Which One Of Bactrim And Cipro Is Good For Prostatitis?

Posted on Sat, 5 Apr 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 5 Apr 2014 Answered on

Tue, 29 Apr 2014 Last reviewed on

Question : During the last 3 months, I have been on this site for abdominal pain, many good doctors have responded, but now I have been diagnosed with Prostetitis last week. I have been on Cipro, but seem to be getting stiffness, so they put me on Bactrim. Which one of these are better? But, the real question is how I got it and what if this is non bacterial? My urine was very clean.

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer: Prostatitis may be secondary to Enlarged Prostate. Detailed Answer: Hello Thanks for your query,based on the facts that you have posted it appears that you have Prostatitis and have been prescribed Bactrim . I shall be happy if you can post me few more details to help me in making comments on your problem. 1) Have you done Ultrasound scanning of abdomen ? 2) What is the size of prostate reported on ultrasound scanning? 3) Was the culture and sensitivity of urethral discharge done after prostatic massage ?and Bactrim was prescribed as per culture report.? Enlarged prostate is common at this age and in most of the cases is associated with chronic infection of the prostate. Please consult qualified Urologist for clinical and digital rectal examination and to get prostatic secretion for culture and sensitivity test. Prostatitis takes long time to get cured hence you will need to take appropriate antibiotic as per culture report for a long period of 4-6 weeks. Ciprofloxacin and Bactrim both are antimicrobial agents with different mode of action and are commonly prescribed in urinary diseases.However it is always advisable to take antibiotic as per culture report so as to get desired and quick results . Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you Thanks and Regards. Dr.Patil. .

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (16 minutes later)

Dr XXXXXXX I had a abdominal ultrasoud 4 months ago that was normal. A ct scan did show an enlarged prostate. My doctor said it comes with age. I did not have a prostatic massage. I had a clinical diagnoses with a rectal digital exam by two different doctors, my symptoms are discomfort after urination? I do not have pain during urination, and my stream is very good. I do urinate more frequent, once during early morning and again when I get up from bed. During the day, two or three more times than usual. I do drink more water now. Also my PSA 4 months ago was 2.2. I have been on meds for 4 days and symptoms are the same.

Answered by Dr. Dr. P. T. Patil (7 hours later)

Brief Answer: Prostate Massage is to get Secretions for Culture Detailed Answer: Hello Thanks for feedback and follow up. In clinically diagnosed Prostatitis it is always helpful to get prostatic secretion from the prostate itself for culture so that it will establish pin point diagnosis of organisms causing the infection and appropriate antibiotics which is to be taken for long period. Please go ahead and get it done . Thanks and Regards. Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (13 hours later)

Dr XXXXXXX what is the best natural approach to prostate problems? I read that Saw Palmetto was effective and can one take prostate supplements with antibiotics?

Answered by Dr. Dr. P. T. Patil (9 hours later)

Brief Answer: No harm in taking Herbal Products . Detailed Answer: Hello Thanks for follow up. You can take herbal products like Saw Palmetto along with appropriate antibiotics. Thanks and Regards.Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (24 hours later)

Dr XXXXXXX during my prostetitis I always seem to get a little chill and weakness when I go out to a restaurant, not at home, and seldom during the day or late at night. I want to take an Advil, but my gastritis prohibits I beprofun. Tylenol does not work for me. What can I take to make me feel better? And, does this sound a little strange?

Answered by Dr. Dr. P. T. Patil (19 minutes later)

Brief Answer: Fever and chills can be due to Prostatitis itself. Detailed Answer: Hello Thanks for follow up. Fever and chills could be due to Prostatitis itself.Taking appropriate antibiotic will take care of infection. You can take Diclofenac twice daily as a pain killer . Thanks and Regards. Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (25 minutes later)

Is Diclofenac by prescription? What about Vicodin or Percocet?

Answered by Dr. Dr. P. T. Patil (4 minutes later)

Brief Answer: You need prescription for these drugs. Detailed Answer: Hello Thanks for follow up. These drugs are scheduled drugs and can be purchased on prescription of a qualified Dr. Please get the same from your family Physician. Thanks and Regards. Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (3 minutes later)

I have Vicodin and Percocet from another condition.

Answered by Dr. Dr. P. T. Patil (56 minutes later)

Brief Answer: You can take Percocet . Detailed Answer: Hello Thanks for follow up . You can take Percocet . Thanks and Regards. Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (39 hours later)

Dr XXXXXXX last question. Can the prostate infection cause hands and feet to tingle, or can medication cause it also?

Answered by Dr. Dr. P. T. Patil (5 hours later)

Brief Answer: Tingling in hands can not be due to Prostatatis. Detailed Answer: Hello Thanks for follow up. Tingling in hands and legs can not be due to Prostate infection but could be due to Peripheral Neuritis as a part of generalised infection . It will get cured with taking medicine like Metylcoblamin. Thanks and Regards. Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (41 minutes later)

Sorry, another question. Can Gabapentin be used to treat peripheral neuritis?

Answered by Dr. Dr. P. T. Patil (13 minutes later)

Brief Answer: No Gabapentin can not be used , Detailed Answer: Hello Thanks for writing again . Gabapentin is anti convulsant drug used in Epilepsy . It will have more side effects than usefulness in your case, You need Vit Methylcobalamin . Thanks and Regards. Dr,Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (2 hours later)

Dr XXXXXXX you know my situation, Gastritis and now Prostatitis. I had a steak tonight and I am in pain. I did take hycosamine, but little relief. I also should not take anymore antacids until after 6 hours since the Nexium, because I also take Bactrim. Can I take a Percocet, or what should I take?

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer: You can take Percocet. Detailed Answer: Hello Thanks for follow up. Since you are used to take Percocet, you can take it and consult your physician for further management of your gastric problems. Thanks and Regards. Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar