Suggest Treatment For Brown Semen

Hi,Dear,Thanks for your query to HCM. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from- Chronic Bacterial Prostatitis(CBP) with urethritis mostly with ?Orchitis- from Incomplete or unnoticed- STD recurring infections lately Or could be accompanied UTI with Old Kidney stone with STD / CBP urethritis , as you have first attack of severe lower left back pains with nausea, which moved from lower left back to front lower abdomen, indicating Cysto-urethritis and ? Orchitis. Presence of no pains in urethra while ejaculation indicates chronic low lying Sub Acute CBP-infection from the bygone STD in the past, which has resurged lately.Pain in stomach and nausea points to -pyelonephritis / and could also be from Epididymo-orchitis. Presency of Kidney stone with Pyelo-nephritis with cysto-prostatis, could mimick this and needs to be ruled out and treated. Persistent brown coloured semen indicates definitive Prostatitis with all this complex story and points to the possibility of Sub acute long Prostatitis with Epididymo-orchitis lately. CT is awaited. Remedy Suggested - Continue plenty of fluids Good Sex hygine and avoid illicit sex contacts to avoid risk of recurrent exposure . Good Diet with full rest 8 hrs a day with Supplementary Vitamins / antibiotics after sending samples to Bacterial Culture. In this above discussed complex scenario- I would suggest LCr test with Semen from prostatic massage which could rule out Gonorrhea and STD from Chlamydia infections, which were incompletely treated in the past. Urine Culture / or prostatic massage semen fluid Culture would give definitive lead of proposed antibiotic usage, as your case seems to hibernating without much of clinical complaints from you. CT Prostate and Testes and cord with Cysto-urethrography would heilp in proper assessment of -Causative factors.This would help in targeting the treatment accordingly. USG Abdomen in initial stages and LCr test of Urine and semen and prostatic massage by this time would save dealy in initiating right antibiotic attack- either by oral / or by Intratprostatic Injections / with hyaluronic acid infusions to increase antibioitic reach in chronic fibrotic prostatic tissues, which is giving you tough times now. Addition of Tamsulosin/ Flomax with Pyridium would reduce your discomforts along with Chymoral forte /and Diclofencac Sodium for 2-6 weeks period, which would assure you better outcome. Hope the above discussion and points in it, would help you to plan further treatment from your Urologist at the expeditious speed Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS