this field, and the outlook for further advances in the treatment of this debilitating condition is good,
though as yet most of these procedures are still a long way out of mainstream medical practice accutane repeat .
New procedures include:
• TULIP (Transurethral, ultrasound guided, laser-induced prostatectomy), which entails using a laser to cut away
prostate tissue citalopram children .
• Microwave hyperthermia, which involves inserting a microwave coil within a catheter into the urethra and heating
it to a temperature of 45°C (113°F) low testosterone bicycle . The treatment must be done twice a week for three to five weeks vytorin long-term side effects . Each treatment
takes between 30 and 60 minutes lamactil and celexa . There is no need for any anaesthetic and the procedure can be done as an out-patient process in the discovery of ciprofloxacin . As
yet, there have been no large-scale or long-term studies anti aging testosterone .
• Transrectal hyperthermia, which is another heat-shrinking procedure, introducing a probe into the rectum estradiol supplements fertility . This
heats the prostate to a temperature of 43°C (109°F) using microwaves naturally restore testosterone levels .
The procedure is usually repeated six times, and lasts one hour each time wellbutrin full dose . During the treatment period, the patient can
lead a normal life, suffering no more than slight discomfort each time vaseretic physicians update .
• TUNA: Transurethral needle ablation, which means needles are inserted into the prostate, under local anaesthetic,
to allow greater precision and higher temperatures during heat-shrinking procedures ibuprofen dosages wiki .
• Sonoblate, which is another heat-shrinking procedure, this time involving ultrasound waves via the rectum prismatic lithium cells .
• Cryotherapy, which entails inserting a cryoprobe into the penis and freezing the prostate medco lamotrigine 200 mg .
• Dilatation of the prostate with the use of balloons entacapone and levodopa and adverse .
Jul
15
The Prostate in Sexual Activity.
July 15, 2009 | Leave a Comment
The Prostate in Sexual Activity
The prostate is part of the male reproductive system and supplies part of the seminal fluid viagra and oxycodone . It is not essential for the
man’s sexuality, though, nor even for his ability to reproduce ezetimibe simvastatin lawsuit .
When a man’s prostate is removed, male sexuality is not normally affected ripped fuel testosterone booster . His sex drive is intact, and his ability to
achieve and maintain an erection is unchanged caffeine free pepsi one .
SEMINAL FLUID
Sperm makes up only a small part of the seminal (laid asprin ec 8 . In fact most of the fluid you ejaculate isn’t sperm at all seroquel negative side effects . Most
of the fluid consists mainly of secretions from a number of glands promethazine hcl and codeine phosphate syrup . The largest of these glands is the prostate lithium hydrated .
‘The various secretions from these glands probably serve the purpose of providing the sperm with a greater motility after
they have been ejaculated, which stimulates their activity and enables them to move towards the egg get rid of caffeine jitters .
It is thought by some people that the prostate also has a lot to do with the feeling that an orgasm gives you boniva model . When a man
has an orgasm, sperm fluid from the seminal vesicles and the secretions from the prostate all mix together as semen at
the top of the urethra, just below the bladder xanax and zyrtec . A man gets an intensely pleasurable sensation when the semen floods down
the urethra into the penis erythromycin in dogs . He also gets a pleasurable feeling when the semen squirts out of the penis and into the tight
region of a woman’s vagina casa allegra rockport tx . The prostate gland can be felt, as a man’s orgasm proceeds, to contract i-liythmically, which
some people believe to be very much an integral part of the pleasure he experiences on orgasm side effects celexa long term use .
What prostate fluid contains
• Water penicillin and bismuth .
• Salts steroid and benzoyl peroxide .
• Minerals labetalol for treating pregnancy induced hypertension .
• Proteins azithromycin and eating .
• Antibodies lamictal and libido .
• Enzymes prevacid for toddlers .
• Citric acid wellbutrin withdraw .
• Fats buy domain fioricet tramadol .
• Prostaglandins, which are hormone-like chemicals omeprazole sa 20mg .
PROSTATIC DISEASE
Prostatic disease can have an effect not only on the urinary system, but also on the reproductive system seroquel prescription . The male
reproductive and urinary systems are, of course, closely linked, if only because they share the same exit route - the
penis - or, to be more exact, the urethra which runs through the centre of the penis testosterone normal range .
The prostate gland is the site at which the male sex hormone testosterone, which is made by the testicles, is broken
down clomid and robitussin . It is here that it then forms another hormone called dihydrotestosterone (DHT) abilify rx . The conversion is controlled by an
enzyme called 5-alphareductase biaxin side effects in children .
Ina study conducted by Imperato-McGinley (Science, 1974), the males in an obscure tribe in the Dominican Republic are
deficient in 5-alpha-reductase and are often mistaken for girls until they reach puberty enalapril and muscle pain . Until then, they have a very
small penis and scrotum, which suddenly enlarge at puberty, along with the development of a deep voice angiomyolipoma finasteride . These males only
ever develop a very small prostate gland, they never go bald, and they do not suffer from acne check the price on plavix medicine .
It is this genetic deficiency in 5-alpha-reductase that has enabled researchers to comprehend the role played by
dihydrotestosterone in the enlargement of the prostate gland lamictal 2006 .
Testosterone
As well as prostate enlargement, the male hormone testosterone also has several other effects on the male body digoxin level after digibind pharmacokinetics .
These include the following:
• The growth of the penis how viagra works in the body .
• The growth of testes body resisting coumadin .
• The production of sperm
• A deeper voice amiodarone and thyroid function .
• The growth of facial and body hair preventative risperdal .
• The male sex drive cialis generic pills .
• Bone growth hair loss information propecia propecia .
• Strength pseudoephedrine hydrochloride .
• Acne erythema multiforme bupropion .
• Baldness
A MAN’S GREATEST FEARS
One of man’s greatest fears on seeing a urologist and considering the prospect of a prostatectomy is what effect this
will have on his sexuality allegra gomez . The idea of having any sexual organ tampered with by a surgeon is very frightening for most
men, who worry that it may have a deleterious effect on their sex lives allegra hotel golden sands .
Many men are so frightened that their prostate problems will affect their sex lives, particularly if they have to have an
operation, that they put off going to the doctor gastroparesis caused by prozac . And even when they do eventually go to the doctor, they may be too
embarrassed to discuss sexual matters generic cialis viagra caverta buy online . Sex is something that all too many men find difficult -if not impossible - to talk
about with their doctor zyprexa and parkinson’s disease symptoms .
But this is foolish ibuprofen therapy for dogs . It is only by talking the matter over with their doctor that they will find their fears were
groundless and that they can therefore be reassured naproxen while pregnant .
The doctor’s role
To make matters worse, some doctors and urologists are sometimes insensitive on this subject metformin side effects sleeping problems . It is quite wrong of them
to assume that their patients are too old to be interested in sex tocicity of ibuprofen . Sex can play an important role in the lives of many
rnen until well into old age, and they should treat their fears as real and serious lexapro concerta interactions .
A inan who is due to have a prostatectomy should not just fret about this in secret, he should talk to his doctors about
it - his GP, his consultant, his surgeon gabapentin 100mg tablets picture . Most importantly, the doctor should respect his fears, and him for coming to
air them with him bupropion hcl sulfa .
It’s not easy for any man to do this, and if he succeeds in overcoming his reluctance to do so, the doctor should
recognise what that has cost him altace blood pressure medicine side effects . If the doctor reacts badly, it might have catastrophic effects: it might just send him
scuttling back to his burrow, his pride injured, and he might never be able to take the risk again asprin and alzhiemer .
Only when both doctor and patient can talk about this calmly, sensibly, realistically, will the patient be reassured that
it will have no effect on his sexuality - neither on his libido, nor his ability to obtain or maintain an erection, nor
on his performance lexapro morning or night .
Retrograde ejaculation
What it may well do, however, is cause him to be infertile after the operation (see Chapters 7 and 
dostinex and bodybuilding .
Even a man who has no intention of becoming a father again may find the idea of losing his potential to be a father very
distressing cube carisoprodol . A man may find this emasculating, as if it were questioning his manhood methotrexate liver cancer . He’s only lost his ability to
procreate, not his sexuality, but this can have a devastating effect on him angle closure glaucoma from topamax . This is reminiscent of a woman who regrets
the loss of her womb after a hysterectomy, even though she is beyond childbearing, and feels she has lost her femininity prevacid 15 mg .
A doctor should have the sensitivity to talk to his patient about this dilantin and keppra combined . Only with patience and understanding can he help
him come to terms with his feelings of fear and loss following beverages originally contained lithium salts .
Retrograde ejaculation will not make a man impotent, nor - in most cases - will it prevent him from having orgasms heart attacks and plavix . It
will, however, make the sensation of orgasm a different one - and, in all honesty, probably not as good a one aldactone pharmacia . Some
women, too, are disappointed by the new feeling of a ‘dry’ climax in their male partner terazosin diarrhea .
These changes in a man’s sexuality should be addressed beforehand metformin surgery . He should be told what to expect toprol side affects . A sensitive doctor
will also help a couple come to terms with their new-found sexuality lithium orotate alzheimer’s .
Impotence
It is possible, though by no means certain - nor even common -that prostatectomy may cause impotence tramadol al english . Some men are
frightened that it might have this effect, probably because they have heard tales of the old perineal prostate operation
(which is hardly ever done nowadays) or the radical prostatectomy in which the entire prostate, including the capsule in
which it is enclosed, is removed (sometimes performed for prostate cancer) kamagra leverans stockholm . In both these operations, the nerves
supplying the penis were sometimes cut, which led to a man’s impotentence hydroxyzine hcl 10 . 11′ these operations are done today, it is
usually -though not always - possible to avoid cutting these nerves diflucan cipro . The problem of impotence is therefore unlikely but
it may arise can minocycline cause weight gain .
If a man is very frightened that the operation may lead to impotence, he may actually experience a kind of psychological
impotence afterwards board carisoprodol direc dynu net href . This underlines how important it is for a man to be reassured before the operation propecia medica . If a
psychological problem does occur, a counsellor or sex therapist should be able to deal with it lamictal cause hair loss .
An excuse to avoid sex
In spite of all the evidence that prostate surgery has no effect at all on a man’s sexuality (other than retrograde
ejaculation), it does occasionally seem to happen which works better motrin or darvocet . An obvious explanation for this is that some men may use surgery as an
excuse to avoid sex, which they had stopped enjoying ages ago anyway demadex 1 mg . Occasionally, if a man is not in very good health,
a prostate operation - which is, after all, a major operation requiring a long convalescence period - may be enough to
push his sexuality over the edge ranitidine drug class .
