Physical and Mental Stress Can Cause Incontinence

You’ve probably at some point laughed so hard you either thought you were going to wet yourself or it actually happened. Stress Urinary Incontinence (SUI) can happen when we exercise, sneeze, laugh or cough. In more severe cases, it can happen even when walking, standing up or bending over.

Or, you felt anxious or afraid and had the same feeling. These “accidents” can range from a few drops of urine to enough to soak through your clothes. 

Both physical and emotional stress can contribute to SUI, which is when you leak urine because of sudden pressure on the bladder and urethra, which causes your sphincter muscles to briefly open. 

If You Suffer From SUI, You’re Far From Alone

SUI is a common bladder problem in women, but less so in men. 

• Approximately  25% to 33% of American women deal with urinary incontinence.

• Urinary incontinence increases with age, and about one in three women suffer with SUI at some point.  More than half of women with SUI also have Overactive Bladder (OAB).

• About 33% of women age 60 find that they sometimes leak urine. 

• Almost 50% of women age 65 and above say they sometimes leak urine.

Men with urine leakage more often have OAB rather than SUI. Prostate cancer surgery, pelvic nerve injury or damage are the usual causes of SUI in men.

What are the Symptoms of SUI?

Urine leaking during any activity that increases pressure on the abdomen is the key symptom of SUI. With mild SUI, you will leak during forceful activities such as exercise, and also when you sneeze, laugh, cough or lift something heavy. Moderate or more severe forms mean you may also leak when you stand up or bend over.

How SUI Can Affect Your Life

SUI gets in the way of daily and social activities, and it can affect both your family and sexual relationships. You may be embarrassed, which can cause you to feel isolated.

But there’s no need to feel hopeless. There are many ways to manage and treat SUI – so it’s important to let your doctor know what’s going on so they can help.

Has leaking urine or the fear of leaking urine:

• Kept you from doing things outside of your home?

• Caused you to be afraid to be too far from a bathroom or a change of clothes?

• Stopped you from exercising or playing sports?

• Changed the way you live because you're afraid of leaks?

• Made you uncomfortable with yourself and your body?

• Changed your relationships with friends or family?

• Made you avoid sex because you are worried that you will leak urine and be embarrassed?

Answering yes to any or all of these questions means it's time to talk to your doctor.

The Causes of SUI

SUI happens because of a stretched, weakened or damaged pelvic floor; the pelvic floor supports the bladder and urethra. Problems can be caused by pregnancy and childbirth, chronic coughing, nerve injuries to the lower back or pelvic surgery.

While SUI impacts older women most often, it’s not caused by aging or by being female. It happens in younger women as well as some men. There are a number of risk factors, which include:

• Gender: females are more likely to get SUI

• Pregnancy and childbirth

• Overweight/obese

• Smoking

• Chronic coughing

• Nerve injuries to the lower back

• Pelvic or prostate surgery

Mental Stress Can Cause SUI

When you’re afraid or anxious, your body goes into fight or flight mode, and there’s evidence that the adrenaline rush you get triggers the need to pee.

It’s part of the mind/body connection; there’s a link between what’s going on in your brain and what happens in your body. 

SUI and Mental Health

Anxiety and depression have been found in many patients with incontinence. The question: did the mental health problems cause incontinence, or did the incontinence cause mental health problems? 

The answer? Anxiety and incontinence interact and make each other worse. And, anxiety is a definite risk factor for developing incontinence. And the same is true with other mental health issues like depression. Also, those with pelvic floor disorders are three times more likely to be depressed.

What You Can Do About SUI

The first step, of course, is talk to your doctor. And don’t be embarrassed. Be honest – doctors see all sorts of things every day and there’s no need to be shy.

There are also things you can do on your own:

• Use absorbent pads These pads come in different sizes and styles. Some are like menstrual pads that go into your underwear, and others are pull-on briefs.

• Kegel exercises help strengthen your pelvic floor muscles. Do Kegels by squeezing and relaxing your pelvic floor muscles many times each day. Exercising these muscles can make them stronger and help reduce or eliminate your SUI symptoms. To get the most benefit, do these exercises every day.

To make sure you perform these exercises correctly, your doctor may order physical therapy. Doing these exercises correctly is vital. If they’re not done properly, they could make your pelvic floor problems worse.

• Don’t become constipated. Eat high fiber foods and drink 6 to 8 glasses of water and exercise daily.

• Maintain a healthy weight. If you’re overweight or obese, you’re more likely to develop SUI, and many find that losing just 10 lbs. makes a difference in the number of leaks.

• Bladder Training. To start, keep a bladder diary. Record:

  • How much you drink

  • When you urinate

  • When leaks occur.

Your diary shows you and your doctor how often you urinate now and whether bladder training can help you. With bladder training, your doctor may ask you to follow a fixed urination schedule.

You may be asked to lengthen the time between bathroom visits. But don’t try this unless your doctor suggests it – some people have more leaks when they wait too long to go to the bathroom.

• Quit Smoking. Everyone should quit smoking, but for those with SUI, a chronic cough from smoking may increase the frequency and severity of leaks and cause added strain to the pelvic floor. 

• Keep tabs on your mental health. If you’re anxious or depressed, whether you have SUI or not, talk to your doctor for a recommendation to a mental health professional.

Devices and Surgeries for SUI

There are devices and surgeries that can be used to control or alleviate SUI, so discuss the options with your doctor. 

Don’t Suffer With SUI. Norman Urology Can Help.

There’s no need to suffer needlessly, either physically or mentally. Whether you’re suffering from incontinence or SUI, or just want more advice to keep both your bladder healthy and your pelvic floor fit and healthy, Norman Urology has the answers and the most current treatments. And you can count on superior, specialized care from experienced, compassionate professionals. 

Reach out to us today to schedule an appointment. We can’t wait to meet you!

Your Go-To Guide for Bladder-Friendly Foods

You probably don’t think much about your bladder. Until something goes wrong. Bladder issues affect millions of people, with the most common problem being incontinence, which means losing bladder control. This can vary from a slight loss of urine after sneezing, coughing, or laughing, to the complete inability to control urination.

 Incontinence, also known as involuntary urination, affects 25 million adult Americans and 200 million people worldwide – 75%–80% of those are women.

Urinary incontinence isn’t a condition. It’s a symptom of a condition called overactive bladder. This condition is also called having an “irritable” or “sensitive” bladder. 

When you’re dealing with these issues, the last thing you want to do is irritate your bladder, so it’s important to pay attention to the foods you eat. Eating to help your bladder isn’t going to cure it of any problems, but it can make a difference in controlling symptoms. 

Avoid These Foods if You Have a Sensitive Bladder 

In general, if you have bladder problems of any kind, it’s best to avoid:

• Coffee, both caffeinated and decaffeinated

• Caffeinated tea

• Carbonated beverages

• Alcohol

• Grapefruit, lemon, orange, and pineapple

• Cranberry*, grapefruit, orange, and pineapple juice

• Tomato products

• Hot peppers

• Spicy foods –  including Mexican, Thai and Indian

• Chili

• Horseradish

• Vinegar

• MSG

• Artificial sweeteners such as NutraSweet, Sweet ‘N Low, Equal, and Saccharin

• And if you smoke, stop. If you don’t smoke, don’t start.

You may have heard that cranberry juice is good for your bladder, however, studies have concluded that cranberry juice isn’t effective, but cranberry capsules are. Cranberry capsules have been shown to lower the risk of urinary tract infections by 50%.

But what foods should you eat to soothe your bladder and avoid problems?

12 Bladder-Friendly Foods

These foods won’t cure your bladder problems, but they can help keep your bladder soothed and irritation-free.

1. Berries. Berries are a great source of a compound known as flavanol, which has been shown to help fight bacterial infection. You can eat them fresh by themselves, in your morning cereal, or you can add frozen berries to a smoothie.  

2. Yogurt. Eating yogurt loaded with probiotics can help build up gut bacteria that’s capable of helping us break down our food in a more efficient manner for a more effective digestive system. You should also be aware that probiotics in yogurt could help your urinary system, too, by helping fight urinary tract infections

3. Garlic. Garlic is an effective way to keep kidney infections and bladder cancer away. Research shows garlic extract can help prevent the development and growth of cancer cells, particularly in the bladder and kidneys. Try a garlic supplement or add fresh or dried garlic to your meals. But speak with your doctor first: garlic supplements can interact with your medication.

4. Pears. Pears are a good source of fiber, and contain malic acid, a precursor of citrate, and have antioxidant activity as well. A diet supplemented with pears could inhibit urinary tract stones. 

