### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi Dr Samuel  I have three questions :1. Can some one take tamsulosin for a mild enlarge prostrate and natural vegetables llke celery,tomatoes punkin-seed pomegranate at the same time.2. My doctor had prescribed  tamsulosin in summer of 2012 because of regular urination. After taking the first tablet  I did not like how my body was reacting so I didnt use any more and the pee improve automatically. But  3 months after some minor irritation in my testes I use the pills even though not every day.  About six month later I found out about the Natural treatment in question one and held off the pills for the natural treatment.  They worked better than the pills and really boosted up my libido and  sexual drive from  June last year until my prostrate act up again two weeks ago which I must explain . In January until mid February I was not in the USA and I did not find the time to get my natural product,nevertheless I was still ok. about two weeks ago I bought  Digel  from the pharmacy over the counter for gas treatment (contents were magnesium hydroxide and potassium hydroxide).  Five days after taking it I find I began to pee frequently every 1/2 hour. When I stop using the Digel  I  pee at a rate-SPACING  of some times 1&1/4, 1&1/2 hr,1&3/4 hr, or even  2 hrs . I started to use the tamsulosin again after 3 days of  pee symptoms and back on my natural remedies too. I  began getting minor pains in my testes from Friday night.  My made an appointment  to see a urologist with in two weeks. My question is will the mild pain go away on this treatment plan or I have to ask my DR for a more effective pill. ? My last PSA ratio was  1.0  ref range = 4.0   dated (9/13).3. Is there any better recommendation to stabilize my peeing and alleviating the pain.

### output:

Hello1 Along tamsulosin you can take any type of vegetable or fruit. Only precaution is to be taken, not to take high liquid diet or fruit or juice 4-5 hours before sleep.( less urine formation)2 Tamsulosin is used in Benign prostatic hyperplasia (for enlarged prostate). Normal dose is 400 mcg, and you can increase up to 800 mcg once daily after 2-4 weeks, if necessary. In your case as you stopped so many times, so now you can restart but dose should be 400 mcg till satisfactory result. 3. In few cases we can get good result with a combination of tamsulosin+finasteride after consultation with a surgeon. Your PSA level is within normal limit so need not worry. Good luck.