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Medical Forum / Diseases and Disorders / Prostate BPH / December 2004

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Symptoms of BPH Come and Go-- Is this possible

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rab - 26 Nov 2004 05:16 GMT
Over the last year I have been having intermittent symptoms of weak
urine stream, hard to start stream and night time having to go. It
happens for a few days then goes away. Two months ago was out having
dinner, went to bathroom a few times over  the course of dinner with
no trouble. Get home and about five hours later have to go to hospital
to get catherized cause I can't go. See uro a week later, he does a
DRE and says prostate feels normal. Removes Foley and says lets see
what happens. Have been going, about every fourth time I have a weak
stream but the rest of the time no problem. Two nights ago out to
dinner with s/o who is a nurse. Go a couple times at resteraunt no
problem. Get home a few hours later can't go, off to hospital again to
get a foley. Call uro, he starts me on flow max, says leave the foley
in for a week and then go see him. Can't figure out how I can go
normal 70% of the time and then have trouble. Has this happened to
anyone else...Help..

Thanks
Repeating Rifle - 26 Nov 2004 06:44 GMT
> Over the last year I have been having intermittent symptoms of weak
> urine stream, hard to start stream and night time having to go. It
[quoted text clipped - 13 lines]
>
> Thanks

I certainly have had similar problems. I often measure my urine output.
Sometimes an extrem urge to go produceds 50 m; if I am lucky. Other times, I
can hold 400 ml.

Bioll
bnd777 - 26 Nov 2004 13:05 GMT
> Over the last year I have been having intermittent symptoms of weak
> urine stream, hard to start stream and night time having to go. It
[quoted text clipped - 13 lines]
>
> Thanks

Did the uro do an ultrasound ?
If you have median lobe enlargement the prostate will indeed feel small on
digital exam but the problem is the prostate is growing up into the bladder
and acting like a ball valve cutting off the flow at times of stress etc

If this is the case opt for PVP fast as the damage done to the bladder by
the obstruction and the retention can be very difficult to overcome
rab - 27 Nov 2004 15:06 GMT
> > Over the last year I have been having intermittent symptoms of weak
> > urine stream, hard to start stream and night time having to go. It
[quoted text clipped - 21 lines]
> If this is the case opt for PVP fast as the damage done to the bladder by
> the obstruction and the retention can be very difficult to overcome

Have not been to the uro,appointment is a week away. He told the nurse
to tell me leave the Foley in for a week and start Flomax. The med is
causing sinus blockage and a bit of dizziness. Still hard to
understand from a mechanical standpoint how there can be no problem to
blockage to no problem in a matter of minutes. Tried to get him to
scope me last time it happened but he would not. May be time to look
for a new uro doc. This samething happended once about ten years ago
and there was never any problem again until two months ago.
Spread deMocracy - 27 Nov 2004 21:48 GMT
I've had similar problems but avoided catheter by spending an hour dribbing
urine while sitting on the throne in agony.  Then my doctor put me on Alpha
Blockers like Flomax.

So, what might be happening?   Let's start with your blood work, which your
doctor would have done.   No problems with PSA?   Did your blood work rule
out diabetes?  Is your DHT way off the upper end of the scale?  NO?
Everything is normal?   If yes, then did your uro massage your prostate to
squeeze out fluid to examine under the microscope to check for Prostatitis
(infection)?  Alternateively, if just a urinary channel infection, your
urine would burn like heck and that would tip you off to urinary channel
infection.  Even if digital examination and prostate is normal size, you may
have median lobe problem or prostate growing into bladder, infection of the
bladder, or something growing on the walls of the bladder?  Infection of
bladder can come and go and can give you the feelings you are describing.
Recommendation:  you need bloodwork, Prostatitis examination (doctor looks
at fluid under a microscope for white blood cells then prescribes
appropriate anti-biotics) and if no problem with those possibles, then you
likely would benefit from being scoped...it ain't fun...but it will provide
peace of mind once the doctor gets in there and looks around!!

"rab" <eazygoing@cfl.rr.com> wrote [Snip]...It happens for a few days then
goes away.
Burt - 29 Nov 2004 02:57 GMT
My symptoms are not exactly the same but there are similarities.
After I go to sleep the first time I get up to pee after about 90 minutes is
the most difficult.
It is like by bladder valve goes to deep sleep with me.
I have not needed a cath yet but it could be only hours away.
My symptoms vary daily for no apparent reason except the day after I bike to
wook always seems good.
And the weekends are the worst.