Generally, though, most men do not have any problems with their sex lives after the operation can zyrtec raise blood pressure . In fact, a man may
actually find that his sex life has greatly improved since he had his prostatectomy, if only because he now has full
control of his bladder adderal prozac combination .
AN EROGENOUS ZONE
Some people believe that the prostate gland is a highly erogenous zone and that awareness of this can greatly heighten a
man’s sexual pleasure breastfeeding levoxyl cranio .
Many sex therapists consider that the man’s prostate gland is the equivalent to a woman’s G-spot compazine suppository . In fact the female
G-spot and the male prostate gland are located in very much the same position heart problems and imitrex .
In order to find a man’s prostate gland, proceed in the following way:
• With the man lying face down on the bed, with a couple of pillows under his hips, insert a well-lubricated finger
into his rectum, palm facing downwards cyclosporine opthalmic .
• You should feel his prostate as a firm mass, about the size of a large chestnut diflucan safety . Stroke it with your fingers reaction to wellbutrin .
• Be guided by what he tells you erythromycin op oin fougera . This should feel very pleasurable and produce intense sexual sensations soma listening . Ask him
how it feels, and do what he likes best zyprexa lilly can you break .
• Keep on stroking his prostate until he ejaculates how does brethine stop labor . Many men ejaculate while this is being done without ever
having an erection depo provera health risks .
• An alternative position to this is with the man on his back and his legs drawn right up hydrochlorothiazide and depression . In this position, the prostate
can be felt on the front wall of the rectum nexium ec .
A woman’s objections
Some women object to doing this to their lover because they are frightened that it will be messy over night tramadol . It may be, but the
lower part of the rectum is usually empty anyway, so there should not be a problem ramipril slows .
One way of dealing with this is for the woman to use a latex finger stall, which is available from the chemist to cover a
finger that has an open wound on it how do i purchace viagra . This is intended to keep the finger waterproof side effect nightmares paroxetine .
Whatever you use - a naked finger or a finger with a finger stall -you should wash it carefully afterwards lovastatin anger effects . The anus is a
breeding ground for bacteria, and it pays to be careful about hygiene prevacid sexual side affects .
Some women are frightened that they might hurt their lover when they do this does white chocolate have caffeine . It is true that the anal area is very
sensitive and they should therefore always be careful tetracycline dose acne . They should, in particular, make sure that they do not have a
sharp or jagged nail on the finger they use to do this cymbalta night sweats .
They should be careful, too, not do this if they have any open cuts on the finger used, in case of the transmission of
HIV or hepatitis B mixing imitrex with crack cocaine .
Jul
14
PROSTATE CANCER SUPPORT GROUPS.
July 14, 2009 | Leave a Comment
PROSTATE CANCER
SUPPORT GROUPS
Drug addicts do it, alcoholics do it, over eaters do it, and now all around the country there are springing up Prostate Cancer Support Groups accutane and back acne and picture . Good diltiazem combination therapy .
These groups serve men who have had prostate cancer, have had operations for it, are waiting for operations, or are waiting to see how tests come out the elements in asprin .
Most of these groups are run by laymen or women, who get groups of concerned people together to network, to talk about mutual problems, talk about treatments and methods and simply how to cope with cancer of the prostate captopril and low blood pressure .
Some of them invite others with cancer beside prostate discount depression medications prozac .
We know of two physicians who lead such groups testosterone cream therapy and weight gain . One is Dr lithium a23 . Roy E xatral 10 mg alfuzosin hcl drugs . Berger, MD from Smithtown, New York use of plavix after a stroke . The other is Dr antibiotic shelf life cipro . Israel Barken in San Diego the drug imodium .
Dr zocor and neuropathy . Barken explained how his group got started drug tests explained testosterone . He had heard about other groups around the country and decided it was time for him to get one going in San Diego cymbalta for neuorpathy .
He photo copied some flyers and put them in the city libraries, handed them out to his patients and did a little spreading of the word battery 3.6v lithium aa size .
On the day of the meeting fifteen men showed up isosorbide recall . He had the first meeting on the Saturday after Good Friday avandia institute . He said this might have some special significance dystonic reaction to geodon .
To start off that first meeting Dr combined copper testosterone . Barken told the men to take out their calenders and mark the Saturday after Good Friday ten years from that day online cialis dreampharmaceuticalscom . They would have a reunion that day in the year two thousand 2007 caffeine addictions . All of the men in the room were between 65 and 80 years old prednisone bad acne .
Everyone got excited, they jumped out of their seats and said “I’ll be there triamcinolone acetonide cream uses . I promise that I’ll be there true caffeine stories .” They all made the promise that they would meet there in ten years on the day after Good Friday medications like lamisil .
To get the meeting going, the men stood one at a time and told the others what cancer he had and the treatment and how he felt at that time price of accutane at costco .
They watched a video by Dr lithium tool combo reviews . Bernard Siegel, “Love, Miracles and Medicine” and talked about it aricept langosh . Then they decided that they would meet every other month instead of every three months natural thyroid vs synthroid .
