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Nearly every man will have an enlarged prostate gland if they live long enough. Already, prostate cancer is the number one cause of death among males.
Essentially, the prostate gland, unlike other glands, tends to degenerate over time. It is more prone to toxin accumulation, due in part to slow blood circulation and to its fatty, sponge-like makeup. The fact that blood flow is sluggish in the prostate area explains why antibiotic therapy for prostatitis takes so long to clear the infection.
BHP refers to a prostate condition where the gland becomes enlarged and diseased thereby affecting the function of the male urinary system. Prostatitis is an condition in which the prostate becomes inflamed (the symptoms of both BHP and prostatitis can be quite alike and their treatment protocols are similar).

Symptoms

Prostate malfunction can be characterized by pain or burning when urinating, dribbling urine, increased frequency of urination, fever and chills, penile discharge, abdominal pain, pain around the rectum or scrotum or in the lower back, blood or pus in the urine and impotence.

Precautions
Most men suffering from prostate trouble are experiencing nothing more than enlargement or inflammation although these same symptoms may be caused by prostate cancer. Prostate cancer, if caught early enough, is one of the most treatable forms of cancer. Call your physician immediately if you have any symptoms involving the prostate gland. It is essential to see a urologist or a similar expert to rule out the possibility of prostate cancer, which, if unchecked, will ravage other organs, like the lower intestine, the small intestine and the reproductive organs. If you cannot urinate at all, go to the nearest emergency room. Excessive urine retention is potentially life threatening.

Causes
Prostatitis usually results from a bacterial infection that has spread to the prostate gland from the urethra or other area of the body through the blood. BPH can result from prostatic tissue that has been infiltrated with certain hormonal compounds which encourage overgrowth. It has also been linked to diet, high cholesterol levels and zinc deficiencies.
Other ways that prostatitis and other prostate conditions may develop through sexual contact; as a complication of venereal disease; from the presence of a urinary catheter; zinc deficiency; taking antihistamines and decongestants for prolonged periods of time; and exposure to pesticides and heavy metals.
Some health care professionals believe that constipation, the consumption of alcohol and a high-fat diet are connected to prostatitis. High cholesterol levels are thought to promote prostate enlargement by cholesterol metabolite accumulation within the gland itself. Lowering cholesterol levels is believed to reduce the risk of prostate disorders.

Conventional Therapies
Your physician will examine the prostate gland manually by inserting a gloved finger into the rectum. The gland will be tender to touch and enlarged. Lab tests will be ordered to classify the infection using urine samples and urethral secretions which can be obtained through manual massage oft he prostate gland.
Antibiotic treatment will be initiated with a slow recovery being more the rule than the exception. In severe cases, antibiotics will be administered intravenously. Unfortunately, the prostate gland has a poor blood supply making it difficult for antibiotic therapy to reach the area which prolongs curing the disease. Nalidixic acid is also prescribed for prostatitis. Proscar, (finasteride) is commonly used for prostate enlargement and while it can shrink the gland, it comes with unpleasant side effects such as possible impotence.
Taking Proscar can also inhibit the detection of prostate cancer. Painkillers are also routinely prescribed. If an abscess develops, surgical drainage may be required. If the infection does not respond to antibiotic therapy, an operation to drain out infected fluids may be required. It is considered fairly simple and requires a short hospital stay.
TURP (transurethral resection of the prostate) is also available for an enlarged gland but has some side effects and may not provide permanent relief. New laser techniques will eventually improve this surgery.
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The information presented is for informational purposes only. The results reported may not necessarily occur in all individuals. Consult your doctor or health care practitioner for any health problem and before using any supplements.


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4.19.04

Article (Cont.)

Dietary Guidelines
• Increase your fluid intake by drinking large quantities of purified water to stimulate urine flow before 6 p.m.
• Drinking parsley juice with apple juice is also good.
• Eat plenty of artichokes and asparagus, which act as natural diuretics and help to cleanse the prostate gland.
• Avoid saturated or trans-fatty acids found in butter, margarine, shortening, etc. Use olive oil instead.
• Lower your cholesterol levels by eating a high-fiber, low-fat diet.

Recommended Nutritional Supplements


Primary Nutrients
Pygeum - Pygeum is an herb that has been used in Europe to help the prostate return to a more normal state and helps to concentrate zinc in the gland. Pygeum also helps to lower prolactin, a hormone which is elevated in men with prostate disorders and it also helps eliminate excess fluid from the prostate. Numerous double-blind studies confirm the efficacy of pygeum in treating an enlarged prostate. Using pygeum resulted in a significant improvement in prostate swelling and urinary difficulties. Suggested Dosage: 100 to 200 mg daily in three doses for several weeks. Do not exceed recommended dosages.

