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Madras Medical Mission; Dept of Urology

Urologist Clinic

4-A, Dr. J. Jayalalitha Nagar, Mogappair, Chennai, Jayalalitha Nagar, Mogappair East, Chennai, Chennai Chennai
1 Doctor · ₹550
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Madras Medical Mission; Dept of Urology Urologist Clinic 4-A, Dr. J. Jayalalitha Nagar, Mogappair, Chennai, Jayalalitha Nagar, Mogappair East, Chennai, Chennai Chennai
1 Doctor · ₹550
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We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply....more
We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply.
More about Madras Medical Mission; Dept of Urology
Madras Medical Mission; Dept of Urology is known for housing experienced Urologists. Dr. Abraham Kurien, a well-reputed Urologist, practices in Chennai. Visit this medical health centre for Urologists recommended by 49 patients.

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MON-FRI
08:30 AM - 06:00 PM
SAT
08:30 AM - 01:30 PM

Location

4-A, Dr. J. Jayalalitha Nagar, Mogappair, Chennai, Jayalalitha Nagar, Mogappair East, Chennai, Chennai
Mogappair East Chennai, Tamil Nadu
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Dr. Abraham Kurien

MBBS, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery
Urologist
24 Years experience
550 at clinic
Available today
08:30 AM - 06:00 PM
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Fistula For Dialysis!

MBBS, MS - General Surgery, MCh - Vascular Surgery, F.V.E.S
Vascular Surgeon, Bangalore
Fistula For Dialysis!

An arteriovenous fistula or AV fistula is a connection between the artery and vein made by a vascular surgeon at the time of hemodialysis. Hemodialysis is a treatment for kidney failure that involves a machine called dialyzer to filter the blood and remove the toxins. In order to gain a safe and easy access to the blood system during hemodialysis, the AV fistula is essential.

An AV fistula is placed in the upper arm and it causes extra pressure and extra blood to flow into the vein, thereby making it stronger and larger.

Benefits of AV Fistula

  1. Lower complication rates
  2. Less prone to injection or blood clotting
  3. Enables greater blood flow
  4. Relatively less expensive to maintain with a longer lifespan

Types of Fistula for Dialysis
All AV fistulas are created from the native blood vessels of the body, without any synthetic materials. The surgical process is quick and simple and requires a maturation time, in order to enable an increase and thickening of vessel walls.

  1. Radial Cephalic Fistula – This access involves a connection of the radial artery and cephalic vein. It is the hardest to create and has a lower blood flow than the other types. Typically the first choice for hemodialysis access, the radial cephalic fistula at the wrist is recommended.
  2. Brachial Cephalic Fistula – It is the easiest fistula that can be created by connecting the upper arm cephalic vein to the brachial artery. This access allows for a higher blood flow since the blood vessels in this part of the body are relatively larger. Also, it is easier to cannulate or introduce a tube into the vein, with a larger possible selection of cannulation sites.
  3. Brachial Basilic Fistula – This access is more complex to create and typically considered when multiple access procedures have failed previously. It requires the vein to be elevated and transposed in order to enable easy access. A mobilized vein from a deep location is connected to a superficial tunnel.

How does the AV Fistula Work?
Before surgery is done to insert the fistula, the surgeon may perform a vessel mapping test to analyze blood vessels and determine the best blood vessels to use. Once the surgery is performed, the fistula needs 2 to 3 months to mature and accustomed to the body before it can be used for hemodialysis.

At the start of the dialysis, the patient or healthcare provider inserts two needles into the access. One needle referred to as the arterial needle carries the blood from the body to the dialyzer machine. The dialyzer performs the kidney’s function to filter out the toxins and then it returns the filtered blood through another tube. The other venous needle carries the filtered blood back to the body.

Kidney Health - 6 Amazing Ways You Can Maintain It!

DM - Nephrology, DNB (Nephrology), MD, MBBS
Nephrologist, Delhi
Kidney Health - 6 Amazing Ways You Can Maintain It!

