Posts Tagged ‘blood in urine’

More FAQs From My Patients

February 16, 2015

I have a high cholesterol level. Is there anything I can do to lower the cholesterol level besides medications, i.e., statins?
Yes, there are cholesterol lowering foods that are effective and have absolutely no side effects. These include:
Soluble fiber of 25gms each day is helpful and good for the colon as well. Good sources of soluble fiber include legumes such as peas and beans; cereal grains such as oats and barley and vegetables and fruits such as carrots, apples, and dried plums (prunes).
Nuts to the rescue. Although nuts are high in fat, the fats are predominantly monounsaturated and polyunsaturated, which are known to decrease LDL cholesterol levels or bad cholesterol. By eating a daily helping of nuts — about 2.4 ounces — results in an average 5% reduction in total cholesterol concentration. Nuts that will help lower LDL cholesterol levels include almonds, walnuts, peanuts, pecans, macadamias and pistachios.
Plant sterols and stanols, plant compounds that are structurally similar to cholesterol, partially block the absorption of cholesterol from the small intestine. They lower levels of LDL cholesterol without adversely affecting high-density lipoprotein (HDL or “good”) cholesterol levels. Plant sterols and stanols, plant compounds that are structurally similar to cholesterol, partially block the absorption of cholesterol from the small intestine. They lower levels of LDL cholesterol without adversely affecting high-density lipoprotein (HDL or “good”) cholesterol levels.
So you can begin by decreasing your consumption of red meat, butter, and high cholesterol containing seafood such as crayfish (heaven forbid!) shrimp and lobster and try these other non-medical options. If these do not work, then talk to your doctor about medication.

I am thinking of having a vasectomy. Is there any risk of erectile dysfunction or impotence?
No, you have nothing to worry about. A vasectomy ONLY prevents the sperm from entering into the ejaculate or seminal fluid. It does not affect the testosterone level or the ability to engage in sexual intimacy. If your erections are good before the vasectomy, they will remain just like they were prior to the vasectomy. So it is safe to proceed with the “prime cut”!

I am a man 78 years of age. Do I need to have a PSA test for prostate cancer?
No, the American Cancer Society and the American Urological Association do not recommend screening for prostate cancer with the PSA test in men more than 75 years. Cancer screening tests — including the prostate-specific antigen (PSA) test to look for signs of prostate cancer — can be a good idea in younger men between 50-75 but not in men over age 75. A normal PSA test, combined with a digital rectal exam, can help reassure you that it’s unlikely you have prostate cancer. But getting a PSA test for prostate cancer is not be necessary for men 75 and older.

I am 40 years of age and ate some red beets. My urine turned red. Is that normal after consuming red beets?
Usually red urine after red beet consumption is a result of a pigment, betalain, in the red beets and is nothing to worry about. However, if the red persists more than 24 hours after consuming the beets, then it is important to see your physician and have a urine examination. When the red color persists, this is referred to as hematuria. Hematuria is a clinical term referring to the presence of blood, specifically red blood cells, in the urine. Whether this blood is visible only under a microscope or present in quantities sufficient to be seen with the naked eye, hematuria is a sign that something is causing abnormal bleeding in the patient’s genitourinary tract. For more information on hematuria, please go to my website: http://neilbaum.com/articles/hematuria-blood-in-the-urine

When The Foreskin Doesn’t Retract-Phimosis

October 13, 2013

On occasion there are men who are not circumcised and unable to retract their foreskins.  This condition is referred to as phimosis.  The condition usually results when the man fails to retract his foreskin and a few drops of urine collects under the foreskin and sets ups an infection resulting in scarring and tightening of the foreskin making retraction difficult and sometimes impossible. 

Phimosis may be detected in males who report painful erections, blood in the urine, recurrent urinary tract infections, or a weakened urinary stream.

Patients with phimosis may require an emergency intervention and should be referred to a urologist prior to development of irreversible penile damage. 

If the foreskin cannot be retracted and hygiene will be a continued problem., then a surgical procedure needs to be performed.  This is a last resort, to be performed by a urologist, to achieve the necessary reduction in infections and allow the man to have optimal penile hygiene.

Surgical methods range from the complete removal of the foreskin to more minor operations to relieve foreskin tightness:

•                Circumcision is sometimes performed for pathological phimosis, and is effective.

•                Dorsal slit is a single incision along the upper length of the foreskin without removing any tissue.

•                Preputioplasty, is a limited dorsal slit with a relaxing incision is made on the constricting scar tissue of the foreskin can be an effective alternative to circumcision.  It has the advantage of only limited pain and a short time of healing relative to circumcision, and avoids cosmetic effects.

Bottom Line: A tight foreskin is a condition that requires medical attention and the man should be referred to a urologist  for further treatment.