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Medical Forum / Diseases and Disorders / Prostatitis / December 2003Doctor woe
Is it normal for a urologist to sat that he is not going to give you any more pain medication? Let me first tell you about my history. I am 44. I have had chronic prostatitis for 22 years. I used to have flairups about twice a year. In the past few years it has gotten worse. I have burning in my prostate every day to varying degrees. It is wearing me down. Depressing. I started seeing my new doctor about 3 months ago. The old one died. He did some tests and found nothing really wrong except that my prostate was a little enlarged. He gave me some antibiotics and percocets. It was the difference between night and day for me. I had forgotten what it was like to be without pain. I got 2 more refills within the past 3 months. On the third refil, he took me aside and said that he would no longer give me pain meds. I am not a drug addict. I just want the burning to stop. This man is my doctor. Should I go to him one more time and explain things in more detain to him? I don't really have confidence in him now. David > Is it normal for a urologist to sat that he is not going to give you > any more pain medication? Let me first tell you about my history. I am [quoted text clipped - 13 lines] > > David ASK HIM HOW HE WOULD LIKE TO BE HURTING LIKE YOU ARE ALL THE TIME THEN KICK HIS SORRY a.s. YOU COULD TAKE A TRIP TO MEXICO AND LOAD UP. do a google search for online pharmacy. I get Ultram and Lortab online. Make sure you deal with a U.S. pharmacy so you know you are getting good drugs. "Is it normal for a urologist to sat that he is not going to give you any more pain medication" I had the same problem with my uro, the only thing providing me with relief at the time was antibiotics and the SOB said "I don't believe in long term antibiotic use" and refused to give me more than a 30 day refil. Needless to say I found a new uro! > > Is it normal for a urologist to sat that he is not going to give you > > any more pain medication? Let me first tell you about my history. I am [quoted text clipped - 16 lines] > THEN KICK HIS SORRY a.s. > YOU COULD TAKE A TRIP TO MEXICO AND LOAD UP. And ... do you think that being on antibiotics for the rest of your life is the answer? Did your prostatic fluid test positive for bacteria? What did the new uro do for you? How many prostatitis patients have you read of or heard of who have been on antibiotics long-term and where it turned out to resolve the condition? My point? I'm not sure that antibiotics (long-term) are any more the answer than percoset. And the uro who refused to prescribe antibiotics for more than one month may not be so far offbase. In fact, one of mine tried 3 different anti-biotics ... each for a few weeks. And my latest uro gave me Cipro for 2 weeks ... with no more unless (he said) I saw some incremental improvement from the first two weeks. I think that's reasonable. I think that antibiotics are overused, and frankly ... i don't want my body to develop a resistance to them in case I need them for something else in the future. If they don't resolve the situation, then they're not going to resolve it longer-term. It's time to try something else. Larry > "Is it normal for a urologist to sat that he is not going to give you > any more pain medication" [quoted text clipped - 31 lines] >> THEN KICK HIS SORRY a.s. >> YOU COULD TAKE A TRIP TO MEXICO AND LOAD UP. > And ... do you think that being on antibiotics for the rest of your life > is the answer? Did your prostatic fluid test positive for bacteria? What > did the new uro do for you? How many prostatitis patients have you read > of or heard of who have been on antibiotics long-term and where it > turned out to resolve the condition? It is highly unlikely that abx will work without prostate massage (for those of us who have a bacterial infection). Also note that there are many conditions that call for long term abx use. Obviously, acne is one of them. My co-worker has been on tetracycline for 15 yrs. Without it her face breaks out with cystic acne. I have another friend who has a very deep deep lung infection and has been on abx for two years. Both conditions are assisted by the use of long term abx. From what I understand, AIDS patients are also on long term abx due to their compromised immune system. So, there is a role for long term ABX use. Prostatitis may be one of them. It's interesting that you link lung infection with Prostaitis. Nickels states in one of his articles that Prostititis is like other "itis" condition - Bronchitis for example. I dont think people would not rush to tell someone with chronic Bronchitis to stop antibiotics, but some numb nuts on here and a small minority of doctors do not believe in taking antibiotics long term for prostatitis. >Also note that there are >many conditions that call for long term abx use. Obviously, acne is [quoted text clipped - 6 lines] >their compromised immune system. So, there is a role for long term >ABX use. Prostatitis may be one of them. You're entitled to your opinion. In the examples you cite, there are benefits. With chronic non-bacterial prostatitis, if a short-duration treatment with ABX doesn't provide any relief, it doesn't make sense in my