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"You have turned my life around"
 

I am 87 years old, with a problem of the prostate gland. Before I met Dr. Baum, I went to the bathroom every 30-60 minutes. After Dr. Baum's treatment on my prostate, I go only 5 times per day and only 1 time at night! You turned my life around. I am so very grateful!

-Sidney Daigle


I want to thank you for your due diligence. You saved my life. I highly recommend you!

-Dwight Bastian


Thank you Dr. Baum! Because of you I'm back in the "rodeo"!

-Gerald Wallace

 


Archive:

Posts for tag: BPH

Men need to treat their bodies like their cars and visit to the doctor to check what's under the hood Men do not usually talk about going to the doctor. Most of the time, it takes serious pain or a major concern to get them to schedule a visit. You may be surprised to know that the urinary tract is most commonly responsible for men's complaints, as it can bring on problems with obstructive or irritative symptoms. " 'Obstructive' means things like slow urinary stream, difficulty getting the stream to start, difficulty emptying the bladder completely and 'irritative' means things like urgency or feeling a strong desire to urinate that you may have trouble inhibiting, having leakage of urine with urge incontinence or nocturia or going to the bathroom at nighttime," says Dr. Sean Collins, an urologist at East Jefferson General Hospital.
Kidneys can bring on troubles of their own. "Kidney stones can develop with back pain or cause blood in the urine, and the biggest risk factor is not drinking enough fluids when it gets hot outside," says Dr. Benjamin Lee, a urologist at Tulane Medical Center. The majority of stones are made of calcium but can also be due to recurrent urinary tract infections. "We know that lemonade has a chemical called citrate, which helps dissolve calcium to help prevent stones from forming," says Lee. It is important to be proactive because if you develop a kidney stone, there is a 50 percent chance you will have a second one in the next five years.
Prostate screenings are vital but keep some men far from the doctor's office. "Men are intimidated by the rectal examination, but it is not a big deal and takes 30 seconds while the doctor puts a gloved finger in the rectum and feels the prostate," says Collins. The doctor checks the size of the prostate and whether there is a mass, nodule or hard area that would be concerning and warrant a biopsy. The exam is not anything to be scared of. "Most men leave and say it was not that bad and was worth it if we could find something that could save their life," says Collins.
Lifestyle choices affect the prostate. "The diet that is best for the health of the prostate is the diet we should be on for cardiovascular health: a low-fat diet, rich in fruits and vegetables," says Collins. There is evidence that lycopene, a substance found in tomatoes, is good for the prostate. Cruciferous vegetables like broccoli and cauliflower are also helpful.
Sexual issues are not often talked about by men but are more common than you may think. "We find that erectile dysfunction is a barometer for a man's overall health," says Collins. The risk factors for erectile dysfunction are the same for cardiovascular disease. "The reason is the blood supply to the penis is a very tiny artery about two millimeters in diameter, whereas the blood supply to the heart is four to five millimeters in diameter, so it does not take much blockage of the blood supply to the penis to result in impotence," says Dr. Neil Baum, a urologist at Touro Infirmary.
Thankfully, a lot of progress has been made in this area. "Viagra, Levitra and Cialis are the big advances that totally changed the way the field is approached and who you can help with it," says Dr. Robert McLaren, a urologist at Ochsner Health System.
Infertility is a common issue with men being responsible half of the time. "If you have borderline problems with your semen, you can avoid hot baths and jockey underwear and should wear boxer shorts because of the excessive heat of bringing the testicles close to the body," says Baum. A semen analysis can be done at a urologist or reproductive endocrinologist's office.
Young men may think they are invincible when it comes to health issues but they aren't. "In young men, the most common thing we see is prostititis, which is an infection or inflammation of the prostate, and some men who are active or do bicycle riding can have numbness of the bicycle area, which can resolve if they cut back on riding or use specialized seats," says Collins.
Every man responds differently. "Prostate enlargement is a normal part of aging but not everybody develops problems from it," says McLaren. Know what to expect. "The prostate is a gland that sits outside the bladder and is normally about the size of a walnut," says Lee.
Robotic surgery has revolutionized the way prostate cancer is treated and gives men hope as recovery is quicker and less painful. "The da Vinci robot has made the greatest impact and there are medications that can shrink your prostate that were not around 20 years ago," says McLaren.
It is a good idea to get a blood test to check your testosterone level as well. "It indicates a decrease in production of testosterone by the testicles, which can be treated with hormone replacement therapy," says Baum. You can do a self-exam of the testicles to screen for testicular cancer, which is common in men between 20 and 45. "They look for a little bump or lump on the scrotum on the testicle. I tell men that if they make a fist and feel the knuckle, that is what the testicle tumor feels like and they can get an ultrasound exam and blood test to help diagnose testicular cancer," says Baum.
Making wise choices is helpful for all ages. "If you want to make yourself healthier, exercise, eat right and do not smoke," says McLaren. To prevent heart disease, you should stay away from red meat, salt and other high cholesterol-containing foods. Your health may be partly determined by what you eat. "Men who have diets that are low in fiber and do not have regular bowel movements or have firm, hard bowel movements are at risk for colon disease such as diverticulitis and diverticulosis, which is inflammation around the colon that results in cramping, abdominal pain and difficulty with the stool," says Baum. Foods with omega-3 fatty acids like cold water oily fish, salmon, herring, mackerel, anchovies and sardines are helpful.
Self-care is important for men of all ages. "It is interesting that in the top seven cancers in the United States, number one is prostate, number four is bladder and number seven is kidney," says Lee. Thanks to screenings, lives are being saved. "The message we are trying to get out is that many of these issues are very treatable at an early stage," says Lee. The health-care community has adapted guidelines with this in mind. "The American Urological Association and the American Cancer Society are really trying to get the word out," says Lee.
This month is the time to take charge of your health. "The most common problems men run into are cardiovascular disease, prostate cancer and colon and rectal cancer, all of which can be prevented by visiting the doctor on a regular basis," says Baum. A few tests can also be useful. "A stress test checks the heart and blood supply to the heart, a prostate-specific antigen and digital rectal exam rule out prostate cancer and a colonoscopy every five years checks for colon and rectal cancer," says Baum.
Even if you feel fine, it is important to see your doctor. "Early hypertension has no symptoms whatsoever unless you go to the doctor and have your blood pressure taken," says Baum. It can lead to a stroke, kidney disease or heart disease if it is not adequately treated. If you do experience any new or unusual symptoms, it is important to report them. "Heart disease can manifest itself as chest pain, indigestion, lightheadedness or headaches, which are signs of high blood pressure and decrease of blood supply to the coronary arteries and to the heart," says Baum.
Self-awareness is an asset when it comes to protecting your health. Men are often consumed with taking care of their loved ones, however, and end up neglecting themselves. "The main point is that men need to take an active role in their medical care and need to treat their bodies as something very special that needs fine tuning just like their car," says Baum.