5. Bananas. Bananas are a high-fiber food that can be good for urinary tract health. The fiber encourages regular bowel movements and relieves pressure on urine flow.

6. Winter Squash. These squashes, which include acorn, butternut, and spaghetti varieties, are a good source of  beta-carotene and other carotenoids which may help prevent bladder cancer. 

7. Potatoes. In addition to being non-irritating to the bladder, potatoes are a good source of vitamin C and potassium. 

8. Lean proteins. Lean proteins like low-fat beef, pork, chicken, turkey and fish, when baked, steamed or broiled probably won’t  bother your bladder. 

9. Whole grains. Fiber rich quinoa, rice and oats are great sources of fiber and antioxidants like Vitamin E.

10. Breads. Breads are bladder-friendly. Choose whole grain, fiber-rich varieties. 

11. Nuts. Nuts are rich in protein and fiber. But some can irritate the bladder, so stick with almonds, cashews, pine nuts and sunflower seeds, and avoid any heavily-salted nuts. 

12. Eggs. Eggs are a great source of protein, and a study has shown that a high egg intake can reduce the risk of bladder cancer. 

Don’t Suffer with Bladder Problems. Norman Urology Can Help.

Even when you eat the right foods, bladder problems can occur. Whether you’re suffering from incontinence or a suspected urinary tract infection, or just want more advice to keep your bladder healthy, Norman Urology has the answers and the most current treatments. And you can count on superior, specialized care from experienced, compassionate professionals. 

Reach out to us today to schedule an appointment. We can’t wait to meet you!

Check Your Prostate: Know the 5 Major Warning Signs of Cancer

Okay, so you can’t give yourself a prostate exam at home. But there are important early symptoms of prostate cancer you can catch, and this can make all the difference to your treatment and recovery.

Prostate cancer doesn’t typically show signs in the early stages, and has to be caught via a PSA blood test or a digital rectal exam.

However, there are sometimes warning signs that involve the urinary system. Watch for these symptoms:

• A frequent need to urinate, especially at night, sometimes urgently

• Difficulty with starting or holding back urination

• Weak, dribbling, or interrupted urine flow

• Painful or burning urination

• Erectile dysfunction

• A decrease in the amount of ejaculated fluid

• Painful ejaculation

• Blood in the urine or semen

• Pressure or pain in the rectum

• Pain or stiffness in the lower back, hips, pelvis, or thighs

It’s important to understand that urinary symptoms don’t necessarily mean you have cancer. Prostatitis or Benign Prostatic Hypertrophy (BPH), also known as enlargement of the prostate, are very common and benign diseases that can cause similar symptoms.

And erectile dysfunction is likely not caused by cancer but by other factors like diabetes, smoking, cardiovascular disease, or just plain getting older.

Have Any of These Symptoms? Visit Norman Urology

There’s no sense in worrying needlessly – come see us at Norman Urology. We take urological care seriously for both men and women. Whether you have a benign condition or something more serious, you can count on superior, specialized care from experienced, compassionate professionals.

Reach out to us today to schedule an appointment. We can’t wait to meet you.

7 Superfoods for Healthy Kidneys

Your kidneys have the important job of filtering your blood – they’re located on either side of your spine below your ribs and behind your belly. You have two of them, each roughly the size of a large fist, about four-or-five inches long. 

Diet plays a big part in keeping your kidneys working properly. First, let’s explore the tough jobs your kidneys perform, what can go wrong, and then how to eat and keep them healthy.

What Your Kidneys Do

Per the National Kidney Foundation, your kidneys remove wastes, control the body's fluid balance, and keep the right levels of electrolytes. All of the blood in your body passes through them several times a day. They:

• Help remove waste and excess fluid

• Filter the blood

• Control the production of red blood cells

• Make vitamins that control growth

• Release hormones that aid in regulating blood pressure

• Help regulate red blood cells as well as the amount of certain nutrients in the body, such as calcium and potassium.

How Your Kidneys Work

How do the kidneys perform these important jobs? 

1. Blood enters your kidneys through an artery from the heart

2. The blood is cleaned by passing through millions of tiny blood filters called nephrons

3. Waste material passes through the ureter duct and is stored in the bladder as urine

4. Newly cleaned blood returns to the bloodstream through your veins

5. Your bladder becomes full and urine passes out of the body through the urethra.

The kidneys filter and return to the bloodstream about 200 quarts of fluid every 24 hours. Of that, about two quarts are eliminated from your body as urine, while the remainder, is retained in the body.

Things You Do Every Day Can Harm Your Kidneys

There are many ways to damage your kidneys on your own, including:

• Overusing painkillers, including aspirin and ibuprofen.

• Using too much salt

• Not drinking enough water

• Not sleeping enough

• Drinking too much alcohol

• Smoking

• Sitting for long periods of time

• Eating too much meat

• Eating too much sugar

• Eating processed foods

You’ll notice that three of these have to do with diet. What you eat plays an important part in maintaining kidney health and avoiding kidney disease.

Choose the Right Foods for Optimum Kidney Health

The Dietary Approaches to Stop Hypertension (DASH) Diet is recommended by the National Kidney Foundation, and is approved by The National Heart, Lung and Blood Institute, The American Heart Association, and the Dietary Guidelines for Americans.

Studies demonstrate that the DASH diet helps decrease blood pressure, lowers the risk for heart disease, stroke and cancer, and reduces the risk of kidney stone formation, and kidney stones are no fun. 

You’ll find that the DASH Diet is rich in fruits, vegetables, low-fat dairy products, whole grains, fish, poultry, beans, seeds, and nuts, while being  low in salt and sodium, added sugars and sweets, fat and red meats.

If you already have kidney disease, consult your doctor before making any changes to your diet.

7 Superfoods for Your Kidneys

There’s no scientific definition of the term “superfood,”  but they are considered by nutritionists and others to be foods that have unusually high amounts of antioxidants, vitamins or other nutrients.

These kidney-friendly foods also make a big contribution to overall health:

1. Apples: Apples are a good source of pectin, a soluble fiber that can lower cholesterol and glucose levels. Be sure to eat the peel - it’s a significant source of antioxidants, including one called quercetin, which is thought to protect brain cells. 

2. Blueberries: They’re a low-calorie source of fiber and vitamin C, and ranked #1 among fresh or frozen fruits and vegetables in antioxidant power. And, they’re being studied for their potential to protect against cancer and heart disease was well as for their possible brain health benefits. 

3. Fish High in Omega-3 Fatty Acids: Omega-3 fatty acids have many important functions, including controlling blood clotting and building cell membranes in the brain. They’ve also been shown to decrease the risk of abnormal heartbeats as well as triglyceride levels. Salmon mackerel, albacore tuna, herring, and sardines are all a good source of Omega-3.

4. Strawberries: Strawberries are a fantastic source of vitamins, antioxidants, and fiber. They’ve been associated with heart protection, and have anti-cancer and anti-inflammation properties. 

The following foods are fantastic, but should be limited if you are on dialysis or have a dietary potassium restriction:

1. Spinach: Spinach is high in vitamins A, C, K and folate, and the beta-carotene found in spinach is important for boosting your immune system health and protecting your vision. It is also a good source of magnesium. 

2. Sweet Potatoes: These are packed with beta-carotene and are an excellent source of vitamins A and C, vitamin B-6 and potassium. One medium sweet potato contains nearly 4 grams of fiber, according to the USDA National Nutrient Database. 

3. Kale: This green is packed with Vitamins A, C, K, calcium and lots of other important minerals. It’s also a great source of carotenoids and flavonoids, which may have eye and anti-cancer benefits. Because kale contains significant sources of Vitamin K, if you are taking blood thinners, talk to your doctor.

Have Questions About Your Kidney Health?

Whether you have symptoms of kidney stones or just want advice to keep your kidneys performing in excellent working order, Norman Urology has answers, the most current treatments, and you can count on superior, specialized care from experienced, compassionate professionals. 

Reach out to us today to schedule an appointment. We can’t wait to meet you.

How Therapy Can Supplement Your Treatment for Erectile Dysfunction

Erectile dysfunction (ED) is a physical ailment that affects nearly 18 million men over the age of 20. The truth is, it’s an uncomfortable topic for many, but when you’re facing the inability to get or keep an erection long enough to have sexual intercourse, it’s time to see a doctor — and maybe more than just one kind. 

Opening up dialogue between you, your sexual partner, and your doctor will be the catalyst to a successful treatment plan and a healthier sex life. 

