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Acute and chronic prostatitis discussion. Arnon Krongrad, MD, moderator.

Dave B
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What is your score on the Chronic Prostatitis Symptom Index (posted on home page)?
32
If you have been diagnosed with prostatitis, please tell us your story: age, duration of symptoms, treatments, results, and the like.
Male - 35
Onset seemed related to weightlifting (squats, deadlift, standingpress, etc.). Came on initially around 1/14/11 and lasted for about 10 days until i was normal. Resumed lifting and new onset occurred around 2/9/11 and is starting to go away after about 9 days.

Currently on Cipro, Flomax, Naproxen and Vicodin. Nothing seems to help much except for time...

Comment Wall (4 comments)

At 9:52pm on February 18, 2011, Arnon Krongrad, MD said…

Hi Dave,

 

Welcome. Yours is a rather unusual history. The coincidence with weight lifting raises the possibilities of hernias, spine disease ... Have these been considered?

 

Arnon

At 7:10pm on February 19, 2011, Arnon Krongrad, MD said…

Dave,

 

To rule out spinal illness causing pain in essence means addressing neurological illness, which can arise from anomalies at the spine itself or more peripherally at the nerves, including possibly the pudendal nerve. The specialists more suited to such evaluations are neurosurgeons, neurologists, and pain specialists. So if a patient seemed to be at risk for a primarily neurological basis for his symptoms, these are the kinds of specialists to whom his primary doctor(s) might reasonably refer him. Such a patient could reasonably discuss this kind of refer with the doctor(s) who know him best.

 

Arnon

At 11:30am on February 24, 2011, Arnon Krongrad, MD said…
A good question for your doctor(s). Interesting. Please keep us posted. It'll be important for the members to learn if your "prostatitis" turns out to be an ortho/neuro problem related to lifting.
At 11:48am on February 24, 2011, Arnon Krongrad, MD said…
"Infection" is a funny term. After all, there are bacteria many places: Skin, stool ...

As it happens, there are bacteria also in the prostate in most cases (also viruses). And these are not symptomatic at all. And we don't treat them.

So why use antitiotics at the problem? Because in some cases they eliminate symptoms, which is the objective.

How much antibiotics? Good question. Is there a downside to use of antibiotics? Sure: Allergies, diarrhea, tendonitis, etc.

Most patients first get antibiotics. Many get way more than is useful.

Talk with your doctor about the likelihood that your symptoms are due to bacteria and can be resolved with more antibiotics. And ask about risk.

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