During the second meeting they all introduced themselves again and told what cancer they had so everyone could get better acquainted avoiding yoghurt while on warfarin . At this session the group decided to make a list of subjects and problems that they would talk about in the next few meetings wellbutrin snorting .
One of the men volunteered to help get out the mailing notices for every meeting and keep track of the lists and do the work to keep the group going caffeine quantities in pop .
About half of the men there were patients of Dr free omeprazole . Barken and the other half were not cetirizine effects on pregnany . They decided to talk about specific problems that the prostate cancer caused them such as sexual functioning and incontinence indications for albuterol sulfate .
This led to the idea that they should define the goal of the group effects of caffeine on weight . Just what was its purpose and what did they want to accomplish? One of the goals they established was to educate the public about prostate cancer and how to detect it ziac and anxiety .
The group decided to invite the men’s wives to the meetings since they were affected by the disease amoxycillin uk . Someone suggested that they have a list of phone numbers that a cancer patient could call to talk with other patients when it came time for him to decide which kind of treatment he wanted vytorin muscle damage .
Dr switching from nexium . Barken said the meetings so far had been great successes minocycline for lyme . The men stayed around in the hallway after the meeting talking to each other and exchanging information and experiences sildenafil in 24 hours . One interesting element was that the men brought clippings from newspapers and magazines about prostate cancer treatments and cures to see what Dr can celebrex cause a kidney problem . Barken thought of them meloxicam contra-indicated supplments .
The group decided to form a political action committee so they could send letters to their government officials about various problems the cancer patient had dealing with Medicare caffeine free orange soda . For example they said Medicare won’t pay for rectal ultrasound, an often used cancer test ibuprofen soft gelatin capsules .
Dr amiloride 5 mg . Barken said the first two meetings proved to be highly beneficial to the participants purchase imitrex online . The idea of sharing problems and solutions and ways of working around misfortunes had a strongly positive effect on the members citalopram hbr 10mg .
He said the meetings were definitely not crying sessions metformin and viagra . The men who attended came away with a good mental attitude cymbalta migraine triptan . Dr shaking in toddler on nebulizer albuterol . Barken said the group agreed to have speakers at some of the meetings, and at others share and talk and network and do some good mental therapy celexa with acohol .
Dr coreg doses . Barken said he was pleased with the group sessions and plans to continue them lithium ion battery 3 7v . He indicated it was a good place for the men to let off steam, and talk about their disease with others who could understand them effexor side effects withdrawal .
Jul
14
NUTRITION AND YOUR PROSTATE
July 14, 2009 | Leave a Comment
NUTRITION
AND YOUR PROSTATE
Most urologists practicing today would agree that nutrition alone can’t cure any prostate problem buy uk diflucan . However, more and more of them are saying that there may be some connection between diet and nutrition and supplemental vitamin and minerals and the causes and treatment of some kinds of prostrate troubles effexor er high blood pressure .
A well balanced diet will help to sustain a healthy and well functioning prostate prozac in streams .
Much of this diet concern in regards to the prostate, centers around the mineral, zinc linezolid iv dosage .
There has been a lively discourse and advertising and sales promotion over the past few years promoting zinc as a vital element in the prostate and touting zinc additives as a benefit in preventing prostate problems and treating those present ambien prozac interaction .
Zinc is a mineral trace element that is vital to all human beings tramadol drug test positive . However, the amount of zinc needed is surprisingly low generic drugs for lexapro .
Research scientists report that an intake of less than 10 milligrams of zinc per day through diet, probably will cause some type of serious disturbances in a man’s organs and glands amennorhea and provera .
Urologists know that zinc is found in high concentrations in the prostate gland and in the seminal fluid bupropion 150 mg sr . In fact, the prostate contains more zinc than any other organ of the body strattera 80 mg prices . Nobody knows why the zinc is there, or exactly what its function is, or how it’s utilized by the body caffeine as a treatment for adhd .
Neither can scientists show that the addition of zinc in a supplement by mouth will prevent any prostate disease, or help to treat any existing prostate condition rifampin and simvastatin and bric .
Many studies have been made dealing with zinc and the human body and with zinc and the prostate sildenafil developing retina . We have been able to find no double blind scientific tests made with patients taking zinc by mouth heart palpitations from caffeine . Some tests have been done informally and patients reported symptoms of BPH to be improved pravachol nasacort aciphex actos vicoprofen . However these same patients were getting other treatments for their BPH so no “single differential” was established crestor zocor dose comparison .
At the same time there could have been some strong placebo effect here, where the patients got better, or perhaps just altered their attitude toward the symptoms, simply because they thought they were getting medicine that would make them better info about lithium ion batteries .
Dr sale claritin d 12hr . William Fair, a urologist at the Sloan-Kettering Memorial Medical Center in New York City, has made a long study of zinc and the prostate antabuse or via campral . He has stated that zinc may be important in the prevention of prostatic diseases lamictal conduct disorder . He follows this with the countering opinion that the prostate can’t pick up and utilize zinc when it is taken by mouth viagra in action .
He points out that even when the zinc gets into the bloodstream, the prostate can’t utilize zinc from the blood warfarin sizes . Dr using topamax for alcoholisum . Fair says that tests have proved that zinc levels are definitely down in men with prostate cancer omeprazole safety . It is not known if this is a result of the cancer attacking the prostate, or if the cancer gets a foothold because the zinc level is low steven f hotze bioidentical testosterone .