Kidney is a crucial detoxifying organ that performs a lot of functions including, absorption of minerals, filtration of blood and production of hormones and urine. It also helps your body to maintain a healthy PH level. Since kidney failure can prove to be fatal, it is essential to keep it healthy, to ensure smooth function of your system.

The following are the tips to ensure the health of your kidneys:

  1. Adequate intake of water: It is advised to drink a minimum of 8 glasses of water daily, to help your kidneys function properly.  Adequate intake of water ensures that your body is able to flush out the harmful toxins at regular intervals.  However, in case if you are already suffering from kidney disease, this point is not applicable.
  2. Control your blood pressure and blood sugar level:  Diabetes is one of the major causes of kidney failure. It is recommended to control your blood sugar level on a regular basis to ensure healthy functioning of your kidney. People who have high level of blood sugar and blood pressure are more susceptible to suffer from kidney disorders.
  3. Quit tobacco: Accumulations of toxins in your body tend to have a harmful impact on not only your kidneys but also on your overall health. It is strictly recommended to quit smoking and using other forms of tobacco to protect your kidneys from damage. 
  4. Reduce weight:  Obesity and the problem of excessive body fat are harmful for your body in more than ways than one. Being overweight makes you more susceptible to develop kidney cancer. Therefore, it is advisable to lose a few kilos to ensure the proper functioning of your kidneys.
  5. Avoid intake of analgesics without prescription:  Most analgesics have the tendency to be harsh on your kidneys.  Ingestion of analgesics increases your risk of developing kidney cancer. Non-steroidal anti-inflammatory drugs (NSAIDs) like aspirin, ibuprofen, naproxen, and acetaminophen are some of the analgesics, which are known to affect your kidneys in the long term. Therefore, it is necessary to avoid taking them without consulting a doctor.
  6. Include healthy food in your diet:  If you increase the intake of green vegetables in your diet, it will help your body to accelerate the process of detoxification.  Fruits and vegetables including watermelon, cranberries, blueberries, strawberries, apples, cabbage, cauliflower, peppers, garlic and onions provide considerable aid in removing the toxins out of your system. However, in case if you are already suffering from kidney disease, this point is not applicable.
2 people found this helpful

Sir I am 37 old, I am suffering with bladder outlet obstruction, urine passing very very slow and in sleeping urine leakage.

BHMS
Homeopath, Raebareli
Sir I am 37 old, I am suffering with bladder outlet obstruction, urine passing very very slow and in sleeping urine l...
Please note that you need to do a urethrocystoscope and rule out the cause of the same Also a ultrasound of lower abdomen needs to be done Take Can nothris 30 - 4 pills thrice daily Drinks mixed fruit juice daily Continue treatmnent.
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I have gone through uric acid test which has shown as 10.4 against 7. Something I have started febustat-40.In past also the same thing was happened and I took febustat 40 for 20 days and my uric acid came down up to 5.4.Is there permanent treatment for uric acid in Homeopathy .If yes how many days I have to take. My creatinine a level also shown as 1.19 against 1.17. Is it due to Uric acid or what?

BHMS
Homeopath, Chennai
I have gone through uric acid test which has shown as 10.4 against 7. Something I have started febustat-40.In past al...
Normal Uric acid levels are 2.4-6.0 mg/dL (female) and 3.4-7.0 mg/dL (male) Some diets that are rich in purine end up causing an increased production of uric acid. In other cases, it may be due to a completely sedentary lifestyle. Less intake of water also may be to blame in some cases as water plays an important role in washing out the excess of the uric acid. Regular usage of some medicines also cause the uric acid levels to rise. Another important factor is being overweight as obese people are much more likely to get gout as compared to those who have normal weight. It is a tragedy of the modern world that the superior advertising and marketing power of the allopathic system of medicine has eclipsed the good and genuine work of Homeopathy. This is largely because Homeopathic system of medicine cannot compete with the money power of Allopathy. Just because allopathy does not have any cure for gout, patients tend to think that there is no cure for gout at all. People are not aware of the great work that Homeopathy can do in the cure of gout. I cannot stress enough here that homeopathic medicines are pretty effective at curing the acute as well as the chronic gout A homoeopathic constitutional treatment will give you a permanent cure naturally You can easily take an online consultation for further treatment guidance and permanent cure without any side effects.
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What is piles and anal fissure? What is consequent of anal fissure? Chronic anal fissure causes or convert anal cancer? Please give me suggestion.

