What causes enlarged prostate?

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Posted on Tue, 5 May 2015 in General Health
Question: dear doctor.

I am a 36 year old male and a type 2 diabetic.

for last 4 days I have been going for a wee and feeling that I haven't emptied my bladder properly.

I have had a urine test and all full bloods taken and everything is perfect.

what could this be?

I am drinking plenty of water daily more than I am used to.

could this be why?

also a weird feeling on tip of penis after urinating.
doctor
Answered by Dr. Shoaib Khan 11 minutes later
Brief Answer:
Please check a few other symptoms and let me know if you have them sir

Detailed Answer:
Hello sir and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. I clearly understood your symptoms sir and would like to add a few others symptoms that may be you can relate to. Please write back to me informing me about which of them you have (for example: 1,2,5,8). The symptoms are:

1. Frequent or urgent need to urinate
2. inability to completely empty the bladder
3. Urinating at night more often
4. Having to have to strain while urinating
5. Certain amount of time taken to start urinating
6. Dribbling or poor stream of urination

Also, is your blood sugar under control sir? What were your last few levels and have you checked your HbA1c? I look forward to hearing from you in order to help you further.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan 6 minutes later
I am not straining.

inability seems about right.

urine has a good flow.

there isn't a pressure pain. just feels weird at end of penis.
doctor
Answered by Dr. Shoaib Khan 27 minutes later
Brief Answer:
List of possibilities mentioned along with investigations sir

Detailed Answer:
Hello once again sir.

Then in my opinion, the possibilities include the following:

1. Enlarged prostate which normally puts pressure on the urethra, and prevents complete emptying of the bladder. This can be diagnosed with the help of an ultrasound and I would strongly recommend this investigation. Treatment includes the use of medications if the enlargement is mild or moderate, and surgical removal of the enlarged part if it is severe

2. Blood glucose irregularities: An elevation in blood glucose levels causes irregularities with the bladder and urination. I would recommend getting your blood glucose profile conducted to check if your diabetes is being well controlled or not (including a test called HbA1c)

3. Hernia: This is quite obviously diagnosed by a physical examination, but can be confirmed with an ultrasound of the abdomen and pelvis as well. I only recommend this because a hernia can cause a weird sensation around the tip of the penis.

I hope you find my response both helpful and informative sir. Please feel free to write back to me for any further clarifications, I am always here to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan 28 minutes later
Hba1c is 7.2 but i am wokring on this lower.

Can prostate problems occur even at my age?

Is this serious?

I do suffer from anxiety etc
doctor
Answered by Dr. Shoaib Khan 16 minutes later
Brief Answer:
Yes sir, pls do; Yes they can; not really

Detailed Answer:
Hi sir.

Yes sir, you need to lower your HbA1c. High blood sugar levels can cause a number of complications, and this level could possibly be the cause for the bladder trouble you are facing. Although this needs confirmation.

Oh yes sir, prostate enlargement (although usually considered to be a condition seen in men around the age of 45-50 years) is nowadays been observed in younger men in their 30s

Not really serious, but depends on the cause sir. If it is due to the blood glucose levels, then consider this a warning sign from your body telling you that you need to make changes or else worse things are coming up.

If it is due to the prostate, it is nothing serious and can just be early onset of BPH (benign prostate hyperplasia).

If it is a hernia, then we can accordingly go ahead with surgical treatment and remove the cause completely.

Please do not hesitate to write back to me about anything, I am always here to help.

Best wishes sir.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan 2 minutes later
Prostate cancer?
doctor
Answered by Dr. Shoaib Khan 10 minutes later
Brief Answer:
Highly unlikely; but if prostate enlargement is seen, you will be tested

Detailed Answer:
Hi sir.

Prostate cancer is a far shot and a more unlikely cause. Only if at all prostate enlargement is seen with the help of an ultrasound, then you will be tested for a test called PSA test. This is routinely conducted when any individual with prostate enlargement is found, to rule out prostate cancer.

Hope this helps sir.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan 2 minutes later
in yoir expert opinion this won't be cancer would you say?

sorry I am very anxious. even though these symptoms have only been for 3 days.

I am taking in plenty of fluids aswell. could this also be a cause?
doctor
Answered by Dr. Shoaib Khan 38 minutes later
Brief Answer:
It seems unlikely to me sir; no sir this cannot be the cause

Detailed Answer:
Hello once again sir.

In my opinion, cancer is highly unlikely sir. And moreover, we have not even confirmed prostate enlargement sir.

No sir, taking in plenty of fluids should not make you feel like you have not been emptying your bladder well enough.

Please do not hesitate to ask me anything. I am here to make you feel better and satisfied.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan 2 minutes later
By taking plenty of fluids like i have. Does this cause to go to the tooilet more?

I seem to go more when dribking 2 litres within 1 hour.

Is this right?

What is normal?
doctor
Answered by Dr. Shoaib Khan 10 minutes later
Brief Answer:
3 litres per day is more than enough sir, and normal

Detailed Answer:
Hi sir.

Yes of course sir, if you drink more water then you will visit the toilet more often.

I would recommend 3-4 litres per day sir, this is normal and healthy. But the normal amounts recommended are 2-3 litres, but I recommend at least 3 litres.

Best wishes. :)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan 1 minute later
Ok last question.

If you drink 2 litres within an hour, is it normal to keep going to wee?

doctor
Answered by Dr. Shoaib Khan 9 minutes later
Brief Answer:
Yes sir, it is completely normal

Detailed Answer:
Hi sir.

Yes sir, if you drink 2 litres in an hour it completely normal to go to urinate often and quite frequently. :)

Please do not hesitate to write to me again sir. You need not have to think that tou are troubling me by asking me questions, I am here to help and will be more than happy to answer any number of questions or clairfications you have sir.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan 2 minutes later
After drinkinn i am going every 10 mins and ita clear urine.

Normal?
doctor
Answered by Dr. Shoaib Khan 1 minute later
Brief Answer:
100% normal sir

Detailed Answer:
Hi sir.

Yes sir. Perfectly normal. :)

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan 1 minute later
Thanks doctor.

Are you russian? I see you live there? How unusual?
doctor
Answered by Dr. Shoaib Khan 1 minute later
Brief Answer:
Haha, no sir, I am XXXXXXX

Detailed Answer:
Haha.

No my friend, I am XXXXXXX I work and study here. :)

Yes, you do not hear of many people from Russia
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan 3 minutes later
No i meant not many indians in russia? Lol. I am XXXXXXX also.
doctor
Answered by Dr. Shoaib Khan 2 minutes later
Brief Answer:
Which part of XXXXXXX are you from? I am from BLR

Detailed Answer:
Haha.

Actually we have quite a few Indians in Russia. A lot of them studying medicine here (equivalent to MBBS in India) :)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan 3 minutes later
Oh ok.

My mum from XXXXXXX

Origins in XXXXXXX
doctor
Answered by Dr. Shoaib Khan 2 minutes later
Brief Answer:
Wadiya ji

Detailed Answer:
Thats awesome.

Good to know sir. Most of the students here are from Tamil Nadu, but there are a lot of North Indians also, not many Punjabis though.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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