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Medical Forum / Diseases and Disorders / Prostatitis / June 2004

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diagnosed with Acute Prostatitis

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Lee - 26 May 2004 08:43 GMT
I am 36 years old. I have started feeling lower back pain a little over
a year ago. I went to my doctor and brought up my concern about prostate
 disease. She denied right away and told me to sit right.

About 4 months ago, I started feeling pain in my left lower abdominal or
rectum area and went to a different doctor in the same hospital. He told
me it was gas. Howevver, the symptom went away or easied. So I didn't
pay extra attention.

And a few days ago, I started feeling body pains at other parts, which
seemed associated with the pain in my lower rectum area. So I went to
doctor again and insisted on my concern. So they did a uro test and
conculded I am having Actute Bacteria Prostatitis and prescribed Cpro
for 14 days.

Here comes my question,

1. it looks like I have had this infection for quite long time without
treatment, is it possible that other organs got infected as well since I
do feel body pains at other parts?

2. I have taken the antobiotics for almost 2 days, and haven't noticed
any relief of the symptoms. How soon should it take full effect?

3. How normally do people get infected? And what should I do to prevent
from further infection? I asked my doctor, she told me nobody can answer.

4. They said what I got is Actute Prostatitis. But I don't have fever
and chil. I have lower back pain, pain at other area(developed lately),
and pain at left rectum area. So from my reading, it sounds to me more
like Chronic Prostatitis. So what is the difference between the two?

Thanks for the help. I live in San Francisco bay area. If anybody can
recommand a good doctor, please do because I don't think the doctor i am
seeing right now are much of any help.

Lee
Cameron - 26 May 2004 16:00 GMT
Hey Lee.  ABX's are useless without prostate massage.   You will now
probably end up going Uro to Uro without getting any further relief.
Hopefully you can find one that will do a massage.  Also keep in mind
that there are some other conditions that can be causing your pain.
Those would be Pudendal Nerve Entrapment or Genitofemoral Nerve
problems.  Research these on the web, there is a ton of info.  Both
nerve conditions mimic prostatitis symptoms.
Makaveli - 27 May 2004 02:07 GMT
> Hey Lee.  ABX's are useless without prostate massage.   You will now
> probably end up going Uro to Uro without getting any further relief.
[quoted text clipped - 3 lines]
> problems.  Research these on the web, there is a ton of info.  Both
> nerve conditions mimic prostatitis symptoms.

Lee,

What kind of bacteria was found????

Makaveli
Lee - 27 May 2004 07:39 GMT
I don't know what kind of the bacteria it is. They didn't bother to tell
me. Is the type of bacteria the difference between Acute and chronic
prostatitis?

>>Hey Lee.  ABX's are useless without prostate massage.   You will now
>>probably end up going Uro to Uro without getting any further relief.
[quoted text clipped - 9 lines]
>
> Makaveli
Cameron - 27 May 2004 16:11 GMT
> I don't know what kind of the bacteria it is. They didn't bother to tell
> me. Is the type of bacteria the difference between Acute and chronic
> prostatitis?

I dont think it matters what type of bacteria is found.  So-called
normal bacteria for one person can be a pathogen for another.  The
important point is start one of the following therapies, preferably in
the following order:

ABX plus prostate massage
Genitofemoral Nerve Blocks
Pelvic Muscle Dysfunction Therapies
Pudendal Nerve Entrapment Investigation

If you have "burning" pain in the pelvis, testicles and inner thigh
region, Elavil may work as a pain mgmt drug.  This helped me
tremendously early on by dulling the burning pain.  The turning point
for me was prostate massage and azithromyacin (sp?) or the Z-pack.
Also look up the nerve conditions I mentioned as they mimic prostate
symptoms.
Makaveli - 27 May 2004 16:50 GMT
> I don't know what kind of the bacteria it is. They didn't bother to tell
> me. Is the type of bacteria the difference between Acute and chronic
[quoted text clipped - 13 lines]
> >
> > Makaveli

not its the severity of the situation. Acute(bacterial) prostatitis
suddenly appears out of no where and is very severe in its symptoms,
chronic (bacterial)slowly progresses.

bacteria is present in  both.

makaveli
Matthew Emme - 27 Jun 2004 18:15 GMT
On 5/26/04 10:00 AM, in article
442766ee.0405260700.3204aee4@posting.google.com, "Cameron"
<pkrause@ci.glendale.az.us> wrote:

> Hey Lee.  ABX's are useless without prostate massage.

That is overstating things a bit.  For some reason some people do seem to do
better with the prostate massage, but I think that would be the minority.  I
do tell people to ejaculate often.  This seems to help, even if it has not
been "proven".  In a real case of "acute" prostatitis (fevers, chills and
real sick) you would not want to be doing a lot of pressing on the prostate
as it can make thinks worse.

You will now
> probably end up going Uro to Uro without getting any further relief.
> Hopefully you can find one that will do a massage.  Also keep in mind
> that there are some other conditions that can be causing your pain.
> Those would be Pudendal Nerve Entrapment or Genitofemoral Nerve
> problems.  Research these on the web, there is a ton of info.  Both
> nerve conditions mimic prostatitis symptoms.

I have taken care of a few people that have a "pudendal nerve entrapment"
taken care.  Many of them still seem to be having problems.  Admittedly I
have only seen a few people and anyone that is going to be seeing a urology
doc are probably not doing great to start with.

It all goes to chronic pelvic pain being a complex problem and the
importance of getting a very clear diagnosis before going under the knife.

ME
avocet - 28 May 2004 21:24 GMT
Lee;

You may need longer than a 14 day course of Cipro or another antibiotic.
While you are still symptomatic, if you are, ask for 5-day urine and semen
cultures, not 3-day; see what, if anything turns up.  Try to find out which
specific bacterium is causing the problem  You may have more than one type.
Know your enemy.

Ejaculate frequently even if that is uncomfortable.  If your problem is
bacterial, this will help flush out a percentage of the colonies and allow
the drug to work itself on fewer of them existing in there.

Jim

> I am 36 years old. I have started feeling lower back pain a little over
> a year ago. I went to my doctor and brought up my concern about prostate
[quoted text clipped - 33 lines]
>
> Lee
 
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