New Member saying hello

Male pelvic pain, prostatitis, IC
Dj Smitty
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New Member saying hello

Post by Dj Smitty »

Good day all, I'm quite glad I found this forum and know that I am not alone in this struggle. I seem to be a bit younger than most of you though, as I'm only 23 just turned. Here's my story briefly.

My first experience with any prostatitis-like symptoms was when I was diagnosed with a bladder "virus" at age 17. For a few days, I could only pee when pushing and felt the urge to go all the time. It went away fairly soon. In fact, I never thought about it much again until this June when I first heard the term Prostatitis from my GP.

It's weird because I had a nasty winter here with viruses, sore throats, etc and turns out that in April, after a monospot, I actually had Infectious Mononucleosis. As I started to feel stronger again by early June, while at work I noticed a sharp pain in first my right, then left testicle when I moved or sat down. It then went away...but a week later, I started getting almost cutting or burning pains in my left groin/abdomen where my bladder would be. I then visited my family doctor, described my symtpoms and he did a rectal examination, which hurt like bloody hell when he touched my prostate. He said I had prostatitis, prescribed me 4 weeks of Tequin, a new and powerful antibiotic. I treated this like any other infection...take the pills, and it will go away. How wrong I was.
While I don't want to say it worsened while on antibiotics, it didn't really improve either. By the end of June, I was noticing more difficulty peeing, especially just getting started. At times, I had to strain quite hard to get it out.

In early July, I went back to my GP, gave him the situation, and he said stuff about "chronic inflammation." This is when I started to get a little worried...why wasn't this going away, why don't the pills work? He put me on Xatral to help peeing but the side effects unfortunately led me to stop after 2 weeks. My heart was literally pounding out of my chest, I felt dizzy all the time, etc. I later went back to him and requested I see a Urologist. In Canada, because or doctor visits are free (paid by taxes), we must see a GP to first see a specialist. He reluctantly agreed and started the referral process. I was booked for late September, if you can believe it...but that's how stressed our system is these days. The waits are ridiculous! By late July, my pain had spread to my anus, perrineum (never horrible, but always annoying), but seemed to calm down for long intervals, usually hours or days. My urinary symptoms were getting far worse though. I could not pee in a single go any longer...it came out in spurts, dribbles, split stream, hesitanty, you name it, I had it...just awful. I also had stinging in my urethra as well and this is when I first noticed an uncomfortable feeling in the tip of my penis...like friction or irritation.

So I phoned my urologist to be, bitched about my current state and they rushed me in within a week. We did our consultation mid August, asked my history, sexual relations, illnesses, etc. He did not think Mono had anything to do with my problem, despite the coincidental timing. He did a rectal again and my prostate did NOT hurt this time, which surprised me. he asked if he could do a csytocopy and I agreed, fearing cancer or strictures. He did it and said there were no "mechanical" problems he could see. He said I had inflammatory prostatitis which is treated by reducing symptoms. He put me on 20mg of Amitripyltine a day for pain and relaxation. Initially, I felt improvement, but was still having a rough time urinating quickly and forcefully. The pain, especially in the anus and perinneum, nearly disappeared.

So here I am, 4 months with this bastard and I'm only getting worse off. The last two weeks I've started to have cystitis like pain in my bladder or abdomen (I can't tell if its the inside or outside muscles). I feel the constant urge to urinate and when I do, it stops, starts, dribbles, in spurts, etc. Lately, I've been having a hell of a time just getting started, spending sometimes an hour in the bathroom. I notice peeing in a hot shower helps with this, however. There is always pressure in my bladder almost...and the pain in my penis is still there. Also, and this is strange, since early August, I started getting whitish spots on the sides of my penis tip and nasty red spots/marks on the top part of the tip and around/inside the opening as well. It is worse after I urinate or ejaculate...but somtimes ejaculating makes the itchyness go away. I just do not understand it. Wouldn't redness after voiding indicate some kind of pathogen?