The Emotional Causes of Erectile Dysfunction

Male arousal is a complicated process, so determining the cause can be a difficult challenge. While there are many potential physical causes, such as heart disease, obesity, diabetes, and high blood pressure, ED can impact perfectly healthy individuals. Instead of a lone physical cause, there could be something else going on mentally and emotionally, such as:

• Stress

• Anxiety 

• Depression 

• Relationship conflicts

• Poor sexual communication 

• Work pressure

• Financial worries

• Other emotional disturbances

Therapy: The Supplement to Your ED Treatment 

Depending on the reasons for your ED, treatment can mean a multi-faceted, medical approach. But, it doesn’t have to just be procedures and medication. Therapy — whether it’s talk therapy, sex therapy, or cognitive behavioral therapy — can be beneficial if your ED is being caused by anxiety, stress, or depression. 

Talk Therapy and ED

There are a lot of unhealthy myths and misconceptions about ED out in the world, such as “it’s only you” and “it means something is wrong with you” These misconceptions only add to the stress and emotional trauma for the person experiencing ED. Talk therapy gives you the emotional space to work through your fears and stress in life and about the condition itself. It creates an opportunity to have a healthy dialogue with your sexual partner about your sexual relationship and how ED is affecting you. 

This type of therapy would be a healthy supplement to your physical treatment, helping you work through all the feelings that come with decisions for your ED.  

Sex Therapy and ED

Sex therapy is a type of talk therapy that is designed for individuals and couples who are facing emotional and physical challenges that impact their sexual satisfaction. The goal is to help them move past these obstacles — physical and emotional — toward a satisfying relationship and pleasurable sex life. 

The most important part about going through sex therapy for your ED is to have your sexual partner involved in the process. Studies show that, for men who have stress-related ED, having the partner involved resolves the problem 50% to 70% of the time. That’s good odds, especially when you’re getting the physical treatment you need as well.

Cognitive Behavioral Therapy and ED

Cognitive behavioral therapy (CBT) focuses on proactively changing certain behaviors in order to solve problems in a person’s life. It’s a useful form of therapy for addressing ED, especially if it’s related to performance anxiety, low self-esteem, and loss of sexual arousal. 

During this type of therapy, you work to understand how specific triggers can lead to certain positive thoughts, feelings, and behaviors. In this way, you can identify triggers that work for you to help you have a more positive and realistic approach to sex. 

Combine your learned triggers with your physical treatment and you’re on the road to better physical, mental, and sexual health.

Your Next Step Toward Resolving Erectile Dysfunction

Once you’ve determined your route for therapy, it’s time to contact a healthcare professional who specializes in helping men with Erectile Dysfunction. The experts at Norman Urology Associates are just the people you need to help you discover the underlying causes of your ED and the steps that are right for you in overcoming it. Let’s talk about it.

The Importance of Checkups—Even During a Pandemic

Right now is a pivotal moment in world history, to say the least. COVID-19 has gone and wrecked half of 2020 so far, and there seems to be no end in sight. 

Pair a pandemic with the regular stressors of life, and it can be a bit overwhelming. We completely understand this. However, you still need to keep up with your regular health checkups to make sure everything is in order. 

Start With Your Family Doctor

When we say a health checkup, we mean your annual visit to the doctor, usually where you get a physical. This annual exam allows for you to recount to your family physician what’s happened in regards to your health. 

The main benefit of getting an annual checkup is that you can catch things early on or before they happen. This allows you to take steps toward living a longer, fuller, happier life. 

Some of the things you would want to discuss at this checkup, especially if you rarely go to the doctor or haven’t been in quite a while, include:

• Any surgeries that have happened.

• New family history.

• Updated contact information.

• New physicians in specialized areas such as urologists, OBGYNs, therapists, etc.

• Big life events.

Many medical professionals, like us here at Norman Urology, truly care about our patients and want to know things are going alright outside of just what we take care of you for. Now is the time to tell us everything you can because this allows us to understand you better and therefore care for you better.  

You also want to chat about any current things that are happening with your body that might be important. When it comes to medicine, no symptom is too small so even if you don’t think it’s important, now is the time to say something. 

The easiest way to figure out if there’s anything you should mention to your doctor is to do a personal body check. Start with the top of your head and move your way down to identify if anything has changed physically. 

If you’re a man, you could look for skin lesions, lumps in the prostate, lack of penial function, rashes, achiness, or soreness. As a woman, you could look for the same things but instead, do a breast exam and identify if there are any new lumps. 

Not Just Physical

Although physical checkups are important, mental health checkups are just as important. It easily can be something that is dismissed by many people, which is how problems arise. 

Mental health is our mental, emotional and social wellbeing. Mental health includes a lot of factors, including how well you deal with stress, your mood and how you respond to the environment around you. 

It’s perfectly normal in a time like this not to feel like yourself. The first step is to acknowledge this and then find a solution to start making you feel better.

Try to identify some of the signs that might indicate you have a mental health problem, such as:

• High levels of anxiety.

• Loss of ability to deal with stress.

• Hypersensitivity to topics.

• Nightmares.

• Loss or gain of appetite.

• Low energy.

• Sleep schedule changes.

There are many signs that you might be struggling in certain areas of your mental health. Because mental health and physical health are so closely linked, anything having to do with your mental health you can tell your family doctor as well. They’ll be able to recommend someone who can help you. 

We’re Here for You

Despite the current circumstances, Norman Urology still is operating as usual with the added benefit of telehealth for all of our clients both new and old. 

If you feel like you need to schedule a checkup with us, reach out on our website today to schedule an appointment. We will remain diligent in being flexible for all of our patients. 

Urology and Men’s Health Week

Men’s Health Week is right around the corner, running from June 15 to 21.

The point of Men’s Health Week is to promote the health and wellbeing of men and boys around the world. It especially promotes the idea for men and boys to seek regular medical treatment and understand the importance of early detection of diseases and illnesses to help live a longer, fuller life. 

So it’s only right that here at Norman Urology we help men and boys understand their urology health and make sure they are doing their best to make sure their bodies are in tip-top shape. 

An Overview

When it comes to men’s urology health, there are four main areas to think about: the bladder, the kidneys, the penis and the prostate. These are all of the main areas that a urologist checks and helps a male take care of. 

Urological issues can affect one’s daily life if they aren’t addressed. Even seemingly small problems such as urinary tract infections can be a sign there are underlying situations going on, so it’s important for men and boys to take urological health seriously. 

It’s especially important that understanding urology care starts at a young age because there are issues that can affect males of all ages. We’ve listed some examples of issues that affect each area to give you an idea of what to look out for in your urology care. 

The Bladder

Two examples of common issues men experience in relation to the bladder are incontinence and UTIs. 

• Incontinence: Incontinence is the loss of control of the bladder. It’s more common for older men to experience this, but that doesn’t mean younger men can’t either. This is caused by an underlying condition, which means if you experience incontinence, there is some other issue causing this, so you should go see a doctor. 

• UTI: Despite common myths, urinary tract infections can happen in women AND men; they just happen more frequently in women. UTIs develop when bacteria and germs block the urethra and cause inflammation. Although home remedies such as taking cranberry pills can help, you always should go get antibiotics from your physician. If a UTI goes on too long, it can lead to bigger problems such as kidney infection. 

The Kidneys

An issue that affects the health of kidneys in men is kidney stones. 

• Kidney Stones: Kidney stones are minerals that build up in your kidneys over time. You can have them for months and years, and they won’t cause problems. It’s when they start to move through your system that it becomes painful. You’ll need to go see your doctor and figure out the best way to remove them. You can avoid this painful experience simply by staying hydrated. 

The Penis

Two issues that affect the penis are erectile dysfunction and testicular cancer. 

• Erectile Dysfunction: Erectile dysfunction is when a man cannot get or maintain an erection. This can cause a variety of problems and affect one’s mental health. It’s more common then people think and is often experienced in older men. Your doctor can help you determine the best course of treatment to fix the issue. 

• Testicular Cancer: The testes are what make and store sperm in males. This form of cancer usually affects young men between the ages of 15 and 35. Luckily, it’s quite rare and usually can be detected early as long as regular checks of the prostate and testes are done either through a doctor or at home. 

The Prostate

Two examples of conditions that affect the prostate are prostatitis and prostate cancer. 

• Prostatitis: Prostatitis is swelling and inflammation of the prostate gland, located directly below the bladder in men. The gland produces semen and helps transport sperm. This condition can be painful and feel very similar to a UTI. It can be treated with antibiotics. 

• Prostate Cancer: Prostate cancer is the second leading cause of death in men, and about one in nine men will develop it in their lifetime. All men starting at the age of 50 should get annual screenings of the prostate, although earlier screenings won’t hurt anything. 

Contact Us Today

Here at Norman Urology, we take urological care seriously in both males and females. Our specialized care from experienced professionals is unlike any other, and we would be happy to help you or your loved one in answering questions or looking at an issue. 

