THE STAR, TUESDAY 24 NOVEMBER 2020
YOUR HEALTH
THE prostate has an important job
within the male reproductive
system – producing sufficient
nutrition for healthy sperm. The
prostate gland is not very big,
about the size of a walnut;
however, its location just below
the bladder and in front of the
rectum causes problems if
something goes amiss.
According to Subang Jaya
Medical Centre consultant urologist
Dr Lee Boon Cheok, the prostate
tends to grow larger as men age,
which is a condition known as
benign prostatic hyperplasia. The
condition is not cancerous, but
should the prostate grow too large,
it can lead to other health issues –
both cancerous and not.
Ageing symptoms
“As life expectancy has increased
and men are living well into their
70s, 80s and 90s, they may have
some bother from the prostate,”
says Dr Lee. The prostate gland
wraps around the upper part of
the urethra, which is the tube that
carries urine from the bladder out
of the body. This basically means
that the prostate can cause issues
that affect both urination and
sexual function.
Generally, if individuals present
with symptoms such as having to
use the washroom more times
than usual during the daytime or
several times during the night, Dr
Lee urges them to consult their
family doctor or a urologist. The
doctor can then take steps to
determine the cause of the issue
by doing the proper assessment
and advising them accordingly
about their treatment options.
Solving the problem
Lower urinary tract symptoms
are known to affect older men,
however, it’s an issue that men do
not have to live with for the rest of
their lives.
“For benign prostate issues,
Although it is part of ageing, patients don’t have to live with lower
urinary tract symptoms.
Protecting the prostate
Dr Lee Boon Cheok.
there are various treatment
options – either medical, or
surgical. The typical method of
treatment is conservative, meaning
that mild symptoms are treated
with lifestyle modifications first
before proceeding to medical
therapy and surgical options
following that.
“For medical therapy, we have
several medications that will help
to solve prostate issues by either
relaxing, or shrinking the prostate.
There is also a medication on the
market that has been approved by
the United States FDA (Food and
Drug Administration) that treats
prostate symptoms like lower
urinary tract symptoms, alongside
overcoming erectile disfunction –
which is a good thing because
older men tend to develop both at
the same time,” says Dr Lee.
In cases where conservative
methods and medications do not
yield the desired results, patients
will have to undergo surgical
treatment. Dr Lee elaborates,
“It will depend on the type of
Benign prostatic hyperplasia is not cancerous, but should the prostate grow too large, it can lead to other health
issues.
prostate disease. For benign
prostate enlargement, the
urologist will remove part of the
prostate that causes the obstruction
and this will overcome the
symptoms. Only for prostate
cancer does the whole gland need
to be surgically removed.”
Dr Lee notes that a common
misconception among younger
men who experience problems
with urine flow is that they
could have prostate problems.
Benign prostatic hyperplasia only
affects older men, hence, cases
involving younger men are usually
related to prostatitis, which is
another disease caused by
bacterial infection that leads to
inflammation of the prostate gland.
Prostatitis can affect men of all
ages, but tends to be more common
amongst men aged 50 or younger.
Some of the symptoms could be
blood in the urine, a painful or
burning sensation when urinating,
frequent urination and an urge to
Warning signs of ageing
Also known as prostate gland
enlargement, benign prostate
hyperplasia is a common
condition that men get as they
age. An enlarged prostate gland
may cause uncomfortable
urinary symptoms, as well as
bladder, urinary tract or
kidney issues.
Symptoms may include:
l Urinary frequency –
Having to use the restroom more
than usual
l Urinary urgency – A
sudden or compelling urge to
empty the bladder
l Urge incontinence – A
sudden and uncontrollable urge
to urinate. In these instances, the
bladder contracts and squeezes
urinate, or even painful
ejaculations. Depending on the
cause, prostatitis can affect patients
gradually or suddenly. It may
improve quickly as well either on
its own, or with medication.
Although some types of prostatitis
can last for months,
if it is chronic prostatitis, it can
keep recurring.
For those experiencing
symptoms that prevent normal
sexual or urinating functions, Dr
Lee’s advice is to consult their
doctor. Prostate examinations
are required, especially after the
age of 55 and older. Depending
on the history and risk factors,
an individual may only need a
single assessment every few years
or, if indicated by his doctor,
annual assessments.
