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Medical Forum / Diseases and Disorders / Prostatitis / June 2006

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bacterial prostatitis

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chukien - 12 Jun 2006 01:14 GMT
i was diagnosed with bacterial prostatitis and was given leviquine 10 days.
saw uro after 10 days but still had some symtoms and told him i was having
problems with the leviquine so he put me on septra for 30 days and a
follow up visit. after two days on septra most of the pain went away, but
the dribbling continued and my ejactulation volume is still quite low. and
i have had slight pain here and there nothing severe. saw uro again at 30
days and he said he thought i was cured. i called him and told him i still
had some symtoms and he said it take time for the prostate to heal. does
this sound normal. right now i just have some dribbling and low
ejactulation.  do these syptoms go away after some time or do i need to
take more meds. which i really do not want to do.  any advice on what to
expect is appreciated.
Murphy - 12 Jun 2006 17:07 GMT
>i was diagnosed with bacterial prostatitis and was given leviquine 10 days.
> saw uro after 10 days but still had some symtoms and told him i was having
[quoted text clipped - 8 lines]
> take more meds. which i really do not want to do.  any advice on what to
> expect is appreciated.

For starters, how do you know you have bacterial prostatitis?
Murphy - 13 Jun 2006 10:52 GMT
>>i was diagnosed with bacterial prostatitis and was given leviquine 10
>>days.
[quoted text clipped - 14 lines]
>
> For starters, how do you know you have bacterial prostatitis?

Well?
chukien - 14 Jun 2006 00:47 GMT
i had a cystoscopy and the doctor said he could see the inflamation and
pus.
Murphy - 14 Jun 2006 06:17 GMT
>i had a cystoscopy and the doctor said he could see the inflamation and
> pus.

I have never heard of that method used to diagnose bacterial protstatitis.
The common method is a DRE, if the doctor knows what he is doing, he'll have
the sample cultured.  Are you sure he is not taking you for a ride?  Or are
you from the Tuscon Center and just sending us spam about the ridiculous
"infection" theories that never pan out?
chukien - 14 Jun 2006 17:16 GMT
hello, no i am not spaming just trying to get help.  maybe he is just
assuming bacterial because i responded well to the antibiotics, but i have
heard they act as an anti-inflamatory. it has been a month off the
antibiotics and the pain is 90% gone. urine stream has good flow,but still
have some dribbling after no pain. my ejactulate is low still though. what
are your symtoms like. you could be right.  
Murphy - 15 Jun 2006 09:43 GMT
> hello, no i am not spaming just trying to get help.

Sorry.

> maybe he is just
> assuming bacterial because i responded well to the antibiotics, but i have
> heard they act as an anti-inflamatory. it has been a month off the

Take the full course of antibiotics unless you doctor says otherwise.  Yes,
they do act as anti-inflamtory even if you do not have an infection.

> antibiotics and the pain is 90% gone. urine stream has good flow,but still
> have some dribbling after no pain. my ejactulate is low still though. what
> are your symtoms like. you could be right.

I just was not familliar with that method of diagnosis.  Bacterial
prostatitis only accounts for about 5 - 10% of "prostatitis" cases, but you
could be one of those cases.  I would wait and see if your syptoms go away
and see your doctor to see if there could be any other proble. causing your
remaining symptoms.  Non-bacterial prostatitis patients tend to have symtoms
that will go up and down.  I feel normal some days and on others, I will
have some degree of pain.

I have had intermitant pain and E.D. at times for that last 2 years - no
urinary problems.  The symptoms vary from person to person.

Check out www.chronicprostatits.com for more information.  This site is
geared more towards those with chronic non-bacterial prostatis, so you might
want to wait a few months and see what happens before you reach any
conclusions.
Murphy - 15 Jun 2006 09:45 GMT
>> hello, no i am not spaming just trying to get help.
>
[quoted text clipped - 29 lines]
> might want to wait a few months and see what happens before you reach any
> conclusions.

That should be www.chronicprostatitis.com
chukien - 15 Jun 2006 15:12 GMT
thank you murphy for your help. i guess i will just have to wait and see.
these uros are not very helpful in giving the patient any understanding on
what is expected. they give you pills and send you away. take care
 
NC - 16 Jun 2006 19:40 GMT
> thank you murphy for your help. i guess i will just have to wait and see.
> these uros are not very helpful in giving the patient any understanding on
> what is expected. they give you pills and send you away. take care

I have chronic bacterial prostatitis that responds well to antibiotics. But,
usually, the doctor will express some prostate fluid and run a culture to
determine the bug and prescribe an appropriate antibiotic. There is a lot of
debate about how best to do the culture. My bug has consistently been shown
to be E-coli.

