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Until Now I All I Read About Symptoms Of Cancer

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Posted on Mon, 16 Mar 2020
Question: Until now I all I read about symptoms of cancer prostate was urination problems, and the symptoms I have (testis pain, pelvic pain, lower back, need to pass bowel without being able to) was prostatis.

My question is in two parts:

1. The symptom I described above (that i attribute to prostatitis), could they also be symptoms of cancer?

2. if the symptoms of cancer are not urination problem, then what are exactly the symptoms of cancer (when there are symptoms)?
doctor
Answered by Dr. Anders Mark Christensen (32 minutes later)
Brief Answer:
Most likely prostatitis

Detailed Answer:
Hi XXXXXXX

The symptoms are most likely prostatitis. The ominous thing about prostate cancer is that it rarely gives symptoms, and that is why some advocate for screening with PSA. Typically you feel a hard small lump on prostate examination, but transrectal ultrasound can usually distinguish between the two.

Hope this helps. Please let me know if you have further questions.
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Anders Mark Christensen (1 hour later)
So then the symptoms I have most probably don't come from cancer, so I am more assured now that it provides from my chronic prostatis, or maybe from my chronic epidemitis also, am not sure I must still read on that last one. Of course I also have enlarged prostate it's probably more than 6cm now, I am not sure yet what symptoms that one have I must also read or probably reread because I forgot.

I agree with you that the the biopsy is premature. Thanks for clarifying this. I know they do have transrectal ultrasound here since this is what they want(ed) to use for the biopsy, I am not sure whether they are using it also for diagnostic. I will try to ask. Also all the doctors who performed a DRE assured me that they could not feel anything that would the slighetest be malign. That's already good and goes in the direction we were talking about.

1. I do have an MRI schedule for end of XXXXXXX Do you think it is not too far in time? I guess not.

2. I know that there is a difference between a fast growing PSA and a slow growing one. The fast growing being the dangerous one. what do you think, a growth from 5 to 8 in the course of about 1 year a half is still considered as slow growing, right?

I must say that I didn't really have pain now for the last 17 days. That is a record for me, but because this has been lingering on and off for the last two years, I am not sure if my hope that the prostatitis is gone is maybe unfounded.

3. By the way, what would be the treatment for a non bacterial prostatitis? It is non bacterial because they tried already antibiotics of all kinds for many week maybe even month. As for as I know, the treatment is only symptomatic (pain killer etc). Is there not some treatments that I could do other than treating the symptoms? Something that may help it to be actually cured? When I have pain, would it help the healing if I would take ibuprufen, not for the pain but to help the prostate heal faster?

4. I think you said that a PSA of 8 could be easily explained by the prostatitis, or what it by the enlarged prostate. I guess it would be by the enlarged prostate. Would a prostatitis also have for effect to increase the PSA?

5.Eitherway, how high could the PSA go under the influence of something that is not cancer? At what level could we start to think that the PSA is more than explainable by an enlarged prostate or prostatitis?

6. I also have another symptom I wanted to ask you about. I am always trying to find what are the triggers for the pain to start, it's not easy, but one that I know for sure is this: after about 1 hour of having sex, the pain starts systematically. It starts slow and grows to a scale of 6-7/10 for about 3-5 hours. I think it is very strange. Could this give an indication of what a more specific cause might be. What do you think could cause such a phenomenon?

I hope my questions are not too many. I am just trying to encompass the problem in order to take better decision. You have already helped me a lot and for this I thank you, also for your patience.
doctor
Answered by Dr. Anders Mark Christensen (42 hours later)
Brief Answer:
Look below

Detailed Answer:
Hi XXXXXXX

To answer your questions chronologically:

1. I think it is OK.
2. PSA levels may fluctuate with the inflammatory activity and the rise you describe is not diagnostic for anything.
3. Non-bacterial prostatitis typically has to go away on its own.
4. See "2".
5. This is a great question and very difficult to answer. There is no exact cut-off for when a rise is explained by cancer and when it is explained by prostatitis. In my opinion, a transrectal ultrasound can help determine if it in fact is prostatitis. If not, it would make sense to take biopsies during the same examination.
6. This certainly sounds like an underlying inflammatory condition such as prostatitis or epididymitis and not like cancer.

I hope this is of some help to you. If not, please write again.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. Anders Mark Christensen (3 hours later)
Thanks again Anders. Yes, that's why I made numbers so it would be more easy to answer. In another thread I explained you what happened this morning with the sudden result 9.48 so I decided to take tomorrow appointment. They do use TRUS and I can try to ask them if they can first check if it's worthwhile to make a biopsy at all, but I very much doubt they will accept it.

Thanks again you have answered many of my questions.
doctor
Answered by Dr. Anders Mark Christensen (31 hours later)
Brief Answer:
How did it go?

Detailed Answer:
No problem at all, XXXXXXX

How did it go today?

Looking forward to hearing from you.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Dr. Anders Mark Christensen

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Practicing since :2016

Answered : 1559 Questions

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Until Now I All I Read About Symptoms Of Cancer

Brief Answer: Most likely prostatitis Detailed Answer: Hi XXXXXXX The symptoms are most likely prostatitis. The ominous thing about prostate cancer is that it rarely gives symptoms, and that is why some advocate for screening with PSA. Typically you feel a hard small lump on prostate examination, but transrectal ultrasound can usually distinguish between the two. Hope this helps. Please let me know if you have further questions.