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Suggest Treatment For Enlarged Prostate

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Posted on Sat, 26 Apr 2014
Question: Hi! Doctor, I have MILD PROSTATOMEGALY and the prostate measures 3.2x5.8x2.7cm with an estimated prostatic weight of 25.5. gm as seen as per abdominal examination. I am 50 years old from Delhi.India. From what I gathered from the Internet that this is a common problem and not a serious one. Proper medication can cure this. Kindly give me an answer. The recent whole USG shows that the live is normal in size and shows diffuse fatty infiltration. There is no evidence of any local defect or mass lesion. The intra hepatic vascular and biliary channels are normal. The portal vein is normal in course and calibre. The common bile duct and pancreas are normal in appearance. Both kidneys are normal in shape,size and echo texture without evidence of any focal defect,mass lesion,hydronephrosis or calculus disease. The renal parenchymal thickness and echogenicity is normal in both sides. Spleen is normal in size and echo texture There is no nodal enlargement or ascites. The urinary bladder is normal in apperance. IMPRESSION: MODERATE FATTY INFILTRATION OF LIVER, CHOLELITHIASIS ,AND MILD PROSTATOMEGALY. XXXX
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Answered by Dr. Dr. P. T. Patil (28 minutes later)
Brief Answer: Mild enlarged prostate ca be treated with medicine Detailed Answer: Hello Thanks for your query,based on the facts that you have posted it appears that you have grade one (Mild) enlarged prostate and silent gall bladder stone detected on Ultrasound scanning . I shall be happy if you can post me few more details to help me in making comments on your problem 1) Do you have any voiding symptoms like increased frequency of urination,poor urinary stream or nocturnal frequency?. 2) Urgency for urination.?etc. If your symptoms are mild and not bothering your day to activities you can take medicines like Tomsulosin once daily This will help you to improve your urine flow and reduce frequency. Please consult qualified Urologist for clinical and digital rectal examination and further treatment. As regards stone in the Gall Bladder you have to leave it alone and no treatment is required at present as long as you do not symptoms related to gall stone. As regards changes of fatty liver, avoid fatty oily diet and change your life style like doing regular exercise .This will help to improve the fatty infiltration of liver. Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you Thanks and Regards. Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dr. P. T. Patil (46 minutes later)
Hi! Dr XXXXXXX Thanks for that satisfying answer. I was a little worried about the Grade-I prostate problem as well as GB stones. As for your queries whether I have frequent or urgency of urination, yeah, I do have, when my schedule goes for a toss on some days, owing to official and personal engagements. This primarily affects my sleeping and eating pattern due to which this problem crops up, I suppose. Otherwise, I do drink plenty of water. The above problem occurs once in a while and not regularly. As for the GB stones, yeah, they have been silent for almost 3 years now. No problems or discomfort associated with it has been noticed and I am leading a very active personal and social life. Regarding fatty liver, I am not in the habit of taking oily or junk foods regularly. Frankly, I need to avoid that also it seems. Otherwise, I am a regular morning walker and walk for 45-50 minutes, 5 times a week. Also, I play TT regularly almost 5 times a week, 35-40 mts, which keep me active. Thanks once again for that lovely responses. With regards, Gaurishankar
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Answered by Dr. Dr. P. T. Patil (10 hours later)
Brief Answer: Thanks for compliments. Detailed Answer: Hello Thanks for compliments and feedback. Please continue to enjoy your active life .If you have free time can post your review about our services on this forum. Thanks and Regards. Dr.Patil.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Dr. P. T. Patil

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Practicing since :1971

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Suggest Treatment For Enlarged Prostate

Brief Answer: Mild enlarged prostate ca be treated with medicine Detailed Answer: Hello Thanks for your query,based on the facts that you have posted it appears that you have grade one (Mild) enlarged prostate and silent gall bladder stone detected on Ultrasound scanning . I shall be happy if you can post me few more details to help me in making comments on your problem 1) Do you have any voiding symptoms like increased frequency of urination,poor urinary stream or nocturnal frequency?. 2) Urgency for urination.?etc. If your symptoms are mild and not bothering your day to activities you can take medicines like Tomsulosin once daily This will help you to improve your urine flow and reduce frequency. Please consult qualified Urologist for clinical and digital rectal examination and further treatment. As regards stone in the Gall Bladder you have to leave it alone and no treatment is required at present as long as you do not symptoms related to gall stone. As regards changes of fatty liver, avoid fatty oily diet and change your life style like doing regular exercise .This will help to improve the fatty infiltration of liver. Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you Thanks and Regards. Dr.Patil.