Acute or Chronic Prostatitis? - Prostatitis Forum & Social Network2024-03-29T09:35:10Zhttp://prostatitis.ning.com/forum/topics/acute-chronic-discomfort-back-hip-pain-anxiety-urologist-bactrim?groupUrl=diagnosis&commentId=2201951%3AComment%3A34286&groupId=2201951%3AGroup%3A6136&feed=yes&xn_auth=noHi
9 months after accute cris…tag:prostatitis.ning.com,2012-10-03:2201951:Comment:342862012-10-03T13:24:24.725ZJoehttp://prostatitis.ning.com/profile/Joe
<p>Hi</p>
<p>9 months after accute crisis I had, so far I am experiencing in a chronic manner the bellow issues:</p>
<p>1- continuous numbling in teh scortum area</p>
<p>2- Some time pain in testicles, reliefed by ejaculation.</p>
<p>3 Sporadic erectil disfunction</p>
<p>4- sporadic <font lang="en" xml:lang="en">thigh discomfort</font></p>
<p><font lang="en" xml:lang="en">5- Discomfort above the hips</font></p>
<p><font lang="en" xml:lang="en">6- Sporadic increase in urination…</font></p>
<p>Hi</p>
<p>9 months after accute crisis I had, so far I am experiencing in a chronic manner the bellow issues:</p>
<p>1- continuous numbling in teh scortum area</p>
<p>2- Some time pain in testicles, reliefed by ejaculation.</p>
<p>3 Sporadic erectil disfunction</p>
<p>4- sporadic <font lang="en" xml:lang="en">thigh discomfort</font></p>
<p><font lang="en" xml:lang="en">5- Discomfort above the hips</font></p>
<p><font lang="en" xml:lang="en">6- Sporadic increase in urination frequency</font></p>
<p><font lang="en" xml:lang="en">The urologists I saw just said I ve nothing to worry about, especially when abdominal Echography was almost normal, except the prostate seize 23 CC (although they said it is normal) and 18 CC still in bladder after urination (mesured by Echorgraphy as well). Also in teh echography, we can see "légère Hypotonie des cavités pyelocalicielle". The urologist says as far as te kidney are ok and no expansions is noticed we shoudl not care about that.</font></p>
<p> </p>
<p><font lang="en" xml:lang="en">My concern now is thatif I am having a chronic inflamation of teh prostate, what shall I do to get rid of it. What shoudl be the best way forward to adress this never ending story.</font></p>
<p><font lang="en" xml:lang="en">Thanks for your support Joe</font></p> I think in frensh "Test cytob…tag:prostatitis.ning.com,2012-01-15:2201951:Comment:313382012-01-15T20:35:01.010ZJoehttp://prostatitis.ning.com/profile/Joe
<p>I think in frensh "Test cytobactéréologique des urines."</p>
<p>I think in frensh "Test cytobactéréologique des urines."</p> what is an ECBU?tag:prostatitis.ning.com,2012-01-13:2201951:Comment:311322012-01-13T01:55:52.543ZArnon Krongrad, MDhttp://prostatitis.ning.com/profile/krongrad
<p>what is an ECBU?</p>
<p>what is an ECBU?</p> Hi
Just saw my doctor today. …tag:prostatitis.ning.com,2012-01-12:2201951:Comment:308922012-01-12T22:36:50.162ZJoehttp://prostatitis.ning.com/profile/Joe
<p>Hi</p>
<p>Just saw my doctor today. He asked me to do a spermoculture and ATB to better define the antibiotique for teh next treatement. I was wondering if I should also do an ECBU to see of the urine has a bacteria as well!</p>
<p>Looking forward for any comment</p>
<p>BR</p>
<p>Joe</p>
<p>Hi</p>
<p>Just saw my doctor today. He asked me to do a spermoculture and ATB to better define the antibiotique for teh next treatement. I was wondering if I should also do an ECBU to see of the urine has a bacteria as well!</p>
<p>Looking forward for any comment</p>
<p>BR</p>
<p>Joe</p> You are reporting a range of…tag:prostatitis.ning.com,2012-01-07:2201951:Comment:307972012-01-07T21:03:17.279ZArnon Krongrad, MDhttp://prostatitis.ning.com/profile/krongrad
<p>You are reporting a range of prostate signs and generalized symptoms, ranging from back pain to fatigue to anxiety to reduced libido to prostate tenderness. Since each of these can be either a cause or effect and since each can be caused by many things, this situation is too subtle and complex to be fully assessed in a thread like this. Either way, these signs and symptoms need a broad consideration, which I am in no position to make. See what your doctors say and let us know.</p>
<p>You are reporting a range of prostate signs and generalized symptoms, ranging from back pain to fatigue to anxiety to reduced libido to prostate tenderness. Since each of these can be either a cause or effect and since each can be caused by many things, this situation is too subtle and complex to be fully assessed in a thread like this. Either way, these signs and symptoms need a broad consideration, which I am in no position to make. See what your doctors say and let us know.</p> Hi
What would be the best opt…tag:prostatitis.ning.com,2012-01-07:2201951:Comment:308752012-01-07T18:51:30.974ZJoehttp://prostatitis.ning.com/profile/Joe
<p>Hi</p>
<p>What would be the best option forward knowing that I was 6 weeks under Bactrim and I did no exams apart from the echography? What shall I suggest to my doctor in order to deepen the analysis.</p>
<p>BR</p>
<p> </p>
<p>Joe</p>
<p>Hi</p>
<p>What would be the best option forward knowing that I was 6 weeks under Bactrim and I did no exams apart from the echography? What shall I suggest to my doctor in order to deepen the analysis.</p>
<p>BR</p>
<p> </p>
<p>Joe</p> If only Bactrim gets in, then…tag:prostatitis.ning.com,2012-01-07:2201951:Comment:308742012-01-07T18:38:13.470ZArnon Krongrad, MDhttp://prostatitis.ning.com/profile/krongrad
If only Bactrim gets in, then why do so many cases of acute prostatitis respond completely to quinolone antibiotics?<br />
<br />
Yes, Bactrim is older than cephalosporins, fluoro-quinolones, and other antibiotics. It still kills sensitive bacteria. Either way, if a patient has acute prostatitis, and no bacteria are available for culture and measurement of antibiotic sensitivity (as is often the case), then unless a patient lives in an area where most bacteria are resistant to Bactrim but sensitive to…
If only Bactrim gets in, then why do so many cases of acute prostatitis respond completely to quinolone antibiotics?<br />
<br />
Yes, Bactrim is older than cephalosporins, fluoro-quinolones, and other antibiotics. It still kills sensitive bacteria. Either way, if a patient has acute prostatitis, and no bacteria are available for culture and measurement of antibiotic sensitivity (as is often the case), then unless a patient lives in an area where most bacteria are resistant to Bactrim but sensitive to quinolones, an emprical trial of Bactrim is not unreasonable. Thanks for your reply.