According to the World Health
Organization data regarding
prostate cancer deaths published
in 2018, Malaysia is ranked 160th
in the world with a death rate of
out urine involuntarily.
l Nocturia – A need to use
the restroom several times
during the night
l Hesitancy to urinate – An
individual feels as though they
have to urinate, yet the flow
does not start immediately.
l Urine flow that starts and
stops
l Straining to start or
continue urination
l Leakage or dribbling after
urination
According to the World
Health Organization
data regarding
prostate cancer deaths
published in 2018,
Malaysia is ranked
160th in the world
with a death rate of
5.77 per 100,000.
While not as high as
compared to western
countries, men need
to take precautions,
especially high-risk
men.
5.77 per 100,000. While not as
high as compared to western
countries, men need to take
precautions, especially high-risk
men – those with a family
history of prostate cancer should
start screening earlier from age
50 onwards.
Dr Lee restates, “As men age,
the prostate naturally enlarges.
For some men, excess prostate
tissue can gradually impinge the
urethra and block the normal
flow of urine. The problem is,
most men think that because this
is an ageing issue, they must
accept it. However, that is not the
case; they don’t have to continue
suffering with these issues
because most of the time,
doctors can find a cause and it
can be treated.”
n For more information, call
03-5639 1212.
2 Your Health
Vitamin C of choice
for today’s lifestyle
VITAMIN C – also known by its scientific
name, ascorbic acid – is an important
nutrient for good health. Human bodies
need it for immune function, bone structure,
iron absorption and healthy skin. Vitamin C
is also known to be a strong antioxidant that
can protect tissues against oxidative damage
caused by free radicals, and helps prevent or
reverse cellular damage.
In a study published this year titled Effects
of High Dose Vitamin C Supplementation on
Severe COVID-19 Patients In The ICU: A
Retrospective Analysis, researchers found
that high doses of vitamin C may have the
propensity to mitigate severe oxidative stress
to keep lung injury minimal besides
preventing other organ failures. Patients
who received high-dose vitamin C
treatment resulted in the improvement of
respiratory function.
According to a 2019 study titled Vitamin C
Can Shorten the Length of Stay in the ICU: A
Meta-Analysis, high-dose vitamin C therapy
can benefit individuals admitted to intensive
care units (ICUs) for critical diseases by
decreasing the period of ICU stay by 8% and
shortening the time of mechanical
ventilation by 18.2%.
Vitamin C can be obtained from daily
intakes of food, especially fruits and
vegetables. However, in this era, many
individuals do not get enough vitamin C
from their daily diets due to modern-day
farming methods and unhealthy eating
habits. Hence, many people turn to
supplements to meet their needs.
However, most vitamin C supplements
available on the market today are
synthetically manufactured formulations
and, in this isolated chemical form, the
In this era, many individuals
do not get enough vitamin
C from their daily diets due
to modern-day farming
methods and unhealthy
eating habits.
vitamin C does not contain other components
normally focused with it in food (such as
proteins, fats and carbohydrates).
Science has proven that vitamin C is not
absorbed as a pure, isolated compound.
Protein, fat and carbohydrate carriers are
necessary to help the absorption of vitamins
and minerals within the body. For this
reason, synthetic formulations are not
absorbed very well by the body and the
nutrients cannot be transported efficiently to
the targeted cells. Hence, they are usually
manufactured in mega doses in the hope that
a small fraction will be absorbed by the body.
What makes Re-Natured Vitamin
C so special?
Re-Natured Vitamin C is molecularly
bonded into a concentrated food complex –
just as it is found in natural food. In other
words, Re-Natured Vitamin C is presented to
the body the way vitamin C is normally found
in food for better absorption, retention and
utilisation by the body. A study published in
Re-Natured Vitamin C can be taken anytime convenient either before, or after a meal.
the American Journal of Clinical Nutrition
titled Comparative bioavailability to humans
of ascorbic acid alone or in a citrus extract
showed that Re-Natured Vitamin C was 35%
more bioavailable than its synthetic form of
vitamin C.