So here I am, as miserable as ever. I am scared to have sex, my sex drive has taken a nose dive and at one time, I was quite energetic and proud of my "mojo". I cannot pee properly, I am in pain nearly always though it is rarely severe pain. I go out less and less. Nobody quite understands what is wrong or how this can happen...but what do you expect from young males who pee like race horses? I always used condoms except once or twice (an episode in February with a girl I did not know well) but I was tested for HIV, Herpes, Chlamydia and Gonnorhea, all which came back negative. Orgasms, when I can have them, are still enjoyable and I have had little problems with bowel movements.

I am only now delving into the theories of the Stanford/Wise-Anderson Protocol, Q-Rol, diet changes, etc. I am seeing my urologist again next week to see about taking Flomax so I can pee close to normally. I would rather be able to pee like everyone else and deal with the pain, which doesn't seem to be as bad as some of you guys have it. I'm very worried about the long term prospects of this disease and how it will affect my life. I'm in my last year of an undergraduate honors history degree and plan to do a masters. But already this year, I have missed a few too many classes while in the bathroom or at home in bed. I wouldn't wish this on anyone.

Thanks for reading and the best of luck to us all. it feels a lot better to be able to say all that. :)
Age:23 | Onset Age:22 | Symptoms:Urinary hesitancy, moderate frequency, urgency and retention, slight perinneum, rectal and leg pain, frequent abdominal/bladder pain. Red/white spotty irritation on penis | Helped By:hot baths or showers, walking and moving around, pain medications | Worsened By: sitting for a long time, holding urine too long. I'd say I'm about 75% better naturally so far.
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Post by CppsDad »

Thanks for the comprehensive and honest post. You've found the right place for support. Your story has a lot of common markers, which is probably a good sign that you can get help here.

Your large variety of symptoms, from the abdominals, to the testicles, to the perineum, mirror what I went through the prior few years. In my case, I had so many trigger points, so many tender muscles, so many irritated nerves, that my symptoms were all over the place no matter what I did. There were too many cross-talking pain conditions going on to get any sort of pattern. I'd stop sex for a week, things would get better. The next time I stopped sex, they'd get worse. Sometimes hot baths cooled symptoms off. Other times, I felt they were making me more inflamed. And on and on it went. It was very disheartening.

But once I started unravelling all the problems, one day at a time, things started to get more predictable. My trigger points were less, and more places were healthy. So now the pain is localized, and only the most stubborn painful areas remain. But I feel much more in control now.

You are resourceful to get into the Stanford/Wise-Anderson Protocol so quickly. I wish I had it 4 years earlier. The best thing about it is that you can dive into it 100%, without preventing your doctors for doing "their" thing. You can cover all bases with it, and this is especially important when your medical system takes so long. Why wait 6 months for doctors to see you and do nothing? At least with the SP you can help yourself, and be an advocate for your body. This is a positive step.

Do you stretches, relaxation, and self massage (buy a Theracane), and you will hopefully see some improvements. Don't expect improvements in the short term, however. Just hold off on evaluating your progress for many months.

Lastly, do as much reading as you can on this board. The chances are that there are already posts that give you the answer to your exact problems. Read it all, and you'll learn a lot about what you are going through.

Mike
This is NOT medical advice. I am NOT a doctor.

Age: 43 CPPS: 10+ Yrs Recovery Status: 80-85% Symptoms: Pain in testicles, scrotum, rectum, prostate, perineum Makes Worse: Anxiety, Tension, too much Nookie Makes Better: Stretching, Abdominal Massage (Go Theracane!), Relaxation
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Post by Dj Smitty »

Thank you very much.

I've seen my urologist twice now and it seems as if he doesn't take me very seriously. he told me to increase my Amitripyline to 30 or 40mg per day if I can handle the side effects. I'm not sure if this has worsened my urinary symptoms but it started to get worse after I bumped up my dosage. The bottle also says use caution in patients with urine retention and I get that often.

I'm a little miffed that he has not done extensive culturing to once and for all rule out a chronic bacterial infection. Dr. Shoskes' website gives a detailed guide for testing and so far my uro and GP have only done urinalysis. I also am aware that antibiotics often take 3-4 months for a serious bacterial infection and since I came down with this condition, I have been stricken by two rather serious fevers I thought might be separate viruses. I'll have to push for more testing with him I suppose.

Until then, I'm so glad I found all the alternative treatments here. My SP book is on the way and I will look into diet changes and purchasing Q-Rol as well. Can any Canadians tell me if it is available here at Shoppers Drug Mart? I could not find it at my local store.

