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Published on: Sep 10, 2021
3 minute read
By: Second Medic Expert

What Are The Symptoms, Causes, And Treatment Of Prostate Cancer?

What are the symptoms, causes, and treatment of Prostate cancer?

The different types of prostate cancer are generally classified by grade, degree of progression and staging. Treatment options include surgery, radiation, hormone therapy to suppress testosterone production or blocking the activity of hormones produced by other endocrine glands that stimulate the growth of prostate cancer cells.

Surgical treatment is often recommended when prostate tumors are detected in their early stages-localized stage-as it can usually eliminate them or control tumor growth, so they don't depend on hormones to survive. Surgery may also be recommended if the tumor cannot be seen clearly enough for an accurate diagnosis with imaging tests. Your physician may advise you about this option after discussing your medical history and physical examination results with you.

Symptoms of prostate cancer can be like the symptoms of benign prostatic hyperplasia. After noticing these or other symptoms, a doctor will perform a digital examination and ask some general health questions. Possible tests may include an analysis of the fluid secreted by the prostate gland when urinating (known as a "prostate-specific" antigen test), a biopsy, an MRI or CT scan imaging exam, or bone scans to rule out metastasis. Treatment may consist of certain medications that slow down tumor growth including finasteride and others; radiation therapy; surgery with prostatectomy to remove the bladder neck and sectioning/removal of all remaining tissue from within the urinary tract to prevent further spread beyond.

Prostate cancer has no signs or symptoms, so the only prevention is to get screened.

More information to include in the answer: There are several different types of prostate cancer that can be detected with a prostate exam. Some require surgery while others do not. Once diagnosed, treatment for these cancers often focuses on palliative care measures to relieve pain and other bothersome symptoms because prostate tumors rarely spread beyond the confines of this gland; they are considered localized or regional tumors. Treatment for advanced cancers may involve hormone therapy (antiandrogens) or chemotherapy (taxanes like docetaxel).

The symptoms of prostate cancer are also nonspecific and might include a change in frequency or volume of urine flow. An in-depth medical exam often determines the diagnosis, but anxieties in men over forty should be assuaged by getting a PSA test when appropriate. The causes sometimes arise from general conditions common from age 40 on which drive prostate cancer up from 1 out of 100 for people under 40 to 1 out of 4 for people over 80 - such as obesity, diabetes, elevated blood level cholesterol, family history and so forth. It's extra important to look after what we eat and how we live if we have one or more of these conditions already present.

Prostate cancer is the most common type of cancer in men. It is particularly more prevalent in elderly men. Over time, prostate cells may develop genetic damage that can lead to uncontrolled, or out-of-control cell growth. The most frequent cause of prostate cancer is age>40 years and obesity (>120% ideal body weight). Treatment for early-stage prostate cancers include surgery, radiation therapy and hormone therapy drugs.

Risk factors for prostate cancer are advanced age, being overweight or obese, family history of the disease or personal history of other cancers that have affected the gland near the prostate (eg., bladder), heavy consumption of alcohol (>2 drinks/day), sedentary lifestyle involving long periods without exercise (<1>

The symptoms of prostate cancer include difficulty urinating, prolonged or too frequent urination, blood in the urine or semen, pain when passing urine or ejaculating, erectile dysfunction. Possible causes include heredity and dietary factors. Treatments can involve surgery to remove the prostate gland in some cases. Options for this might include nerve-sparing robotic surgery when available.

Symptoms of prostate cancer include difficulty emptying the bladder, few or interrupted urination, pain during urination and bowel movement, excessive thin urine (pee), bloody urine or semen.

Causes of prostate cancer are close to zero chance of contracting it until you reach your 40's. If you had an older family history that involved prostate cancer, then there is a slightly elevated risk.
Medical treatment involves surgery to remove the entire gland or radical surgery where both testicles are removed as well as tissue all around the area called the para urethral region, including some muscle tissue on either side called "the peri spongiosum". This medical procedure may cure tumor not otherwise reachable with surgery.