Prostagium - This mix of pygeum, vitamin B6, zinc and copper helps maintain a healthy prostate through its synergistic effect. Suggested Dosage:Take as directed.

Saw Palmetto - Saw palmetto extract (Serenoa repens) has undergone extensive studies with clinical trials supporting its use as a primary treatment for both short and long-term BPH. Statistics have been impressive showing a very high improvement rate in relieving almost every symptom associated with prostate enlargement after only 45 days of treatment. Suggested Dosage: 150 mg in fat-soluble extract form taken twice a day.

Nettle - Recent studies strongly advocate using nettle with saw palmetto due to its ability to inhibit the potentially dangerous forms of testosterone which are associated with the development of prostate disease. Suggested Dosage: Take only as directed. Not recommended for children.

Zinc - Extremely important to prostate health. The gland contains a concentration of zinc ten times greater than other organs in the body. Zinc depletion has been linked to prostate disorders. Zinc gluconate in lozenge form or zinc picolinate are readily absorbed. Clinical tests support the ability of zinc to shrink the prostate and alleviate other symptoms associated with prostatitis and BPH. Suggested Dosage. Take as directed.

L-Alanine, L-Glutamine, L-Glycine - This trio of amino acids can help to relieve the frequency of nighttime urination. Suggested Dosage: Take as directed.

Pumpkin Seeds - A naturally-rich source of zinc as well as other nutritious compounds, such as essential fatty acids. Suggested Dosage: Take as directed.

Vitamin B6 - Helps to promote normal cholesterol metabolism, which can prevent fatty buildup in the vascular system of the prostate and fatty deposits from accumulating in the gland. Suggested Dosage: Take as directed.

Essential Fatty Acids - Vital to the healthy functioning of the prostate gland, EFSs have proven their ability to ease symptoms of BPH. Evening primrose oil, sunflower, soy, borange and flaxseed oil are recommended. Suggested Dosage: Take as directed.

Selenium and Vitamin E - Powerful antioxidant duo which helps to protect gland from tissue damage. Suggested Dosage: Take as directed.

B-Sitosterols - These compounds are phytosterols extracted from plants and used in Germany to reduce cholesterol levels. Tests have found that these plant sterols can significantly ease the symptoms of BPH. Interestingly, saw palmetto, pygeum, oils containing EFAs and pumpkin seeds are all rich in phytosterols. Suggested Dosage: Take as directed.

Herbal Combination - Also recommended is an herbal combination containing saw palmetto, cornsilk, pumpkin seeds, ginger, nettle root, kelp, burdock and parsley. Several of the herbs (or their constituents) of this blend have been the subject of a number of clinical studies for the treatment of prostatic enlargement. Side effects caused by the most popular prescription drug product makes this formula an attractive alternative, as it is more effective and virtually free of side effects when used as directed. Suggested Dosage: Four to eight capsules daily for several months until symptoms subside.

SECONDARY NUTRIENTS

Garlic: Acts as a natural antibiotic to fight infection and inflammation and helps to improve vascular health by lowering bad cholesterol. High cholesterol levels are thought to contribute to prostate disease. Suggested Dosage: Take as directed. Deodorized forms are available.

Vitamin A and Beta Carotene: Act as antioxidants which help remove free radicals caused by inflammation. Suggested Dosage: No more than 10,000 IU of vitamin A each day. Take the beta carotene as directed.

Proanthocyanidins: The flavonoid content of these compounds acts as a natural anti-inflammatory agent. Suggested Dosage: Take as directed. Grape seed extract or pycnogenol supply these compounds.

Flower Pollens: Several studies suggest that bee pollen can reduce prostate inflammation and infection. Flower pollens have been used to treat prostatitis in Europe for decades, and tests show that it is indeed effective. Bee pollen is commonly used; however, it must be used carefully at first to rule out the possibility of any allergic reaction. Look for quality, freeze-dried varieties. Local pollens are always preferable. Suggested Dosage: Take as directed.

Panax Ginseng: Acts as an herbal tonic for the male reproductive system and helps to decrease prostate gland swelling. Suggested Dosage: In extract form, take 50 mg of ginsenosides or three grams of dried ginseng each day.