> Over the last year I have been having intermittent symptoms of weak
> urine stream, hard to start stream and night time having to go. It
[quoted text clipped - 13 lines]
>
> Thanks
eazygoing@cfl.rr.com - 02 Dec 2004 14:52 GMT
Spoke with the doc's nurse and asked if the Foley could be removed. She
gave me the you should wait until your appointment so we can take it
out in the morning and if you have trouble you can come back to have a
Foley reinserted. Told her my better half is a nurse and that I had
intermittent catheters on hand, told me then go ahead and have her
remove it. Had to convince my better half that I was told it was ok.
One hour after removal was voiding with no problem and in a normal
fashhion. It has been two days and all is still well. Go tomorrow to
see uro and have a list of questions, but it just so strange to me that
you can go with no problem one minute and then not be able to.  Uro did
start me on Flowmax with has not been agreeing with me. Sinus headache,
tired all the time and upset stomach. Hope that my body will adjust to
it.
Thats were it is at now and than all of you for your input.

> My symptoms are not exactly the same but there are similarities.
> After I go to sleep the first time I get up to pee after about 90 minutes is
[quoted text clipped - 22 lines]
> >
> > Thanks
redbeard - 02 Dec 2004 20:40 GMT
These posts have not addressed the problem of symptoms that come and
go. Over the years that I had BPH I have gone from no symptoms to
acute urinary retention literally overnight. The acute retention
always occurred in the early a.m. hours. There were times that I could
get the flow of urine started by sitting in a tub of hot water and
times where this did not work and I had to visit the ER. I tried to
think what changed to cause the retention and have come up blank. I
knew to avoid decongestants and antihistamines and, like the poster, I
had most problems on the weekends. I could not identify anything such
as food or sex (sex seemed to ease not aggravate the problem) that
caused the problems. I suspect that it was food and some posters have
linked tomatoes in such things as spaghetti sauce as the source of
their problems.

Regardless of the cause, I have had no problems since I had holmium
laser surgery almost 3 years ago.
rab - 03 Dec 2004 03:46 GMT
> These posts have not addressed the problem of symptoms that come and
> go. Over the years that I had BPH I have gone from no symptoms to
[quoted text clipped - 12 lines]
> Regardless of the cause, I have had no problems since I had holmium
> laser surgery almost 3 years ago.

The times it has happened to me has been early am hours as well.On the
plus side the ER is pretty empty then. Today the force of the voiding
has diminised which concerns me. For two days all was well. Hope that
the uro can come up with some answers tomorrow. Each time it has
happened with me we had a couple of bottles of wine at dinner but in a
shorter time period than typical. I wonder if that could trigger
something. The uro said no, but it's the only common thing.
Spread deMocracy - 04 Dec 2004 12:27 GMT
Further to RAB's comments:    You are correct. Foods and beverages can have
an impact on your symptoms and can flare up rather suddenly.   Here's a list
of my own observations in my own particular case.   I have definitely
concluded that in my case symptoms can flare up rather suddenly.   Why?  I
think it might be because once the prostate is enlarged the urinary channel
might be marginally open and if the prostate swells slightly from
irritation, it may be enough to shut it down the rest of the way since if
the prostate is large enough it may not be able to grow outwards when
swelling from irritants, so it grows inwards and restricts the urinary
passageway.   I, too, am on the borderline that I find some foods/beverages
cause me problems--just waiting for my operations so am managing the days
until roto-rooter time, (actually I elected to go for PVP and not TURP, but
it still is going to be like a roto-rooter.)   Wines have so many additives,
that it can be hard to tell if it is the alcohol or some of the additives
since some wines may use a lot of additives to stabilize the flavor, color,
etc.  In my case some white wines bother me, yet, the heavier flavored Pinot
Noirs are just great.  Go figure.  Does the great amount of  resveratol in
the Pinot Noir counteract something?  Who knows?!  Now I just drink Pinot
Noir when socializing or having dinner out.   Beer...yikes!   In my case
when I drink about 1/2 to 3/4 bottle of beer, I seem to flare up and head
into the trouble zone in about 60 minutes!  Maybe, since I developed
noticeable BPH symptoms I've also developed an allergy to the beer
additives, or, maybe beer has direct irritants to the prostate that are more
noticeable to me now that I have BPH?  Who knows!  Now, I just stay away
from beer.   Further, the use of windshield washer fluid in beverages is on
the rise, or I'm noticing it a lot more than ever? (Check out the labels
stating polypropylene glycol, ethylene glycol, and other glycols, since it
is cheaper than sugar),  No idea how much of that stuff makes its way into
the wines and the sweeter alcohols or even beer? So I wonder if that is
hitting me?  I avoid one very sweet liqueur because I'm convinced they put
something cheaper than sugar in it to make it sweet and thick...and
strangely enough...I have problems the next day.  I can drink a number of
shots of white rum with no problem the next day.  So, maybe not the alcohol
and maybe it is indeed more related to the additives?     Coffee can affect
some people, but has not had any effect on me.  Amount of sitting can, too.
And this does affect me.   Soy can.  Soy, too, is growing as an additive for
foods.  Food dyes, too,  can irritate though approved by the FDA.  Maybe
your solution is as simple as finding one brand or variety of wine and
drinking only that one when socializing?  Lastly, I noticed that some "fresh
foods" in restaurants  bother me, but only in some restaurants.  I am
wondering if it is the amount of sodium thiosulfate they use to keep the
foods crisp and fresh looking, but those restaurants (waiters) insist they
are not using anything.  Some fine restaurants use sugar or sugar
substitutes when cooking meats and other foods.  Is that a potential
irritant?  Maybe.  Do they use MSG to help bring out the flavors?   Speaking
about MSG, I am variable after eating Chinese food.  Sometimes I have a bad
evening or bad next day;  other times, no problems.  Is it the amount of
MSG, salt, sugar, or other additives in the food?  Can't really tell.   I
used to be a veggie and because my Alpha Blockers, (tried Flomax and now on
Xatrol) make me so tired, and since I discovered meat substitutes, (soy
byproducts), have caused me to have an allergic reaction--not just prostate
issues, but sinus, etc.--I started to eat more direct proteins, (meat), to
help my overall energy level.  I have good an bad days following meat meals,
though I eat very lightly on the meats and do eat mostly chicken or turkey.
Turkey seems to have more impact on me than chicken.  So, could it be the
higher amounts of sulphur and tryptophan in the turkey?  So, in conclusion,
YES, based on my own observations about my own good and bad days, foods and
beverages can irritate the prostate and take me from having fun to having
problems in less than 60 minutes in some instances.

