Saskatoon StarPhoenix

Try pumpkin seeds for ultimate bladder control

- DR. W. GIFFORD-JONES info@docgiff.com www.docgiff.com

There’s an old saying, “If you don’t go when you gotta go, by the time you get to go, you’ve already gone!” Millions of North Americans, if they’ve heard this expression, know all too well what I’m referring to: urinary incontinen­ce.

Now, Japanese researcher­s claim pumpkin seeds are the answer to many urinary problems. But who hasn’t carved up pumpkins and tossed the seeds away?

Urinary troubles come in many ways to both men and women. Many women, following childbirth, suffer from weakened pelvic muscles. The complaint is that coughing, sneezing or even getting up quickly from a chair results in wetting themselves, and they fear becoming a social outcast.

But more people of both sexes are inflicted with OAB: an overactive bladder. They seek relief from daytime and nighttime urinary frequency, which becomes more of a problem with advancing age. The result is lack of sleep, depression and often leakage of urine on their clothes.

It’s estimated that one in six adults over the age of 40 is affected by OAB and by age 70, it affects 48 per cent of women and 17 per cent of men.

The cause for older women is often a combinatio­n of problems, particular­ly after menopause. Childbirth sets the stage with weakened vaginal muscles causing, in time, a falling of the bladder wall. But, in addition, a lack of estrogen causes thinning of the bladder lining and thence the urge to void.

For men, urinary incontinen­ce is often associated with enlargemen­t of the prostate gland. Or it may occur following radical prostate surgery or radiation therapy for prostate malignancy. Comments from patients indicate this happens more often than reported because patients who wet themselves are much more aware of this annoyance than the doctor who performed the surgery, and are embarrasse­d by it.

Convention­al medicine can help many female patients with surgery to repair damaged pelvic muscles. Prescripti­on drugs are also available to decrease bladder spasm, but are often associated with side-effects. In addition, oral estrogen along with vaginal estrogen creams such as Premarin or Vagifem tablets are helpful in building up the bladder lining. Unfortunat­ely, these helpful remedies are often overlooked by doctors.

But what about ultimate bladder control using water-soluble pumpkin seed extract? In 1578, a European herbal encycloped­ia mentioned the use of pumpkin seeds to treat urinary problems. Pumpkin seeds have also been used by Native Americans for years to facilitate the passage of urine.

More recently, Japanese researcher­s claim this natural remedy decreases urinary incontinen­ce by 79 per cent, daytime incontinen­ce by 39 per cent and night time urination by 68 per cent.

But what’s so magical about pumpkin seeds? Studies show that the seeds contain fat and water-soluble portions. Researcher­s report it’s the water-soluble portion of the seed that supplies the punch to ease urinary symptoms. By inhibiting the aromatase enzyme, it creates a tissue-building effect on the pelvic floor muscles. It’s believed this may make more testostero­ne available to strengthen and build back the urinary tract muscles.

The water-soluble part of the pumpkin seed also binds to the androgen receptor on pelvic muscle cells. This strengthen­s the female bladder wall to limit the amount of urine left in the bladder after voiding.

Pumpkin seed extract plays another important role in the production of nitric oxide, which has a relaxing effect on both arteries and muscles. This allows for better urinary control. For instance, when the bladder is full, nitric oxide is needed to relax the muscles, allowing urination. But if nitric oxide is in short supply, the bladder becomes hyperactiv­e, resulting in frequent urination.

In males, pumpkin seed extract may not cause a decrease in the size of the prostate gland, but by decreasing inflammati­on, it improves urinary flow.

Years ago, no one carving a pumpkin would have dreamt that its seeds contained so much power to control bladder problems. But like drugs that decrease pain, any improvemen­t in either incontinen­ce, urinary frequency or a reduced urge to go can make life more livable.

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