Most of the symptoms are just a part of an enlarged prostate. The treatment is largely based on the type and stage, so for this answer, I will simply mention recurrences- which can happen in an estimated 5% to 20% of people after being treated. Late-stage cancers have been observed to reach points where they have not been observed to grow or spread but have still appeared to persist. As with any cancer, my suggestion would be that you go see your doctor best suited for your needs if you are concerned about any possible symptoms involving your prostate.

Prostate cancer is the third most common male malignancy and the second leading cause of cancer-related death in men. It primarily arises from glandular epithelium primarily by way of the prostate ducts and invades nearly every other organ system including bone, lymph nodes and blood vessels.

Symptoms may include hematuria (blood in urine), prostatitis (difficulty urinating), and erectile dysfunction; while risk factors that contribute to getting prostate cancer or who can be diagnosed include age (>50 years old); race (African American); family history of prostate cancer; sexually transmitted diseases such as human papilloma virus or chlamydia infection; diet with high intake of red meat, animal fat, dairy products.

Symptoms of prostate cancer may include difficulty urinating, pain or burning during urination, blood in the urine or semen, frequent trips to the bathroom at night (nocturia) and trouble starting a steady flow of urine. Causes of prostate cancer are related to genetic factors as well as environmental exposure to substances such as pesticides or components in processed foods.

Treatment for Prostate cancer varies depending on its severity. For example, if the tumor is small and is not growing fast it may be watched carefully with regular testing until it grows large enough to produce symptoms like difficulty urinating.

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Stroke Warning Signs for Indians Over 40: Early Detection Can Save Lives

Introduction

Stroke is a major health issue in India — both as a cause of death and lifelong disability. For people over 40, the risk climbs sharply. The earlier a stroke is recognized and treated, the better the chances of recovery. In this post, we’ll look at the warning signs of stroke especially relevant in Indians over 40, backed by real survey data, the risk factors common in India, what to do, and how to act fast. Understanding these can help you or your loved ones catch a stroke early and reduce damage.

How Big Is the Problem in India, Especially After 40

According to a 2024 study using Global Burden of Disease data, stroke incidence in India has increased from 76 per 100,000 people in 1990 to ??88 per 100,000 in 2021 for all ages.
Stroke incidence and burden are especially high among people aged 50-69 and over 70.
Another study in North India showed that a large number of adults over 45 lacked awareness about warning signs of stroke: nearly 46% didn’t know warning signs.
Among hypertensive patients (~mean age 54) from Western Rajasthan, about 75% recognized at least one stroke symptom like slurred speech or body-weakness, but 25-30% still lacked awareness.

These figures show that though awareness is improving, there is a significant gap in recognition of warning signs among people over 40 — a high-risk group.

Warning Signs of Stroke (What to Look Out For)

In Indians over 40, common symptoms are similar globally, but here are those particularly reported in Indian surveys:

Sudden Weakness or Numbness on One Side
Many people identified “paralysis of one side of the body” or weakness in an arm or leg. In a Tamil Nadu hospital-based survey, 56% of respondents recognized this symptom.
Facial Droop or Deviation
One side of face droops or mouth slants. In the same survey, ~20% noted deviation of the mouth.
Speech Problems
Slurring, garbled speech, or trouble understanding what others are saying. ~16% in that survey recognized speech impairment.
Vision Disturbance
Sudden trouble with sight in one or both eyes (blurring, loss of vision). Awareness of this is lower: about 53% recognized vision disturbances in a Kerala survey.
Loss of Balance, Dizziness, Severe Headache
Sudden loss of balance or coordination, dizziness, confusion, or sudden, severe headache are also warning signs. Surveys show these are less well recognized compared to motor or speech symptoms but still important.

