Signs and Symptoms Enlarged Prostate (BPH Symptoms)

December 5, 2009 by  

The enlarged prostate symptoms and signs can be divided into obstructive and irritative complaints. Obstructive symptoms include hesitancy, decreased force and caliber of stream, sensation of incomplete bladder emptying, double voiding (urinating a second time within 2 h of the previous void), straining to urinate, and post-void dribbling. Irritative enlarged prostate symptoms include urgency, frequency, and nocturia.

Here are some of the bph symptoms. Depending on your age, having some of these symptoms does not mean you need treatment. Most of the following enlarged prostate gland symptoms may also be present in prostate cancer patients.

Signs and symptoms enlarged prostate:

  • Diuria
    The need to urinate frequently during the day Normally you shouldn't have to go more than once every two-three hours during the day unless you drink a lot of liquids such as coffee, tea or beer. But in the cases of prostate enlargement, the prostate gland will press on the bladder and thus diminish it's capacity, which in turn triggers the need to urinate.
  • Nocturia
    Getting up two or more times at night
    Getting up during the night with urging to urinate is not uncommon for most men and a lot of women, especially if they have had a lot to drink in the evening before bed time. But a man who have an enlarged prostate gland symptoms may have to get up several times during the night. Sometimes he only voids a small amount. This provokes general fatigue and thus diminishes the quality of life of the invidual. This is also due to the fact that the swollen prostate is so large that it presses on the bladder.
  • Urgency- You have to go to the toilet NOW
    This symptom makes one feel like he can't wait a second longer, he has to void the bladder.
  • Hesitancy or Difficulty in starting the flow of urine
    This is not always a sign of BPH or a prostate enlargement symptom. Many man have trouble urinating in public toilets, or if there are "curious" people around.
  • Straining
    You want to urinate but it just won't come. The urethra is so pressed by the enlarged prostate gland that you may have to strain to force urine through the constricted urethra. Constant straining can have other consequences: it may cause the bladder muscles to simply give up and not work at all. Or this could just cause thickened bladder muscles. Exception: if you wake up in the morning with an erection, and an urge to urinate, this is what is called "a pee hard on". Straining is almost always necessary to get it started. This is because the bladder sphincter, or valve, is supposed to remain closed in the presence of an erection, so as to prevent any ejaculate that might occur from entering the bladder. After a transurethral resection prostatectomy (TURP) this valve is usually damaged. In this case, quite often when an ejaculation occurs, the semen takes the shorter route into the bladder. This is called retrograde emission.
  • Dribbling and difficulty in stopping
    After urination the flow will seem to stop but it may continue to dribble. This is quite embarassing if a meeting follows.
  • Decreased strength and force of the stream
  • Decreased size or caliber of the stream
    This would be due to the constriction of the prostatic urethra.
  • Feeling as though you still have to go
    Even after voiding, you may feel like you still have to go
  • Dysuria-Pain or burning during urination
    Any pain or burning sensation could be due to irritation of the urethra. If the patient is unable to completely empty the bladder, it may lead to bacterial infection which may cause pain and burning during urination. Pain and burning could also indicate that you have an inflammation, prostatitis, bladder stones or prostatic stones.
  • Dizziness, nausea, unusual sleepiness
    These symptoms may occur if there has been kidney damage due to the urine blockage.

Now that you know the enlarged prostate syomptoms, you should also be warned that it doesn't necessarily mean that is what you have. It could be any of the following disorders:

  • Prostatitis
  • Prostate cancer
  • Urethral strictures
  • may be on some sort of medication that is interfering with the muscle fibers in the prostate and with the bladder function

Further investigations will be needed to set the precise diagnosis as being bph/enlarged prostate or other disorder.

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