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Home > Archive > Prostate > November 2004 > BPH Advice
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| Jerry 2004-10-22, 11:08 am |
| I am a 42 year old that has had frequent urination and urgency for the
past four years or so. It has been gradually getting worse with
relatively frequent flank pain that resolves itself within a few days.
Two years ago, during a routine physical my physician detected a
nodule on my prostate and referred me to a urologist. The urologist
did a PSA and recommended a biopsy. I had a prostate biopsy in
December of 2002. Biopsy was negative for cancer.
In January of 2003 I went on Flomax to increase flow and reduce
frequency. Treatment was mildly successful with some improvement but
signifigant side effects so I discontinued the Flomax and just lived
with the problem.
I returned to the urologist in September of this year and had
Urodynamic study performed and a bladder ultrasound. The urologist
diagnosed urinary retention and very weak flow. He scheduled a
cystoscopy and direct vision urethrotomy. Cystoscopy and urethrotomy
performed on Thursday, October 7 at an uutpatient clinic. Developed
severe flank pain, high fever, blood and clots in urine. On Tuesday,
Oct 12, called the urologist and was placed on three days of Cipro.
Fever continued and Wednesday, October 13, went to the minor emergency
clinic where I was given an injection of Rocephrin. Flank pain and
fever continued overnight with periodic episodes of very difficult
unirnation. Went to the emergency room on Thursday morning where IV
Rocephrin was administered as well as a CAT scan. CAT scan was
negative. While in the ER, had several episodes of urgency but was
not able to urinate. Discharged from the ER at approximately 11:30.
Ate a small lunch and went home to rest. At approximately 2:00 PM
developed urgent need to urinate, however, was unable to produce any
urine. Called the urologists office and was told to come to his
office. Pain and discomfort increased to very high levels and was
unable to sit or stand upright. My spouse took me back to the ER
where I was readmitted, given Demerol and a Foley catheter was placed.
Approximately 800ml of urine was drained. Was admitted to hospital
overnight and discharged with the following day. Catheter was removed
at home on October 18th .
Subsequently, fever and flank pain has resolved with occasional mild
left flank pain. Since the catheter was removed, I have had three to
four episodes of very delayed urination (waiting for up to three
minutes for urination to start).
Questions:
Does this sound like BPH? Can it develop at age 42?
I am not very happy with the lack of information I have been receiving
from my urologist so I am scheduled to see a second urologist next
week for a second opinion. Am I being unreasonable?
What are the chances of not being able to urinate again? That was the
worst pain I have ever had and was in complete misery.
Any other advice from the group?
| |
| Kevin D. Renz 2004-10-22, 7:12 pm |
| Sorry for your troubles. Sounds like it could be BPH and, yes, it could
develop anytime. Mine began around 48 years old (ten years ago.) But, it
could also be some other malady including kidney stones. I assume that the
tests you've had could or should rule out some other causes.
If it's not BPH than you should definitely find out what it is. Also, don't
expect good, complete, direct communication from your doctors. I don't find
that this is a reasonable expectation. Get all of the information you can
for yourself so that, at least, you'll know your options.
Also, it would appear that you should learn to self-catheterize. In that way
you'll at least be able to get the urine out and spare yourself some major
discomfort. It's not bad once you get the hang of it. What, at first, feels
like pain is very soon recognized as merely an intense, sharp, sensation -
not really pain at all.
Hope this helps.
Kevin
| |
| redbeard 2004-10-22, 7:12 pm |
| No you are not being unreasonable in seeking a second opinion. I
developed bph in my mid to late forties. Due to my age this went
undiagnosed as the physician discounted bph. It was only diagnosed
when I went into acute urinary retention and was referred to a uro.
Yes you are probably young for bph but that does not mean that you
don't have it. You must speak frankly with the new uro and make sure
that he/she answers your questions.
I never had what you described as "flank pain". Are you referring to
an area around the kidney? I would be thinking of some sort of urinary
tract infection which is why they gave you Cipro.
With all the workups that you have had I think that you would have
been diagnosed. Maybe the first uro was not very talkative; make sure
the 2nd is!
| |
|
| Jerry:
Run, don't walk to the second urologist. You have been ill served by
the first one. I hope you get some relief quickly. Keep us posted.
Terry
| |
|
| You said:
Also, don't
expect good, complete, direct communication from your doctors. I don't find
that this is a reasonable expectation.[vbcol=seagreen]
I sure disagree with that. I think we patients should DEMAND that. These
doctors are VERY WELL PAID. We should get good service in return.