Risk Factors: What Makes Stroke More Likely After Age 40

Understanding risk helps prevention:

Hypertension (High Blood Pressure) — arguably the biggest factor. Many over-40 Indians have undiagnosed or uncontrolled high BP.
Diabetes Mellitus — often co-exists; increases damage to blood vessels.
Dyslipidemia (High Cholesterol / Lipids)
Smoking & Tobacco Use — cigarettes, chewing tobacco.
Alcohol Use
Obesity / Sedentary Lifestyle
Dietary Risks — high sodium, low fruits/vegetables.
Heart Conditions — atrial fibrillation, prior heart disease.
Other — age itself, stress, sometimes air pollution.

Awareness & Knowledge: What Indian Surveys Reveal

In the Rajasthan survey among hypertensive patients (mean age ~54), around 75-80% knew at least one major warning sign (one?side weakness, speech or vision issues), but 25-30% were unaware.
In a community survey in Kerala, 94.2% identified facial weakness, 86.6% speech disturbances, 84.5% limb weakness. But only ~53% recognized vision issues as a symptom.
In a North Indian telephone survey, nearly half the participants (?46%) did not know warning signs.

So even in literate, more urban or health-aware areas, a non-trivial proportion of people over 40 are not fully aware.

Why Early Recognition Matters

Treatments like thrombolysis (clot-busting medications) are time sensitive — often must be given within a few hours (“golden hour”). Delays drastically reduce benefit.
Early hospital arrival, correct diagnosis, and starting therapy quickly can reduce severity, prevent permanent disability, reduce mortality.
Preventing recurrence: once someone has had a stroke (or mini-stroke), risk of further strokes increases. Early intervention (lifestyle, medicines) matters.

What to Do If You or Someone Over 40 Notices These Signs

Don’t Delay — If sudden facial droop, weakness on one side, speech issues, vision trouble, or sudden severe headache occurs, seek emergency medical help immediately (call ambulance / go to hospital).
Note the Time — When symptoms started. Critical for treatment options.
Diagnostic Tests may include CT/MRI brain, ECG, carotid imaging, labs (blood sugar, lipids etc.).
Medical Management — Control high blood pressure, diabetes, cholesterol; anticoagulants if needed; lifestyle changes.
Rehabilitation — Speech therapy, physiotherapy, occupational therapy if deficits remain.

Real Numbers: What Are the Outcomes / Burden

Adjusted stroke prevalence in India is estimated between 84 and 262 strokes per 100,000 in rural areas, and 334-424 per 100,000 in urban areas depending on the region.
Among those aged 55+, stroke rates jump — e.g., in Trivandrum, rate is ~7.1 per 1,000 people per year for 55+, rising to 13.3 per 1,000 for those aged 75+.
The chance of having a stroke after 55 is roughly 1 in 5 for women and 1 in 6 for men in certain studies, though this includes all adults over 55.

Challenges in India

Delays in recognising signs and reaching hospital. Many people don’t know less obvious symptoms.
Low awareness of treatments and golden period for therapy. Surveys show only a small fraction know about clot lysis or emergency window.
Access issues: hospitals with stroke care, imaging etc. may be far. Costs, transport, awareness all barriers.
Comorbidities often unmanaged (hypertension, diabetes).

Prevention: What Indians Over 40 Can Do Now

Regular health checkups: Monitor blood pressure, blood sugar, cholesterol.
Lifestyle changes: Healthy diet (low salt, more fruits/veg), active lifestyle, avoid tobacco, limit alcohol.
Stay alert to symptoms: Educate self / family about warning signs.
Emergency planning: Know nearest hospital that handles stroke, keep travel / transport options ready.
Medication adherence: If prescribed (for BP, diabetes, heart conditions), don’t skip.

Conclusion & Call to Action

Stroke warning signs for Indians over 40 are often clear—but awareness is still incomplete. Because stroke risk increases with age, recognizing the early warning signs like sudden weakness, facial droop, speech trouble, vision disturbance, and balance issues can make all the difference.

If you or someone over 40 feels any of these, act fast. Time matters. Go to the hospital immediately.

CTA: If you’re over 40, schedule a stroke risk assessment today — check your blood pressure, diabetes, cholesterol, and get informed about warning signs. A simple health check can save your life or someone you care about.

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