Thanks so much.
Age:23 | Onset Age:22 | Symptoms:Urinary hesitancy, moderate frequency, urgency and retention, slight perinneum, rectal and leg pain, frequent abdominal/bladder pain. Red/white spotty irritation on penis | Helped By:hot baths or showers, walking and moving around, pain medications | Worsened By: sitting for a long time, holding urine too long. I'd say I'm about 75% better naturally so far.
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Post by timberdoodle »

I'm a little miffed that he has not done extensive culturing to once and for all rule out a chronic bacterial infection. Dr. Shoskes' website gives a detailed guide for testing and so far my uro and GP have only done urinalysis.
My first urologist told me the cultures were "hocus-pocus." When I finally found a decent urologist who did the cultures, it was a relief to discover there was no infection. If nothing else, it helps you understand that you're not about to die from infection, and it puts you on the track to trying the Stanford/Wise-Anderson Protocol. Best wishes as you find your way forward...
Last edited by timberdoodle on Wed Sep 28, 2005 1:55 pm, edited 1 time in total.
Age: 40 Symptoms for seven years; Symptoms include: subrapubic & genital discomfort; perrenial pain, feeling like groin is swollen, problems with urinary frequency are resolved; helped by: abdominal stretching, Theracane work on abdomen, light exercise (nordic track); worsened by: sitting and office work
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Post by Richie »

I also am aware that antibiotics often take 3-4 months for a serious bacterial infection.
This was my initial thinking but I have been told quite the contrary. Do a search on antibiotics here and you will find it rare for something to exist beyond a week of treatment.


Not a Dr. Not medical advice.
Age: 44 | Symptoms: Pain in pelvis, Post urination drip. Helped by: Squat stretching, PT, Prelief before banned foods, Vit B, Cystoprotec AFTER foods, singulair after foods, Exercise. Makes worse: Stress, Alcohol (1-2 days after), coffee, Artificial sweeteners, chocolate, tonic Wheat/gluten. Drink a lot of water!!! 95% better to date!
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Post by Dj Smitty »

Hmm...that makes sense then doesn't it? I periodically get strep throat and am usually perscribed ten days of amoxicyllan and within a day, I feel almost 100% better.

Also, in the beginning of my symptoms, my prostate hurt like hell when my doctor touched it, but when I saw the Urologist two months later, it did not. And I've never had that dull ache up the rectum that bothered for a few weeks during the antibiotic course.

I can see why scientists and researchs are baffled by this problem...it doesn't make any sense.
Age:23 | Onset Age:22 | Symptoms:Urinary hesitancy, moderate frequency, urgency and retention, slight perinneum, rectal and leg pain, frequent abdominal/bladder pain. Red/white spotty irritation on penis | Helped By:hot baths or showers, walking and moving around, pain medications | Worsened By: sitting for a long time, holding urine too long. I'd say I'm about 75% better naturally so far.
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Post by Richie »

A good test someone gave me was to take some form of relaxant, say a valium, and see if the symptoms disappear during its cycle.

I am not recommending drugs mind you but its a good way to let "Your head" know that this is stress related. After you have convinced yourself of this stress relation, you may calm down a bit and mitigate this cycle.

Also read all the "best posts" in that section.


Not a Dr. Not medical advice.
Age: 44 | Symptoms: Pain in pelvis, Post urination drip. Helped by: Squat stretching, PT, Prelief before banned foods, Vit B, Cystoprotec AFTER foods, singulair after foods, Exercise. Makes worse: Stress, Alcohol (1-2 days after), coffee, Artificial sweeteners, chocolate, tonic Wheat/gluten. Drink a lot of water!!! 95% better to date!
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Post by CppsDad »