Oh, and yes, it does sound like BPH, but I'm not sure about the flank pain.
Mel
"Kevin D. Renz" <kdrenz@sonic.net> wrote in message
news:mYbed.508$_3.8742@typhoon.sonic.net...[vbcol=seagreen]
> Sorry for your troubles. Sounds like it could be BPH and, yes, it could
> develop anytime. Mine began around 48 years old (ten years ago.) But, it
> could also be some other malady including kidney stones. I assume that the
> tests you've had could or should rule out some other causes.
>
> If it's not BPH than you should definitely find out what it is. Also,
> don't
> expect good, complete, direct communication from your doctors. I don't
> find
> that this is a reasonable expectation. Get all of the information you can
> for yourself so that, at least, you'll know your options.
>
> Also, it would appear that you should learn to self-catheterize. In that
> way
> you'll at least be able to get the urine out and spare yourself some major
> discomfort. It's not bad once you get the hang of it. What, at first,
> feels
> like pain is very soon recognized as merely an intense, sharp, sensation -
> not really pain at all.
>
> Hope this helps.
> Kevin
>
>
>
| |
| Michael Balarama 2004-10-22, 7:12 pm |
| I had similar symptoms to you- I had severe problems passing water-I took a
homeopathic along with all the meds and it made a difference for me..it is
about 5 years later and I still take it once in a while when it gets slow
and I feel urine not passing well-Ferrum picricum it is 30c. was very
inexpensive but had to order it on line...
it really worked for me..
Michael
"Terry" <tmcd@hdtinfo.com> wrote in message
news:c068493.0410221227.3ea42763@posting.google.com...
> Jerry:
>
> Run, don't walk to the second urologist. You have been ill served by
> the first one. I hope you get some relief quickly. Keep us posted.
>
> Terry
| |
| Spread deMocracy 2004-10-23, 11:09 am |
| I read the other postings to that responded to yours and there is a lot of
good advice.
Is this BPH? Could be. Can you develop BPH at 42? Could...depending on
your DHT levels. However, I'd bet you have Prostatitis rather than what we
affecionately call BPH. Though the symptoms are eerily similar.
If you don't have Prostatitis, Diabetes, or cancer and your DHT is too high,
you need to find out why. That would be unusual for a person of 42. So,
you wanna get onto whatever other gland that is crapping out and see if you
can do something about that as early as possible. This will require that
you to go to an endocrinologist after your blood work from your Uro reveals
DHT is way above the upper levels. (I'm not a doctor...so this is a
non-medical opinion.)
Diabetes, and Prostatitis,can contribute to the sensations that are like
BPH. Typically, though, BPH is more about size of the Prostate due to DHT
sensitivity, or too much DHT. It's the DHT that causes the Prostate to
grow, or so the theory goes...It's the enlarged prostate due to
non-cancerous reasons, that is encompassed by the term, BPH. Prostatitis
(infection) can contribute to symptoms that feel LIKE BPH.
Do you have BPH? BPH typically refers to an enlarged Prostate. 30 grams
is about normal. What size is your prostate? What did your urologist
tell you? BPH can occur when Prostate grows above 30 grams but usually not
until close to double in size when one really starts the struggle--serious
difficulty urinating, etc. If yours is even bigger than that you MIGHT get
blockage. If left too long, you could be in very serious trouble and
typical "roto-rooter" operations may not suffice. Get it looked at again
by a competent urologist if you don't know the answers to these kinds of
questions.
To begin the diagnosis for BPH:
You would have had blood work for diabetes, DHT, and PSA. Your Urologist
would have massaged your prostate to examine the fluid under a microscope to
rule out high white blood cell count. If high white blood cells, then it
indicates a possible infection of the prostate. If infection of prostate,
(called Prostatitis), then MANY MONTHS course of anti-biotics such as
Tequin or Doxcycycline or both, and your sex partner would have been
prescribed about a 6 week course of same anti-biotics...in my non-medical
opinion.
Ruling out infection, cancer and diabetes...then the urologist would look at
your DHT blood results. If within normal range, may have prescribed
5-Alpha Reductase (DHT) inhibitors such as Avodart or Proscar, while putting
you on an Alpha Blocker (urinary tract and prostate relaxers) such as
Flomax, Uroxatrol, Hytrin, or Cardura to help you pee until the DHT
inhibitors kick in. DHT inhibitors can take from 2 months to 14 months to
kick in before you notice any beginnings of relief. In some men they don't
work at all. In others, they do work but there are undesirable side
effects.
