Prostatitis Forum & Social Network
Acute and chronic prostatitis discussion. Arnon Krongrad, MD, moderator.
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Comment Wall (4 comments)
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
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
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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