Reach out to us today on our website to schedule an appointment. We can’t wait to meet you.  

Are You Taking Care of Yourself?

Yes. We are in a global pandemic, and you probably have a billion other things to worry about. 

But as your care providers, we have to ask if you’re taking care of yourself. We know you need to save about three worlds a day — probably more with kids — but keeping your reproductive organs and urinary tract in top shape is our primary goal, even if you don’t see much of us these days. 

So while you’re slaying dragons and online shopping, make sure you’re doing some of these steps to take care of yourself and keep your urinary tract and surrounding areas happy and healthy. 

1. Drinking Water 

Cliché, we know. But drinking water just really makes everything better. 

More importantly, drinking enough water helps your kidneys and urinary tract get a regular wash out. All sorts of particles can get trapped in the body and in the urethra, and peeing helps those things get rinsed form the body. It also lessens the chance of kidney stones by offsetting salt buildups. 

2. Letting Loose

We know how enticing it can be to lay around in leggings or yoga pants all day. They’re versatile enough for you to binge watch Netflix all day but also run to the store if needed. 

However, they’re also really good at harboring icky stuff around your vaginal or penial area. This can lead to urinary tract infections, skin irritations or vaginal infections. 

Try letting loose every once in a while and wearing loose-fitting sweatpants. Cotton underwear is also great for the vagina because it allows things to air out and relax. You even can try sleeping sans underwear or pants.

3. Watching the Bad Stuff

Now we’re not saying you can’t have any coffee or eat french fries. But you should still be trying to watch your salt and caffeine intake.

Salt makes you retain water and messes up the balance in your kidneys if there is too much, which is a problem. Caffeine does the same thing, but it also can irritate the urethra, which isn’t fun. 

The best way to offset these problems? Drinking water. We told you. It fixes so much.

4. Wiping Down

With the weather being nicer, we suspect people are trying to go outside more and do stuff. This can cause sweat and bacteria to build up in the underwear and pant area. The same thing can happen when you have intercourse too—just add bodily fluids into the mix. 

Which is why it’s so important to make sure you are peeing after sex and wiping down after getting sweaty. You even can change your underwear if it makes you feel comfortable. Just try to keep things dry and clean down there. 

5. Paying Attention to Your Body

The kidneys, reproductive organs and bladder are all organs you don’t really think about until a problem arises, which is why you should be regularly checking things out to make sure they are working properly. 

It’s as easy as making sure you urinate completely. If you’re rushing to pee, try to take the extra second to make sure you are fully finished. It allows all of your urine to drain and not stay inside the bladder, which can irritate it. 

Do all of the other easy stuff too. Drinking enough fluids, doing some daily movements and urinating after sex. They may seem like little things, but in the big picture, you’re preventing all sorts of problems for yourself. 

We’re Still Here to Serve You

Despite the global pandemic, Norman Urology is still serving its clients fully, just in different ways. We’re offering telehealth services to those who don’t need to come into the office and only seeing patients face to face if it’s absolutely needed. We’re also still doing in-house procedures. 

If you’re experiencing issues with your reproductive system or urinary tract, don’t hesitate to reach out today. We’re still happy to help.

Top Things to Know About Urinary Incontinence

Loss of bladder control--- or urinary incontinence -- can be an embarrassing condition, but it’s also very common. 

Whether you occasionally leak urine when you exert pressure on the bladder (think: sneezing or coughing), or you’re worried you won’t make it to the bathroom in time, urinary incontinence can affect every aspect of your life. 

This condition can come with aging but, happily, it isn’t a foregone conclusion. And many people experience occasional, minor ‘leaks’ that don’t cause discomfort or interfere with day-to-day life. 

But small to medium leaks that happen more frequently can mean you’re experiencing symptoms of urinary incontinence. 

If you’re having this problem, it’s important to understand the basics and learn about simple lifestyle changes and medical treatments that can alleviate discomfort and reduce or stop urinary incontinence.

The Basics

There are five types of urinary incontinence which include:

Stress incontinence. Leaks can happen when pressure is exerted on the bladder during activities like exercising, lifting heavy objects, sneezing, coughing, or laughing. 

Overflow incontinence. When the bladder does not empty completely, some people experience a frequent or constant dribbling of urine.

Urge incontinence: This is characterized by a sudden, urgent need to go to the bathroom often followed by a small or copious amount of urine emptying from the bladder. You may find you need to urinate more often, even waking throughout the night to go to the toilet. Urge incontinence can result from minor conditions like an infection but can also be a sign of a more serious condition. 

Functional incontinence. This type of incontinence is typically characterized by a secondary condition like arthritis or mental impairment which keeps you from getting to the bathroom in time. If, for example, you suffer from severe arthritis, you may struggle with buttons or zippers before you’re able to sit on the toilet in time. 

Mixed incontinence. This type of incontinence is characterized by a combination of any of the above types of incontinence. 

Causes

Many people mistakenly think that urinary incontinence is itself a disease. Rather, it is a symptom and can be caused by any number of factors including everyday habits, as well as underlying medical or physical issues. 

Urinary incontinence can be temporary, or it can be a persistent problem.

Temporary Incontinence

As you probably already know, some foods and beverages can act as diuretics. They stimulate the bladder and may also increase urine output, causing temporary incontinence.

Examples of these types of foods and drinks include:

• Caffeine

• Alcohol 

• Chili peppers

• Chocolate

• Sparkling water and other carbonated drinks

• Citrus fruits

• Medications like heart and blood pressure drugs

Other conditions can cause temporary incontinence like urinary tract infections, and constipation. 

In the former case, the bladder is irritated by the infection which can cause a strong urge to urinate, and in the latter, hard, compacted stool in the rectum can cause shared bladder nerves to be overactive, which results in a need to urinate more frequently. 

Persistent Incontinence

Urinary incontinence can be the result of persistent conditions like pregnancy, menopause, an enlarged prostate, or neurological disorders, among others. 

Examples of persistent conditions include:

Pregnancy and childbirth. Hormonal changes can cause incontinence, along with additional pressure on the bladder that comes as the fetus grows in size and weight. Vaginal delivery can result in damaged nerves and supportive tissues, and weakened muscles, all of which can cause a prolapsed pelvic floor. 

Menopause. A post-menopausal woman produces less estrogen, a hormone that helps keep the lining of the urethra and bladder healthy, and if these tissues deteriorate, it can result in incontinence.  

Enlarged Prostate and Prostate Cancer. A condition called benign prostatic hyperplasia (enlargement of the prostate gland) can cause incontinence (especially in older men), and urinary incontinence can also be a symptom of undiagnosed, untreated prostate cancer. And often, it is the treatment of the prostate cancer itself that causes incontinence. 

Neurological Disorders. Any condition that interferes with nerve signals involved in bladder control can cause incontinence; conditions such as Parkinson’s disease, brain tumors, and multiple sclerosis. 

When to See Your Doctor

If you suspect a more serious underlying problem, or when symptoms negatively impact your day-to-day activities, it’s advisable to consult with your physician. Your urologist can provide you with information on lifestyle changes and medical treatments to help alleviate this condition. 

The urologists at Norman Urology can help you manage your symptoms and walk you through the treatments that will be most effective for you. 

If you’re experiencing urinary incontinence, why not schedule an appointment with us today?

The Definitive Guide To An Enlarged Prostate: What You Need to Know

Prostate enlargement, or benign prostatic hyperplasia (BPH) happens in 50% of men between the ages of 51 and 60, and as much as 90% of men over the age of 80. However, it’s something that isn’t frequently discussed, so many who experience the symptoms of BPH don’t know much about it or how it is treated. 

The widespread presence of BPH doesn’t dismiss the fact that it can cause discomfort, affect your lifestyle, and if left unchecked can compound other conditions to impact your overall health. 

What is Benign Prostatic Hyperplasia?

The prostate is a gland that’s part of the male reproductive system. It’s a walnut-shaped gland that’s main function is to produce the fluid in semen, making it essential for male fertility. This gland surrounds the urethra at the neck of the bladder.

Twice, the prostate goes through a growth cycle. It grows once early in puberty, and then again around the age of 25. After the age of 25, the prostate gland continues to grow throughout a man’s life. BPH sometimes happens during this second phase.

When the prostate grows, it presses against the urethra, and as a result, the bladder wall thickens. Eventually, the bladder grows weaker and loses the ability to empty completely. The narrowing of the urethra and the lack of emptying the bladder can lead to many of the uncomfortable urinary symptoms associated with BPH.

What Causes BPH?

There are no clear answers as to what causes benign prostatic hyperplasia, but there are some theories as to why this affects men as they age. 