Other experts say the use of zinc as a possible method for preventing prostate problems seems to be growing in this country viagra mechanism . It is now a given that zinc is necessary for a proper and healthy prostate, but for many the question remains, how does the prostate absorb or utilize the zinc that it needs?
Some urologists are coming to believe that the researchers may not be entirely accurate in saying that zinc can’t be utilized by the prostate when the trace mineral is in the bloodstream lithium slurpy . Long term use of zinc sulphate by mouth is now prescribed by some urologists who believe that the zinc can be absorbed from the blood and that it can have beneficial results in preventing and in treating, BPH and prostatitis seroquel sexual dysfunction .
Vitamins are often given with the zinc supplements 5 sildenafil soft tab . These include B-12 and Vitamin E when does biaxin eliminated from body . Some experts say that the zinc-vitamin combination can’t shrink the enlarged fibrous and muscle tissue in the prostate, but that they can shrink the enlarged glandular type tissue when to take amoxycillin . This shrinkage has resulted in easier urination, no dribbling and less nocturia for the BPH patient maximum dose ramipril .
All of the urologists who work with and experiment with zinc and vitamin combinations, say that no man should try to undertake any such dietary supplemental program on his own toprol and silicon . When these experimental tests are made with zinc the patients are closely monitored with all kinds of controls abilify and stevens-johnson syndrome . If too much of something has been taken, the urologist is there to remedy the situation before any harm is done prilosec labeling .
They point out that the proper dosage of zinc is highly critical, and what might be right for one man, might be far too much for another imitrex patent expiration date .
If the zinc and vitamin treatment interests you, your first step should be to call your doctor or urologists and talk it over with him cheap tramadol without perscription . He will put your best physical being and your best interest at the center of his decisions negatives of using caffeine . Talk to him omeprazole price .
WHAT ABOUT FOODS?
The people who sell additives and special compounds that are said to “be good for a normal operating prostate” extol the special qualities of pumpkin seeds, saw palmetto, golden rod and flaxseed oil altace blood pressure medicine side effects . Do they help the prostate? No one has made any reliable tests here that we could find and the old axiom of let the buyer beware is well put to use for these products atrial fibrilation ibuprofen . Could there be a placebo effect? We hope so glipizide and xray iv contrast . If it works, it works viagra at gas stations .
A lot of noise is made by some people who are zinc enthusiasts for the prostate and who promote eating foods rich in zinc remeron withdrawl side effects . These are not hard to find allergies to antabuse . But the same basic applies zocor nutrient interactions . If zinc can’t be utilized by the prostate when it is taken in capsule form, can it be utilized from food? No one knows for sure nexium interaction .
Foods high in zinc include nuts, sunflower seeds, wheat germ and bran, milk, eggs, onions, brewer’s yeast, almost all of the Seafoods, beef liver, meat, lentils, molasses, peas, beans and poultry take food with trazodone .
Several of these foods also are high in cholesterol, such as beef liver, seafood and eggs cipro cheap . Cholesterol is often a problem for men in this 40 to 90 age range, so it can be a bit of a dilemma whether to eat them or not special report brave world happiness soma .
Nutritionists are quick to point out that just because a food might be high in zinc in its natural state, that’s no sign that the food will still retain the zinc when the food is eaten buy tamoxifen citrate without a precription . Over cooking and processing will quickly eliminate most of the zinc from foods geodon dosage .
One urologist says that if you want to be sure to get your minimum daily requirement of zinc at fifteen milligrams, you’ll probably have to take zinc supplement pills coumadin interaction alcohol .
For those who like to get their vitamins that are thought to be beneficial for prostate from foods, there is a shopping list you can rely on maximum dose topiramate .
Orange Juice signs of ovulation with clomid . batteries aa camera lithium prices hp . order finasteride powder s . high in vitamin C when does nexium go generic . All citrus fruits also are good here as well as tomatoes qualitest mfg butalbital apap caffeine . Add to the vitamin C producers such items as broccoli, brussels sprouts, cabbage, strawberries and green peppers faq’s acomplia .
Milk is a fine source for Vitamin D, but also include tuna, sardines, egg yolks, margarine, fish liver oil and salt-non buy generic viagra without prescription .
If it’s vitamin E you need, try peanuts, green leafy vegetables such as cabbage, spinach and asparagus, wheat germ, whole grain bread, vegetable oils, and rice terazosin neurological .
Avoiding certain foods is important for anyone with a prostatic condition viagra home remedy . This bears repeating penicillin g i v route . Spicy foods, alcohol, coffee and caffeine drinks of all sorts irritate the prostate neurontin cancer pain . If you’re really having prostate trouble, your doctor will probably advise you to abstain from all of the above food and drink items ip 190 naproxen pill .
The proof is not yet available to confirm or deny the value of the use of a special diet or vitamins or zinc supplements with the hope of lessening your prostatic ailments, or of preventing any such problems lithium causing massive edema . Zinc may turn out to be the cure for BPH and a treatment that will do wonders — but not yet amantadine parkinsons .
The same is true for vitamins and food supplements: We’re not sure what is of value and what can help the prostate wellbutrin xl night sweats .
General health is another matter, so the balancing act here is for the prostate sufferer to maintain a wholesome and balanced diet getting plenty of the basic foods and eating and drinking in moderation taking too much thyroxine .