If DHT is well above the upper limit then he/she would refer you to a
competent endocrinolgist to find the gland that is causing that abnormally
high DHT. The endocrinologist would have you do blood work ups and that
would require about 6 to 8 more vials of blood and rpeating the DHT tests.
Likely after all that, the endo will be able to tell you what gland is
crapping out, and whether or not it is treatable. If treatable, you'll
enjoy meds for that particular gland, and that in turn will help to reduce
DHTs, which ought to help maintain your prostate in good shape.
If it is too late for any of the above, then your uro will send you for a
"roto-rooter", (TURP) or equivalent, such as PVP, TUMT, etc. Some men only
need one such operation.
The clots likely resulted from the invasive procedure, but should have only
lasted a couple of days while progressively getting better. Since they are
scraping a very sensitive channel it is typical to have bleeding and some
blood flowing into the bladder to clot, etc.
I think your invasive procedure caused an infection that leads to fever and
flank pain. Not surprising. Infections are common with any invasive
procedure, especially as the sterile fields are compromised as the day wears
on in a hospital--ped traffic, touching/moving of instruments, and doctors
who notoriously shave time off scrubbing or other sterilization procedures.
Cipro should have been administered IMMEDIATELY upon completion of the
invasive procedure and at least one more about 12 hours later...in my
non-medical opinion...to prevent an infection from taking hold in the first
place.
Wishing you good health...
"Jerry" <jcampbell73134@yahoo.com> wrote >I am a 42 year old that has had
frequent urination and urgency for the
> past four years or so. It has been gradually getting worse ... Biopsy
> was negative for cancer....went on Flomax to increase flow and reduce
> frequency.... ...Cystoscopy and urethrotomy
> performed on Thursday, October 7 at an uutpatient clinic. Developed
> severe flank pain, high fever, blood and clots in urine. Oct 12, called
> the urologist and was placed on three days of Cipro....> Questions: Does
> this sound like BPH? Can it develop at age 42?
| |
|
| It could be more than 1 problem (including BPH) but "severe flank pain, high
fever, blood and clots in urine" could very well be kidney stone induced. I
have had 4 episodes of K/S 10 to 15 years ago. It was a XXXXX ! You might
try Cranberry Juice - the real stuff without sugar and usually found in
health stores. It has been known to help defeat the bacteria that causes
urinary tract infections. Also look at your diet and consume lots of water.
Reduce or eliminate coffee, alcohol and stress...
"Jerry" <jcampbell73134@yahoo.com> wrote in message
news:afd331db.0410220651.36aff8fe@posting.google.com...
>I am a 42 year old that has had frequent urination and urgency for the
> past four years or so. It has been gradually getting worse with
> relatively frequent flank pain that resolves itself within a few days.
>
> Two years ago, during a routine physical my physician detected a
> nodule on my prostate and referred me to a urologist. The urologist
> did a PSA and recommended a biopsy. I had a prostate biopsy in
> December of 2002. Biopsy was negative for cancer.
>
> In January of 2003 I went on Flomax to increase flow and reduce
> frequency. Treatment was mildly successful with some improvement but
> signifigant side effects so I discontinued the Flomax and just lived
> with the problem.
>
> I returned to the urologist in September of this year and had
> Urodynamic study performed and a bladder ultrasound. The urologist
> diagnosed urinary retention and very weak flow. He scheduled a
> cystoscopy and direct vision urethrotomy. Cystoscopy and urethrotomy
> performed on Thursday, October 7 at an uutpatient clinic. Developed
> severe flank pain, high fever, blood and clots in urine. On Tuesday,
> Oct 12, called the urologist and was placed on three days of Cipro.
> Fever continued and Wednesday, October 13, went to the minor emergency
> clinic where I was given an injection of Rocephrin. Flank pain and
> fever continued overnight with periodic episodes of very difficult
> unirnation. Went to the emergency room on Thursday morning where IV
> Rocephrin was administered as well as a CAT scan. CAT scan was
> negative. While in the ER, had several episodes of urgency but was
> not able to urinate. Discharged from the ER at approximately 11:30.
> Ate a small lunch and went home to rest. At approximately 2:00 PM
> developed urgent need to urinate, however, was unable to produce any
> urine. Called the urologists office and was told to come to his
> office. Pain and discomfort increased to very high levels and was
> unable to sit or stand upright. My spouse took me back to the ER
> where I was readmitted, given Demerol and a Foley catheter was placed.