One theory has to do with testosterone levels. Men produce both testosterone and estrogen during their lives. As they age, they produce less testosterone, leaving a higher proportion of estrogen in the bloodstream. Some scientific studies have found a correlation between higher levels of estrogen in the blood and growth of the prostate. 

Another theory revolves around DHT, or dihydrotestosterone because even as testosterone levels decrease in the blood, older men produce high levels of DHT, which may encourage prostate cells to grow.

What Are the Symptoms Associated With an Enlarged Prostate?

The symptoms that go along with BPH are initially mild but can worsen over time. Those with BPH may experience the following issues:

• Inability to completely empty the bladder

• A need to urinate two or more times during the night (nocturia)

• Dribbling at the end of the urinary stream

• A weak urinary stream or a stream that stops and starts

• Incontinence or leakage

• Feeling a need to strain when urinating

• Sudden urges to urinate

• A slow or delayed urinary stream

• Pain when urinating

Less frequent symptoms include the presence of blood in the urine, a urinary tract infection, or the inability to urinate. Some symptoms can also indicate the presence of other health issues, so it’s important for those experiencing any of these symptoms to consult with their urologist.

What Puts Men At a Higher Risk for BPH?

Age makes men more likely to develop an enlarged prostate, but what are the other factors that may contribute to BPH?

• A family history of BPH

• Type 2 Diabetes

• Heart disease

• Obesity

• Inactivity

• Erectile dysfunction

Some evidence suggests that black and Hispanic men may be at a higher risk of developing BPH, but a more recent study found that information may not be the case. 

How Does a Urologist Treat an Enlarged Prostate?

There are many kinds of treatments for an enlarged prostate-- and sometimes, no treatment is needed at all. With some adjustments and medications, some patients need no further treatment. 

With your urologist, you will undergo a series of tests and a physical exam to evaluate your condition and determine the best course of treatment. At Norman Urology, we have three available treatments to meet the needs of different patients.

Urolift: This is a minimally-invasive procedure that involved placing small implants to hold open the obstructed pathway of the urethra. This procedure does not involve cutting, heating, or removal of any prostate tissue, and preserves sexual function of the prostate gland.

Transurethral Resection of the Prostate (TURP): This procedure removes the middle portion of the prostate that is obstructing the flow of urine. 

Photoselective Vaporization of the Prostate: A minimally-invasive procedure that uses a small laser fiber to vaporize prostate tissue that is blocking the flow of urine. 

For over 30 years, Norman Urology Associates have been dedicated to providing the highest level of care for all their patients-- including those experiencing BPH symptoms. BPH can start affecting your overall quality of life which can quickly become frustrating. If you are experiencing symptoms that might indicate an enlarged prostate, your urologist can help understand the issue and help make your symptoms a little more manageable. The best thing you can do is contact us today to uncover what’s happening and find the right solution for your health.

Understanding Telemedicine and Telehealth

With the coronavirus pandemic affecting the entire globe, here at Normon Urology Associates, we are taking every precaution possible to provide the same level of care to our patients while also keeping everyone safe. 

With this being said, we will be switching as many of our appointments as possible to an electronic form of contact. Needed procedures still will be performed in the office, in the outpatient area and at the hospital. 

If you do come into our office or in contact with our professionals, you should know that we are taking as many precautions as possible to make sure our office is an environment where everyone is safe. 

No health professionals will come in if they have any symptoms of the virus. We are deeply sanitizing every area of the office. Each professional also is wearing masks and washing their hands frequently. 

We understand this concept can be new to some patients, which is why we’ve created this short guide to explain everything you need to know about telemedicine and telehealth. 

What Is Telemedicine vs. Telehealth? 

Telemedicine refers to the use of electronics and telecommunication technologies to provide long-distance clinical services. Telehealth is in the same area; however, it is a broader scope of remote healthcare and allows for administrative meetings, clinical education and clinical services. 

These technologies refer to the use of telephones, computers and other devices for healthcare professionals to be able to provide the same level of care, just at a distance. For example, if someone had an appointment with a doctor and didn’t need to come into the office for an actual exam, they could video chat into their appointment with their doctor and complete the appointment that way.

Telemedicine is not a new concept. It’s been very helpful worldwide for decades, helping doctors connect to patients in rural areas or in other times of crisis. 

How Does Telemedicine Work?

The government has taken steps to slow the spread of COVID-19 and has broadened access to Medicare telehealth services so that people can receive the same care without having to travel to the doctor. This is important because it keeps everyone apart and greatly limits the risk of infection for both patient and healthcare professionals. 

This idea is especially helpful for those who are more susceptible to the virus, such as those with underlying conditions or a weak immune system. 

Medicare now can pay for office, hospital and other visits via telehealth, including in the patient’s residence. A range of healthcare offices has been able to implement telemedicine, and there is flexibility for health providers when it comes to fees and charges. 

If you have any questions about your personal insurance or how this could affect you, you should talk to both your doctor and your insurance provider for the best and most accurate information. 

Will I Still Receive the Same Level of Care?

The short answer: absolutely. The only difference with telemedicine and you actually coming into the office is the physical space where your appointment takes place. 

When you call in or video chat with your provider here at Norman Urology Associates, you’ll still get the smiling faces and compassionate care we’ve always given—just at a distance. This keeps everyone safe and will save time and stress during this entire pandemic. 

If at any point you feel like your telemedicine experience is subpar, we highly encourage you to reach out to us and let us know what happened, and we’ll correct the mistake quickly and efficiently. The last thing we want is for our patients to feel different about us because of the situation. 

And remember, if you do need to come into the office for a procedure or exam, we’ll still be doing those. 

We’re Still Here to Help

Despite everything going on and many things being uncertain, you still can count on the health professionals at Norman Urology Associates to be there for your needs. 

Our telemedicine protocol still will provide our expert and compassionate care for every situation you have, and you still can reach out on our website to schedule an appointment today.

The Coronavirus and You: Important Information and Tips to Stay Healthy

You’ve seen the name everywhere. You know it’s a worldwide pandemic infecting millions. And you know it’s spreading fast. 

But where did it come from? What is our government doing about it? How can I keep myself and my family safe? You’re probably wondering what we plan to do here at Norman Urology Associates. 

The No. 1 thing to remember is to stay calm and understand the situation. 

The Coronavirus: The Basics

Coronaviruses, or CoV, are a large family of viruses that cause many illnesses from the common cold to more severe diseases that have to do with the respiratory system. The current pandemic, labeled as such from the World Health Organization, is COVID-19, a new strain of the coronavirus that had not been previously discovered. 

COVID-19 is transmitted from person to person, which is why practicing social distancing is very important. Social distancing is the practice of purposefully keeping people away from each other to slow the spread of the virus. That’s why events, social gatherings and anything with attendance of over 10 people should be canceled at this time. 

Based on pattern, the current virus is particularly fatal to those over the age of 60 with underlying conditions such as weak immune systems, diabetes or heart problems. 

Staying Healthy

The common signs of COVID-19 are very similar to the flu, which is why if you have any of the following symptoms, even one, you should go see a doctor. These symptoms are: 

• Fever.

• Cough.

• Shortness of breath.

• Breathing difficulties.

• Fatigue.

This is not a comprehensive list, and some people could experience symptoms that others do not. 

Luckily, there are easy ways to keep yourself and others as healthy as possible during this time, such as: 

• Washing your hands regularly for 20 seconds or more.

• Covering your mouth when you cough or sneeze.

• Practicing social distancing as much as possible.

• Avoiding touching your face as much as possible.

• Disinfecting your homes and common spaces.

Follow the Centers for Disease Control and Prevention for the latest updates about COVID-19. 

At Our Office

Here at our office, it’s business as usual, just with a little extra precaution. All doctors are asking for patients to call before coming to any appointments to make sure it’s safe for them to do so. 

This is specifically to make sure that a.) people aren’t sick, and b.) they haven’t recently traveled to an area that has a high spread rate. It’s very important to us to keep everyone safe, and the first step in that process is making sure the patients that enter our doors are not a risk or at risk themselves.  

If any of our patients would like to bypass the waiting room completely, we understand, and your wishes are important to us. 

The first thing you’ll need to do is call our office at (360-9966) and dial extension 599 to speak with someone at check-in. You also can fill out your needed paperwork on the patient portal. There’s a link on our website. 

From there we will let you know when you can walk directly in to complete your registration and be seen for your appointment. Because of this, we ask that everyone limit one visitor per patient. Visitors will be required to sit in the waiting room unless the physician allows them to come back to the exam room. 

Schedule an Appointment Today

With so much uncertainty happening in the world today, rest assured that the physicians at Norman Urology & Associates are here to help. 

