Some pharma companies are coming with preparations containing extracts of saw palmetto. The quote below from the researcher below says in affirmative regarding its use. In India some times some herbal products are used for benign prostatic hyperplasia, and patient sometimes feels some response; but we heavily depend on allopathic drugs and surgery.
CLIPPED FROM: http://www.sciencedirect.com
Serenoa repens(saw palmetto) extracts are complex mixtures of compounds that act simultaneously on several biologic pathways known to be associated with the development of benign prostatic hyperplasia (BPH) in man. Reversal of the prohyperplastic pathways by the drug accounts for its clinical efficacy in the treatment of BPH.
Niacin, a “B” group vitamin, widely distributed in both vegetarian and non-vegetarian diet; is responsible for many vital metabolisms in the body. It is available as an insoluble compound in maize. Those primarily depending on maize as staple diet may suffer from its deficiency. In its deficiency people suffer from Pellagra; characterized by diarrhea, dermatitis and dementia. There may occur reddish to blackish dis-colorization if exposed parts of skin the of the extremities, called dermatitis. Dementia is marked by forgetfulness. If not treated adequately, death may ensue.
It has property of raising high density lipoproteins(HDL), the good fat in the body; which protects heart from atherosclerosis. This a good fat is responsible for mobilizing bad fat, the low density lipo-proteins(LDL). This requires administration of niacin in higher doses. To minimize the adverse reaction to highly dosed rapidly absorbed niacin, sustained released types are available. Combining niacin with ezitimibe, a lipid lowering drug has been seen to have synergistic action; say researchers.
A lady reports to the surgery out patients department three days after a struck fish bone while taking food, with pain inside the neck. She narrates that a fish bone was struck in the throat while taking food; she tried to remove by putting her finger inside the throat, but failed. She again tried to dislodge that by taking bland and dry diet, very much in practice in local folks in India; but failed. She vomited blood while trying to remove it. This type of foreign bodies are usually removed by ENT specialist, and in his absence it came to the surgery OPD. She was examined and nothing could be found, as far as visibility goes in the mouth and throat. She was put to an upper gastrointestinal endoscopy; a nice ulcer covered with scab was visible in the esophagus just below the level of vocal cords. The suspected fish bone was searched up to the exit from the stomach, but in vain. The patient was put on a local anesthetic mixed soothing agent, a proton pump inhibitor and a mild antibiotic. She was advised to take normal diet, not hot; barring chillies and excessive spices. She has not reported back for five days since the advice. It presumed that she is alright.
Many times dentures, fish bones get into throat; but in children different small toys, pins, small batteries, dress hooks and many unusual objects have been recovered. It may sometimes prove fatal, if accidentally finds its way into the respiratory tract. Infants and small children are to be watched while they play, so that nothing is put into mouth; as, at this age they try to gather information about an objects by the lips. So, They put anything and everything to try that and accidentally land in trouble; and the whole family suffers.
“I am having vomiting two to three times a day since three days and discomfort in the upper abdomen”, was the complain of my patient.
There was no loose motion, fever and urinary problem. He was seen and prescribed medicines for gastritis one day back by my good friend, the medicine specialist. I thought he should remain in the treatment for some more time. So, I advised him to continue the same treatment and contact medicine specialist for further advice. At this point the patient says that he had a long standing inguinal hernia. Now, my surgeon mind became skeptical and alert to think that everything might not be well. I asked about the reducibility of the hernia, and very much to my expectation, it was not reducing since two days. So, that is the hazard of inguinal hernia. It, many a times becomes irreducible after coming out to the scrotal sac. Now, I examined the patient and found the irreducible hernia in the scrotal sac. But, to the good luck of the patient, it reduced with a little difficulty, aborting an emergency surgery. Now the patient gets relaxed so also me. The patient confesses that he had been advised earlier to undergo surgery, but it got delayed due to his bronchitis problem.
Chronic cough due to various chest diseases, and diseases like stricture of urethra or an enlarged prostate which increase resistance to smooth flow of urine, raise intra-abdominal pressure and the contents of abdomen may find their way out through a potential weakness in the abdominal wall, what is called inguinal canal. That is termed as inguinal hernia. The contents may get struck to the scrotal sac and become irreducible or obstructed warranting an emergency surgery to release the same. This is potentially a life threatening condition, if timely intervention is not done. The content may become dead, what is called gangrene. Now, as the patient is having an exacerbation of bronchitis, has been prescribed a course of antibiotics with an advice to keep the contents of hernia inside the abdomen and return for an elective surgery after the symptoms of bronchitis alleviates.
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