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Suggest Treatment For Pelvic Pain Even After Antibiotics Usage For Prostatis
Question: Greetings: My Name Is XXXXXXX XXXXXXX
I suffered from acute prostatitis with sepsis in 2011. The symptoms were
pelvic pain (near the anus), high temperature, and chills with extreme
trembling. I was concerned more about the pain and the trembling than
anything else, because I had never even heard of prostatitis or sepsis.
I was in the hospital for a few days and was administered Ciprofloxacin.
After I went home I took more Cipro for 28 days.
Since that time, during intercourse, I have had a decrease the force
of ejaculation. The amount of "pre-come" (to use the vernacular) is
excessive--like it "leaks" out--and sometimes there is none to very
little ejaculate at orgasm.
After I partially ejaculate, I feel as though I am not fully empty;
also, there is a dull ache in my lower back- which goes away in a
few seconds.
Later, I can feel the ache return--but if I massage my penis (push from
the base to the tip) I am sometimes able to remove more of the ejaculate -
and again the ache goes away.
I have heard that it is even possible that some of the semen can "back up"
into the bladder; is this possible?
I just would like your opinion of these symptoms and whether they can
be caused by the prostatitis; I also would appreciate any other comments
you may have--thanks!
I suffered from acute prostatitis with sepsis in 2011. The symptoms were
pelvic pain (near the anus), high temperature, and chills with extreme
trembling. I was concerned more about the pain and the trembling than
anything else, because I had never even heard of prostatitis or sepsis.
I was in the hospital for a few days and was administered Ciprofloxacin.
After I went home I took more Cipro for 28 days.
Since that time, during intercourse, I have had a decrease the force
of ejaculation. The amount of "pre-come" (to use the vernacular) is
excessive--like it "leaks" out--and sometimes there is none to very
little ejaculate at orgasm.
After I partially ejaculate, I feel as though I am not fully empty;
also, there is a dull ache in my lower back- which goes away in a
few seconds.
Later, I can feel the ache return--but if I massage my penis (push from
the base to the tip) I am sometimes able to remove more of the ejaculate -
and again the ache goes away.
I have heard that it is even possible that some of the semen can "back up"
into the bladder; is this possible?
I just would like your opinion of these symptoms and whether they can
be caused by the prostatitis; I also would appreciate any other comments
you may have--thanks!
Brief Answer:
2 types of prostatitis:bacterial/inflammatory...
Detailed Answer:
Hi,
I am sorry for the situation you are in.
First, prostatitis is a very difficult infection to get treated because it is difficult for the antibiotics to overpass the prostate capsule.
That's why treatment is often long-termed with antibiotics to be used frequently according to a therapeutic schedule prescribed by your urologist.
Next, having being during intercourse is related to prostate fluids (semen) coming out the prostate which is infected/inflamed. The pain does not let you ejaculate entirely and not enjoying intercourse.
Now, to my opinion, you should:
- consult with urologist as soon as possible in order to determine the most appropriate treatment for prostatitis and preventive measures. There are 2 types of prostatitis: bacterial/infectious and non-bacterial/inflammatory prostatitis (NBP).
During the NBP, the cause is not bacteria, but other factors including stress/problems with sexual intercourse. When stress is present, it might cause the muscles of pelvis (where prostate is located) to tighten enough to cause pain.
Sometimes, the high pressure during voiding might cause urine to back up to prostate. In this case, chemical prostatitis occurs.
- discuss with urologist about "shrinking prostate"as one of the methods to help improving prostatitis symptoms. Inducing ejaculation will help prostate produce and secrete semen, thus, relieving the other "bad chemicals"causing the prostate to become inflamed.
- anti-inflammatory drugs are also advised to use on regular basis until symptoms improve, and then occasionally according to the pain intensity.
Lifestyle and diet changes are also crucial in improving the symptoms.
Hope it helped! Let me know if I can assist your further!
Dr.Albana
2 types of prostatitis:bacterial/inflammatory...
Detailed Answer:
Hi,
I am sorry for the situation you are in.
First, prostatitis is a very difficult infection to get treated because it is difficult for the antibiotics to overpass the prostate capsule.
That's why treatment is often long-termed with antibiotics to be used frequently according to a therapeutic schedule prescribed by your urologist.
Next, having being during intercourse is related to prostate fluids (semen) coming out the prostate which is infected/inflamed. The pain does not let you ejaculate entirely and not enjoying intercourse.