The benefits of Re-Natured Vitamin C
compared to other synthetic formulations in
the market include higher bioavailability
and better distribution of vitamins to the
targeted body tissues. Therefore, it is not
necessary to take in very high doses to exert
the desired health benefits. Due to the form
of Re-Natured Vitamin C which is similar to
the vitamin C in natural food, it can be
taken anytime convenient either before, or
after a meal.
Re-Natured technology is an exclusive
patented technology from the United States’
THE STAR, TUESDAY 24 NOVEMBER 2020
Grow Company Inc to enhance the
bioavailability of vitamin C in the body by
synthesising the nutrient into a food matrix.
In the manufacturing process, vitamin C is
fed back into food and naturally
re-integrated with all the other food
components – such as natural citrus extract –
which aid its absorption in the body.
Vitamin C is an important nutrient that
keeps immune systems functioning properly.
Be a wise consumer and choose Re-Natured
as the choice of vitamin C supplement for a
healthier life.
This article is brought to you by Biogrow.
n For more information, call 03-7956 2220
(Mondays to Fridays, 9am to 5pm) or email
info@biogrow.com.my
THE STAR, TUESDAY 24 NOVEMBER 2020 3
4 Your Health
Gentle bath care for babies’
hair and sensitive skin
INFANTS’ skin plays a vital role in providing
a barrier that prevents infection, water loss
from the body and penetration of irritants
and allergens. In view of the characteristics
of infant skin such as a thinner epidermis
and stratum corneum, the skin is more
prone to damage caused by harmful
environmental elements. Therefore, good
skin hygiene is essential to the maintenance
of barrier functions and overall skin health.
The principles of infant skin care
emphasise on gentle cleansing, adequate
hydration and moisturisation, as well as
protection from irritants. The Pureen
Natural-H range is specially formulated to
safely and gently cleanse babies’ delicate
skin and hair, while protecting them. These
products also contain excellent moisturising
and soothing properties to nourish babies
from head to toe.
These are among the benefits of the
Pureen Natural-H range:
l Formulated with natural origin
ingredients – Free of potential irritants and
harmful ingredients
l Sirim Eco-Label-certified – In
compliance with Sirim Bhd’s Eco-Labelling
criteria for products that are biodegradable,
eco-friendly and made of natural origin
ingredients
l Hypoallergenic and dermatologically-
tested – Clinically proven not to induce skin
irritation and allergic reactions even for
sensitive skin
l Fortified with natural portulaca and
organic aloe vera extracts – With natural
conditioning and soothing properties to
nourish hair and skin
l Tear-free formula and fortified with
The Pureen Natural-H range is specially formulated to safely and gently cleanse babies’
delicate skin and hair, while protecting them.
wheat protein (for Baby Shampoo and
Head to Toe Wash) – Does not irritate eyes;
wheat protein helps to smoothen and
protect hair, while soothing irritated skin
and scalp
l pH-balanced and soap-free – Protects
and cares for babies’ delicate and sensitive
skin
l Free of parabens, alcohol, SLS
(sodium lauryl sulfate), colourants and
other potential irritants – Gentle on hair
and skin without causing dryness and
irritation
l Allergen-free fragrance – Exudes a
pleasant and refreshing scent without
irritating skin
l Halal-certified – The range conforms
to halal standards
Pureen Natural-H Baby Bath
Safely and gently cleanses babies’
delicate skin:
l Maintains the skin’s natural moisture
to protect it from dryness and irritation
l Contains natural portulaca and
organic aloe vera extracts with soothing
and hydrating effects for optimal care
THE STAR, TUESDAY 24 NOVEMBER 2020
Good skin hygiene is
essential to the maintenance
of barrier functions and
overall skin health.
