2020年10月20日星期二

what is a hemorrhoids,What problems will further cause prostate hyperplasia

    This section answers the following questions:

    1. Is there a relationship between prostate hyperplasia and hernia?

    2. Does prostate hyperplasia really cause uremia?

    3. What problems will be caused by prostate hyperplasia?

    Director Zhang listened to Lao Wang’s question and smiled and said to Lao Wang, "This is not surprising. In elderly men, prostate hyperplasia is one of the main causes of hernias and hemorrhoids. I will draw you a picture, you see I understand."

    Director Zhang said that patients with benign prostatic hyperplasia will have difficulty urinating and need to exert force and hold their breath to urinate. Due to frequent exertion, the intra-abdominal pressure will increase, and the intestines will protrude from the weak part of the abdomen, forming a hernia. Increased intra-abdominal pressure can also cause hemorrhoids, prolapse of the anus, and varicose veins of the lower limbs. It is often said that “hernia is breath-holding”. This sentence is most obvious in elderly patients with prostate hyperplasia.

    Director Zhang also told Lao Wang that prostatic hyperplasia is a common disease in elderly men. Almost every man who enters old life will have some symptoms caused by prostatic hyperplasia, but each person’s performance is different, or the degree of importance each person pays. Different. Hernias and hemorrhoids are just minor problems that may be caused by prostatic hyperplasia, which can also lead to "uremia", which is life-threatening. When Pharaoh heard this, he was taken aback. Hey, so amazing! Due to time constraints, Lao Wang didn’t bother to disturb Director Zhang too much. He prescribed the medicine and went home. He thought in his heart, it’s not so serious. Prostate hypertrophy, is it not easy to urinate. Every elderly man has it, why? It would be so powerful! Director Zhang must be exaggerating.

    Director Zhang told Lao Wang that in general, men rarely experience urinary tract infections, and urinary tract infections in elderly men are generally related to prostate hyperplasia. As the saying goes: "flowing water does not rot, and the urinary tract infection is not caused by the urinary tract infection caused by prostatic hyperplasia, mainly due to incomplete urination, there is a certain amount of residual urine in the bladder. These residual urine stay in the bladder, creating good conditions for the growth and reproduction of bacteria (especially when combined with diabetes and other vulnerable factors). When the body's resistance is reduced, it will cause urinary tract infections. This type of infection recurs and can even cause sepsis. The treatment is trickier.

    Director Zhang also told Lao Wang that prostate hyperplasia can not only cause urinary tract infections, but also bladder stones. The occurrence of bladder stones is mainly related to the residual urine. When the urinary tract is unobstructed, stones will not grow in the bladder. Even if a stone falls from the ureter into the bladder, it can be excreted with urine. However, the elderly with prostate hyperplasia are different. Small crystals and other small particles in the residual urine will be deposited in the bladder. Because these particles cannot be excreted in time with the urine, they will gradually increase and form stones. "Obstruction, infection, and stones" will form a vicious circle, and bladder stones are easily formed due to obstruction of urine flow and secondary infection. The peculiar symptom of bladder stones is "discontinued urination", that is, the urination is half-solved, but it can't be solved suddenly. The main reason is that bladder stones will block the internal urethra with the flow of urine during urination, causing symptoms of inability to urinate. When urination is interrupted, it will feel particularly painful. On the one hand, it is difficult to urinate, and on the other hand, the more you want to urinate, the more painful and more painful.

    Experts puzzled: Does prostate hyperplasia really cause uremia?

    Lao Li was hospitalized. Lao Wang often came to see Lao Li and learned about Lao Du. During the rounds, Director Zhang told the three "old men" about the relationship between prostate hyperplasia and urinary retention, urinary incontinence, and uremia. Acute urinary retention usually occurs on the basis of chronic urinary retention, especially after colds, fatigue, excessive fluid intake, drinking, sex, and holding back urine. Sometimes medications such as opioids, adrenergics, or anticholinergics can also induce acute urinary retention due to other diseases, and emergency catheterization is required. Filling urinary incontinence often occurs at the same time as acute urinary retention. Excessive residual urine can make the bladder lose its ability to contract, and the urine retained in the bladder gradually increases. When the bladder is over-inflated, the urine will unconsciously pass from the urethral opening. Overflow, this phenomenon of urine incontinence is called filling incontinence. At this time, the patient and family members often have an "illusion" that "you can urinate, but too many times, it will be solved in a while, and it will be solved in a while." In fact, the bladder at this time has been overfilled, which is very dangerous. , Such patients must receive emergency treatment. Prostatic hyperplasia can also lead to kidney damage and even uremia. This is because the proliferative prostate oppresses the urethra, and the bladder needs to contract forcefully to overcome resistance and excrete urine. Over time, the bladder muscles will become hypertrophy. If the pressure on the bladder cannot be relieved for a long time, the residual urine in the bladder will gradually increase, the bladder muscle will become ischemic and hypoxic, become no tension, and the bladder cavity will expand. Finally, the urine in the bladder will be poured back into the ureter and renal pelvis, causing hydronephrosis, and uremia may occur in severe cases. In addition, renal hypertension can also occur. At this time, if the patient still does not receive timely treatment, it is often life-threatening. In addition, when prostate hyperplasia causes dysuria, people with a history of hypertension are prone to cerebrovascular accidents and heart failure, which must be taken seriously.

    After listening to Director Zhang’s words, the three old men became serious. It seems that although the development of prostate hyperplasia is slow, it should not be taken lightly. Otherwise, once complications (such as hematuria, acute urinary retention, uremia, etc.) occur, they will not only lose treatment The best time for treatment, and it increases the difficulty and cost of treatment.

    Experts answer:

    1. Is there a relationship between prostate hyperplasia and hernia?

    For elderly men with inguinal hernias, hemorrhoids, etc., it is necessary to find out whether they have prostate hyperplasia before treatment. If so, the prostatic hyperplasia should be treated first or at the same time, in order to relieve the continuous increase in intra-abdominal pressure, otherwise, the inguinal hernia will easily recur after surgery. Some patients with benign prostatic hyperplasia have relieved the symptoms of hernias and hemorrhoids after the dysuria is relieved.

    2. Is there a relationship between prostate hyperplasia and urinary tract infection?

    For recurrent urinary tract infections in elderly men, it is necessary to consider that it may be caused by benign prostatic hyperplasia. While anti-infective treatment, benign prostatic hyperplasia must be treated at the same time. Otherwise, no matter how many and good antibiotics are, it will not help.

    Finally, talk about the follow-up situation of the three elderly people:

    Lao Du: After a week of hospitalization, the kidney function returned to normal, the operation was carried out smoothly, and the urination became smooth. Lao Du was determined to get rid of the bad habits, resolutely stop drinking, resolutely listen to the doctor's instructions, and stop taking the medication without authorization.

    Lao Li: After a comprehensive examination, the possibility of urinary tract tumors was ruled out. The hematuria was basically determined to come from the prostate. The regular treatment for benign prostatic hyperplasia was started. After smooth urination, hernias and hemorrhoids were better.

    Tips: Prostatic hyperplasia will further cause the following problems:

    1. Hernias and hemorrhoids;

    2. Recurrent urinary tract infections;

    3. Acute urinary retention;

    4. Urinary incontinence;

    5. Bladder stones;

    6. Repeated hematuria;

    7. Dilation of ureter, hydronephrosis, uremia;

    8. Others: easily complicated by cardiovascular and cerebrovascular accidents and heart failure

    (Qiu Town)

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