FMAS, MS
General Surgeon, Gandhinagar
What is piles and anal fissure? What is consequent of anal fissure? Chronic anal fissure causes or convert anal cance...
Resepcted lybrate-user, Hi Warm welcome to Lybrate.com I have evaluated your query thoroughly. Piles are the swollen and inflammed veins of the anus and rectum giving rise to - discomfort during or after stool - pain - constipation - occasional bleeding - prolapse of the tissue outside anus. Fissure is cut in the skin of external anal opening which give rise to - burning, pain,itching after defecation - constipation - occasional bleeding per rectum. Any of them is not responsible for anal cancer. Hope this will clear your query. Welcome for any further guidance. Regards.
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Dear doctor I have been suffering from anul fissure since 12 years. Now I face some problem such as constipation. When stool is hard then my anus finishing point occur swelling and pain and not smoothly delivered stool. I want to know better advice about anal fissure and piles.

MD-Ayurveda,Kayachikitsa(Ayurvedic physician), BAMS, MD
Ayurveda, Jammu
Dear doctor
I have been suffering from anul fissure since 12 years. Now I face some problem such as constipation. Whe...
Dear user chronic constipation is the main cause for fissure in ano. The more constipation the more pain. Avoid constipation n you Hv to Tk few medication to get rid of it. For more details consult me. Thnx.
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Urinary Incontinence - 5 Conditions Associated With It!

MCH-Urology, M.S. (General Surgery) , MBBS
Urologist, Gurgaon
Urinary Incontinence - 5 Conditions Associated With It!

Urinary incontinence is the leakage of urine or urinating involuntarily. Urine is released by a process called micturition where the detrusor muscles of the urinary bladder contract to empty the bladder. This is usually a voluntary action but when the muscular contractions become involuntary, incontinence occurs. 

Urinary incontinence may be caused due to stress, pregnancy, obesity, weak pelvic muscles, alcohol intoxication or due to diseases like diabetes, Parkinson's disease and Alzheimer's disease. Children under the age of 5 experience incontinence most often. People above the age of 65 are also prone to the condition. The disorder is observed more in women than in men.

The associated conditions of urinary incontinence are:

  1. Infection in the urinary tract: The risk of bacterial infection is increased due to incontinence and abnormally frequent urination. If you have had an infection in the urinary tract in the past, chances are that incontinence will cause repeated or chronic infectious diseases in the tract.
  2. Skin diseases: The skin is constantly wet and in continual contact with nitrous urinary toxins like urea, inorganic salts and compounds. So, over time, the skin becomes red and itchy. Rashes and sores may also develop. Sometimes, when you scratch the itchy skin too much, the capillary blood vessels may break and cause a petechial rash - red and brown spots - to appear on the skin.
  3. Anxiety: There is a constant feeling of shame that accompanies the disorder. Urinary incontinence, which is a common symptom of many medical conditions, is often, not reported to doctors. The patient often avoids socializing due to fear of being unable to control the micturition process in a social situation. 
  4. Depression: Urinary incontinence affects the patient's psychological health directly due to the adverse impact on his or her quality of life. The amount of sleep is often decreased as the patient is afraid of urinating while being asleep. The condition may also cause restrictions on employment and other recreational activities.
  5. Sexual problems: Most women suffering from urinary incontinence report decreased sexual urges, painful intercourse and are even unable to achieve orgasm in spite of responding to sexual stimulation because of urinary leakage during intercourse leading to embarrassment and withdrawal.
6 people found this helpful

Dr. my brother had kidney stone the stone has been removed Will it come again How to prevent it from coming again.

