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Should fluids be forced or restricted in BPH?

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Final answer:

In cases of benign prostatic hyperplasia (BPH), fluids should neither be forced nor excessively restricted. Instead, a balanced approach to fluid intake is recommended to avoid aggravating urinary symptoms while preventing dehydration.

Step-by-step explanation:

In the context of benign prostatic hyperplasia (BPH), the approach to fluid management depends on individual symptoms and the advice of a healthcare provider. Forced fluids are not typically recommended, as they can exacerbate symptoms like a frequent and intense urge to urinate and a sensation that the bladder has not emptied completely. These symptoms occur because BPH causes constriction of the urethra, leading to obstruction of urine flow. Patients with BPH are often advised to moderate their fluid intake, especially before bedtime, to avoid aggravating symptoms. On the other hand, restricting fluids excessively can also be problematic, potentially leading to dehydration and concentrating urine, which might irritate the bladder. Therefore, a balanced approach to fluid intake, rather than enforcing strict restrictions or forceful drinking, is generally suggested.

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