Another newbie de-lurks

Male pelvic pain, prostatitis, IC
adrianclark
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Another newbie de-lurks

Post by adrianclark »

Another escapee from the Healthboards forum here (hi Gary!) where I'm "suttonmassive". The hastily chosen nicknames are always the worst... :wink:

I might be slightly out of place here, as my problems have (as far as I can tell) only been going for about 3.5 months, but I'm curious to learn as much as I can in addition to what I can gain from qualified medics. I've found the UK NHS approach frustratingly leisurely, but then I haven't really made a fuss... my symptoms have mostly been pretty mild, and I know I'm fortunate compared to a lot of people.

Anyway, a brief summary. I had a standard urinary infection in March 07, killed off by five days of antibiotics. After feeling perfect for a week, the symptoms seemed to be returning, so I was prescribed another set of antibiotics. However, it turned out the symptoms weren't the same, and the antibiotics didn't have such a dramatic effect.

So... for about 6 weeks I had a mixture of fairly mild symptoms, alternating with days when there'd be nothing obvious. There'd be a feeling of "golfball in the rectum", occasional stinging sensations in the base of my penis, a feeling like I needed to pee even when I had an empty bladder (not a full-bladder feeling, more of a "warning twinge") and sometimes a sensation at the end of the flow... not really pain, more like the feeling of sore muscle. Sometimes the base of my bladder feels sore if I press on that area. Oh, and occasionally I'd get a morning, afternoon or evening of feeling generally "under the weather". These symptoms always seem to be isolated, never usually in combination.

I then saw another doctor who felt my prostate, diagnosed prostatitis and prescribed two weeks of Doxycycline. Nothing dramatic happened, but I felt fine at the end of the course, so I was happy. After two weeks, the symptoms returned, so I was given a double-strength course of Doxycycline, which didn't really seem to change much... just the same mild symptoms, coming and going. Hardly a major health crisis, but the long-term nature of it was starting to wear me down a little. All through this period since the actual UTI, I'd provided 4 or 5 urine samples, all of which had been clear of infection.

I then started reading about chronic prostatitis / chronic pelvic pain syndrome and started thinking about a few things. All along, I'd been able to control some of the symptoms by consciously relaxing my pelvic area. I wondered about the antibiotics I'd been prescribed, despite the clear urine samples. I realised that alcohol had not worsened the symptoms, but may often have relieved them. I bought the "Headache in the Pelvis" book and found that the stretching exercises seem to keep me mostly symptom-free.

I've also started to wonder (duh! how did I miss this?!) about the occasional pain and tenderness I've been feeling on my coccyx and the muscles immediately adjacent. I'd assumed this was partly to do with slumping for too long in front of the computer or TV and partly due to inefficient running technique at the gym, but who knows... I'm intending to see an osteopath about this, so I might uncover some new info.

So, maybe all of these new realisations are just coincidental, and I just happen to be going through another "good patch", I dunno. I'm still going to attend the flow test and cystoscopy that the doctor organised for me, too... I want to keep my options open.
Age: 38; Onset: 38; | Symptoms: the famous "golf ball" sensation, irrational feel of needing to urinate, feeling of "fatigue" in pelvic floor, general lack of energy... all symptoms fairly mild and isolated; | Helped By: relaxation, stretching exercises, (possibly) alcohol, hot baths, sleep; | Worsened By: over-exertion (suddenly running without warming up), possibly excessive sedentary work
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garyholc
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Post by garyholc »

Hiya mate, welcome! I'm still waiting for my book to arrive, stupid post. I've just come back from a weekend in Devon, 3 hour drive there, 3 hour drive back, and my god I'm hurting this evening. Wish I had the book so I knew what relaxation exercises to do!
Age: 33 | Onset Age: 32 Initial Symptoms: Frequent urination Current Symptoms: The odd feeling of frequency but not much else Helped By: Not thinking about it, hot bath, red wine, light exercise, Bowen technique seems to help, getting on with my life Worsened By: catastrophic thinking, worrying things will get worse, feeling depressed, reading websites too often! Work! Sitting in work all day isn't good!! Current Progress : Since 1st Sept 08, no pain!!! :)
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Sleeper Service
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Post by Sleeper Service »

Gary - here's a few to get you started:

1) Deep Squat

Image

2) Cobra Stretch

http://www.weightlossforall.com/stretch-cobra.htm

3) Y Stretch

viewtopic.php?t=1101&start=30

Scotsman's last post refers.