> Approximately 800ml of urine was drained. Was admitted to hospital
> overnight and discharged with the following day. Catheter was removed
> at home on October 18th .
>
> Subsequently, fever and flank pain has resolved with occasional mild
> left flank pain. Since the catheter was removed, I have had three to
> four episodes of very delayed urination (waiting for up to three
> minutes for urination to start).
>
> Questions:
> Does this sound like BPH? Can it develop at age 42?
>
> I am not very happy with the lack of information I have been receiving
> from my urologist so I am scheduled to see a second urologist next
> week for a second opinion. Am I being unreasonable?
>
> What are the chances of not being able to urinate again? That was the
> worst pain I have ever had and was in complete misery.
>
> Any other advice from the group?
| |
| redbeard 2004-10-26, 7:27 pm |
| No you are not being unreasonable in seeking a second opinion. I
developed bph in my mid to late forties. Due to my age this went
undiagnosed as the physician discounted bph. It was only diagnosed
when I went into acute urinary retention and was referred to a uro.
Yes you are probably young for bph but that does not mean that you
don't have it. You must speak frankly with the new uro and make sure
that he/she answers your questions.
I never had what you described as "flank pain". Are you referring to
an area around the kidney? I would be thinking of some sort of urinary
tract infection which is why they gave you Cipro.
With all the workups that you have had I think that you would have
been diagnosed. Maybe the first uro was not very talkative; make sure
the 2nd is!
| |
| Kevin D. Renz 2004-10-26, 7:27 pm |
| Sorry for your troubles. Sounds like it could be BPH and, yes, it could
develop anytime. Mine began around 48 years old (ten years ago.) But, it
could also be some other malady including kidney stones. I assume that the
tests you've had could or should rule out some other causes.
If it's not BPH than you should definitely find out what it is. Also, don't
expect good, complete, direct communication from your doctors. I don't find
that this is a reasonable expectation. Get all of the information you can
for yourself so that, at least, you'll know your options.
Also, it would appear that you should learn to self-catheterize. In that way
you'll at least be able to get the urine out and spare yourself some major
discomfort. It's not bad once you get the hang of it. What, at first, feels
like pain is very soon recognized as merely an intense, sharp, sensation -
not really pain at all.
Hope this helps.
Kevin
| |
|
| Sorry to read about your problems. I think you received from the
group a lot of interesting stuff including some really good advice.
I have a similar problem although I am older than you are. My
prostate is a bit enlarged, the left lobe, that is.
I have had a lot of small problems over the years that recently
culminated in continuous although not unbearable pelvic pain. I
had problems with urination for some years now. I got into a
"Urology Wellness Clinic" that has a few people specializing
in treating prostate problems. It was established I suffer from
prostatitis caused by an inflammation and possibly infection of
the prostate.
After some testing etc I was bombarded with a cocktail of antibiotics
for about a month and a few prostate massages. My condition did not
change much but I acquired a lot of new problems that I attribute to
the massages and in particular a drug called Levaquine. The massages
were given not only to acquire the sample of prostatic liquid for testing
but also with the intention of draining out "the bad stuff".
I had a cystoscopy that I could follow on a monitor and there were
blood clots no doubt caused by the procedure itself. Had some
problems afterwards but they subsided in a couple of days.
The side pain I had in the past and it was definitely related to kidney
stones.
Recently they abandoned the massages and heavy drug treatment which
to me meant they admitted they were barking up the wrong tree without
actually saying so.
Now I am taking pure cranberry juice, yogurt with wild bluberries, uva ursi
tea (two weeks on, two weeks off), and two herbal remedies: Prosta Ease and
Prostaphil-2. I also take sitz baths in my bath tub. I feel much better but
not
completely okay.
Make sure you find out if you are, like many others including yours truly,
sensitive to fluroquinole drugs such as Levaquin, Pequin, Cipro etc. If you
are and you still take them you will wish you never even heard of them. I
actually rebelled and refused to take them after noticing all kinds of side
effects. Now they apparently agree with me i.e. I am sensitive to those
drugs
and should not be taking them.
Good Luck!!
"Jerry" <jcampbell73134@yahoo.com> wrote in message
news:afd331db.0410220651.36aff8fe@posting.google.com...
