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Definition: Benign prostatic hypertrophy is swelling of Prostate gland. The prostate is a walnut sized gland that is only present in men. It is located just below the bladder and top of the penis. This gland surrounds the urethra (the tube through which urine flows from the bladder and out through the penis). It is a very astonishing fact to know that the condition BPH has been explained in ayurveda long back. The anatomical position of prostate gland, symptoms of BPH and its remedies are explained by Acharya Sushruta. The anatomical position of prostate gland is described in ayurvedic classics as follows... In Yogaratnakara it has been described as -- “ NAABHERADHASTHAATSANJAATAHA SANCHAARI YADI VAACHALAHA | ASHTEELAAVAD GHANO GRANTHIROODHWAR MAAYATA UNNATAHA || “ Which means “ Below umbilicus (NAABHI), there is a hard gland which is little bit bulged and changes its place some times and some times stays stationary. This gland is like “Ashteela” (A small stone used to sharpen swords). This gland when affected by vitiated vata causes a disease called “vataashteela” (or benign prostate hypertrophy) Sushruta explains the structure, anatomical position of prostate gland and symptoms of BPH as follows. “SHACRANMAARGASYA BASTHESHCHA VAAYURANTARAMAASHRITAHAI ASHTEELAAVADGHANAM GRANTHIMMOORDHVAMAAYATA MUNNATAM|| “ Which means - the place between rectum and bladder is occupied by vitiated vata it affects the easy flow of urine, stools and semen by enlarging the gland “ Ashteela”. The prostate gland enlarges in all men as age advances. BPH is very common and affects one third of men who are over 50. A person suffering from BPH does not have the increased risk of prostate cancer. Functions of Prostate gland. One of the main functions of the prostate is to produce a fluid, which contribute to the liquid portion of semen and this liquid allows the sperm to move freely. The gland is divided into peripheral, transitional and central zone. The overgrowth takes place in central zone which leads to BPH. Effects of BPH Prostate gland surrounds urethra. When prostate gland enlarges, it constricts the urethra reducing the urine flow. The emptying of bladder becomes very difficult because of this. Causes of BPH According to present medical concepts the actual cause of prostate enlargement is unknown. But the causes of BPH are very well explained In ayurveda which is based on tridosha theory.The causes of vataashteela or BPH are explained as follows. Causes for vataashteela according to dosha theory: vataashteela is caused by vitiated vayu and apaana vayu ( a subcategory of Vayu) (APAANA VAYU is located in two testicles, urinary bladder, phallus, umbilicus, thighs, groins, anus and colon. Functions of apana vaayu are Ejaculation of semen, voiding of urine, stools, elimination of menstrual blood and expulsion of fetus.) The vitiation of vayu and apaana vayu is caused by 1. Controlling the urge of urinatio 2. Controlling the urge of defecation 3. Over indulgence in sex 4. Consuming dry, very cold and less quantity of food 5. Old age 6. General weakness 7. Indigestion 8. Physical and mental overexertion Symptoms of BPH • Difficulty in starting to pass urine ( hesitancy ), • A weak stream of urine, • Dribbling after urinating • The need to strain to pass urine, • Incomplete emptying of bladder. • Difficulty to control the urination urge. • Having to get up several times in the night to pass urine, • Feeling a burning sensation when passing urine. • Passing urine mixed with blood (indication of infection) Symptoms of vatashteela are described as follows. “VINMUTRAANILA SANGASCHA TANNAADMAANAMCHA JAAYATE| VEDANAA CHA PARAA BASTOU VAATAASHTEELETI TAAM VIDUHU ||“ The vitiated ashteela gland when enlarged is called as “vatashteela”. This enlarged gland causes 1. Obstruction to easy flow of urine. 2. Obstruction to Easy passage of stools and gas 3. Bloating of Stomach. 4. Pain in bladder. When the above mentioned symptoms are noticed then one should seek proper medical advice. Diagnosis A digital rectal examination will be performed to examine the size of prostate by inserting a finger into the rectum. A distended bladder can be felt per abdomen. Ultra sound examination will be done to determine the amount of urine left in the bladder after urination. Routine urine test will be done to rule out infections. A prostate gland tissue may be collected using a needle to check for cancerous cells. Ayurveda tips for SELF-CARE If symptoms are mild, the following methods can be tried for relief: 1. Vata gets vitiated when natural urges are controlled. Hence do not control the natural urge of passing urine. Urinate when you first get the urge. 2. Go to the bathroom even if you do not have urge. 3. Alcohol, tobacco, coffee increase vata and vitiate it. Hence avoid alcohol, tobacco and coffee, especially after dinner. 4. Vata gets normalized and vitiation comes down when body is warm. This can be accomplished with regular exercises and keeping the body warm. 5. Mental exertion leads to increase of vata. Avoid mental exertion at work place and at home. 6. Avoid foods which cause constipation as constipation causes vitiation of vata. Other general tips 1. Avoid drinking fluids from two hours before going to bed. 2. Avoid cold and cough medications that contain decongestants or antihistamines. These medications can increase BPH symptoms. 3. Avoid drinking excess amount of liquids. Distribute the intake of fluids throughout day. Prevention BPH can be prevented by - 1. Consuming low fat diet 2. Including lots of fiber in diet ( fruits and vegetables which are rich in fiber). 3. Visiting your family physician as soon as you notice any symptoms while passing urine. Apart from these many effective herbal remedies have been mentioned in Sushruta samhita and Yogaratnakara. penile enlargment before and after picture pnis enlargement fact cheap vigrx pills cheap penis enhancement pills best pennis enlargement surgery best penis enlargement pill pro solution pills review penis enlargment system