mind to continue with them. I can't remember reading of any examples where long-term use of antibiotics maintained relief (perhaps there are some out there, but I do not remember hearing of any). If ABX don't provide relief ... especially if it's non-bacterial, it's time to look elsewhere for a solution .... rather than ruin your immune system's chance to respond to an infection when it needs to. Just my opinion. Larry >>And ... do you think that being on antibiotics for the rest of your life >>is the answer? Did your prostatic fluid test positive for bacteria? What [quoted text clipped - 13 lines] > their compromised immune system. So, there is a role for long term > ABX use. Prostatitis may be one of them. I have a different opinion. There should be no reason for you to be on a drug like Percoset long-term. I agree with your doctor. Now ... you must also realize that chronic prostatitis is a very elusive disease ... and not many uros know how to deal with it. While I don't believe you should be on pain meds, it is certainly reasonable for you to expect your doc to present an alternative. Go back to him and ask him if he expects you to just continue to be in pain forever ... or does he have a suggestion on a treatment plan. If he doesn't, or if you are not satisfied, seek out a consultation with an expert on prostatitis. I don't know what part of the country you are in, but try to find a major medical center or a teaching hospital. There is also a doctor down in Weston, FL at the Cleveland Clinic named Shoskes who specializes in this. Good Luck Larry > Is it normal for a urologist to sat that he is not going to give you > any more pain medication? Let me first tell you about my history. I am [quoted text clipped - 13 lines] > > David > Is it normal for a urologist to sat that he is not going to give you > any more pain medication? Let me first tell you about my history. I am [quoted text clipped - 13 lines] > > David Long term narcortic use is a lousy way to manage chronic burning pain. There are many other treatments available. Do you really want to keep taking narcotics if your problem can be controlled or cured in other ways? If pain control is the only issue, you are better off seeing a pain specialist rather than a Urologist, who will know much more about these issues. Urologists give Percocet for short term pain after surgery or for stones so its not surprising that they would not want to give an unlimited supply. Like the other poster said, there are Urologists with a specialty interest in this condition. A good place to start is with the NIH researchers: Zeitlin-UCLA, Schaeffer-Northwestern, Pontari-Temple, Shoskes-Cleveland Clinic Florida, Alexander-Maryland, Berger and Krieger-U Washington, Nickel-Queens (Canada), O'Leary-Harvard; to name a few. "Mr. Pubmed" wrote... > > David > [quoted text clipped - 16 lines] > > to name a few. YOU ARE CERTAINLY RIGHT! Speaking for myself, I would love a treatment that would take away the pain, but it's hard to find anything effective for a variety of reasons, one being we don't know what the etiology of chronic pelvic pain syndrome is? I have had to resort to taking Oxycontin for the last 8 months. It really is the only thing that reduces my pain. I fall into the category of having to take narcortic, and yes, it is a lousy way to manage chronic burning pain. Luckily for me though, there is no emotional addiction to the drug, but rather a physical addiction. It reduces the daily pain for me to bearable. I recently had some good news, ( that's how I wanna look at it ), and found out I have IC. With this new finding, I am going to redirect my treatment to the bladder. Yes, I have the CP thing too, ( chronic inflammation ), but at this point, I'm fairly certain that my bladder is a huge source of my pain experience. I had a cysto/hydrodistension, ( don't do it if you don't have to guys ), and the residual pelvic pain from the procedure irritated "exactly" my existing pelvic pain. Notes from the procedure included a very small volume as well. Hmm.......so my bladder has been screwing around with me for the last couple years, eh? EH??!! Grrrrr!! Come see the fight set at the Ramada O'Hare Hotel. The "Ramada Rumble'' showcard features: Pain Factory (w/ "Bladder" ) vs. Thunder and Lightning (w/ Idea Man) ¸¸.·*´¯`v´¯`*·.¸¸ × * × ¸¸.·*´¯`v´¯`*·.¸¸ Regards. David, At one time my Uro gave me a prescription for Vioxx to reduce inflammation of my prostate. While I ended up having a PVP to resolve median lobe blockage, I can attest that the anti-inflammatory did help. I have also discovered two different herbal anti-inflammatory products (the are Cox-2 inhibitors) You may want to see if this apporach can help you. Search the net for either Releve or Nexrutine. It could be that the inflammation is causing the pain. I can't believe that you have had chronic prostatitis for 22 years and sometime during that period a doctor didn't try the anti-inflammation approach. Prostatitis is afterall inflammation of the prostate. Good luck and best wishes. Lewis. > Is it normal for a urologist to sat that he is not going to give you > any more pain medication? Let me first tell you about my history. I am [quoted text clipped - 13 lines] > > David |
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