With our comprehensive services handling the male reproductive and urinary tract as well as the female urinary tract, you’re in good hands here. Schedule an appointment with us today, and we’d be happy to show you. 

The Truth About Erectile Dysfunction

First, let’s get a few facts straight: 

Studies say it affects nearly 18 million men over the age of 20. 

While it becomes more common as you age, it affects men of all ages. 

The issue can be emotional or psychological as well as physical. 

Forty percent of men report experiencing it at one time or another before the age of 40. 

While millions of men experience it, very few seek treatment for it. 

Erectile dysfunction (ED) is not usually a common topic of conversation outside of the people in the relationship that it is affecting. Separating the facts from the fiction when it comes to ED can be a difficult task as men often find the subject embarrassing to discuss with professionals who can help. However, turning to the experts can help you get over the frustrating experience and work toward a plan that will return you to a normal sex life.

What is Erectile Dysfunction?

ED is defined as the inability to get or keep an erection long enough to have sexual intercourse. To understand what is going on when an erection is not happening, you have to understand what’s going on when it does. 

When a man experiences arousal, the brain sends signals to the blood vessels found in the penis causing them to dilate. Blood can then enter and remain in the penis causing pressure that traps the blood in the penis. Due to this pressure, the penis becomes erect. However, if blood flow to the penis is insufficient or there is insufficient pressure to trap it in the penis, an erection becomes impossible. 

What Causes Erectile Dysfunction?

Contrary to popular myth, the male arousal is a complicated process, so pinpointing the exact cause of ED can be a difficult challenge. Arousal begins in the brain, but nerves, blood vessels, and certain muscle groups can be involved as well. Erections can also be affected by hormones, emotion, diet, and several underlying health issues. However, for the most part, reasons for ED can be put into one of two categories: Physical and Emotional

Physical Causes 

There are many physical things that can be happening in the body to cause ED. Just some of the more common physical factors include:

• Heart disease

• Obesity

• Diabetes

• Low testosterone levels

• High blood pressure

• Certain prescription medications

• Nerve signal issues

Lifestyle choices can also increase your chance of experiencing ED because of the physical toll they take on the body. Some of these include smoking, drug use, and drinking excessive amounts of alcohol. 

Emotional Causes

It was once thought that ED was caused entirely by emotional psychological factors. While modern medicine has proven it can be caused by physical problems as well, the emotional component is still very much at play. It can be so complicated that the physical causes of ED can affect you emotionally which worsens ED. 

Stress, depression, and anxiety can all have a major effect on the male sex drive and cause ED. The emotional cause is especially prevalent in men under the age of 40. 

Figuring out the cause of ED might be stressful in and of itself; however, not treating the underlying physical or emotional (or both!) problems that are causing it can lead to more stress, depression, and relationship problems.

How Can ED Be Treated?

The first step to getting your normal sex life back is to seek the help of medical professionals. A doctor will be able to rule out any big underlying medical issues that may be lurking before they begin to chip away at any other benign causes. 

There are two main courses of treatment for ED depending on whether you need to be treated physically or psychologically: Medication and talk therapy.

Medication that stimulates blood flow and relieves the symptoms of ED can be prescribed. These oral medications include commonly known names like Viagra and Cialis. Other medications can be administered through penile suppositories or via an injection at the base of the penis. 

The bottom line is that you need to discuss your options carefully with your healthcare provider. They can help you find the course of treatment that is best for you that will have the most success and least amount of side effects. 

Talk therapy can also be beneficial if your ED is being caused by, or is creating, anxiety, stress, or depression. Many men with ED benefit from cognitive behavioral therapy as well, which helps them identify attitudes about sex, negative things that can trigger anxiety, and relationship issues that are causing a strain on your sex life. 

Knowing some of the facts and debunking some of the myths around ED is the first step toward reclaiming your sex life. Your second step is to contact a healthcare professional who specializes in helping men with Erectile Dysfunction. The experts at Norman Urology Associates are just the people you need to help you discover the underlying causes of your ED and the steps that are right for you in overcoming it. 

Top Things to Know About an Overactive Bladder

Having an overactive bladder means having to get up frequently and often unexpectedly to use the restroom. This means at any moment – during a movie, on a run, or at the store – you could suddenly need to find the nearest restroom. This can lead to you isolating yourself or limiting your activities because you don’t want to get caught somewhere when you need to go. 

While all of us use the bathroom each and every day, an overactive bladder is particularly frustrating, as it can hinder your social life. But there is hope. Learn more about overactive bladders – from what causes them to how to manage them – in this blog post. 

The Basics

An overactive bladder is defined by the sudden, frequent urge to urinate. It’s often difficult to stop, but could also be defined by the involuntary loss of urine, or “urge incontinence” as it’s called. An overactive bladder is a huge hindrance, as it makes everyday life much more challenging. It’s not only a physical ailment, it can really create mental frustrations, leading to a feeling of embarrassment and a limited social and work life. 

Management

To manage an overactive bladder, there are a few places to start before taking medication. While your doctor will discuss these in much more depth, some places to begin are the intake of fluid throughout the day, timing your urinations, and learning to hold your bladder using your pelvic floor. Some of these words might seem intimidating, but they’re often quite manageable. 

If these efforts don’t work, your doctor may prescribe medication, especially depending on your specific condition. 

Symptoms

As we already mentioned, some of the symptoms of an overactive bladder include a sudden urge to urinate that’s difficult to control, as well as the involuntary loss of urine immediately following the urge. This is the part of this ailment that causes such isolation and embarrassment, and your doctor will work with you to manage this first and foremost. 

Beyond that, you may also urinate frequently, eight or more times in 24 hours. Waking more than once or twice in the night to urinate is another symptom that something could be amiss when it comes to your bladder. The truth is that even if you don’t have urge incontinence – which means involuntary urination – frequently needing to go and being woken up often are hindrances all the same. 

Causes 

There are many reasons for an overactive bladder to occur. Before we go on, let’s discuss how it all works in the first place. Your kidneys produce urine by draining liquid into your bladder. From there, urine passes through your bladder through an opening and comes out of your urethra when you use the restroom. 

As your bladder fills, nerve signals are sent to the brain alerting you that you need to go. Eventually, you’ll get up to use the bathroom, and your brain will coordinate the relaxation of the pelvic floor muscles and muscles of the urethra. The muscles of the bladder tighten and push the urine out. 

Overactive bladders occur when those nerves and muscles are going haywire in some way or another. These muscles begin to contract involuntarily, even when the volume of urine in the bladder is low. This causes your brain to believe you need to go, even when you don’t necessarily. There are plenty of overarching causes, from abnormalities in the bladder like stones to excess caffeine or alcohol to even neurological disorders. It’s best not to panic and instead consult a urologist. 

Risk Factors

The biggest risk of getting an overactive bladder is age. As you age, you’re much more likely to get an overactive bladder, because you’re also at risk of many other conditions that can cause overactive bladders, such as diabetes and an enlarged prostate. 

Many times after a cognitive decline due to a stroke or Alzheimer’s disease, an overactive bladder is common. Again, in many cases, even when your overactive bladder is the result of a cognitive decline or other issues, your doctor will work with you to solve this problem with fluid schedules and programs. 

Complications

Incontinence affects your overall quality of life, no matter how severe. If your overactive bladder symptoms are causing a major disruption, there’s also a chance it could lead to emotional distress or depression, anxiety, sleep disturbance, and even issues with sexuality. There’s also a symptom called stress incontinence, wherein physical activity can cause the urge to go, hindering you from exercise. 

In old age, people may experience a combination of bladder problems and issues. The bladder can cause the urge to go, but won’t empty well. A urologist can help. 

When to See a Doctor

It’s time to see a doctor when any of the above symptoms negatively affect your overall quality of life. Frequent urination and an overactive bladder are incredibly frustrating ailments and can become irksome even if they’re only slight. Your urologist can help them become manageable. If you’re uncertain about any symptoms above, contact us today. Even if you’re perfectly healthy, it’s never a bad call!

What Are Kidney Stones and What Causes Them?

Kidney stones are one of those things that everybody hears about and nobody wants. While we’re all aware of how painful they can be, most of us probably don’t actually know that much about kidney stones. 

Today, we’re going to talk about kidney stones, from their causes to their various levels of extremity, so you can be better prepared and rest easy if you ever find yourself diagnosed with them. 

What Are Kidney Stones? 

First, let’s simply discuss what kidney stones actually are. If you’re like most people, all you know about kidney stones is that they’re in your “bladder area” and you’ll eventually have to pass them, which can be very painful. These are almost true statements (they’re not specifically in your bladder, they start in your kidney and move to the bladder), but there’s more going on under the surface. 