Hope this helps!
Age 56: Onset 2006 and bouts on and off since then. See posts for details.
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garyholc
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Post by garyholc »

Thank you Sleeper. I understand from reading some old posts on here you went to see this Tim guy about personal therapy?
Age: 33 | Onset Age: 32 Initial Symptoms: Frequent urination Current Symptoms: The odd feeling of frequency but not much else Helped By: Not thinking about it, hot bath, red wine, light exercise, Bowen technique seems to help, getting on with my life Worsened By: catastrophic thinking, worrying things will get worse, feeling depressed, reading websites too often! Work! Sitting in work all day isn't good!! Current Progress : Since 1st Sept 08, no pain!!! :)
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Post by Sleeper Service »

It was Bill I saw, not Tim and it did help a bit.

However, since my LUTS/CPPS seems to have been casued by a dysfunctional bladder neck - which has now been fixed - it may be the case that I went too soon.

Going to give it a bit of time - my Uro says it can take up to a year for the operation to show full benefits - and then think about a revisit.

If I were you I'd get a full urological evaluation done first although there's nothing to stop you doing relaxation, stretches and using quercetin.
Last edited by Sleeper Service on Sun Jul 01, 2007 10:49 pm, edited 1 time in total.
Age 56: Onset 2006 and bouts on and off since then. See posts for details.
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garyholc
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Post by garyholc »

Yeah. I have just ordered a book I saw mentioned on here about how to relax, and how to control your nerves, and a relaxation CD.
Age: 33 | Onset Age: 32 Initial Symptoms: Frequent urination Current Symptoms: The odd feeling of frequency but not much else Helped By: Not thinking about it, hot bath, red wine, light exercise, Bowen technique seems to help, getting on with my life Worsened By: catastrophic thinking, worrying things will get worse, feeling depressed, reading websites too often! Work! Sitting in work all day isn't good!! Current Progress : Since 1st Sept 08, no pain!!! :)
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Re: Another newbie de-lurks

Post by webslave »

adrianclark wrote:I bought the "Headache in the Pelvis" book and found that the stretching exercises seem to keep me mostly symptom-free.
You have the jump on the symptoms and may have an easier time recovering than most of us. Keep it up.
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Re: Another newbie de-lurks

Post by scoobysnacks »

webslave wrote:
adrianclark wrote:I bought the "Headache in the Pelvis" book and found that the stretching exercises seem to keep me mostly symptom-free.
You have the jump on the symptoms and may have an easier time recovering than most of us. Keep it up.
Precisely what I was thinking. I had warning signs for up to two years prior to the full blown crap, wish I had heeded them. I thought they were just growing pains.

Good Luck,

Ss
Age:29 | Onset Age: 25.5 | Symptoms: Initially burning in prostate/perineum, burning in urethra, uncontrollable muscle contraction before urinating, dual ache in groin, left testicle pain, feeling of golf ball in rectum, soarness in rectum, and muscle spasms, now mainly very mild urinary tract inflammation, burning mildly after ejaculation, some days after physical activity involuntary mild muscle contraction before urinating | Helped By: .5 mg of Ativan, Aleve (naproxen), quercetin, alcohol in large quantities (vodka and soda), stretching, walking, internal massage the perineum area and levators. | Worsened By: sitting, weightraining, jogging, coffee, caffeine in general, alcohol bothered me at first, overdoing sex
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Post by adrianclark »

Thanks guys, I'm certainly hoping I can identify the root problem (whether it's chronic prostatitis / chronic pelvic pain syndrome or something else) without too much delay. Another couple of things I've noticed, that make me think my problems are largely caused by muscles rather than actual infection of the prostate...

1. Anxiety/stress. This subject seems to come up a lot, and I'd never consider myself a particularly anxious person or a stress sufferer. If anything, I think I thrive on stress, working most effectively when I'm right up against a deadline.