Pureen Natural-H Baby Head
To Toe Wash
Safely and gently cleanses babies’ body
and hair:
l Contains natural portulaca, organic
aloe vera extracts and conditioning wheat
protein to nourish babies’ body and hair
l A tear-free formula that does not
irritate babies’ eyes
Pureen Natural-H Baby
Shampoo
Safely and gently cleanses babies’
delicate scalp and hair:
l Contains natural portulaca, organic aloe
vera extracts and conditioning wheat protein
to protect and care for babies’ scalp and hair
l A tear-free formula that does not irritate
babies’ eyes
This article is brought to you by Summit
Company (Malaysia) Sdn Bhd.
n For more information, visit www.pureen.
com.my
THE STAR, TUESDAY 24 NOVEMBER 2020 Your Health 5

A healthy body begins

OVER the past months, the world has
grappled with Covid-19 with over 56 million
people infected and 1.3 million succumbing
to the disease, according to the World

with a healthy blood flow

Health Organization. The most common
symptoms of Covid-19 include fevers,
coughing and shortness of breath. There are
emerging data showing that Covid-19 not
only causes respiratory illness, but is also
associated with neurologic complications
such as stroke.
What do all these symptoms have in
common? Impaired blood circulation. In
fact, several retrospective clinical studies Poor blood circulation
have shown that Covid-19 is prone to
attack the lining of blood vessels all over
is reflected in restricted
the body, deteriorating the body’s defence or blocked blood flow to
system and forming blood clots in the blood
vessels which can ultimately lead to poor
various parts of the body
blood circulation. and vital organs such as
Poor blood circulation is reflected in
restricted or blocked blood flow to various
the brain, usually due to
parts of the body and vital organs such blockage of the blood vessel
as the brain, usually due to blockage of
the blood vessel caused by blood clots
caused by blood clots from
from platelet clumping (platelet platelet clumping (platelet
aggregation). Subsequently, the lack of
oxygen and nutrients supplied to the organs
aggregation).
may lead to:
l Fatigue
l Numbness and tingling sensations in l Natural health supplements for
the hands and feet improving blood circulation
l Cold hands and feet
l Life-threatening diseases (such as
stroke) – A stroke can occur when the brain
Discovering the scientifically Fruitflow natural water-soluble tomato extract consists of a number of bioactive compounds
is deprived of blood supply, and brain tissue proven natural ingredient to with antiplatelet properties which have been clinically tested to improve blood circulation.
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Maintaining healthy blood circulation is Fruitflow natural water-soluble tomato Scientific Opinion on the modification of the While strengthening immunity to fight
important for a healthy life as it warrants extract is the first natural, scientifically authorisation of a health claim related to against Covid-19 is important now,
the smooth flow of blood that carries oxygen proven ingredient for healthy blood water-soluble tomato concentrate and maintaining healthy blood circulation is also
and nutrients throughout the body – circulation. It consists of a number of helps to maintain a healthy blood flow and vital to reduce the risk of a stroke.
allowing vital organs such as the brain to bioactive compounds with antiplatelet benefits circulation pursuant to Article
function properly, as well as ensuring the properties such as nucleosides, polyphenols 13(5) of Regulation (EC) No 1924/2006 This article is brought to you by Biogrow.
efficient transport of immune cells around and flavonoids which have been clinically following a request in accordance with
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6 Your Health
Understanding inguinal hernia
HERNIA is a condition where part
of the abdominal content bulges
through a weak point on the
abdominal wall. It can occur near
the groin, around the belly button,
or through a past surgical scar.
Inguinal hernia is a condition
where abdominal fat (omentum) or
part of the intestines bulges
through a weak point on the
abdominal wall near the groin
area.
According to MSU Medical
Centre medical consultant general
and colorectal surgeon Dr Mohd
Zailani Mat Hassan, “Men are 25
times more likely than women to
be present with inguinal hernia.
Adult males over 40 are much
more likely than females to
develop direct inguinal hernias.”
There are two types of inguinal
hernias:
l Indirect inguinal hernia,
which is caused by a defect in the
abdominal wall through an
inguinal ring relating to a birth
defect
l Direct inguinal hernia, which
occurs in adult males and is owed
to a weakness in the abdominal
wall muscles; it may develop over
time or be caused by straining or
heavy weight lifting over time
Signs and symptoms
Usually patients have bulges in
the groin area. At an early stage,
bulging occurs only during
coughing or straining, and
spontaneously disappears. This
condition is called reducible
inguinal hernia.
As the hernia advances, an
Dr Mohd Zailani Mat Hassan.
intestinal content of fat is trapped
inside the “hernial sac” or the
scrotum. This is called irreducible,
obstructed, or even strangulated
inguinal hernia, in which stage the
patient will experience persistent
bulging in the groin or scrotal area,
severe pain and vomiting.