Kidney stones are hard deposits made from minerals and salts that form inside your kidneys. They have many causes and can affect not just your bladder but your entire urinary tract. These deposits are often formed when urine becomes concentrated, allowing minerals to crystallize and stick together. 

One important note we think it’s good to include in this earlier section of this post is that, in almost all cases, kidney stones do not cause permanent damage, especially if they’re caught early enough. In many cases, you may not even need to do anything about them except take pain medication and drink plenty of water. 

Symptoms of Kidney Stones

Speaking of catching it early, let’s talk about the symptoms of kidney stones. It’s difficult to tell if you have kidney stones, because when they’re in your kidney, the symptoms are basically nonexistent. It’s not until they start to move that you might notice their symptoms. 

These symptoms include severe pain in your side and back below the ribs, pain that radiates around your abdomen and groin area, and especially pain in urination. As we’ve written about before, discoloration in your urine can also be a sign of something wrong, including kidney stones. Kidney stones can also cause more frequent urination than usual, or, in serious cases, a fever and chills due to infection. 

The Causes of Kidney Stones

Like we said, kidney stones are caused by minerals like calcium in the urine building up in the kidneys. When it comes to the causes of those minerals and what makes them build up instead of remaining in liquid form, there is not one single answer. Sometimes, urine lacks the substances needed to prevent the buildup, and other times, they can be the result of dietary factors, like high doses of vitamin D. 

There are also different kinds of kidney stones, from calcium stones – made by calcium, of course – to struvite stones, which are caused by some kind of infection like a urinary tract infection. 

There are also uric acid stones, which form in people who aren’t drinking enough fluids or who eat a high protein diet. Without water or fluid in your system, there is nothing to stop the minerals from crystallizing. Finally, there are cystine stones, which form in people with a hereditary disorder that causes the kidneys to excrete too much of certain amino acids. 

Risk Factors 

While sometimes kidney stones are an inevitable and inadvertent part of life, there are certain factors that can obviously increase your risk. First, as with many medical conditions, if someone in your family has or has had kidney stones, you’re more likely to develop them. 

Next, not drinking enough water each day can greatly increase your risk. If you live in a warmer climate, or if you simply don’t have great hydration habits, you could be at an increased risk. There are also links between certain diets, specifically those high in sodium, and kidney stones. 

Obesity can also play a role, as a high body mass index, or BMI, can increase your chances of getting kidney stones, as well as gastric bypass surgery, inflammatory bowel disease and chronic diarrhea. There are other medical conditions that can increase your risks, so talk to your doctor to be sure. 

When to See a Doctor

It’s time to see a doctor when any of the above symptoms become intense, because they could be the result of kidney stones but they could also be the result of a more serious issue. If you’re uncertain about any symptoms above, contact us today. Even if you’re perfectly healthy, it’s never a bad call!

6 Facts to Know About Prostate Cancer

For men in the United States, prostate cancer is the second-most common form of the disease, behind only skin cancer. Approximately one in every nine U.S. males will be diagnosed with prostate cancer, and because of that, it’s important to learn the basic facts about the disease to better prepare yourself mentally. 

If you’re concerned something might be wrong with your bladder or prostate, it’s time to visit the doctor. As we mention in other blog posts, you should never assume you have or don’t have any disease, condition, or disorder, but instead you need to visit your urologist to get a proper diagnosis. That being said, there are still things you should know about the disease. Here are the top six basic facts to understand about prostate cancer. 

1. Prostate Cancer is Very Common

As we said above, prostate cancer is one of the most common types of the disease, affecting more than 3 million American men. In the year 2020, it’s predicted that nearly 200,000 men will be diagnosed with the disease. Prostate cancer is more common than colon, kidney, and stomach cancer, as well as melanoma, in men. 

2. Age is a Factor

There’s a reason that most standard prostate exams are recommended at age 50; the older you get, the more vulnerable you are to prostate cancer. After you reach 50, you’ll want to get screened with at least some manner of frequency to be safe. 

3. Family History is Important

If someone in your family – a father, brother, uncle, or even a son – has prostate cancer, there’s a better chance you could get it too. In fact, people with prostate cancer in their family are twice as likely to get the disease, so if you know a relative who has or had it, you should get screened earlier and more often. 

4. The Causes of Prostate Cancer

There are no absolutely certain causes for prostate cancer, but there are a few factors that some doctors agree seem to lead to an increased risk. The biggest of these is your diet. A diet high in fats, such as that from red meat and other high heat-cooked meats, can contribute to the disease. Prostate cancer is also more common in countries where meat and dairy products are dietary staples, so lowering your intake of these could help.

A few other suspected factors are your body mass index, or BMI, as well as your rate of physical activity, smoking cigarettes or other tobacco products, a high calcium intake, and your family history. 

5. Prostate Cancer is Often Silent

While there are many symptoms of prostate cancer – like blood in the urine or just pain/burning while going to the bathroom – the truth is that the disease is often completely invisible and silent. That’s why screenings are so vital. It’s often the case that patients thought they were completely healthy before their screening. 

 The absolute best way to make sure you are all clear and prepared is to visit your urologist.

6. Prostate Cancer is Beatable

One of the few positive facts about prostate cancer is that it is a highly treatable form of cancer. In fact, up to 99 percent of people diagnosed live five years or more after their diagnosis. While it might seem uncomfortable or scary to get a screening, there is another reason they are so important. The earlier your urologist detects any issue with your prostate – including not just cancer but other problems – the better. 

Time to Visit the Urologist

If you’re experiencing any unusual or painful symptoms, it’s a great time to visit your urologist. Even if you’re not but you’d like to make sure everything is shipshape, that’s fine too! 

Contact Norman Urology today to schedule your appointment for all your urology needs. Our team is well trained and ready to help!

What the Color of Your Urine Means For You

Like many topics in the urology world, urine is a fairly taboo thing to bring up in conversation, and it can, therefore, be uncomfortable if there is a problem, especially one that seems minor. The color, specifically, of your urine can say a lot about the state of your bladder, kidneys, and all sorts of other parts of the body. 

In today’s blog, we’re going to discuss some of the most common variations of urine color and what they could mean. Since it’s not likely you’re going to bring up the color of your urine with friends, it’s a symptom that can easily lead you to sites like WebMD, where scary, often wrong diagnoses will pop up from the jump. 

We’re here to clear some of that noise and worry from your mind, and explain when it’s time to visit your urologist based on the color of your urine. Let’s get started. 

The Basic Facts

Before we talk about the various colors of urine, let’s start by talking about why urine changes color at all. As you know by now, normal, healthy urine ranges in color from clear to a deep yellow. This is the result of a pigment called urochrome, and the variations are the direct result of how diluted it is by the water you drink.

However, other factors can also change its color, from certain foods like beets and berries to medications that can give urine vivid tones like greenish-yellow or even blue. While some unusual colors can be signs of disease, it’s good to be aware that sometimes, it’s simply because you ate something or you’re on medication. 

Normal Urinary Colors

As we just mentioned (and as you already know, at least to some extent), the regular color of urine is yellow or clear. If your urine is usually a strong yellow, this usually means you haven’t been staying properly hydrated. 

Liquids of any kind, but most often water, are the number one factor when it comes to clear urine. Fluid dilutes the yellow pigments in urine, so the more water you drink, the clearer it will be. If your urine is clear most of the time, you’re well hydrated and your bladder is likely in good shape. Now that you understand the basics of healthy or “normal” colors, let’s move on to some other colors that your urine could be.

Red or Pink

While reddish or pink urine can be scary, it’s not necessarily a sign of danger or disease. Red and pink urine can be caused by eating beets, blackberries and rhubarb, as well as various medications, specifically Rifampin, an antibiotic, and any laxatives containing senna. 

However, as you might have already guessed, another factor in red urine is sometimes blood. Blood in your urine doesn’t mean you need to panic, but it is likely a sign you need to see a doctor. There are a number of causes for blood in urine, ranging from inconsequential to serious, such as an enlarged prostate, cancerous and noncancerous tumors, kidney or bladder stones, and even long-distance running. Visit your urologist if your urine is and continues to be bloody. 

Orange 

While similar to red urine, orange urine is caused by different things. There aren’t really any foods that can cause orange coloration specifically, but there are several medications, mostly in the anti-inflammatory category. 

In some cases, orange-colored urine could mean a problem with your liver or bile duct, especially if you have light-colored stools. Additionally, dehydration can make your urine an amber color, which is similar to orange and can be difficult to tell apart. 

