Possible prostate problems?

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Hi 

I am a 29 year old male - good shape (10 stone/ 65kg weight) 5`9inches height. I work in an office so I am always seated but exercise 3 - 4 days at the gym a week. Job can be stressful at times. For several years I have been suffering from urinary issues. I originally put it down to "age" as that was what everyone was saying. However I decided to get checked by my GP. 

My issues are:

- frequent urination at night (nocturia) once or twice (I dont drink at night) 

- frequent urination during the day (not a big drinker of fluids, I have cut out caffeine, I do not drink alcohol or take drugs and I have never smoked). I can go up to 10 times a day. 

- weak urinary flow at times and sometimes hesitancy 

- lower abdominal discomfort (sense of fullness at times) 

- zero pain when urinating 

- suffer from reocurrent Epididymitis from time to time (not always) 

Family history

- fathers twin brother diagnosed with prostate cancer at the age of 63. 

Checkups I have had done

I have had the following check ups by Urologists and Radiologists (referral from GP):

- STD (clean)

- Urine analysis (white blood cells present in Urine but no bacteria and no red blood)

- Kidney, Ureter and Bladder (KUB) ultrasound (abdominal scan) -> everything appeared ok but was retaining 20ml urine after voiding. Radiologist also advised that from this he could see my prostate was normal size. 

- Testicular scan (all fine, cyst found but no issue with it) 

- Blood panel (Liver, Kidney, diabetes etc checked and again all clear/fine) 

- Semen sample (all clear, no bacteria) 

- X-ray scan of digestive tract incl. intestines (all fine) although possible suffering from IBS (not diagnosed at least have 4 bowel movements a day).

The Urologist advised possible inflammation (even though no bacteria present in Urine) and put me on CIPRO which I cant take as I am allergic so was prescribed Amoxicillin 1000mg (2 tablets a day) for almost a month.  Finished with the Amoxicillin and no improvements. 

I have gone back to my GP and she has taken another Urine sample and Semen sample too. I have to go back in 2 weeks to collect my results and then she will refer me onto another Urologist as she believes the last one was incompetent for prescribing me antibiotics with no apparent cause. My GP is being rather thorough which is good. 

Question, do these symptoms sound like possible prostatitis? I am at my wits end as it is very stressful with all the referrals, checkups, tests and appointments. 

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11 Replies

  • Posted

    It certainly could be prostatitis, your age would certainly suggest this over other prostate problems and the lower Ab pain is typical of prostatitis. It is very difficult to diagnose especially if no bacteria present . Has the GP performed a DRE ( digital rectum examination) they can tell a lot from feeling the prostate. If it’s tender and uncomfortable when touched it’s likely prostatitis. 
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  • Posted

    Also , have you had a PSA blood test ? This is the first port of call for prostate issues usually . 
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  • Posted

    Surely, if you had white blood cells in your urine, then your body was fighting infection so antibiotics would seem to me to be entirely appropriate. However, some bacteria have developed resistance to some antibiotics, so it's important to have the urine cultured at a lab to identify the organism and then for the correct effective antibiotic to be prescribed. This happened to me. E-coli treated was eventually successfully with Nitrofurantoin.

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  • Posted

    It may be inflammatory bowel disease. I have that and they thought I had IBS, but later my colon started to bleed. I have trouble passing urine as well when my rectum is inflamed. It can be a bowel issue, so talk to your doctor about that possibility as well. My symptoms are very much like Prostate cancer, but my PSA was only .24.
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  • Posted

    Sorry for you going through this a this young age.  You may have a Prostatitis of some type.  Or a infection of some type.  Seating all day does not sound good either.  Do you feel when you sit up straight like your seating on a ball.  It could be a lot of thing stress is not good either.  The doctor give you the antibiotics to be safe.  Are you taking any other meds. It could be a lot of things diet maybe. I hope you fined out what is wrong.  But be careful if a urologist can't find anything wrong they well assume it your prostate and what you to have some type of procedure that will be when your real problems will start.  Good luck my young friend...Ken  

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  • Posted

    If there is no infection it's worth remembering that many men find lower abdominal pain is often caused by stress (sounds crazy but true - there's a book special pelvic floor exercises have helped many people.  There's a video at the pelvic pain clinic which you should see.  I'm not suggesting you go there but it would be worth finding out about whether exercise will help rather than tons of medication.  Beware of being offered Cipro, which you may be if they think the Amoxicillin didn't work.  Check out the fluoroquinolone antibiotic discussions on this site to see why.

    Full marks to your doctor for saying its incompetent to give antibiotics without good reason.

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  • Posted

    Hello all,

    Thanks for all the responses. 

    RE: DRE and PSA test - nope not had these yet.

    RE: Urine - the Urologist tested me for Mycoplasma, Chlamydia, Gonorrhea and did a Urine culture as my Urine showed White Blood Cells count only. I was negative for the things I was tested for and my Urine culture did not grow any bacteria. Urologist suspected an "inflammation" and prescribed me with CIPRO

    I saw my GP on 13th Feb and she took a Urine and Semen sample from me as she wants to do another check. 