Prostate enlargement, a.k.a. benign prostate hyperplasia (BPH), is acommon, non-cancerous condition affecting nearly 14 million men over the age of 50. The symptoms of prostate gland enlargement include a decrease in the force and caliber of the urinary stream, frequency of urination, urgency, a feeling of not emptying the bladder despite urination and nocturia, or the need to get up at night to urinate. Although lifestyle changes will not cure the problem, they can alleviate some of the symptoms. Making some lifestyle changes can often help you control the symptoms of an enlarged prostate and prevent your condition from worsening.

 

Try these measures:

Remember what goes in must come out. Therefore, don't drink anything several hours before you go to sleep. Especially avoid caffeinated beverages such as coffee (which also causes insomnia) and tea,as the caffeine acts as a diuretic and causes increased urine output that may result in getting up at night to empty your bladder.

Limit your alcohol consumption, especially at the dinner meal. Again, alcohol acts as a diuretic, causing increased production of urine and causing your bladder to fill up sooner than you would like.Avoid spicy foods. These appear to irritate the bladder and can result in urinary frequency and nighttime voiding.

Check your medications. Some medications like lasix and hydrochlorothiazide are diuretics and increase urine production. It's best to take those medications early in the day when going to the bathroom to urinate is not such an inconvenience. You may also speak with your doctor about lowering the dosage of the diuretic, especially the evening dose if you are bothered by nighttime urination.

Avoid antihistamines and decongestants, as these cause the bladder to decrease the force of contraction and result in the bladder not emptying as well. If you have to take antihistamines, use them earlier in the day.

Don't hold off going to the restroom. This habit distends the bladder and can result in a weaker muscle to expel the urine from the bladder.

Use the clock to help with urination. If you find that you are going to the bathroom infrequently and then more at night, make an effort to urinate every 3-4 hours. Putting your bladder on a schedule is very helpful and a good habit to have.

Go and then go again. Double voiding is a technique to ensure adequate emptying of the bladder. If you stand at the toilet and empty your bladder, walk away from the toilet for a minute or two and then return and try emptying the bladder again. This helps to expel more urine from your bladder than just standing there one time and voiding.

Avoid cold seats, such as those at football games in the winter. The cold temperature seems to cause the muscles around the prostate gland to contract and makes urination difficult. Instead, take a blanket or a cushion. Your prostate gland will be glad that you did.

If you bike ride, especially for long distances, stand on the pedals every 10 or 15 minutes to take the pressure off of your prostate gland. Also consider using a seat that has a groove down the middle which alleviates the pressure on your prostate gland.

Bottom Line: These steps won't cure the enlarged prostate but they will lessen the symptoms. If they don't help, see your doctor for medication or one of the treatments that reduces the obstruction of your prostate gland.