A Comprehensive Guide to Lifestyle Taboos and Kidney Disease Prevention and Treatment for Benign Prostatic Hyperplasia: Analyzing Urinary Disorders, Misconceptions about Kidney Deficiency, and the Irreversible Damage of Holding Urine.

32. What should middle-aged men with benign prostatic hyperplasia (BPH) pay attention to? (1) Prevent exposure to cold: From late autumn to early spring, the weather is unpredictable, and cold weather often aggravates the condition. Therefore, patients must pay attention to keeping warm and preventing colds and upper respiratory tract infections. (2) Absolutely avoid alcohol: Drinking alcohol can cause congestion and edema of the prostate and bladder neck, which can induce urinary retention. (3) Eat less spicy food: Spicy and irritating foods can cause congestion of the sexual organs, aggravate hemorrhoids and constipation, compress the prostate, and aggravate difficulty in urination. (4) Do not hold urine: Holding urine will cause the bladder to become overfilled, weaken the bladder detrusor muscle tone, make urination difficult, and easily induce acute urinary retention. Therefore, you must urinate whenever you feel the urge. (5) Do not overwork: Overwork will deplete the body's vital energy, and insufficient vital energy will cause weak urination, which can easily lead to urinary retention. (6) Avoid prolonged sitting: Frequent prolonged sitting will aggravate hemorrhoids and other diseases, and easily cause congestion of the perineum, which can lead to difficulty in urination. Regular participation in cultural and sports activities and health-preserving exercises can help alleviate symptoms. (7) Drink enough water: Drinking too little water can not only cause dehydration, but also hinder the flushing effect of urination on the urinary tract, and can easily lead to concentrated urine and the formation of stones. You can reduce your water intake at night to avoid excessive bladder filling after sleeping, and drink more water during the day. (8) Use medication with caution: Some medications can aggravate difficulty in urination, and large doses can cause acute urinary retention. These include atropine, belladonna tablets, ephedrine tablets, and isoproterenol. In recent years, it has been found that calcium blockers and verapamil can promote prolactin secretion and weaken the contraction force of the detrusor muscle, aggravating difficulty in urination. Therefore, certain medications should be used with caution or preferably not used at all. (9) Timely treatment: Prostatitis, cystitis, and urethral stones should be treated promptly and thoroughly. (10) Massage the lower abdomen: Massaging the lower abdomen and pressing acupoints such as Qihai and Guanyuan below the navel can help restore bladder function. After urinating, apply slight pressure and massage to promote bladder emptying and reduce residual fluid. (11) Prevent excessive sexual activity: In particular, be wary of interrupted intercourse and masturbation.

33. What are some common misconceptions about the treatment of benign prostatic hyperplasia (BPH) in middle-aged men? (1) It is a natural physiological phenomenon that urination problems occur with age: BPH obstructs the bladder outlet, causing urination obstruction. The bladder becomes thinner after thickening, resulting in more residual urine in the bladder after urination. Urine reflux causes hydronephrosis, which is prone to complications such as infection and stones. In severe cases, uremia may occur. (2) The size of the prostate is the only standard for measuring the severity of BPH: A normal prostate is about the size of a chestnut. Some enlargements may not cause too much difficulty in urination; while others may be smaller, but if they are located in the middle lobe of the prostate, they can cause severe urinary obstruction. (3) BPH can only be treated surgically: When mild urination symptoms occur, the symptoms can be reduced or eliminated by adjusting diet and lifestyle. Drinking enough water, eating less spicy food, abstaining from alcohol, avoiding holding urine, prolonged sitting and fatigue, and urinating 5 minutes after urination are all important self-treatment methods. (4) All patients with benign prostatic hyperplasia can be treated with medication: medication can treat benign prostatic hyperplasia, but if the urination disorder causes great distress in life, or if there are repeated complications such as acute urinary retention, urinary tract infection, hematuria, hydronephrosis, bladder stones or kidney damage, surgical treatment should be performed in time.

34. Why should middle-aged men pay attention to kidney disease? Various types of nephritis and kidney disease are common and prevalent. Nephritis encompasses a wide range, including acute or chronic glomerulonephritis, latent nephritis, allergic purpura nephritis, and pyelonephritis. Kidney diseases include immunoglobulin A (IgA) nephropathy, membranous nephropathy, renal hypertension, lupus nephritis, gouty nephropathy, diabetic nephropathy, nephrotic syndrome, as well as hydronephrosis, renal cysts, and congenital polycystic kidney disease. All of these can eventually progress to kidney failure, i.e., uremia. Middle-aged men often experience abnormal kidney function due to a combination of factors such as insufficient rest, excessive stress, and insufficient exercise. Kidney diseases often lead to other illnesses, therefore, they must be taken seriously.

35. What are the clinical symptoms of kidney disease? Kidney disease can manifest as varying degrees of fatigue, weakness, lower back and knee pain, high blood pressure, proteinuria, eyelid edema, anemia, itchy skin, lower limb edema, nausea and vomiting, etc.