Saturday, April 22, 2017

Urinary symptoms in men

Urinary problems in men become more common in later life, when enlargement
of a chestnut-sized organ called the prostate gland is often responsible.
The prostate gland sits deep inside your lower abdomen and surrounds your
urethra where it leaves the bladder. As men get older and past 50 years old
the prostate gland may enlarge and press on the urethra. Although a normal
part of ageing, the symptoms can become troublesome.

If you have an enlarged prostate gland, you may have some of these symptoms:
. Your urine doesnft flow as fast as it used to.
. You pass small amounts of urine frequently.
. Your urine takes a while to come out.
. You dribble at the end of urination and lack full control when you try
to stop.

If your symptoms are mild, see your pharmacist for advice and consider trying
over-the-counter medicines first. If your problems are severe, or they start to
affect your quality of life, contact your GP or practice nurse. You may need to
have your urine tested and take a short course of antibiotics. Seeing your GP is
also important for reducing the risk of getting recurrent bladder infections.
The following, more serious, symptoms indicate that you need to see your GP:
. You pass blood in your urine . particularly if this problem persists
(blood in the urine, however, is common in cystitis and can be acceptable
in this circumstance).

. You get severe or recurrent pain in your lower abdomen, in the softer
parts of your back and sides just below your ribcage (called the loins),
or in your lower back.
. You feel very unwell.
. You notice an unusual discharge from your genital area.
. You have a fever together with your urinary symptoms.
Urinary symptoms can have more likely causes depending on whether you are
male or female. If you are a woman and have pain on passing urine, your problem
can be due to a number of reasons.

 Here are some common ones:
. Itchy and dry genitals: Inflammation and itching of the genital area (or
pruritus vulvae) is common, and often has no obvious underlying cause.
Due to falling hormone levels youfre more likely to develop a dry vagina
when youfre past the menopause (or ethe changef). Using perfumed soap
or experiencing sexual anxiety may also be responsible. When this happens,
you are more likely to develop urinary infections or eirritationf
down below, causing burning and stinging when you pass urine.

. Thrush: Vaginal thrush (also called candidiasis) is a common fungal
infection and usually shows up with a profuse thick white vaginal discharge.
You may also notice soreness around the outside of your genitals
(known as the vulva). Taking antibiotics or certain types of oral
contraceptive pill, or suffering from diabetes, makes you more likely
to develop thrush. You can treat thrush yourself, and over-the-counter
preparations are readily available from your pharmacist, but if your
symptoms persist or are unusual, do visit your GP or practice nurse.

. Urethral syndrome: This inflammation of the urethra . the tube that
empties your bladder . may occur after sexual intercourse and is due to
mild bruising. You may experience an uncomfortable burning sensation
when you pass urine, or find yourself going to the toilet more frequently.
If your symptoms donft settle by themselves, see your GP to get your
urine tested. You may be prescribed a course of antibiotics in case you
have an underlying urine infection.


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