>I am a 42 year old that has had frequent urination and urgency for the
> past four years or so. It has been gradually getting worse with
> relatively frequent flank pain that resolves itself within a few days.
>
> Two years ago, during a routine physical my physician detected a
> nodule on my prostate and referred me to a urologist. The urologist
> did a PSA and recommended a biopsy. I had a prostate biopsy in
> December of 2002. Biopsy was negative for cancer.
>
> In January of 2003 I went on Flomax to increase flow and reduce
> frequency. Treatment was mildly successful with some improvement but
> signifigant side effects so I discontinued the Flomax and just lived
> with the problem.
>
> I returned to the urologist in September of this year and had
> Urodynamic study performed and a bladder ultrasound. The urologist
> diagnosed urinary retention and very weak flow. He scheduled a
> cystoscopy and direct vision urethrotomy. Cystoscopy and urethrotomy
> performed on Thursday, October 7 at an uutpatient clinic. Developed
> severe flank pain, high fever, blood and clots in urine. On Tuesday,
> Oct 12, called the urologist and was placed on three days of Cipro.
> Fever continued and Wednesday, October 13, went to the minor emergency
> clinic where I was given an injection of Rocephrin. Flank pain and
> fever continued overnight with periodic episodes of very difficult
> unirnation. Went to the emergency room on Thursday morning where IV
> Rocephrin was administered as well as a CAT scan. CAT scan was
> negative. While in the ER, had several episodes of urgency but was
> not able to urinate. Discharged from the ER at approximately 11:30.
> Ate a small lunch and went home to rest. At approximately 2:00 PM
> developed urgent need to urinate, however, was unable to produce any
> urine. Called the urologists office and was told to come to his
> office. Pain and discomfort increased to very high levels and was
> unable to sit or stand upright. My spouse took me back to the ER
> where I was readmitted, given Demerol and a Foley catheter was placed.
> Approximately 800ml of urine was drained. Was admitted to hospital
> overnight and discharged with the following day. Catheter was removed
> at home on October 18th .
>
> Subsequently, fever and flank pain has resolved with occasional mild
> left flank pain. Since the catheter was removed, I have had three to
> four episodes of very delayed urination (waiting for up to three
> minutes for urination to start).
>
> Questions:
> Does this sound like BPH? Can it develop at age 42?
>
> I am not very happy with the lack of information I have been receiving
> from my urologist so I am scheduled to see a second urologist next
> week for a second opinion. Am I being unreasonable?
>
> What are the chances of not being able to urinate again? That was the
> worst pain I have ever had and was in complete misery.
>
> Any other advice from the group?
| |
|
| bu2:
Can you elaborate on your problems with levaquin.
Mel
"bu2" <bu2@sympatico.ca> wrote in message
news:jpEfd.10978$Qs6.1032856@news20.bellglobal.com...
> Sorry to read about your problems. I think you received from the
> group a lot of interesting stuff including some really good advice.
> I have a similar problem although I am older than you are. My
> prostate is a bit enlarged, the left lobe, that is.
>
> I have had a lot of small problems over the years that recently
> culminated in continuous although not unbearable pelvic pain. I
> had problems with urination for some years now. I got into a
> "Urology Wellness Clinic" that has a few people specializing
> in treating prostate problems. It was established I suffer from
> prostatitis caused by an inflammation and possibly infection of
> the prostate.
>
> After some testing etc I was bombarded with a cocktail of antibiotics
> for about a month and a few prostate massages. My condition did not
> change much but I acquired a lot of new problems that I attribute to
> the massages and in particular a drug called Levaquine. The massages
> were given not only to acquire the sample of prostatic liquid for testing
> but also with the intention of draining out "the bad stuff".
>
> I had a cystoscopy that I could follow on a monitor and there were
> blood clots no doubt caused by the procedure itself. Had some
> problems afterwards but they subsided in a couple of days.
>
> The side pain I had in the past and it was definitely related to kidney
> stones.
>
> Recently they abandoned the massages and heavy drug treatment which
> to me meant they admitted they were barking up the wrong tree without
> actually saying so.
>
> Now I am taking pure cranberry juice, yogurt with wild bluberries, uva
> ursi
> tea (two weeks on, two weeks off), and two herbal remedies: Prosta Ease
> and
> Prostaphil-2. I also take sitz baths in my bath tub. I feel much better
> but
> not
> completely okay.