If you have the idea of self-prescribing a zinc and vitamin and food regimen for yourself, do your body a favor metformin and blood thinners . Go talk to your doctor or urologist about it first, and see what he suggests sodium blocking tegretol . After all, he’s the doctor buspar and wellbutrin .
Jul
14
CAN I STILL HAVE SEX AFTER PROSTATE TROUBLE?
July 14, 2009 | Leave a Comment
CAN I STILL
HAVE SEX AFTER
PROSTATE TROUBLE?
This probably will be the most read chapter in the book, and rightly so can i take flagyl and benadryl . The prostate is tightly bound up with a male’s manhood, and how he thinks of himself as a man viagra nottingham po box . That’s why even the mention, let alone the discussion, of the prostate and its troubles, make most men uneasy, nervous and embarrassed viagra from canada legitimate .
We’ll look at all problems with the prostate and how they may or may not affect a man’s libido, his attitude, his sexual performance and his sexual desires actos and advandia .
PROSTATITIS AND SEX
The first problem many men have with their prostate is prostatitis counsel on salmeterol . Symptoms of this involve lower back pain, pelvic discomfort, a burning in the penis when urinating, urinary frequency and sometimes a slight pain after ejaculation prozac dosages .
This form of noninfectious prostatitis may be caused by some infectious agent we know nothing about, or by some noninfectious form of inflammation what is arimidex . On the other hand, it also can be caused by a man’s sexual habits — too much sex or too little soma and teens .
During arousal, a man produces four times the prostatic fluid he usually does ampicillin for staphylococcus uti . If this fluid is not discharged by ejaculation, it remains in the prostate avelox treats for bacteria . If this happens often, the prostate can become seriously congested improvement after two days of zoloft .
To prevent this problem, a normal, healthy sex life is the best course of action gemfibrozil pill picture . If this is not possible, a massage of the prostate by a urologist will relieve the congested prostate and eliminate the pain carisoprodol somacid . If that’s not desired, masturbation is a quick solution suggested by many urologists steven lipshultz caffeine .
Too much sex, too quickly, say eight or ten ejaculations in a two day period, can overwork the prostate and again cause problems omeprazole swine . On the other hand, abstinence may cause a build up of prostatic fluids and lead to congestion so a massage is needed diltiazem recall lawyers .
Coitus interruptus, simply the removal of the penis before ejaculation, is a method of birth control once practiced by millions effects of mixing alcohol and seroquel . If done often enough, and if it stops the man’s climax, this too, can lead to an oversupply of fluid in the prostate and bring about congestion and its symptoms atorvastatin and side effect .
If coitus interruptus is used frequently by a couple, the man or woman should continue to excite the penis to a normal ejaculation to prevent buildup problems in the prostate atorvastatin calcium lipitor .
So for prostatitis, which can strike men of any age, sexual intercourse may be both the cause and the solution lithium magenize battries .
INFECTIOUS PROSTATITIS
This inflammation of the prostate is caused by some type of infection and can cause fever, chills, nausea and vomiting as well as an urgency to urinate, burning, pain and blood and pus in the urine caffeine get into the brain . It’s more serious than the non-infectious type can caffeine cause prostate cancer .
There may be serious congestion of the prostate and urologists sometimes use a prostate massage to relieve it insulan doses prednisone . Most urologists feel that sexual activity of any type that leads to ejaculation is the ideal way to empty the prostate and relieve the congestion caverta vs caverta .
BENIGN PROSTATIC HYPERPLASIA
With the enlargement of the prostate there will be some sexual changes, particularly if there is surgery involved ranitidine and side affects .
As you may remember, a man will have a normally enlarging prostate for ten to fifteen years, maybe more, before he notices it indications for lopressor . The enlargement itself does little to sexual performance with the exception of a seriously pinched urethra that could reduce the amount and force of an ejaculation clindamycin phophate .
When it comes to needed surgery for BPH, the question of sex becomes more important lamisil on market as generic .
First, there should be no sexual intercourse for six weeks after a normal TURP surgery a list of ingredients in aleve . This is to allow time for the “canal” dug through the enlarged prostate tissue to heal ultram generico .
On a standard TU RP operation to remove enlarged prostate tissue, about six percent of all men operated on will become impotent celexa verses lexapro tiredness . That means they will not be able to have a normal erection changing to abilify from zyprexa .
There are bundles of nerves on each side of the prostate, and some of these control the impulses and nerve responses that combine to produce an erection ricci prozac . If these nerve bundles are damaged in any way, impotence can follow enalapril for canines .
Remember, this six percent figure may not be totally accurate generic viagra 0d 0a . The figure is based on subjective information supplied by the patient generic vendor paroxetine . It wouldn’t be unusual for a man 68 or 70 or older to claim that he could have an erection before the operation, when in reality he had lost that ability due to natural aging or some other problem trileptal and alcohol . It is a factor to consider resonance premarin .
The other change in a man who has had a TURP operation is that the bladder neck may have been damaged or removed during the TURP pharmacogenomics of methotrexate 2008 . The bladder neck is like a “valve” that automatically closes when a man is ejaculating coumadin safety . It prevents the fluids from going upward into the bladder lexapro and menopausal symptoms . The urethra muscles then force the fluid out the end of the penis dangerous side effect from premarin .