If you've already done some reading on these forums (especially from the web site's home page), you no doubt learned that 90% of us never had a bacterial infection of any sort, although 100% of us were subjected to ridiculous levels of antibiotics for no reason at all. There are many sites out there that promote the concept of the hard-to-reach infection, which they claim requires antibiotics combined with prostage massage, just to reach the bacteria in the deep, in recesses of your prostate. Believe them if you want (I'm no expert), but know that most of the users of this forum do not subscribe to those theories at all. In fact, our guidelines prohibit much discussion on bacterial infections, as this forum is not geared towards bacterial prostatitis, but rather, myoneuropathy only. Also, because chronic prostatitis / chronic pelvic pain syndrome symptoms wax and wane frequently, you can rarely use their cycles to assess whether your antibiotics are working (i.e. after 3 weeks of taking them, you felt better! - after switching medications you felt worse! - but this is often times just the normal waxing and waning of symptoms), so be aware of this as you judge your treatment. Having a good down cycle in symptoms after taking an antibiotic (or going through ANY treatment), can often times lead to false-positives as you assess your strategies for getting better.

You DO need to rule everything out. But keep an open mind like you are already doing, and you'll cover all angles.

Mike
This is NOT medical advice. I am NOT a doctor.

Age: 43 CPPS: 10+ Yrs Recovery Status: 80-85% Symptoms: Pain in testicles, scrotum, rectum, prostate, perineum Makes Worse: Anxiety, Tension, too much Nookie Makes Better: Stretching, Abdominal Massage (Go Theracane!), Relaxation
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Post by Dj Smitty »

I just got my copy of Headahce in the Pelvis and have been skimming through looking at the exercises and trigger points. I'll begin doing the stretches tonight and maybe twice a day as well.

Forgive my ignorance, but I can't do all of this on my own can I? I need to see a physical therapist right? Ok, that might cause some problems then. First, visits to PT's in Canada (Ontario for me) are covered by our health plan totally but I need a referral from my family doctor. This is the same doctor who dithered in referring me to a urologist, who in turn, has put me on 20mg of Amitripyline a day with no further help. He increased my dosage to 40mg and when I started having horrible trouble peeing over the weekend, told me to go back to 20mg because too much of the drug can cause retention and increased hesistancy. Maybe he has a point because I was managing at 20mg most of the time with urination.

Anyway, neither doctor has said anything about muscle tension, stress or pelvic floor dysfunction. Although my GP is a sensitive guy and asked if I was stressed out. I don't feel stressed, but it can be subconscious can't it? I also occasionally get anxiety attacks over certain things. So, when I see them each next week and show them the book, they are probably going to look at me like I'm stupid. And if I am referred to one, will the PT know anything about trigger point release therapy and pelvic problems?

I guess this is a question for any Canadians in Ontario or hopefully even in my home town. Thanks again mates.
Age:23 | Onset Age:22 | Symptoms:Urinary hesitancy, moderate frequency, urgency and retention, slight perinneum, rectal and leg pain, frequent abdominal/bladder pain. Red/white spotty irritation on penis | Helped By:hot baths or showers, walking and moving around, pain medications | Worsened By: sitting for a long time, holding urine too long. I'd say I'm about 75% better naturally so far.
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Post by Richie »

I also occasionally get anxiety attacks over certain things
Bingo.


If you have read this board and the book, "Headache in the Pelvis" my guess is you now know more about this condition than the bulk of the Urologists you see. This was my experience.



Not a Dr. Not medical advice.
Age: 44 | Symptoms: Pain in pelvis, Post urination drip. Helped by: Squat stretching, PT, Prelief before banned foods, Vit B, Cystoprotec AFTER foods, singulair after foods, Exercise. Makes worse: Stress, Alcohol (1-2 days after), coffee, Artificial sweeteners, chocolate, tonic Wheat/gluten. Drink a lot of water!!! 95% better to date!
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Post by MastCells »

Welcome to the group! :-D
Dj Smitty wrote:I'm a little miffed that he has not done extensive culturing to once and for all rule out a chronic bacterial infection...<snip>detailed guide for testing and so far my uro and GP have only done urinalysis.
If you had chronic bacterial prostatitis, you'd be afflicted with infections in which bacteria could be detected in your urine. But all the urinalyses you've had were negative. There is no evidence that extensive culturing is any more than a waste of money for CPPS/IC patients. Perhaps, your case was triggered by a virus or bacterium in the beginning, but it has clearly turned into a chronic inflammatory condition. You've already tried multiple courses of antibiotics, and it is obvious that they don't work in your case. The redness you mentioned only proves that there is inflammation, not infection.
This is not medical advice. Please consult your physician.
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Post by Dj Smitty »

Yeah, the more I read Wise and Anderson's book, the more the relation between stress and muscle tensing makes sense. I honestly can't understand why this correlation has not been made before and why urologists are so blind. I mean, it's quite obvious stress can cause chest pain (which I have occasionally experienced on the left side almost in front of the heart across into the armpit) as well as various aches and breathing problems. So why not pelvic pain too?