When m…tag:prostatitis.ning.com,2012-01-07:2201951:Comment:309452012-01-07T18:29:43.497ZJoehttp://prostatitis.ning.com/profile/Joe
<p>Thanks for your reply.</p>
<p>When my doctor put me under BActrim, he told me that this is the only antibiotic that could penetrate teh prostate. Another doctor told me that Bactrim is a quite old Antibiotic and not anymore effective as most of teh bacteria could have developed resistance to it? To waht extent the opinion of both doctors are accurate?</p>
<p> </p>
<p>BR</p>
<p>Joe</p>
<p>Thanks for your reply.</p>
<p>When my doctor put me under BActrim, he told me that this is the only antibiotic that could penetrate teh prostate. Another doctor told me that Bactrim is a quite old Antibiotic and not anymore effective as most of teh bacteria could have developed resistance to it? To waht extent the opinion of both doctors are accurate?</p>
<p> </p>
<p>BR</p>
<p>Joe</p> Let's distinguish an ultrasou…tag:prostatitis.ning.com,2012-01-07:2201951:Comment:307952012-01-07T17:53:47.906ZArnon Krongrad, MDhttp://prostatitis.ning.com/profile/krongrad
<p>Let's distinguish an ultrasound finding from clinical symptoms. The reality is that calcifications are found in many men who have absolutely no symptoms. For example, we seem them routinely in asymptomatic men who are having prostate biopsy on suspicion of prostate cancer. So finding calcifications does not denote prostatitis symptoms, let alone prostatitis symptoms not correctly treated. They are a nonspecific finding, not a diagnostic finding.</p>
<p> </p>
<p>To your question, bacteria…</p>
<p>Let's distinguish an ultrasound finding from clinical symptoms. The reality is that calcifications are found in many men who have absolutely no symptoms. For example, we seem them routinely in asymptomatic men who are having prostate biopsy on suspicion of prostate cancer. So finding calcifications does not denote prostatitis symptoms, let alone prostatitis symptoms not correctly treated. They are a nonspecific finding, not a diagnostic finding.</p>
<p> </p>
<p>To your question, bacteria and yeast and viruses, not calcifications, cause infection. And sure, your symptoms are consistent with recurrent (acute or chronic) prostatitis, although depression and loss of libido from any reason is another possible explanation of symptoms, including symptoms manifesting in somatic sensations, such as hip discomfort. Your doctor(s) can help you explore which is the "chicken" and which is the "egg."</p> Hi
Thanks a lot for your feed…tag:prostatitis.ning.com,2012-01-07:2201951:Comment:307932012-01-07T16:28:09.430ZJoehttp://prostatitis.ning.com/profile/Joe
<p>Hi</p>
<p>Thanks a lot for your feedback. The echography shows a multiple calcifications attesting of anterior priostatitis not correctly treated. I ve the following concerns:</p>
<p>- Can the calcifications cause recurrent infections and how to get rid of them?</p>
<p>- I am feeling an uncomfort at the levels of my hips, especially when I am driving + some picking picking at th elevel of the <b>scrotum + decrease in sexula appetite + a Iritability and sadeness. Could it b erelated to the…</b></p>
<p>Hi</p>
<p>Thanks a lot for your feedback. The echography shows a multiple calcifications attesting of anterior priostatitis not correctly treated. I ve the following concerns:</p>
<p>- Can the calcifications cause recurrent infections and how to get rid of them?</p>
<p>- I am feeling an uncomfort at the levels of my hips, especially when I am driving + some picking picking at th elevel of the <b>scrotum + decrease in sexula appetite + a Iritability and sadeness. Could it b erelated to the fact the acute prostatitis is back and I need further treatements with antibiotics?</b></p>
<p> </p>
<p><b>BR//Joe</b></p>
<p> </p>
<p> </p>