MBBS
General Physician, Mumbai
Dr. my brother had kidney stone the stone has been removed Will it come again
How to prevent it from coming again.
Dear lybrateuser, - There are chances of the stone recurrence of you do not take precaution: - drink plenty of fluids per day including 2-3 litres of water, urine colour should be light yellow - restrict oxalate containing foods like green leafy vegetables, nuts, also non veg food - restrict salt intake - avoid alcohol - monitor regularly your symptoms & investigate to know any built up in the kidney.
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I have stones is my both kidneys right side with 5 mm left side with 3 mm maximum I have been using chandanasava and Chandra prabhavati from 30 days can I continue this or use any other medicine in Ayurveda. And I have gastric trouble and mild sinusitis can you suggest me with Ayurveda medicine.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
I have stones is my both kidneys right side with 5 mm left side with 3 mm maximum I have been using chandanasava and ...
For stone take basant kusumakar ras 125 mg twice a day gokshuradi awleh 5 gm twice a day pathreena kawach 2 capsule twice a day for gastric trouble take sootshekhar ras 125 mg twice a day panchsakar avleh 5 gm twice a day for sinusitis take maha laxmi vilas ras 125 mg twice a day sitopiladi avleh 5 gm twice a day kshatbindu oil.
1 person found this helpful
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She is suffering from anal fissure since few weeks. Please advice with proper medication. It is painful.

DNB (Surgical gastroenterology, MS( General Surgery), MBBS, Fellowship in Minimal Access Surgery, Diploma in Minimal Access Surgery, Fellow of International College of Robotic Surgeons
Gastroenterologist, Delhi
Firstly you should be examined by general Surgeon. Frequently and-rectal condition are misdiagnosed. Treatment for anal fissure include sitz bath with Betadine at least three times a day, apply a local ointment for relaxation of sphincter e.g. Diltiazem. Use a stool softeners.**For complete evaluation and treatment, Kindly visit the doctor in person with all available reports. *This is just an preliminary opinion not to be used for medico-legal purpose.
4 people found this helpful
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I have stones is my both kidneys right side with 5 mm left side with 3 mm maximum I have been using chandanasava and Chandra prabhavati from 30 days can I continue this or use any other medicine in Ayurveda.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
I have stones is my both kidneys right side with 5 mm left side with 3 mm maximum I have been using chandanasava and ...
Basant kusumakar ras 125 mg twice a day gokshuradi awleh 5 gm twice a day pathreena kawach 2 capsule twice a day.
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Sir can you give some advices (diet options) to a kidney stone patient. I had few renal calculi. Any advices for me to remove them naturally. And how to prevent them further?

BSc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Sir can you give some advices (diet options) to a kidney stone patient. I had few renal calculi. Any advices for me t...
Dear lybrate-user, It seems you high urea in your body, get your self tested for same and if found positive, then you should avoid spinach, Tomatoes, etc, high Calcium and Protein foods.
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My creatine is 1,7 how to reduce it in ayurvedic allopathy homeopathy way and little prostate problem is there. Please guide me. Thanks.

FMAS, MS
General Surgeon, Gandhinagar
My creatine is 1,7
how to reduce it in ayurvedic allopathy homeopathy
way and little prostate problem is there. Pleas...
Hello lybrate-user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly.* This seems in relation with prostate issue more likely.* Better if you send ultrasound report as an attachment herewith for better understanding of the issue and precise management guidelines.* Till then I can say that you need to maintain hydration with plenty of the liquids, you do not need any other medicines for 1.7 creatinine only. Hope this will help you for sure. Wishing you fine recovery. Regards dear take care.
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My anus linings get itchy at nights, after applying some coconut oil, it soothes, It sometimes happens at daytimes as well. Is it an initial symptoms of piles?

FMAS, MS
General Surgeon, Gandhinagar
My anus linings get itchy at nights, after applying some coconut oil, it soothes,
It sometimes happens at daytimes as...
Hello dear Mihir , hi Warm welcome to Lybrate.com I have evaluated your query thoroughly . * This is not sign of early piles , it indicates dryness of peri anal skin or possible warms infestation . Hope this will help you for sure . Regards dear take care .
1 person found this helpful
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My urine smell too much. How I stop smell infection. I already drink lot of water. So I filled in cool also. How I solve my problem.