Causes and risk factors
of inguinal hernia
A weakened abdominal muscle
at the affected areas may be a
major predisposing factor. Some
risk factors that can increase the
chances of getting inguinal hernia
include:
l Gender (men are more
predisposed than women)
l Obesity
l Chronic constipation
l Chronic cough
Inguinal hernia is
a condition where
abdominal fat
(omentum) or part of
the intestines bulges
through a weak point
on the abdominal wall
near the groin area.
l Chronic urinary bladder outlet
obstruction, e.g., benign prostate
hyperplasia
l Premature birth
l Previous history of inguinal
hernia
l Occupation-related – heavy
weight lifting
Two possible serious
complications if hernia is left
untreated are:
l Incarcerated inguinal hernia,
which happens when tissue
becomes stuck in the groin and is
not reducible – it cannot be pushed
back into place
l Strangulated inguinal hernia,
a life-threatening condition that
requires emergency medical care;
this is when the intestine in an
incarcerated hernia has its blood
flow cut off, which may lead to
intestinal gangrene (“dead” tissue).
Diagnosis and treatment
In most cases, diagnosis is made
from history and clinical
examinations. When the diagnosis
is doubtful, then medical imaging
is required, with ultrasonography
being the first choice.
Surgery is the primary
treatment for inguinal hernias.
It is a common operation and a
highly successful procedure
when performed by a well-trained
surgeon.
Surgical options are either an
open inguinal herniorrhaphy or a
laparoscopic inguinal
herniorrhaphy. In open inguinal
herniorrhaphy, a 5cm-long
incision is made over the
abdomen near the groin. In
laparoscopic inguinal
herniorrhaphy, multiple smaller
abdominal incisions are made
(at least three, approximately
1cm each).
The goal of either surgical
approach is to return the internal
abdominal tissue(s) back into the
abdominal cavity and repair the
abdominal wall defect. Mesh is
commonly placed to reinforce the
abdominal wall.
There are advantages and
disadvantages of both techniques.
Patient factors, surgical expertise,
and cost incurred will determine
the selection criteria.
Prevention of inguinal
hernia
As inguinal hernia relates to
abdominal wall muscles and
inguinal ring birth defect,
reducing abdominal pressure may
substantially prevent inguinal
hernia from occurring.
THE STAR, TUESDAY 24 NOVEMBER 2020
l Maintain a healthy body
weight: Obesity is a potential
hazard as it can impose extra
pressure on the abdomen. Regular
exercise and a good healthy
lifestyle are important to
maintaining good body weight.
l Be careful while exercising:
Some exercises such as squats can
put undue strain on the abdominal
wall. Exercises involving fast
movements or high-intensity
workouts also increase your
risk of developing hernia. Use
proper gear and attire during
abdominal exercises.
l Avoid lifting heavy weights:
Heavy weight lifting puts unneeded
pressure on the abdominal
muscles. If it is still required,
consider bending down at the
knees rather than lifting from the
waist up to distribute the weight.
l Eat fibre-rich foods:
Constipation can put undue strain
on the abdomen during bowel
movement and thus increase
hernia risk. Eating fibrous foods
such as whole grains, fresh fruits
(bananas, apples, oranges),
vegetables, and nuts can help
regulate bowel movements. Staying
well-hydrated is essential to
preventing constipation.
l Consult your doctor if you
experience difficulty when
urinating: Urination difficulties,
increased urination frequency
especially at night, or feelings of
incomplete emptying may indicate
an enlarged prostate, particularly
among men aged 50 years and
above. These symptoms can
increase pressure on the abdomen
by causing strain during urination.
THE STAR, TUESDAY 24 NOVEMBER 2020
Providing a safe
and easy wash
PARENTS usually use normal
dishwashing liquid detergents to
clean baby accessories such as
drinking cups, feeding bowls,
spoons and toys. However, if these
products are not thoroughly rinsed
with clean water, babies would end
up ingesting the lingering residue
of dishwashing liquid detergents
which are harmful and can affect
their health.