That being said, my symptoms usually start with increased frequency of
urination, burning and pain on urination, and pussy discharge. But no pain
other than that and it usually goes away after a few days on the ABX. I
continue the ABX for 30 days which is well after the symptoms have
disappeared. I have also tried prostate massage along with the ABX and I
believe for me, it does help. That is, the period between relapses is
extended. I can usually expect a relapse in 6 to 12 months. My wife does the
massage and she can tell when the prostate is swollen and can also see that
swelling go down after a few massages. This has been going on for more than
30 years. My initial experience was severe abdominal pain that went away
quickly with ABX but that subsided somewhat over the years. I have often
wondered if that initial attack had been treated more aggressively (ie.
longer), would I still be having this problem. The doc only gave me two
weeks of Bactrim. My worst experience a number of years ago was when I
thought I would tough it out and see what happened. The pain got
excruciating, testicles inflamed, bloody discharge, high fever. But this
responded well to ABX and I haven't tried to tough it out again after that
experience. I know when it starts and go on ABX right away.

I know that guys who have chronic pelvic pain syndrome may scoff an what I
say and I know that they are in the majority. I really don't know what they
are going through but then, they don't know my experience either. I am not
trying to sell anyone on Tuscon or Feliciano protocols and I have not been
to any of those places.
chukien - 16 Jun 2006 23:21 GMT
how does your body respond to all those antibiotics. did you ever have
problems with ejactulation volume. the doctor did not check what type of
bacteria. said it takes time for prostate to heal after infection. does
this sound like bs to you.  i have been of anti for one month and semen
volume still low. some dribbling. no pain.
NC - 17 Jun 2006 14:32 GMT
> how does your body respond to all those antibiotics. did you ever have
> problems with ejactulation volume. the doctor did not check what type of
> bacteria. said it takes time for prostate to heal after infection. does
> this sound like bs to you.  i have been of anti for one month and semen
> volume still low. some dribbling. no pain.

Prostate problems can and do result in retrograde ejaculation. That is, some
of the semen goes into the bladder and the volume coming out of the penis is
reduced. I haven't heard of any solution to this. There are a lot of us who
simply have learned to live with our problems that the medical establishment
hasn't been able to find a way to cure. We just look for ways to make life a
little easier. You will hear of all kinds of things that guys resort to.
Diet, supplements, antibiotics, exercises, you name it. Frustrating but life
isn't always fair.
chukien - 17 Jun 2006 14:54 GMT
nc if you are still there. one last ques. will the retrograde ejactulation
go away when i heal.
NC - 18 Jun 2006 20:27 GMT
> nc if you are still there. one last ques. will the retrograde ejactulation
> go away when i heal.

Maybe but not likely. As I said in my last post, we learn to live with it.
Tommy - 29 Jun 2006 12:23 GMT
> nc if you are still there. one last ques. will the retrograde ejactulation
> go away when i heal.

My problems are similiar to yours.  Mine started from a bladder
infection.  When you urinate, do you have slow start?  Weak or split
stream, feeling of non empty bladder, drippling when coughing?  These
are some of the additional symptoms I have.  What city do you live in?
There is a doctor in Los Angeles county that I am probably go to see
after I save some money because my insurance doesn't cover.
chukien - 29 Jun 2006 16:59 GMT
the symtoms i have now are. low ejactulate volume, mild split stream.  i
start with split stream and then is normal. no pain really just want to be
100%. who is the doc in la county i live there. do you have low ejactulate
volume.  
T - 29 Jun 2006 18:24 GMT
> the symtoms i have now are. low ejactulate volume, mild split stream.  i
> start with split stream and then is normal. no pain really just want to be
> 100%. who is the doc in la county i live there. do you have low ejactulate
> volume.

Thank you for mentioning the low ejaculate volume.  I saw a family physician
perhaps 5 years ago who put me on a course of Cipro (2 weeks).  My PSA went
down, but I still felt symptoms.  I've had flareups now and again and
planning on going to see a Urologist about this, because GPs, well, they
try, but...  The web is full of bad information.  I swear my low ejaculate
volume, sometimes no white, just some mucous, is the result of bacterial
prostatitis.   Plus, of course, constricted urine flow, difficulty starting
the stream, having to go more often.  Whenever I look on the web for what
bothers me most (I'm not in a lot of pain, and I've had constricted flow
since almost 20s), I come across dry ejaculate and the diagnosis that I'm
retro.  Well, I am not retro.  I've urinated into a glass, put it up to the
light right after climax.  OK, there are what look like little pieces of
dust in it here and there.  I used to do clincal lab work and I know what
clear urine looks like and mine is clear.  So I'm not retro.  Also, I feel
like I've got blue balls.  Like the semen and all the other fluids where
there, tried to get out, got blocked because I'm swollen.   Once again,
thanks.

BTW, I don't seem to be heavily infected.  All attempts at massage by
myself, with the patented device, even the GP years ago got nothing.  That
would make sense if we're talking swollen and blockage, no?
chukien - 29 Jun 2006 22:46 GMT
tom. let me ask you a few specific questions. do you have flare ups often
how many over five years. does you ejactulate volume decrease or stay the
same during flare ups. I had more ejactulate today after taking a break
for a few days, but my ejactulate looks separated. my symtoms seem to be
getting better minimal split stream, ejactulate increasing, and no pain. i
have been doing mind body therapy lately where i meditate and think of
healing thoughts to promote healing. i also drink lots of water.  
 
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