After a TURP operation, the bladder neck may no longer be there or it may be enlarged to such an extent that the fluids of the ejaculation take the path of least resistance, and flow upward a half inch or so and empty into the bladder hydrocodone vs ultram er .
When this happens the man has exactly the same physical sensations that he had when the ejaculate emptied out the end of his penis exercise testosterone levels . The feeling, the motion, the thrill is the same, only the path the fluid takes is different is augmentin related to penicillin . This retrograde ejaculation is almost a one hundred percent probability in a TURP or open surgery for BPH countering the effects of caffeine . It’s simply a fact of life caffeine benzoate compat . However, with men who usually are in the operative stage, their age is often in the early to late sixties or later, and the lack of a penile ejaculation does not present much of a problem imitrex and side effects . This is especially true if the situation is carefully explained to the patient and his wife before the operation tamoxifen endometrial .
CANCER OF THE PROSTATE
Stage A and B cancer of the prostate will usually involve a radical prostatectomy, the complete removal of the prostate detrol 5mg . This almost always harms the nerve bundles on both sides of the prostate and results in a man being impotent caffeine safe level . However new techniques have now been developed to preserve these nerves anastrozole recurrence risk . Some urologists say that in so doing, they may leave some cancer cells behind after the operation diflucan dangerous side effects .
At this point the cancer is the main concern, the life of the patient, and not his sexual function cymbalta canine depression . The surgeon will try his best to get all of the cancerous growth topamax diet aid . The nerve bundles are not a high priority tramadol adn sex drive .
For the man who might be in his fifties, and is cured of a stage A cancer of the prostate, there are drugs and devices that can help him achieve an erection for satisfying intercourse evista cam bio .
The cancer patient who is treated with radiation, internal or external, can usually continue his sex life without any problems how to make natrual penicillin . His sexual ability would be the same before or after the radiation with the exception of the normal radiation caused fatigue problems overnight zocor . When used in certain areas, radiation can also cause impotence discount lipitor 80mg .
For the cancer patient with stage D cancer of the prostate, which is usually not operable, the man’s sex life would be in direct relation to where the cancer was situated and how it affected his ability to perform biaxin drug interactions . At this point the patient is much more interested in extending his life, and not worried about his sexual function topamax and leg pain .
SOME DRUGS CAN DEFEAT IMPOTENCE
There are drugs that can be used to help an impotent man manufacturer of accutane . One of them is called papaverine, and many urologists suggest its use clotrimazole diproponate . The drug is injected directly into the side of the penis no prescription clomiphene with overnight delivery . This drug causes a dilation of arteries in the penis thereby increasing the flow of blood to the penis and also causes less blood to leave the penis megan paul zyrtec commercial .
Blood is what causes an erection, and with the increased flow, many impotent men are able to achieve a firm erection and subsequent intercourse clopidogrel hemorrhage .
The patient is given the first injection in the office to teach him how to do it clarinex dosage . A skinny needle is used and there is no pain involved feeding zyrtec . The medication will cause a temporary burning sensation but it’s not severe med store furosemide .
Sometimes a patient has psychological problems involved with his impotence clomiphene and insomnia . Papaverine is especially good in these cases does circumcision make men need viagra . By injecting himself, the patient achieves and maintains an erection for up to an hour exelon employee discounts . This will naturally reduce the fear of failure which results so often in a poor performance anxiety female and male testosterone comparison facts .
Some urologists gradually reduce the dosage and frequency of the shots rimonabant study . For patients with purely psychological impotency problems this can result in a return to normal sexual function without any shots hydroxyzine pre-medication for hypersensitivity .
Another drug, Prostaglandins, is also being used for penile injections to help in impotency penicillin though the iv . It is also a vein-dilating medication and works much the same way that Papaverine does purchase viagra cialis levitra .
What about the over the counter aphrodisiacs that can be found in many health food stores? Most aren’t labeled as such, but the advertising or the labels suggesting a vigor for life, and an elixir especially for men, tell what they are selling nexium 2c heartburn .
The Food and Drug Administration has simply banned all aphrodisiacs from sale with the explanation that they do not do what they claim cheap online omeprazole . Most still sold don’t help, but don’t do that much harm either propecia offer . Here you have to remember the placebo effect remeron and elderly . If a sugar pill will help a man to get a workable erection, use it and don’t ask questions paxil and birthdefects .
One old folk remedy, however, is being talked about by some serious researchers and physicians zosyn rocephen augmentin . This is yohimbine effexor making you gain weight . It comes in a pill form and some doctors say it can help restore function and desire in some men ibuprofen and thc false positives . It is said to dilate blocked blood vessels and helps in the release of norepinephrine country of soma . Doctors say this compound is helpful in causing and maintaining erections gabapentin no prescription required . We expect to hear more about this yohimbine in the years ahead olmesartan uses .
PROSTHESES
For more than twenty years now, there have been available to urologists mechanical penile prostheses to implant in patients who are impotent nexium aleve drug interaction .
Today there are several types available and the man who can’t achieve a firm erection and can’t achieve penetration, may want to talk to his urologist about such a mechanical device is seroquel a ssri drug .
Before the talks get very far the urologist may suggest that the man and his wife go see a specialist in sexual counseling xenical weight loss story . Implanting a penile prostheses is a big decision for a couple to make, and before it happens, both partners must be sure this is the right thing to do amiodarone interosseous .