Home Care Suggestions
• Limit your fluid intake after 6pm and empty your bladder before retiring.
• Fifteen minute sitz baths in water that is approximately 95° F can help boost circulation.
• In cases of prostatitis, avoid sexual intercourse until the infection is gone. Intercourse may further irritate the prostate gland and prolong recovery.
• Mild exercise is recommended to increase circulation; however, riding a bicycle is not advised.
• Avoid exposure to very cold temperatures. Apparently, urination difficulties and retention are more common in cold climates.
• Try not to take antibiotics for longer than two weeks. Often, after antibiotic therapy, prostatitis recurs.

Other Supportive Therapies
Acupuncture:
Pressure points located near the bladder, colon, spleen and kidney meridians can help to stimulate circulation to the prostate gland.
Yoga: The kneeling position is recommended to stimulate circulation to the prostate gland.

Scientific Facts-at-a-Glance
A recently-published academic article examining how saw palmetto works and why it should be used by physicians in their treatment protocols for prostate disease points out the fact that if may be one of the best deterrent compounds to prostate cancer available. In light of this fact, all men should consider taking saw palmetto singly or in an herbal combination long before they experience prostate disease symptoms. The value of adding nettle to saw palmetto has also recently come to light for even better management of prostate disease symptoms. A 1993 study also showed that using pollen extracts (cernilton) for prostatitis resulted in some favorable results.

Spirit/Mind Considerations
The effects of stress on prostate disorders is clearly underrated. Increased adrenalin, which is typical in unmanaged stress, causes both the neck of the bladder and prostate gland to react, making urination more difficult. Moreover, the link between stress and high cholesterol levels may also impact the gland. Learning to relieve stress and to find spiritual contentment helps to lower the risk of these types of degenerative diseases we normally associate with age.

Prevention
• Do not consume alcohol, coffee, tobacco, caffeine, acidic foods, or red pepper, which are considered prostatic irritants.
• Avoid becoming constipated by eating plenty of high fiber foods and getting adequate exercise.
• Eat a diet high in zinc and take zinc picolinate supplement once a day.
• Take pygeum and saw palmetto supplement after the age of 55.
• Avoid becoming constipated by eating plenty of high-fiber foods and getting adequate exercise.
• Drink plenty of water. Become dehydrated can stress the prostate gland.
• Avoid red meats and rich foods which may be high in uric acid which is believed to cause prostate irritation.
• Prolonged jarring to the seat area which results from too much sitting, riding a horse, motorcycle or bike can increase the risk of prostate infection.
• If you are allergic and must use an antihistamine, ask your physician about taking hismanal or seldane, which do not contain antihistamines.
• Having frequent sexual intercourse can empty the prostate of secretions and promote better prostate health.
• Having a vasectoomy has been linked to the incidence of prostate disorders including cancer. Some studies report the risk of prostate cancer for males who have had a vasectomy is three times greater than those who have not.
• Keep cholesterol levels normal to prevent the accumulation of cholesterol metabolites in the prostate gland.
• Avoid exposure to pesticides, heavy metals or any toxic substance.
• Take an supplement of essential fatty acids every day.

Doctor's Notes
I have found that taking pygeum and zinc together greatly enhances the ability of zinc to stay within the prostate gland. The inflammatory process which causes prostatitis and BPH is closely linked with compounds called prostaglandins.
Men who experience BPH have higher prostaglandin activity. Taking pygeum can reduce both the synthesis and activity of prostaglandins so that inflammation, swelling and enlargement are all decreased. Studies with pygeum have found that pretreating the prostate with this herbal compound can also inhibit the growth of certain tumor cells.
Saw palmetto contains a specific fatty acids called steriles, which do not allow testosterone to attach to the prostate gland; this can ultimately stimulate the enlargement and tumor growth. Saw palmetto also decreases the production of leukotriens which contribute to inflammation. Studies have found that saw palmetto accomplishes the same action as Proscar, the most common prescription drug for prostate diseases, without any negative side effects.
The combination of these two herbs help to decrease prostate swelling and to inhibit the negative action of inflammatory compounds and negative-acting hormones. Make sure you purchase products with guaranteed potency when buying saw palmetto and pygeum. When chemically analyzed, some products claiming to contain saw palmetto actually contained none of the herb. This type of fraud gives good and effective natural supplements a bad reputation. Look for fat-soluble types of saw palmetto withan 80 to 90 percent sterol and fatty acid content in the extract.

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