MD - Homeopathy, BHMS
Homeopath, Vadodara
My urine smell too much. How I stop smell infection. I already drink lot of water. So I filled in cool also. How I so...
You may take homoeopathic medicine Benzoicum Acidum 30 one dose for 3 days. But before that you may take Blood test Serum Uric Acid and Urine routine micro. And better consult with the reports for permanent solution.
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Kidney Transplant - Know The Risks & Procedure!

MBBS, MD - General Medicine, DM - Nephrology, DNB (Nephrology)
Nephrologist, Delhi
Kidney Transplant - Know The Risks & Procedure!

When function of both kidneys are lost, Renal transplantation is needed. Kidney transplantation is performed by making use of a donor kidney and replacing the diseased one with it. Kidney transplantations are not conducted on patients suffering from other severe infections or life threatening diseases such as cancer, major lungs or heart condition. Diabetic or obese people usually cannot donate their kidneys as they bear a risk of malfunctioning in future. 

Procedure of Kidney Transplant 

  1. Kidney transplant surgery takes about 3 hours time. 
  2. Tests are conducted to make sure tissue typing match with the new kidney. This decreases the chance of the body rejecting the donor kidney and causing serious complications. 
  3. Thorough evaluation of the medical history is made for both the receiver and the donor. This is to make sure that the donor kidney is healthy, functional and free of disorders. 
  4. The procedure of the surgery includes placing the donor kidney in the lower abdomen. The blood vessels, important arteries are connected to the donor kidney. The bladder will also be connected to the ureter from the donor kidney. 
  5. The new kidney generally begins to function immediately after the surgery is completed successfully. 
  6. The blood begins to flow through the kidney, and it begins to function normally. It filters the blood, collects the waste that is then passed through the bladder as urine. 
  7. A patient who has had a kidney transplantation surgery will need to remain in the hospital for a few days under intense care and observation. 
  8. Medications to prevent the body from rejecting the new kidney will be prescribed. It is important that you continue with these medicines for the rest of your life. 

Risks of Kidney Transplantation 

  1. Rejection of the new kidney by the body. Acute rejection in the initial days of surgery can be treated with medications and injections. However, chronic rejection is a serious condition that causes gradual loss of kidney function. 
  2. There can be severe infections caused by the immunosuppression. It can also occur during the course of surgery, due to the inclusion of foreign tissues 
  3. Reaction to the drugs or anaesthesia used for the purpose of transplantation surgery 
  4. Excessive bleeding or haemorrhage caused due to injuries during surgery 
  5. Any kind of leakage from the ureter or blocking of the ureter tubes, causing an obstruction in the smooth functioning of kidneys 6.    The anti rejection drugs may lead to a decline in calcium, causing osteoporosis and other calcium deficiency infirmities 
  6. Fluctuations in blood sugar, blood pressure levels 
  7. Increased risk of cancer 
  8. Infections in internal organs 
  9. Obesity
2 people found this helpful

