Prostate pain, pelvic pain, penile pain

thanks Jeff

I have abstained from alcohol for 4 weeks, I barely consume caffeine (1 x instant type coffee of a morning) I drink lots of water (which I need to as I also feel constantly dehydrated with this). baths are 1 of the few times I get mild relief from this to be honest so I am doing that, the heating pad idea I would suggest is a no no for me, I have heated seats in my motor and when they are on it makes things worse in the penile area. I certainly don't cycle lol...... thanks for your input mate, I appreciate any advice🙏🏻👌🏼👊🏼

also the blood flow thing you mentioned would tie in with the penile issues. it is sometimes like blood is struggling to get around the penis and sometimes when sitting in a certain way it goes cold and numb almost 🤔

I had full blood/urine tests, everything came back fine (slight issue with blood platelets originally but that was put down to a viral infection I had leading up to this... 2nd test was fine).

the prostate issue was detected by rectal examination, was extremely painful to touch and doc said it was quite enlarged but felt smooth to touch (so nothing sinister). I'm attempting to improve my diet, eating more greens, chicken and fish. I barely consume caffeine (1 coffee on a morning) I don't generally drink fizzy drinks either 95% of liquid I consume is water. I'm currently abstaining from alcohol( 4 weeks now) which has been hard as I like a drink, and getting drunk was 1 of the only times I got some respite from this, although I felt shocking the next day or 2. I will look into indomethacin as ibuprofen and paracetamol has zero effect. I currently am just seeing my family doctor but will suggest maybe getting referred to a Urologist on Thursday. I will keep updating as my journey progresses (or not as might be the case)

thank you for responding D

d36675,

A big clue is that your Digital Rectal Exam felt extremely painful to touch. That means you prostate is infected and inflamed, prostatitus. You should ask for a semen culture, it may not show up in your urine. You should definitely see a urologist, and might have to shop around for a good one.

I had prostatitus when I was 22. The urologist did a DRE on me and collected discharge on a glass microsope slide. I assume he looked at it with a microscope to determine what type of bacteria it was. He may have also cultured it and sent it off to a lab. From that he selected an antibiotic which cured it in about two weeks. I went in weekly for DRE, which was painful, It was more like a prostate massage, the idea may have been to get the antibiotic to penetrate the prostate. He collected the discharge sample on glass slide each week. The symptoms went away in two weeks but I kept going to his office for four weeks, for the prostate massages.

In retrospect, I think at that time my sex activity had change because I had just moved away to a new city, and shared an apartment with other people. I think my sex activity had dropped off alot. Prostatitus might also be caused by overdoing sex activity. Moderation is the key. The urologist also told me to back off drinking too much beer and coffee, as I was drinking alot of both at that time. Try also cutting down on sugar.

You might also want to try a biofilm disruptor along with the antibiotics. A biofolm disruptor is a mix of enzymes that dissolve a biofolm, look it up on Google and Amazon. Bacterial colonies can cover themselves with a biofilm which antibiotics and your body's defenses can't penetrate. Anti inflammatory drugs like NSAIDS may also help.

There is also a non bacterial prostatitus which I don't know much about. If none of the other antibacterial remedies work you might look up info on that.

Regards,

Thomas

so did the DRE cause the discharge to come out of the penis?

if my prostate is as it was last time I got checked I don't think I could handle it being massaged, I almost passed out when I had my check done as it was that painful

IF its acute bacteria prostatitis it will be very painful for prostate massage and recommend against it

read here

Prostatic massage should be avoided in patients suspected of having acute bacterial prostatitis. Midstream urine culture should be used to guide antibiotic therapy for acute bacterial prostatitis.

https://www.aafp.org/afp/2016/0115/p114.html

what is the suggestion for treating prostate infection then Derek, or do we just accept it is long term and move onto pain management?

Cipro should be subscribed as a last resort but it is very good if you have chronic prostatitis. It penetrates the prostate very well which much of the others do not. If you have a bacteria infection and nothing else works and your infection is susceptible to it then might be something to try. I have done it and on it currently for mine since I have tried everything else and I don't have any symptoms that everyone talks about. However I am young (30) do not have underlying issues with joints, heart issues such as qt prolongation etc. However prostate infections are not a walk in the park so if you find out nothing else works and your last option it could be something that works. Drs that prescribe cipro as a first hand drug before making sure that it is chronic bacteria prostatitis is not good. If someone just has non bacteria they just really need pain relievers until the flare ups go away through exercise stretches and good diet

There are other antibiotics they can use but it is a tough one to cure. I had prostatitis off and on for years until having prostate laser surgery for BPH..

I had tendonitis after being prescribed the drugs. First time intravenously when in hospital to have a heart valve replacement and later in tablet form and each time stopped it after two days when tendon pain started. Four years later it really caught up with me actually overnight when worsening neuropathy started in my lower left leg. I now use a rollator or an electric wheelchair to get around. There is no actual diagnosis for it nor any treatment. Some neurologists even suggested that I have CMT but genetic testing ruled that out.

wow..... I'm pretty scared about these antibiotics now

we are a minority but here is no knowing who will be affected much evidently depends on your DNA makeup.

Some get problems after just one tablet others get away with taking them for years before being hit.

Good luck

I'm just over 3 weeks in.... no noticeable side effects as of yet. I think I'm gonna complete the 4 weeks then ask to see a urologist... also might try go the alternative route, probiotics/cbd/meditation

Look out for the first sign of tendon pain.

where is that most likely to occur? I have a very physical job so tendonitis would be very bad for me

In the lower legs. In tends to affect one leg only and you are possibly more prone if you have had tendonitis in the past.

I also had pain in my right hip that I put down to 5 1/2 hours on the operating table having my aortic valve replaced but may have had the same cause. It did not clear up with physio and I had a cortisone injection that cured it. I now know that if affected by Cipro/fluoroquinolones that corstisone should be avoided.

cheers

I've decided to stop taking the ciprofloxacin

Wise move as you can never be sure how or when it may affect you

I'm guessing if they haven't made any improvement after 3 weeks then my issue might not be bacterial

Prostate infections are very difficult to treat as it is difficult for the drug s to get deep into the gland.

so am I just going to accept this and be in pain for the rest of my life?

I found that it often went away on its own but returned.

I've not had again since 2013 since I had laser surgery on my 135 grm prostate, And my PSA went down from around 8 to 0.74.