Now, to my opinion, you should:
- consult with urologist as soon as possible in order to determine the most appropriate treatment for prostatitis and preventive measures. There are 2 types of prostatitis: bacterial/infectious and non-bacterial/inflammatory prostatitis (NBP).
During the NBP, the cause is not bacteria, but other factors including stress/problems with sexual intercourse. When stress is present, it might cause the muscles of pelvis (where prostate is located) to tighten enough to cause pain.
Sometimes, the high pressure during voiding might cause urine to back up to prostate. In this case, chemical prostatitis occurs.
- discuss with urologist about "shrinking prostate"as one of the methods to help improving prostatitis symptoms. Inducing ejaculation will help prostate produce and secrete semen, thus, relieving the other "bad chemicals"causing the prostate to become inflamed.
- anti-inflammatory drugs are also advised to use on regular basis until symptoms improve, and then occasionally according to the pain intensity.
Lifestyle and diet changes are also crucial in improving the symptoms.
Hope it helped! Let me know if I can assist your further!
Dr.Albana
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
One last question: Retrograde Ejaculation sounds like it can go into either the bladder or the prostate (based on what you just said). This is interesting, because I have this pain in my lower back; the feeling of "fullness" sometimes, or "having to go urinate" when I really don't.
In BOTH of these cases, I can (as I mentioned) massage in a downward motion along the urethra; this seems to "dislodge" the retrograde seminal fluid--because it LEAKS out, and it is basically WHITE!
After I dislodge this fluid--from wherever it is, the bladder or the prostate--the pain goes away and so does the fullness. I know this is possible, because I have had to do it for a while--can you verify this technique, or do you believe it is possible in your experience?
Sometimes, it is watery; sometimes it is dense and whitish. Can this indicate that some is coming from the bladder (diluted) and some from the prostate (thicker and whiter)--both from retrograde conditions? Is that why a massage "releases" this retrograde fluid (since it does) within the realm of possibility?
It is the effectiveness of the massage that is most indicative of the retrograde emissions from the prostataitis. If necessary (and I should have done this as an attachment earlier) I can send my hospital papers if you would like to see them).
Even speculation at this point would be helpful...thanks!
In BOTH of these cases, I can (as I mentioned) massage in a downward motion along the urethra; this seems to "dislodge" the retrograde seminal fluid--because it LEAKS out, and it is basically WHITE!
After I dislodge this fluid--from wherever it is, the bladder or the prostate--the pain goes away and so does the fullness. I know this is possible, because I have had to do it for a while--can you verify this technique, or do you believe it is possible in your experience?
Sometimes, it is watery; sometimes it is dense and whitish. Can this indicate that some is coming from the bladder (diluted) and some from the prostate (thicker and whiter)--both from retrograde conditions? Is that why a massage "releases" this retrograde fluid (since it does) within the realm of possibility?
It is the effectiveness of the massage that is most indicative of the retrograde emissions from the prostataitis. If necessary (and I should have done this as an attachment earlier) I can send my hospital papers if you would like to see them).
Even speculation at this point would be helpful...thanks!
Brief Answer:
Can send the lab reports to get further analyzed..
Detailed Answer:
Hi,
What you are doing is actually a part of shrinking the prostate: you are helping seminal fluid of the prostate to come out; thus, giving relief.
The technique I mentioned earlier is regarding massaging the prostate which will increase production of seminal fluid. The more seminal fluid is produced, the more relief you will feel of pain. Then, you can massage from downward the urethra to help fluid coming out (similar to masturbation).
Ok, I will welcome any test reports you did in the hospital and what they prescribed to you; I will analyze them myself and will guide you further!
Looking forward to have your lab reports in!
Dr.Albana
Can send the lab reports to get further analyzed..
Detailed Answer:
Hi,
What you are doing is actually a part of shrinking the prostate: you are helping seminal fluid of the prostate to come out; thus, giving relief.
The technique I mentioned earlier is regarding massaging the prostate which will increase production of seminal fluid. The more seminal fluid is produced, the more relief you will feel of pain. Then, you can massage from downward the urethra to help fluid coming out (similar to masturbation).
Ok, I will welcome any test reports you did in the hospital and what they prescribed to you; I will analyze them myself and will guide you further!
Looking forward to have your lab reports in!
Dr.Albana
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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