Medical Forum / Diseases and Disorders / Prostatitis / June 2006
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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