Blue and Green

While definitely, the most shocking to see, blue and green urine is most often harmless, usually caused by a brightly colored dye in a food such as candy. Also, dyes used for tests on kidney and bladder functions can also turn urine blue. In most cases, your blue and green urine will go away after only one trip to the bathroom.

Like other colors, these can also be caused by medications, and in some cases (more rare than red or orange), blue and green urine can be caused by a medical condition, though it’s not common. Finally, green urine can sometimes occur during a urinary tract infection.

Brown and Cloudy

Brown urine is definitely the most gross-sounding of the various options, but like the others, it isn’t necessarily a sign of disease or risk. If you’ve recently eaten a lot of rhubarb, fava beans, or even aloe, your urine can turn brown. Also, medication can sometimes cause these symptoms. 

Some liver and kidney diseases can cause brown urine, as well as extreme exercise, including muscle injury. If your urine is brown, pink, or cloudy, it could be the result of muscle injury, urinary tract infection, or kidney stones. 

When to Visit the Urologist

If your urine is an unusual color, the truth is it’s never a bad idea to visit your urologist so they can run tests and make sure you’re not abnormal in any way. This is especially true if your urine has been an unusual color for more than 1-2 instances, as this could indicate something irregular going on in the kidney, liver, or bladder. 

Contact Norman Urology today to schedule your appointment for all your urology needs. Our team is well trained and ready to help!

Best Dietary Tips for a Sensitive Bladder

For anyone with an overactive or sensitive bladder, there are many treatments to consider. But when it comes to day-to-day life, food and drink can make a big difference in your symptoms, comfort, and health. If you feel the need to go more frequently than usual, or to such a degree that it’s uncomfortable and inconvenient, adjusting your food and liquid intake can help. 

While a change in diet is not a long-term replacement for medical care, especially if you feel that there’s something wrong, it can help with minor issues. Plus, learning when and how to eat can lead to a more comfortable lifestyle. Read on to learn more about how diet can impact your bladder. 

Everyday Beverages

The first place to start, especially if you feel the need to urinate on a more-than-regular basis, is obviously your beverage intake. There are two key elements to consider when trying to tinker with your drinking habits, and those are the type of beverage you drink and the time of day that you drink them. 

The first step is to make sure you’re drinking enough water. This might seem like a no-brainer, but Americans are typically terrible at hydration. Many of us don’t fully understand just how much water to drink throughout the day. A good place to start is 64 ounces per day, or eight  8-oz. glasses. 

Some recent studies have refuted this, saying it’s best to simply drink when you get thirsty, which is a good rule, but if your body isn’t used to being hydrated, you may not be as thirsty as often. One of the best ways to start to hydrate properly is to purchase a refillable water bottle so you can track the amount throughout the day. 

Next, you should make sure to drink more water at the beginning of the day, which helps your metabolism and digestive system wake up and get going, leading to better bladder health. In the late afternoon and evening, it’s a good idea to slow down on your water intake, as being too hydrated before bed can lead to sleepless nights, getting up to use the restroom repeatedly.

Drinks to Avoid

Now that you know the basic facts about staying hydrated – which can immensely help a sensitive bladder – it’s time to talk about drinks other than water. Drinking water is the best way to stay hydrated, but even for water-drinking experts, plain water can get boring. It’s not a crime to want other beverages throughout the day, but you should be aware of the downfalls of certain choices. 

For anyone with a sensitive bladder, there are some everyday beverages that can cause discomfort and frequent urination. One of the biggest examples is caffeine, which can lead to more frequent urination, especially if you aren’t hydrated otherwise. So if you like to wake up and have an immediate cup of coffee, it might be a good idea to have a small glass of water as well. 

If your bladder has been sensitive lately, you should start to reduce your consumption of caffeinated beverages, acidic fruit juices, and carbonated beverages and sodas. Some artificial sweeteners can also irritate the bladder, so you should talk to your doctor before committing to any new drink. Also, alcohol is known for aggravating the bladder, so be cautious before indulging. 

Everyday Foods

Next, we’ll talk about food instead of beverage since you’ve got all the hydration knowledge you need. Food can also be a factor in a sensitive bladder and can aggravate it or cause frequent discomfort just as easily as many beverages. 

One of the biggest culprits is acidic foods like citrus fruits like lemons and limes, and tomatoes and their products. If these are a frequent part of your diet, you can start by replacing them with pears or blueberries, which are also high in antioxidants but are not so acidic. If you frequently drink water with lemon juice, try to add a twist instead. 

Finally, you can also try cutting back on spices to help improve bladder sensitivity. Many people claim that spicy foods can be disastrous for a sensitive bladder, causing very frequent urination. Cut back on your spices, and see if that helps. 

Keep a Diary

If you’re really serious about finding the cause of your sensitive bladder within your diet and what worsens it, try keeping a food diary, and write down any flare-ups in the diary on the days they occur. You can use this data to find correlations between certain foods. 

If that’s not working, you can also try removing things one at a time from your diet to see how it impacts your diet. 

Visit Your Doctor

Working on your food and beverage intake as well as your overall diet is a great way to attempt to find some more discomfort for anyone with any condition that causes their bladder sensitivity, or simply seeking more regularity. 

However, if you’re feeling extreme or long-term discomfort, a change in diet might only be half the battle, and it could be time to visit your urologist. It’s never a bad idea to make sure everything is in good shape, and if not, to create a treatment plan you can count on. If you’re in need of urology care, contact us today. We are happy to schedule an appointment to discuss any needs you might have.

Visit our website or call us today at 405.360.9966.

Urology and You: Top Things to Know

While not often discussed, urology is a very important branch of medicine, dealing with health problems concerning the male and female urinary systems as well as the male reproductive system. As you may already know, the urinary tract is a pathway in the body that stores and gets rid of urine and extra water, and it includes the kidneys, ureters, bladder, and urethra. 

Additionally, the male reproductive system is closely tied to the male urinary tract and system. A doctor specializing in these systems is called a urologist, and while it can be a bit taboo or uncomfortable to think about going for your first urology visit, it’s not a big deal at all and is an important factor in your overall health. Today, we’ll discuss some of the key things you should know before your first visit. 

What is a Urologist?

A urologist is a physician specializing in the above mentioned urinary tract and male reproductive systems. In many cases, one will visit a urologist after meeting with a primary care physician who will refer you to a specialist, but sometimes, patients will come straight to the urologist. 

Urology is a specialization that you may not have thought about much before, as the types of issues they help to remedy are in areas that you don’t really think about – until something’s wrong. A urologist can help. 

Primary Conditions Treated

For men and women, there are many conditions and ailments that a urologist may treat. They can help with bladder problems, which can sometimes be mysterious and incredibly inconvenient. They can also deal with issues relating to the kidney, such as blockage or the dreaded kidney stones. 

While there are other specialists that women will go see for their reproductive organs, male patients need not leave the urology office. Urologists help with erectile dysfunction or ED, as well as enlarge prostate glands, which can lead to discomfort and complications if not treated. 

Your First Trip

Due to the private nature of many ailments related to urology, you might be nervous about your first urology visit. No one wants to be uncomfortable, and the last thing your urologist wants is to make you feel that way. That being said, it’s nice to know what to expect for your first trip to the urologist. 

Your first visit will begin like most other appointments with physicians and doctors, as you’ll need to fill out the proper paperwork detailing your condition. After that, your physician will perform an exam on the areas in question. This will concentrate on the urinary and reproductive system(s) and evaluate other systems as well. 

Once your urologist is done with the exam, they will discuss the next steps, which can include treatment and/or further testing, depending on your needs as a patient. Any new type of medical exam can be intimidating, but your urologist is a professional and will make sure you are taken care of. 

Stay Hydrated

This note bears repeating: it’s extremely helpful for both you and your urologist that you remember to stay hydrated leading up to your appointment. In many cases, during your first visit you’ll be expected to provide a urine sample, as it’s difficult for a urologist to give you a proper diagnosis without one. So make sure to drink plenty of water before you arrive, and don’t use the restroom until you’re there! 

Why Visit?

There are many reasons to visit a urologist, but unlike a common cold or stomach bug, it’s difficult to identify them for yourself. Plenty of symptoms of conditions are treated by urologists – like the feeling that you have to go to the bathroom all the time, or pain in your pelvis or bladder – sometimes they seem like they’re not something you need to visit a doctor for. 

However, if you are feeling extreme or long-term discomfort, it’s time to visit your urologist. While it might seem inconvenient, it’s never a bad idea to make sure everything is in good shape. If you’re in need of urology care, contact us today. We are happy to schedule an appointment to discuss any needs you might have. 

Visit our website https://www.normanurology.com/ or call us today at 405.360.9966.