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Old 04-23-2007, 06:15 PM   #1
Tom Burns
 
Default Prostate

I'm scheduled to see my doctor early next week for prostate
investigation. I suppose he will want to do a DRE and PSA test.

Is this sufficient to properly diagnose any problems?

At this point I am only showing urinary indications of decreased flow.
No chills, fever, pain, etc. Am I correct to assume that the possible
diagnosis could be BHP,Acute or Chronic bacterial prostatitis,
Nonbacterial prostatitis, or prostate cancer?

Lastly, are there any other symptoms I may not have noticed or related
to this, and what questions should I be asking my doctor.

Thank you in advance.
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Old 04-23-2007, 06:15 PM   #2
Tom Burns
 
Default Re: Prostate Update

Tom Burns wrote:
> I'm scheduled to see my doctor early next week for prostate
> investigation. I suppose he will want to do a DRE and PSA test.
>
> Is this sufficient to properly diagnose any problems?
>
> At this point I am only showing urinary indications of decreased flow.
> No chills, fever, pain, etc. Am I correct to assume that the possible
> diagnosis could be BHP,Acute or Chronic bacterial prostatitis,
> Nonbacterial prostatitis, or prostate cancer?
>
> Lastly, are there any other symptoms I may not have noticed or related
> to this, and what questions should I be asking my doctor.
>
> Thank you in advance.


About 2 hours after posting this, I experienced painful urination
(burning sensation). I suppose this would indicate prostatitis, but why
would it not manifest sooner? I noticed the decreased flow/pressure more
than a week ago, but the burning just today.

Thanks
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Old 04-23-2007, 06:15 PM   #3
Tom Burns
 
Default Re: Prostate Update

Tom Burns wrote:
> I'm scheduled to see my doctor early next week for prostate
> investigation. I suppose he will want to do a DRE and PSA test.
>
> Is this sufficient to properly diagnose any problems?
>
> At this point I am only showing urinary indications of decreased flow.
> No chills, fever, pain, etc. Am I correct to assume that the possible
> diagnosis could be BHP,Acute or Chronic bacterial prostatitis,
> Nonbacterial prostatitis, or prostate cancer?
>
> Lastly, are there any other symptoms I may not have noticed or related
> to this, and what questions should I be asking my doctor.
>
> Thank you in advance.


About 2 hours after posting this, I experienced painful urination
(burning sensation). I suppose this would indicate prostatitis, but why
would it not manifest sooner? I noticed the decreased flow/pressure more
than a week ago, but the burning just today.

Thanks
  Reply With Quote
Old 04-23-2007, 06:15 PM   #4
J
 
Default Re: Prostate Update

Tom Burns wrote:

> Tom Burns wrote:
> > I'm scheduled to see my doctor early next week for prostate
> > investigation. I suppose he will want to do a DRE and PSA test.
> >
> > Is this sufficient to properly diagnose any problems?
> >
> > At this point I am only showing urinary indications of decreased flow.
> > No chills, fever, pain, etc. Am I correct to assume that the possible
> > diagnosis could be BHP,Acute or Chronic bacterial prostatitis,
> > Nonbacterial prostatitis, or prostate cancer?
> >
> > Lastly, are there any other symptoms I may not have noticed or related
> > to this, and what questions should I be asking my doctor.
> >
> > Thank you in advance.

>
> About 2 hours after posting this, I experienced painful urination
> (burning sensation). I suppose this would indicate prostatitis, but why
> would it not manifest sooner? I noticed the decreased flow/pressure more
> than a week ago, but the burning just today.
>
> Thanks


Tom, since it's late, if you can't get to your doctor, try a walk in clinic.

Take a list of (or your) other medications with you.
http://www.co.broward.fl.us/mei00232.htm
Perhaps they'll try an antibiotic first (or combinations?) and if it
continues to worsen you can follow up with them over the weekend, then
follow up with your own doctor (depending on how it goes) next week.

Prostatitis (and other causes) can elevate the PSA. I think, but not sure,
walkin clinics can do those or write a script for you to go to a lab. It
costs, but my understanding is that rechecks to see if it goes back down or
continues to rise (after treatment) is important to know. And from the
prostate cancer newsgroup reading, some have been diagnosed without an
elevated PSA, so it's not the "be all" of tests.

If the walk in clinic does do tests, ask them to fax the results to your
doctor (or make sure you go back and pick up copies).
J - not a doctor

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Old 04-23-2007, 06:15 PM   #5
ballstoyourpartner
 
Default Re: Prostate

Tom,

Tom Burns wrote:

> I'm scheduled to see my doctor early next week for prostate
> investigation. I suppose he will want to do a DRE and PSA test.
>
> Is this sufficient to properly diagnose any problems?


How old are you? Have you been regularly examined with DRE and PSA in the
past and, if so, what were your PSA levels over time (PSA 'velocity')?

> At this point I am only showing urinary indications of decreased flow.
> No chills, fever, pain, etc. Am I correct to assume that the possible
> diagnosis could be BHP,Acute or Chronic bacterial prostatitis,
> Nonbacterial prostatitis, or prostate cancer?


At this point, could be any of those things or even something else.
Prostatitis seems to be one of those things which is diagnosed by
'exclusion', ie., by excluding all other causes. Even then, there doesn't
seem to be much the urologists can do about it.

> Lastly, are there any other symptoms I may not have noticed or related
> to this, and what questions should I be asking my doctor.


You might want to subscribe to the following newsgroups and letting the
people there hear some of your questions:

sci.med.prostate.prostatitis
sci. med. prostate.cancer
alt. support.cancer.prostate

Note that I am not in any way suggesting that you have prostate cancer,
only that some of the individuals on these groups have had experience with
a number of prostate-related problems.

> Thank you in advance.


Best of luck,
Balls


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Old 04-23-2007, 06:15 PM   #6
talkback
 
Default Prostate and Decreased Urine Flow PSA Question

ballstoyourpartner wrote:
> Tom,
>
> Tom Burns wrote:
>
>
>>I'm scheduled to see my doctor early next week for prostate
>>investigation. I suppose he will want to do a DRE and PSA test.
>>
>>Is this sufficient to properly diagnose any problems?

>
>
> How old are you? Have you been regularly examined with DRE and PSA in the
> past and, if so, what were your PSA levels over time (PSA 'velocity')?
>
>
>>At this point I am only showing urinary indications of decreased flow.
>>No chills, fever, pain, etc. Am I correct to assume that the possible
>>diagnosis could be BHP,Acute or Chronic bacterial prostatitis,
>>Nonbacterial prostatitis, or prostate cancer?

>
>
> At this point, could be any of those things or even something else.
> Prostatitis seems to be one of those things which is diagnosed by
> 'exclusion', ie., by excluding all other causes. Even then, there doesn't
> seem to be much the urologists can do about it.
>
>
>>Lastly, are there any other symptoms I may not have noticed or related
>>to this, and what questions should I be asking my doctor.

>
>
> You might want to subscribe to the following newsgroups and letting the
> people there hear some of your questions:
>
> sci.med.prostate.prostatitis
> sci. med. prostate.cancer
> alt. support.cancer.prostate
>
> Note that I am not in any way suggesting that you have prostate cancer,
> only that some of the individuals on these groups have had experience with
> a number of prostate-related problems.
>
>
>>Thank you in advance.

>
>
> Best of luck,
> Balls
>
>


I went to a clinic as suggested. Received a DRE (much thanks) and a
preliminary diagnosis of prostatitis, for which I was prescribe some
antibiotics and something to make me urinate more (Flow-something).
Seeing my doctor on Monday for a full workup.
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