I am having UTI for last 6 months. I am having burning sensation as well as frequent urination everyday. Taking medicine but not working. How should I get permanent cure All time I am feeling pressure inside me throat. Reflux. Major problem I can't sleep even. Abdominal pain sometimes HYPERACIDITY. My period is irregular due to polycystic ovary. Taking macrabonik Dsr. Still it is there. What should I do I hv epigastric pain relieved with food. After eating abdominal pain starts. Then reflux as well as constipation. I am terrible condition for last 10 months. PLZZZZZ HELP ME. I HV TRIED ALL HOME REMEDIES. NOTHING WORKING .I M IN BAD CONDITION HOW TO LIVE LIFE WITH SUCH MAJOR ISSUES.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
I am having UTI for last 6 months. I am having burning sensation as well as frequent urination everyday. Taking medic...
1.Pass urine whenever you feel a desire, empty bladder completely. 2.Wipe from front to back after toilet 3.Take lots of water so as to have clear urine 4.Do not use any spray, scented bath products 6.Clean genitals before sex and pass urine after sex to flush out any bacteria 7.Keep genital area dry- wear cotton, loose under garments, avoid tight clothes like jeans medicine can not be advised for open question for medicine contact on private chat you have to improve your food habits do 1. Take 2/ 3 glass of warm water in the morning before brush 2. Take more water in day 3. Take meals at fixed hrs, chew food properly/ completely, no eating quickly 4. Take small amount of food at a time, take more frequent meals - may be five times a day. 5. No spicy/ fried/ fast/ junk/processed food. C. 6. No smoking, chewing gum, and carbonated beverages. 6. No milk for few days, can take curd, no uncooked salad 7. Avoid constipation 8. Use nibu pani (lemon water) 2/ 3 times a day 9. Do not drink/ store water in plastic bottles. 10.relax and walk for 30 mts daily 11. Take enough rest- do not lie down immediately after eating. Take dinner 3 hrs before sleeping. No late nights 11. Keep your weight under control. 13. Avoid tea, coffee, alcoho 15. Reduce physical and mental stress. Maintain healthy life style. Do exercise regularly. 16. No unnecessary medicines medicine can not be advised for open question for medicine contact on private chat good luck..
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Sir I am suffering from urine problem last 3 years urine pain and burning please suggest good doctor.

MD Microbiology
General Physician,
Sir I am suffering from urine problem last 3 years urine pain and burning please suggest good doctor.
Please get investigated for urinary tract infection as you have these complaints for a long time. Please take plenty of water.
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Hi. Currently I am facing kidney stones pain issues repeatedly. So could you please what are the blood reports required. So that I can taken and sharing to you. Please advice on it.

FIMSA, MD-Nephrology, DM - Nephrology, MD-Medcine, MBBS
Nephrologist, Delhi
Hi. Currently I am facing kidney stones pain issues repeatedly. So could you please what are the blood reports requir...
Hi lybrate-user, nice to know that you want a cure for your problem of kidney stones. You can get some tests done- Urine-re, me,kft, lipid profile, USG-KUB, Plain x-ray- abdomen and share the reports .Meanwhile start having 3.5 - 4 liters water daily. All the best.
18 people found this helpful
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How To Keep Your Prostate Healthy?

MCH-Urology, M.S. (General Surgery) , MBBS
Urologist, Gurgaon
How To Keep Your Prostate Healthy?

The prostate gland, an essential part of the male reproductive system grows throughout your life. As you grow older, it becomes imperative to keep this organ healthy.

Here's what you can do to maintain a healthy prostate:

1. Workout to stay fit - Exercising regularly and maintaining an optimum weight can help to keep your prostate gland at an optimal health. Several types of research have revealed the beneficial aspects of exercising. It's said that physically active men are less likely to suffer from enlarged prostate if they performed a physical activity of low to moderate intensity. Likewise, physically active men who ran for 90 to 108 minutes are 20% less likely to develop erectile dysfunction.

2. Eat fruits and vegetables - Including fruits and vegetables in your diet can help to maintain a healthy prostate. Guava, papaya, tomato and watermelon are some of the options that spell good for your prostate. Vegetables like cabbage, cauliflower, broccoli and Brussels sprouts should also be included to boost the health of the gland. Ideally, you should have about 5 servings of fruits and vegetables daily.

3. Have more soy products - Eating more soy products like tofu, soy flour, soy nuts can help to keep cancer of the prostate at bay. A study published in the British Journal of Urology International revealed that men who had soy products saw a 40% decrease in their risk of developing an enlarged prostate.

4. Have selenium-rich foods - Having foods rich in selenium (a powerful trace mineral) like tuna, eggs, cashews, onions, garlic, etc can reduce your risk of developing prostate cancer.

5. Say yes to healthy fats and no to trans and saturated fats - Choosing healthy fats like avocados, nuts, and olive oil can aid in boosting prostate health. At the same time, limiting saturated fats and trans fat intake are vital for keeping the prostate gland healthy.

2 people found this helpful
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