PSA jump

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56 year old, long history of BPH. I have had severe pain and UTI issues for about 3 months. Went to

my urologist about a month ago and was prescribed Bactrim. DRE, according to doc was normal. He suggested that I have a PSA. Had one last January, it came back at 1.58......had one done last week and it has come back at 2.14....I looked at it on a patient portal for my urologist and the comment was "above high limit". I am pretty stressed over that. Should I be? I do have a trace amount of blood in my urine. Any thoughts?

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  • Posted

    if your symptoms started rather suddenly like 0-60 then i wouldnt worry. fairly low psa last year for your age and a small spike with symptoms...do not panic. urologist will probably repeat after bactrim....i would. not likely they would do a bioposy with that psa...so hang tight and relax. stress just makes the prostate worse. good luck with it!

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  • Posted

    Drew,

    Your PSA numbers are still low although you had a small rise in the last year. What I have always heard is for 56 years old, under 4.0 is normal. The blood in the urine is something to watch. You can buy some "Siemens multistix 10 sg" Urine test strips on Amazon or Ebay, and start testing for UTI yourself at home. They test for :

    Glucose

    Bilirubin

    Ketone (Acetoacetic Acid)

    Specific Gravity

    Blood

    pH

    Protein

    Urobilinogen

    Nitrite

    Leukocytes

    Be careful about a Urologist trying to push you into a biopsy. Now days a 3 Tesla MTI can show cancer as well as, or better than a random biopsy.

    You can try some natural remedies along with antibiotics, like cranberry juice, cranberry pills, Dmannose, and biofilm disruptors.

    Thomas

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  • Posted

    The blood worries me. You should ask for a cystoscopy (flexible scope!) to check for any issues. It's the best test around. Also you might still have a UTI. I use Amoxicillin for UTIs. It is very effective and no side effects. I usually get one UTI a year. Good luck.

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  • Posted

    Hi from New Zealand. The PSA is I believe still well within safe levels. The Bactrim is an antibiotic

    Regards Robin

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  • Posted

    Hi from New Zealand. The PSA is I believe still well within safe levels. The Bactrim is an antibiotic

    Regards Robin

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  • Posted

    I had blood in my urine and my urologist suspected a bladder tumor. He sent me for a CT urogram and he was correct. Fortunately it was the non-invasive type and after surgery and 6 weeks of immunotherapy, there has been no reoccurrence. Don't assume it's nothing.

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  • Posted

    Motrin , advil can cause you to have blood in the urine. Dont do a biopsy first get a 3tmri before any biopsy. Watch out for urologists sometimes they will push there own procedures. Always good to get second or third opinions. This group in here is a good for many opinions.

    Good luck

    Jim

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  • Posted

    Motrin , advil can cause you to have blood in the urine. Dont do a biopsy first get a 3tmri before any biopsy. Watch out for urologists sometimes they will push there own procedures. Always good to get second or third opinions. This group in here is a good for many opinions.

    Good luck

    Jim

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  • Posted

    I would never suggest for 1 minute to ignore any problems related to Bladder or Kidney problems. In NZ a PSA of under 5 would be looked at but in some readings they look at other markers so it may not be apples with apples if you are with me.

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  • Posted

    I would not worry yet. Check the PSA in 3 mths and see if it continues to rise.

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