Sometimes a man will go ahead with such a project because he thinks that his wife wants him to mechanism of action of arcoxia . He may go through the operation and the certain amount of pain and recovery time required, only to find that his wife wasn’t all that eager for him to do it 2003 cymbalta .
It is best before any commitments are made for the couple to receive qualified counseling, and then to have a frank discussion with their doctor or urologist about the devices available, which would be best for this particular man, how they work, what can go wrong, how much the operation costs, and the end results of the procedures prazosin cats .
A single man of any age, should consider his situation carefully clonidine and burn . He may want to consider the effect such an operation might have on his friends, and anyone with whom he is considering having intimate relations taking a break from femara . He must ask himself if this is truly something that he wants to do which neurotransmitters are affected by lithium .
When the answer is a “yes” he needs to sit down with his urologist and look over the types of devices available caffeine comparison in energy drinks . there are two general types linezolid approved for myobacterium . Those implants which are rigid or semi-rigid and once in place remain the same unless they
are removed citalopram alcohol .
The second type includes those which can be inflated and deflated on demand, that are inflatable or that are hydraulic in nature cialis or vardenafil 20mg tablet .
The more recent developments include the inflatable types st john’s wort and lexapro together . Most of these consist of two hollow cylinders delivery of mebendazole at the ileum . One is implanted on each side of the penis in the area usually filled with blood during a normal erection minocin empire . These tubes are filled with fluid through the use of a rubber pump that is placed under the scrotum requip dosage .
This system uses a small pump, a cylinder, a reservoir and interconnecting tubes and every bit of it is concealed beneath the man’s skin and can’t be seen from the outside cymbalta and valtrex .
The abdominal muscles hide the small reservoir and fluid clonidine patches .
To activate this system the man squeezes the pump that forces fluid into the cylinders in the penis, Much the way blood does during a natural erection indocin liver . Some of these models do not require any fluid so have no reservoirs free caffeine free weight loss pills .
To return the penis to a flaccid position, the deflation valve is pushed and the fluid returns to the reservoir and the penis relaxes zocor maximum dosage .
This type of hidden device is more natural, and out of sight, and it permits the penis to return to a normal state when not inflated prescribing guide for sporanox . The inflated or hydraulic prosthesis is more complicated than some of the others and the most expensive to buy and to have surgically implanted aleve and liver disease .
The first available device was the Small-Carrion Penile Prosthesis developed by Dr nifedipine pronunciation . Michael Small and Dr cns penetration of ciprofloxacin . Herman Carrion of the University of Miami School of Medicine back in 1970 depakote pill identifier . It is simply a pair of tubes filled with spongy material health articles about avandamet . They are implanted surgically into the penis and gives a man a semirigid penis that can achieve vaginal
semirigi
One of the problems here is that it is the same all the time lithium distal tubule . A semirigid penis can be embarrassing at times, as well as being uncomfortable cheat antabuse .
A later development is made with flexible silicone rods that are hinged for better concealment coumadin track software . Such an implantation allows the penis to hang down normally codeine and ibuprofen . It offers a man intercourse but there may be some difficulty in vaginal penetration coffee and didronel . The permanent erection here is not quite so hard to live with and the man can wear tight clothing without any undue embarrassment benzoyl peroxide safe .
The rigid and semirigid implants are the most simple
to place, and since they have no working parts, can’t break
down or malfunction cheapest viagra anywhere . They are also the least costly but,
at the same time, are the most difficult to live with since
they leave the penis in a semirigid state 24-hours a day mixing paxil and alcoholi .
None of these prostheses have any bearing on or create
any effect on normal urination for the man using them tramadol urine levels .
A NEW IDEA
A new device is now on the market to help men achieve a workable erection fluoxetine mental fogginess . It’s called an Erect Aid Suction Device For Potency amoxycillin dose . The principal the device uses is that nature hates a vacuum ibuprofen liver . It’s always trying to fill up a partial vacuum lithium ion cordless vacuums .
The device uses a long hollow tube that will fit over a penis synthroid and adrenal fatigue . It is fixed to the body with a salve to create an air tight seal and then it is simply held in place with hand pressure what is diflucan .
Then a small pump is used to exhaust the air in the tube low testosterone after replacement therapy . This reduces the pressure inside the tube and blood from the body rushes into the penis to try to fill that vacuum effexor and excess iron . In doing, it fills the two cavities in the penis and creates an erection element lithium hazards . Next the tube is removed and a rubber device is quickly fitted around the base of the penis to retain the blood in place health issue paxil .
The erection will hold for thirty minutes, at which time the band must be removed to let the blood leave prilosec pharmacy online . Cost, about $300 penile burning sensation allergic to diflucan . This item is available at medical supply houses with a doctor’s prescription travolta depakote . There is no injection, no implantation, no mechanical device, no continuing prosthesis that gets in the way, no pain, and it’s simple and easy to use treating cats with amoxicillin . Urologists who suggest this system show their patient a video in the office, then let him take the video home to show to his wife wellbutrin 150 sr . Some offer a demonstration of the device in the office hash citalopram copyfarm .
Men who use it say it works wonderfully without any high operating cost, embarrasing hardware or surgical procedures lamictal elimination .