>
> Make sure you find out if you are, like many others including yours truly,
> sensitive to fluroquinole drugs such as Levaquin, Pequin, Cipro etc. If
> you
> are and you still take them you will wish you never even heard of them. I
> actually rebelled and refused to take them after noticing all kinds of
> side
> effects. Now they apparently agree with me i.e. I am sensitive to those
> drugs
> and should not be taking them.
>
> Good Luck!!
>
>
> "Jerry" <jcampbell73134@yahoo.com> wrote in message
> news:afd331db.0410220651.36aff8fe@posting.google.com...
>
>
| |
| Spread deMocracy 2004-10-27, 4:07 am |
| I read the other postings to that responded to yours and there is a lot of
good advice.
Is this BPH? Could be. Can you develop BPH at 42? Could...depending on
your DHT levels. However, I'd bet you have Prostatitis rather than what we
affecionately call BPH. Though the symptoms are eerily similar.
If you don't have Prostatitis, Diabetes, or cancer and your DHT is too high,
you need to find out why. That would be unusual for a person of 42. So,
you wanna get onto whatever other gland that is crapping out and see if you
can do something about that as early as possible. This will require that
you to go to an endocrinologist after your blood work from your Uro reveals
DHT is way above the upper levels. (I'm not a doctor...so this is a
non-medical opinion.)
Diabetes, and Prostatitis,can contribute to the sensations that are like
BPH. Typically, though, BPH is more about size of the Prostate due to DHT
sensitivity, or too much DHT. It's the DHT that causes the Prostate to
grow, or so the theory goes...It's the enlarged prostate due to
non-cancerous reasons, that is encompassed by the term, BPH. Prostatitis
(infection) can contribute to symptoms that feel LIKE BPH.
Do you have BPH? BPH typically refers to an enlarged Prostate. 30 grams
is about normal. What size is your prostate? What did your urologist
tell you? BPH can occur when Prostate grows above 30 grams but usually not
until close to double in size when one really starts the struggle--serious
difficulty urinating, etc. If yours is even bigger than that you MIGHT get
blockage. If left too long, you could be in very serious trouble and
typical "roto-rooter" operations may not suffice. Get it looked at again
by a competent urologist if you don't know the answers to these kinds of
questions.
To begin the diagnosis for BPH:
You would have had blood work for diabetes, DHT, and PSA. Your Urologist
would have massaged your prostate to examine the fluid under a microscope to
rule out high white blood cell count. If high white blood cells, then it
indicates a possible infection of the prostate. If infection of prostate,
(called Prostatitis), then MANY MONTHS course of anti-biotics such as
Tequin or Doxcycycline or both, and your sex partner would have been
prescribed about a 6 week course of same anti-biotics...in my non-medical
opinion.
Ruling out infection, cancer and diabetes...then the urologist would look at
your DHT blood results. If within normal range, may have prescribed
5-Alpha Reductase (DHT) inhibitors such as Avodart or Proscar, while putting
you on an Alpha Blocker (urinary tract and prostate relaxers) such as
Flomax, Uroxatrol, Hytrin, or Cardura to help you pee until the DHT
inhibitors kick in. DHT inhibitors can take from 2 months to 14 months to
kick in before you notice any beginnings of relief. In some men they don't
work at all. In others, they do work but there are undesirable side
effects.
If DHT is well above the upper limit then he/she would refer you to a
competent endocrinolgist to find the gland that is causing that abnormally
high DHT. The endocrinologist would have you do blood work ups and that
would require about 6 to 8 more vials of blood and rpeating the DHT tests.
Likely after all that, the endo will be able to tell you what gland is
crapping out, and whether or not it is treatable. If treatable, you'll
enjoy meds for that particular gland, and that in turn will help to reduce
DHTs, which ought to help maintain your prostate in good shape.
If it is too late for any of the above, then your uro will send you for a
"roto-rooter", (TURP) or equivalent, such as PVP, TUMT, etc. Some men only
need one such operation.
The clots likely resulted from the invasive procedure, but should have only
lasted a couple of days while progressively getting better. Since they are
scraping a very sensitive channel it is typical to have bleeding and some
blood flowing into the bladder to clot, etc.
I think your invasive procedure caused an infection that leads to fever and
flank pain. Not surprising. Infections are common with any invasive
procedure, especially as the sterile fields are compromised as the day wears
on in a hospital--ped traffic, touching/moving of instruments, and doctors
who notoriously shave time off scrubbing or other sterilization procedures.
