In men, there is a small gland called prostate situated just below the bladder surrounding the proximal part of the urethra (tube which drains the bladder). Its job is to secrete seminal fluid that nourishes sperm.
In most men, it gets enlarged with age due to hormonal factors.
This increase in the size of the prostate with age is called Benign Prostate Enlargement or Hypertrophy (BPH).
It is distinct from prostate cancer & is not associated with increased incidence of cancer.
Sometimes it gets large enough to cause severe trouble requiring treatment
TURP: Trans Urethral Resection of prostate, where the urologist creates a tunnel for easy passage of urine is a common surgery today.
Newer modifications of the above are:
Plasma TURP: Different set of instruments & solution used to give same result with lesser complications.
HoLEP: Holmium laser is used for enucleation of prostate for similar results.
TUVP: Using strong laser current through a cystoscope, the prostate is vaporised.
The above newer methods have their benefits but involve cutting of tissue for a mechanical problem.
Recent trend is to preserve the prostate & provide a mechanism solution for a mechanical problem without cutting or vaporising the prostate.
It retains the function of prostate & thereby fertility of the person.
It is called Prostatic Urethral Lift or UroLift. It is a procedure
I was exposed to UroLift when one of my older patients was suffering from severe BPH & was medically unfit for an invasive surgery.
UroLift gave him the independence of living without a catheter 24/7. He had lived with the catheter for a year before he reached out to us.
Today, I suggest everyone with BPH to opt for UroLift which is safer & retains the function of the prostate.
What happens to your gastro intestinal system at sleep?
A set of neurons in GI tract get activated during sleep. It starts what's called "migrating motor complex" it helps to move digested food & waste through the tract.
Net effect: You get constipated if you do not sleep well.
Inadequate sleep can affect production of digestive hormones ghrelin & leptin. These regulate hunger & satiety, when sleep is affected, leptin is not secreted adequately by our fat cells.
Decrease in leptin keeps the hunger centre in the brain active making the person eat more.
When you are not sleeping enough, your stomach secretes more ghrelin which stimulates the hunger centre & you eat more leading to obesity.
Sleep has a direct relationship with obesity as explained above.
Apart from inadequate sleep causes leaky gut which leads to dry skin.
In my final MBBS year at a famous Govt Medical College in Karnataka; you will be surprised to know the examiner had loads of bias in favour of fair sex. They just had to show up in practicals to pass. However it is a different matter that they had to clear theory themselves.
I was young & had an idea of this because our seniors had told us this is how exams are!!
I got thyroid MNG as my major case & cervical lymphadenopathy as my minor.
At the end of a gruelling session of 4 hours despite answering most questions I could feel something amiss.
On that day there were 4 girls & 3 boys for morning session.
You guessed it right, 4 girls passed along with 1 boy & I was not that.
I was left depressed, disheartened & felt damned for life.
However, life has to go on. I was in the infamous odd batch now & had to reappear.
I am informed that now there is a Taliban Air Force.
Thanks to US, which created the air fields & other necessary infrastructure. US also has left lot of Blackhawks, mid range fighter jets & a complete set of airforce equipment needed worth billions of dollars.
Afghan Air Force trained by US did not act against Taliban when they captured Afghanistan in a short span. Now this trained team of men are joining Taliban and also training the selected ones.
The question is; with this infrastructure how long will it take Taliban to attack pak?
US has not only lost trillions in Afghanistan but has left a monster incharge there with modern weaponry.
ISI has trained Taliban well & they are able to manage media better than Hamas does. WaPo, BBC & NYT etc are behaving like teenagers having a crush on Taliban 2.
Many have asked me how I overcame Covid so fast; the answer is "I used Yoga"
Here it is: the moment symptoms started treatment was on, although I had high fever for 3 days it did not bother me much as I knew my body was working against the Chinese virus
My intention was not to allow the virus to colonise my lungs 🫁. So I started "Basti Kriya" or "Bastrika" pranayama as soon as throat irritation started.
This Pranayama brings air out of lungs at high speed & is known to clean the lungs. I used to perform it atleast 20 times/day
On 4th day by the time my medications ended my fever was non existent & my HRCT showed 2 score. I just got myself discharged & went to a secluded place to recover completely.
Although tiredness was persistent for about 2 weeks after that I have recovered completely now.