"rab" <eazygoing@cfl.rr.com> wrote [Snip] > The times it has happened to me
has been early am hours as well.  [Snip]happened with me we had a couple of
bottles of wine at dinner [Snip] wonder if that could trigger something. The
uro said no, but it's the only common thing.
Steve - 05 Dec 2004 02:24 GMT
You think maybe Fried food or Beer.
I have that problem after i drink. I am on FloMax and have been for a year.
I stay away from Fried foods and i like beer but stay away from that
also. and things have improved. I sleep through the night and drink lots
of water all day to keep things clean.

Just a thought.

Steve

> Over the last year I have been having intermittent symptoms of weak
> urine stream, hard to start stream and night time having to go. It
[quoted text clipped - 13 lines]
>
> Thanks
rab - 05 Dec 2004 18:57 GMT
Have been on Flomax for 10 days now and there has been improvement.
Alcohol without a doubt affects me. To verify for me, I had one beer
with dinner  and within an hour it became difficult to start a stream.
Last night out wo dinner with my s/o, had three glasses of wine. When
we got home, it was very difficult to start a stream, but once started
then no problem. If she was not a nurse when not have expieremented
like that. It's hard to believe that alcohol can affect voiding that
quick. Still no convinced that the doc knows what the problem really
is as the first time this happened was when I was 38, then had no
problem for 10 years and now twice in two months with complete
stoppage. Doc does not seem to be very aggressive, says take Flomax
for a few months and see what happens. When he did ultrasound for
retention after voiding there was 25ml left which is a very small
quantity. All three times when I had complete stoppage there was 1200
to 1500 ml that came out. Have contaced another uro doc for another
opinion. Also, flow test was fine too.

> You think maybe Fried food or Beer.
> I have that problem after i drink. I am on FloMax and have been for a year.
[quoted text clipped - 23 lines]
> >
> > Thanks
Steve - 05 Dec 2004 19:28 GMT
Also ask the URO about prostate infections. I found after a long wile
i did the research and has symptoms of prostites. Asked my doctor
and he said if i want i could take antibiotics, I did for 3 months
and things got even better. So ask the new URO a few questions.
Good luck

Steve

> Have been on Flomax for 10 days now and there has been improvement.
> Alcohol without a doubt affects me. To verify for me, I had one beer
[quoted text clipped - 40 lines]
>>>
>>>Thanks
 
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