Cipro should have been administered IMMEDIATELY upon completion of the
invasive procedure and at least one more about 12 hours later...in my
non-medical opinion...to prevent an infection from taking hold in the first
place.
Wishing you good health...
"Jerry" <jcampbell73134@yahoo.com> wrote >I am a 42 year old that has had
frequent urination and urgency for the
> past four years or so. It has been gradually getting worse ... Biopsy
> was negative for cancer....went on Flomax to increase flow and reduce
> frequency.... ...Cystoscopy and urethrotomy
> performed on Thursday, October 7 at an uutpatient clinic. Developed
> severe flank pain, high fever, blood and clots in urine. Oct 12, called
> the urologist and was placed on three days of Cipro....> Questions: Does
> this sound like BPH? Can it develop at age 42?
| |
|
| I took a 500 mg dose daily for 27 consecutive days. I knew of
some of the possible side effects but was reassured by my uro
and the pharmacist(s).
On day 2 I had a severe case of anxiety. Of course it was weekend
so I spoke to my pharmacist. She assured me I had "nothing to
worry about" and besides if I stopped taking it "they would just start
the whole thing all over again!"
I had a few other episodes of the same but not as strong. Other
symptoms followed until I complained bitterly and Levaquin was
discontinued. I was offered Cipro and I refused flatly as it is simply
an older cousin of Levaquin. I have not been on Levaquin for over
a month now.
Here are the side effects I experienced because of, or at least I "credit"
Levaquin with:
- dry eyes especially the left one ( I am taking Genteal drops for it)
- itchy eyes especially the left one (that has mostly stopped)
- a TIA incident that landed me in ER - it was mostly my left eye
(Transient Ischemic Attack also known as "mini stroke"
True it was never established that Levaquin caused it.
However, no cause has been found after numerous tests
including two ultra sound tests of the carotids and the
heart, blood tests etc etc I still have to go for a CT Scan
of { my silly :-) } head - I also saw two eye specialists.
The second ophtalmologist felt I probably had an ocular
migrene, not a TIA - my point being: induced by Levaquin)
- seeing shimmering especially on the left side (still happens)
- some light pain in the eyes (gone since)
- anxiety (still there sometimes)
- joints aching especially left knee and the right elbow (still there)
- some confusion and inability to concentrate (still there occasionally)
- stool problems almost like diarrhea and very dark (gone)
- my hemorrhoid problems reactivated (much improved since)
- a tic on the right side of my upper lip (still there)
- backache (improved since I stopped the medication)
- some stomach cramps (now I am much better)
- pain and itching around the ankles (mostly gone)
- tightness in the lower jaw (it's almost 100% gone)
- sleeping problems (this has improved)
I also started reading at various sites and groups that discuss this matter.
For instance the yahoo discussion group on quinolones. Found out that
there a lot of people who are far, far worse than I am to the point where
I should really not complain.
I think my main points are:
- quinolones should be the last resort not the first remedy they reach
for.
- the doctors and other medical professionals generally appear not to
know a lot about prostate problems and remedies.
- it appears Levaquin and other drugs (e.g. 12 days of metronidazole
etc)
did not make a difference except to cause me problems.
"MB_" <mel@prodigy.invalid.net> wrote in message
news:10nu9ah4ilud7b2@corp.supernews.com...
> bu2:
> Can you elaborate on your problems with levaquin.
>
> Mel
>
> "bu2" <bu2@sympatico.ca> wrote in message
> news:jpEfd.10978$Qs6.1032856@news20.bellglobal.com...
>
>
| |
| Spread deMocracy 2004-10-27, 7:11 pm |
| THANK YOU TO bu2. Wonderful information on fluroquinole drugs. Thank you.
I wish more of the posters would get into the side effects of more than just
the Alpha Blockers and the DHT inhibitors. You taught me a great deal.
Thanks.
...................................................................................................
"bu2" <bu2@sympatico.ca> wrote in message.....Here are the side effects I
experienced because of, or at least I "credit"
.... I think my main points are: - quinolones should be the last resort not
the first remedy....
| |
| Spread deMocracy 2004-10-27, 7:11 pm |
| Further to BU2's posting. I decided to look up some information as follows.
Here's what I recently found. I now understand what might be ment by
"adverse effects". Thank you BU2.
"...Both levofloxacin and ciprofloxacin were well tolerated, with similar
rates of adverse events. CONCLUSIONS: Levofloxacin 500 mg once daily for 28
days is as effective as ciprofloxacin 500 mg twice daily for 28 days for the
treatment of chronic bacterial prostatitis. Isolation of a high proportion
of gram-positive organisms, as well as gram-negative pathogens, underscores
the necessity of choosing an antimicrobial agent with broad-spectrum
activity.