I've also noticed, since the book says I should look for it, that I continually tense my ass/perineum muscles while walking and moving...I've started to make the effort to stop doing that in addition to the exercises. I also have a habit (moreso when I was younger a little flabby) of sucking in my gut which I used to think as a 12 year old made me look thinner. Of course, it's nonsense but this whole tension theory makes so much sense when you think about it.

I'm off next week to get a referral to hopefully a competent PT and maybe, since I've been suffering just over 4 months, I will cure quickly. :)

Oh, and about the urinalysis...my GP tested my urine a few times for STD's and known bacteria but said that a negative test does not necessarily mean I didn't have a bacterial infection. I think the standard for anybody suspected of having prostatitis be that they culture urine and prostate fluids right away. It could help those few who actually might have bacteria problems. But some doctors just can't be bothered.
Age:23 | Onset Age:22 | Symptoms:Urinary hesitancy, moderate frequency, urgency and retention, slight perinneum, rectal and leg pain, frequent abdominal/bladder pain. Red/white spotty irritation on penis | Helped By:hot baths or showers, walking and moving around, pain medications | Worsened By: sitting for a long time, holding urine too long. I'd say I'm about 75% better naturally so far.
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Post by CppsDad »

Forgive my ignorance, but I can't do all of this on my own can I?
Technically, you CAN do it all on your own, although it helps to have expert guidance where possible. These are the things you can do by yourself:

1) Stretching. Every night (or more as you can fit it in). These sessions seemed like an imposition in the beginning, but now they relax me and I enjoy them.
2) Relaxation sessions - These are enjoyable too. Buy some good relaxation tapes, and learn to relax your body (not just your pelvic floor)
3) Self massage. Buy a Theracane. You can really work your abdomen (very important area for many of us), perineum, lower back, hamstrings, etc...

You can also do internal therapy, but I don't recommend doing this until you've had someone else do it for you a few times. Once you know what it should feel like, you can more confidently work on yourself.

BTW - anxiety is a highly common factor with CPPS. I have it too. It all is part of a larger symptom regarding managing our lives. Look at the chronic prostatitis / chronic pelvic pain syndrome as a warning shot, and hopefully it will help you manage things better emotionally.

Michael
This is NOT medical advice. I am NOT a doctor.

Age: 43 CPPS: 10+ Yrs Recovery Status: 80-85% Symptoms: Pain in testicles, scrotum, rectum, prostate, perineum Makes Worse: Anxiety, Tension, too much Nookie Makes Better: Stretching, Abdominal Massage (Go Theracane!), Relaxation
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Post by Dj Smitty »

Theracane? I'll have to look into that...is it just an electric massage device?
If I had a wife or gf, I could get free massages but I dont'. :lol:

thanks for the advice.
Age:23 | Onset Age:22 | Symptoms:Urinary hesitancy, moderate frequency, urgency and retention, slight perinneum, rectal and leg pain, frequent abdominal/bladder pain. Red/white spotty irritation on penis | Helped By:hot baths or showers, walking and moving around, pain medications | Worsened By: sitting for a long time, holding urine too long. I'd say I'm about 75% better naturally so far.
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Post by MastCells »

Dj Smitty wrote:Oh, and about the urinalysis...my GP tested my urine a few times for STD's and known bacteria but said that a negative test does not necessarily mean I didn't have a bacterial infection. I think the standard for anybody suspected of having prostatitis be that they culture urine and prostate fluids right away. It could help those few who actually might have bacteria problems. But some doctors just can't be bothered.
Please read the following:
https://ucpps.men/bacteria-and-chronic-prostatitis-CPPS
https://ucpps.men/nih-definition-of-prostatitis-and-CPPS

Based on the facts of your case, IMO, your uro was justified in not culturing your EPS.
This is not medical advice. Please consult your physician.