     

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  • Posted

    Ooops: pressed enter too early.....anyway

    Hello all,

    Thanks for all the responses. 

    RE: DRE and PSA test - nope not had these yet. When I had my trans-abdominal scan (Kidneys, Ureter and Bladder), the Radiologist said that my prostate size looked normal, kidneys were good and bladder was retaining 20ml urine after voiding. Can a trans-abdominal scan pick up prostate issues? 

    RE: Urine - the Urologist tested me for Mycoplasma, Chlamydia, Gonorrhea and did a Urine culture as my Urine showed White Blood Cells count only. I was negative for the things I was tested for and my Urine culture did not grow any bacteria. Urologist suspected an "inflammation" and prescribed me with CIPRO which I am allergic to so received Amoxocilin instead. 

    RE: Semen - all was negative for bacteria as well. 

    RE: other meds - nope not on any. I hate taking over the counter meds (even for the common cold). I take multi-vitamins and that is about it (not in high doses). 

    RE: inflammatory bowel disease - something I might explore as I have always suffered with stomach / bowel issues since a young age. My old doctor said I could have IBS. 

    I saw my GP on 13th Feb and she took a Urine and Semen sample from me as she wants to do another check. She wants to cover everything just to avoid the Urologist retesting me on the same things as she thinks they will ask to do the same batch of tests again.  

    I am seeing the GP on 27th Feb as she said it will take two weeks for results. She will refer me back to the Urologist but to another one as she feels the last guy was a bit of a joke. I saw the Urologist twice, once he insisted I had Chlamydia (I was negative) and second time he insisted it was an Inflammation and gave me CIPRO. 

    I am going to enquire at the GP about DRE, PSA and possibly Urethral Stricture. I was circumcised when I was 15 years old due to tight foreskin so maybe that may have caused some issues? 

    Just on a side note, I live in Switzerland so the referrals to Urologist etc are fairly quick. At least I wont be sitting around waiting.

    Will let you know the outcome and thanks again for all the useful input. 

     

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  • Posted

    Ooops: pressed enter too early.....anyway

    Hello all,

    Thanks for all the responses. 

    RE: DRE and PSA test - nope not had these yet. When I had my trans-abdominal scan (Kidneys, Ureter and Bladder), the Radiologist said that my prostate size looked normal, kidneys were good and bladder was retaining 20ml urine after voiding. Can a trans-abdominal scan pick up prostate issues? 

    RE: Urine - the Urologist tested me for Mycoplasma, Chlamydia, Gonorrhea and did a Urine culture as my Urine showed White Blood Cells count only. I was negative for the things I was tested for and my Urine culture did not grow any bacteria. Urologist suspected an "inflammation" and prescribed me with CIPRO which I am allergic to so received Amoxocilin instead. 

    RE: Semen - all was negative for bacteria as well. 

    RE: other meds - nope not on any. I hate taking over the counter meds (even for the common cold). I take multi-vitamins and that is about it (not in high doses). 

    RE: inflammatory bowel disease - something I might explore as I have always suffered with stomach / bowel issues since a young age. My old doctor said I could have IBS. 

    I saw my GP on 13th Feb and she took a Urine and Semen sample from me as she wants to do another check. She wants to cover everything just to avoid the Urologist retesting me on the same things as she thinks they will ask to do the same batch of tests again.  

    I am seeing the GP on 27th Feb as she said it will take two weeks for results. She will refer me back to the Urologist but to another one as she feels the last guy was a bit of a joke. I saw the Urologist twice, once he insisted I had Chlamydia (I was negative) and second time he insisted it was an Inflammation and gave me CIPRO. 

    I am going to enquire at the GP about DRE, PSA and possibly Urethral Stricture. I was circumcised when I was 15 years old due to tight foreskin so maybe that may have caused some issues? 

    Just on a side note, I live in Switzerland so the referrals to Urologist etc are fairly quick. At least I wont be sitting around waiting.

    Will let you know the outcome and thanks again for all the useful input. 

     

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  • Posted

    I had been suffering from urinary symptoms for years beginning in my 30's.  I never had anything checked until I was in my mid 40's.  I had elevated PSA but after four biopsies not finding cancer and a relatively normal sized prostate I was faced with a myriad of half fixes for a few years including pelvic floor massage (awful) and self cathing (marginally successful in retraining my bladder but not effective with frequency). 

    I also suffered from plantar fasciitis for which my podiatrist prescribed prescription strength ibuprofen.  I only took it during the day but took one at night after a particularly trying day at work and I noticed that I only got up once to pee.  I hadn't don that in YEARS!  Obviously the prostate was inflamed and the anti inflammatory did the trick in one dose.  I'm not recommending this as a treatment. Obviously, talk to your doctor about taking any over the counter meds for your prostate but my guess, at your age, would be inflammation. See if you can address that with your doc. 

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