....".
..............................................................................
"Spread deMocracy" <Spread_deMocracy@hotmail.com> wrote in message
news:FYVfd.13042$Qs6.1251070@news20.bellglobal.com...
..................................................................................................> "bu2" <bu2@sympatico.ca> wrote in message.....Here are the side effects Iexperienced because of, or at least I "credit" ... I think my main pointsare: - q
uinolones should be the last resort not the first remedy....
| |
|
| You said:
Also, don't
expect good, complete, direct communication from your doctors. I don't find
that this is a reasonable expectation.[vbcol=seagreen]
I sure disagree with that. I think we patients should DEMAND that. These
doctors are VERY WELL PAID. We should get good service in return.
Oh, and yes, it does sound like BPH, but I'm not sure about the flank pain.
Mel
"Kevin D. Renz" <kdrenz@sonic.net> wrote in message
news:mYbed.508$_3.8742@typhoon.sonic.net...[vbcol=seagreen]
> Sorry for your troubles. Sounds like it could be BPH and, yes, it could
> develop anytime. Mine began around 48 years old (ten years ago.) But, it
> could also be some other malady including kidney stones. I assume that the
> tests you've had could or should rule out some other causes.
>
> If it's not BPH than you should definitely find out what it is. Also,
> don't
> expect good, complete, direct communication from your doctors. I don't
> find
> that this is a reasonable expectation. Get all of the information you can
> for yourself so that, at least, you'll know your options.
>
> Also, it would appear that you should learn to self-catheterize. In that
> way
> you'll at least be able to get the urine out and spare yourself some major
> discomfort. It's not bad once you get the hang of it. What, at first,
> feels
> like pain is very soon recognized as merely an intense, sharp, sensation -
> not really pain at all.
>
> Hope this helps.
> Kevin
>
>
>
| |
| Terry 2004-10-27, 10:10 pm |
| Jerry:
Run, don't walk to the second urologist. You have been ill served by
the first one. I hope you get some relief quickly. Keep us posted.
Terry
| |
| Michael Balarama 2004-10-27, 10:10 pm |
| I had similar symptoms to you- I had severe problems passing water-I took a
homeopathic along with all the meds and it made a difference for me..it is
about 5 years later and I still take it once in a while when it gets slow
and I feel urine not passing well-Ferrum picricum it is 30c. was very
inexpensive but had to order it on line...
it really worked for me..
Michael
"Terry" <tmcd@hdtinfo.com> wrote in message
news:c068493.0410221227.3ea42763@posting.google.com...
> Jerry:
>
> Run, don't walk to the second urologist. You have been ill served by
> the first one. I hope you get some relief quickly. Keep us posted.
>
> Terry
| |
| Derek F. 2004-10-28, 7:11 pm |
| Ferrum Picricum and other homeopathic remedies should not be expensive. Here
in the UK I pay £5 ($8.20) for sixty pills. There is also a homeopathic
remedy made from Saw Palmetto.
Derek.
"Michael Balarama" <mbalar@ev1.net> wrote in message
news:10nj5jb7dfbr265@corp.supernews.com...
>I had similar symptoms to you- I had severe problems passing water-I took a
> homeopathic along with all the meds and it made a difference for me..it is
> about 5 years later and I still take it once in a while when it gets slow
> and I feel urine not passing well-Ferrum picricum it is 30c. was very
> inexpensive but had to order it on line...
> it really worked for me..
> Michael
>
> "Terry" <tmcd@hdtinfo.com> wrote in message
> news:c068493.0410221227.3ea42763@posting.google.com...
>
>
| |
| Derek F. 2004-11-05, 7:13 am |
|
"Michael Balarama" <mbalar@ev1.net> wrote in message
news:10nj5jb7dfbr265@corp.supernews.com...
>I had similar symptoms to you- I had severe problems passing water-I took a
> homeopathic along with all the meds and it made a difference for me..it is
> about 5 years later and I still take it once in a while when it gets slow
> and I feel urine not passing well-Ferrum picricum it is 30c. was very
> inexpensive but had to order it on line...
> it really worked for me..
> Michael
>
Other homeopathic remedies for prostate problems on this site.
http://www.drlockie.com/disease/prosprob.htm
Derek.
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