Pureen Liquid Cleanser has been
carefully formulated with plant-
based surfactants which are safe,
mild and gentle. Parents can rest
assured knowing that Pureen
Liquid Cleanser is effective in
washing away milk fats and stains
on baby accessories, as it’s easily
rinsed off without leaving harmful
residue. The formulation is so
gentle that it protects hands against
dryness and chapping, which may
happen if normal dishwashing
liquid detergents are used. Just add
half a teaspoon of Pureen Liquid
Cleanser into one litre of water,
immerse the accessories into the
solution, then rinse thoroughly
with clean water.
Besides that, the pesticides found
on fresh vegetables and fruits can
also cause adverse health effects to
humans. Consumers can thus use
Pureen Liquid Cleanser to remove
the chemical residue as it has been
tested to be effective in removing
more than 99% of pesticides
commonly found on fruits and
Your Health 7
Parents can rest
assured knowing
that Pureen Liquid
Cleanser is effective
in washing away milk
fats and stains on
baby accessories,
as it’s easily rinsed
off without leaving
harmful residue.
vegetables. Just mix a quarter
teaspoon of Pureen Liquid
Cleanser into five litres of water,
immerse for about five minutes,
then rinse with clean water.
Pureen Liquid Cleanser is a mild
and gentle formulation ideal for
cleaning baby accessories, fruits
and vegetables. The product comes
in three variants – No Flavour,
Orange Flavour and Mint Flavour –
and is also available in 600ml refill
packs. Pureen Liquid Cleanser is
available in leading hypermarkets,
supermarkets, departmental stores,
medical halls and pharmacies.
n For more information, visit Pureen Liquid Cleanser is a mild and gentle formulation ideal for cleaning baby accessories, fruits and
www.pureen.com.my vegetables. It is available in 750ml bottles and 600ml refill packs.
8 Your Health
Prioritising and improving
safety for the elderly at home
MALAYSIA is on its way to becoming an
ageing nation. The Statistics Department
estimates that more than 7% of the country’s
population is aged 65 and above this year.
With this knowledge in mind, the public
needs to pay careful attention to the needs
of this golden generation. Adequate
preparation and precautionary steps must
be taken in order for older folks to enjoy
leading a more comfortable lifestyle. This
begins with having a safe home to live in as
they retire.
For many, home furnishings and interior
design usually revolve around aesthetic and
functionality. Less focused is placed on
safety. However, it would be foolish not to
place safety as the main priority when it
comes to the elderly.
As people get older, there is a high
tendency for more health complications to
arise as well. The most prominent one
would be osteoarthritis, where the cartilage
in the knees deteriorate with use and age.
This can make even what was previously
deemed as small or effortless activities, such
as walking, becoming excruciatingly painful.
Some seniors may also lose strength in their
legs and require the help of a walking stick
or walker. It becomes especially difficult and
dangerous for those living in a double-story
house, where getting up and down the stairs
is a daily occurrence.
For some families, the decision may be
made to live with a compromise. This may
be to always have someone assisting the
senior member up and down the stairs.
Other families may choose to renovate a
room downstairs for the older family
member to move into.
THE STAR, TUESDAY 24 NOVEMBER 2020
However, what if there is nobody at home for Otolift Stairlift from the Netherlands. The encounters an obstacle during travel, it will
or available to provide the necessary support company has 20 years of experience in the safely come to a stop. The stairlift is also
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The stairlift can be tailor-made to fit any stairs. It is used to call your lift and to send
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The solution to the problem would be to The stairlift is fitted onto your staircase and Safety is paramount when it comes to
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remains as they were and everyone can
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Quite a lot of people believe that climbing
up and down the stairs can be a form of
exercise. While this is true, it is only
applicable for those who are younger and
fitter. Once you hit the age of 50 or start
living with various health conditions,
walking up and down the stairs is not the
most viable form of exercise as there is a
high risk of falling.
Senior citizens who fall risk fracturing
their bones. For someone with osteoporosis,
this can lead to a very serious injury that
require hospitalisation, incurring an
expensive medical fee. This can be a pain
and heavy burden for both patient and
family members. The most practical solution
is to install a stairlift so you can avoid
accidents or falls.
Upstairs Sdn Bhd is an authorised dealer