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The resent passing of another HIV (Human immunodeficiency virus) testing awareness day this summer made me think about some of my old clients. I was a state certified HIV test counselor for the state of Michigan at the agency where I worked. This meant that I administered HIV tests for those people who believed that they may have been put at risk for contracting HIV, the virus that causes AIDS. This was a stressful job, and some days, down right awful. The awful days, as you can imagine, were the ones when I had to tell a client that they had tested positive for the HIV antibodies. Thankfully, I only had to tell a few people, but those few individuals are forever carved into my mind. I will never forget them or the day that I had to tell them that they most likely were infected with a life altering infection. These people were young, old, and middle aged. They were people not unlike me. Hard working, dedicated to family, goal oriented, future driven. They were beautiful people that are going through life with an ugly, incurable illness. Unfortunately for me, since these individuals tested anonymously, I will never know their true identities and will probably never know how they are and if they are living healthy productive lives, or suffering and alone. Guess what? You could be infected. You could be at risk. You should be one of those clients that walks into an office and asks to be tested. HIV doesn’t discriminate. It doesn’t care if you are rich or poor. If you are male or female. Gay or straight. It doesn’t care how old you are. We have babies in this country still being born with the virus because moms don’t know they are infected. Parents and grandparents are increasingly being diagnosed with HIV. Yes, you need to know that your mom and dad or grandmom and grandpa still have sex. They still can potentially be infected if they are involved with someone sexually that has the virus. HIV is still out there. It is still killing people. We do not know yet how to stop it. Doctors and researchers are developing new ways all the time to slow it down, limit its effects on people’s lives, but we are no where near eliminating it from our world. I have been working with educating about HIV for around 20 years. I am sad and horrified to look at the statistics and see that we are no better off now than we were 20 years ago. The numbers keep rising. There is much in the news about HIV/AIDS rates in Africa and other countries, but I want to remind people that in your own backyard, HIV is still raging. We need to remind people that there are safer ways to behave, to reduce the risk of the infection spreading. The best way to reduce the risk of spreading HIV is to know your own status. There are testing sites available in your state. Get a test. They only take a short time to administer, and usually you can do it without giving blood. You can, in many cases, do it anonymously. Testing is the only way that you will know if you are infected. The earlier the diagnosis, the better the prognosis. Don’t assume you only associate with non-risky people. You can’t possibly know. Ask anyone who has HIV. As a society, we need to become more comfortable with talking about uncomfortable topics. We need to talk to potential partners. We need to talk to our doctors. We need to talk to our friends. I remember thinking when I was a teenager that I wanted to be just like Dr. Ruth Westheimer when I grew up. She was so great about telling it like it was. She called a penis a penis and was proud to do so. I admired that in a time when people didn’t talk to teens about sex, she was willing to. Today, we seem to only talk to teens. We stop talking once that teen grows up. They has become very apparent due to the increasing number of adults over the age of 50 who are becoming infected. So now I am talking. The lessons are fairly simple. Know your HIV status. Know the infectious disease status of your sex partner, or don’t have sex. Use a condom. Don’t share needles if you are using drugs. If it isn’t possible to refuse every time, do it some of the time. Every time you think about your health and act positively for it, you reduce your risk and add another day to the fight against this illness. Find support. There are many wonderful agencies in communities across this country that offer education, help, and the things you need to live a safer life. Everyone has their own story and their own reason not to live safely. These agencies have been trained to help each individual create their own specific plan of action. There are some people who feel that the drugs are available, so it is worth the risk. Certainly we risk getting the flu or infections by going out into the general public with the understanding that there are medications available to make us better if we get sick. So why is HIV different? One reason is that the drugs are expensive. Many people don’t have the insurance coverage to help pay for them, and even if they do, some drugs are hard to come by in certain areas. Secondly, the side effects for many of these drugs are brutal. I know people living with the virus who have chosen to deal with the disease rather than be restricted by the drugs. Another reason is that when you get Strep throat, you take an antibiotic for 10 days and you are done with that medication and that infection. If you get infected with HIV, you take medication for the rest of your life, with the added stress that if you forget to take it to often, it may become ineffective for you, all the while knowing that you never are going to be free of HIV. It is as simple and straightforward as all that. Dr. Ruth couldn’t say it plainer. HIV can’t just be thought about on testing days or awareness days. It needs to be thought about, talked about, and dealt with daily. 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