But thinking about it... although I can rationalise about the difference between "good stress" (self-imposed, exciting) and "bad stress" (the type that makes other people unhappy), my body probably can't. It just sees stress, period. And even when I'm enjoying a bit of stress-induced creativity, I'll bet my whole body is tightly braced against natural fatigue, wedged into my chair and shortening all those pelvic muscles.

2. Diversion. Having something to occupy the mind and body seems to work. In between my two Doxy courses (back when I hadn't heard of chronic prostatitis / chronic pelvic pain syndrome and assumed I had a prostate infection) I went for a week's walking holiday in Derbyshire. Beforehand, I worried that my symptoms would return (and I'd have the embarrassment of explaining to extended family members about "problems down there" :wink:) but I felt better than I had done for weeks.

Since then, every weekend with friends, every trip to gigs, theatre or cinema has been absolutely fine, causing me to forget any problems. I spent yesterday at Wimbledon, mostly getting wet, and didn't even think about the "moment-to-moment" relaxation. It was just normal. Although the stretching and relaxation definitely seem to help, the avoidance of idle brooding is crucial for me.



adrian
Age: 38; Onset: 38; | Symptoms: the famous "golf ball" sensation, irrational feel of needing to urinate, feeling of "fatigue" in pelvic floor, general lack of energy... all symptoms fairly mild and isolated; | Helped By: relaxation, stretching exercises, (possibly) alcohol, hot baths, sleep; | Worsened By: over-exertion (suddenly running without warming up), possibly excessive sedentary work
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Post by garyholc »

Thats great news.

For me, my biggest problem still is the feeling of needing to pee all the time. Its driving me mad, what causes this? Its causing me to tense up and be anxious. I dont get any pain when I go, or afterwards, but the feeling is always there that something is going to come out. I have a 3 hour car trip with my new boss on Thursday and I am soooo worried about it. Scared in case I get stuck in traffic, or something happens I cannot control. Please tell me that by following the SP this feeling with subside completely?

I am going to my Dr tonight, and will ask for something to deal with this feeling as I can't stick it anymore!

On the plus side, I haven't any pain today, and have started drinking green tea. I had a glass of white wine last night because I was feeling so good, maybe this has caused the increase in urination feeling today... arrghhh I hate this thing !!!
Age: 33 | Onset Age: 32 Initial Symptoms: Frequent urination Current Symptoms: The odd feeling of frequency but not much else Helped By: Not thinking about it, hot bath, red wine, light exercise, Bowen technique seems to help, getting on with my life Worsened By: catastrophic thinking, worrying things will get worse, feeling depressed, reading websites too often! Work! Sitting in work all day isn't good!! Current Progress : Since 1st Sept 08, no pain!!! :)
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Post by carld »

Type A personalities I think are more prone to this condition.

Very typical to be on vacation or doing something you love and you become free of the symptoms. Again proves this is a tension disorder which is fueled by anxiety and diet.
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Age, 44 onset age 37 Feb 2006 Freq. need to urinate. Sensation of having to urinate soon after going. Perineum discomfort/burning/tightness, pubic area discomfort @ times,poor urine stream, post urine dripping/spray. All symptoms have improved with my protocol. At the worst I give it a 1 to 2 on irritation and discomfort and frequency. Helps: Elavil 5mg for anxiety and mast cell protection, (will only take it as needed) self internal PT as needed, stretching, walking, stairmaster cardio workout and light weights, reducing stress, moment to moment relaxation, deep breathing relaxation and using a Theracane. Makes worse: sitting for long periods, stress, over focusing on it. Currently 95%-98% recovered. Stay positive, relaxed and control your anxiety.
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Post by garyholc »

CarlD, you are right. I took one of those Kalms tablets again, and within the hour the feeling had gone. Infact, touch wood, its gone completely. I also bought some of that Rooibos tea and green tea and have been drinking that all day.
Age: 33 | Onset Age: 32 Initial Symptoms: Frequent urination Current Symptoms: The odd feeling of frequency but not much else Helped By: Not thinking about it, hot bath, red wine, light exercise, Bowen technique seems to help, getting on with my life Worsened By: catastrophic thinking, worrying things will get worse, feeling depressed, reading websites too often! Work! Sitting in work all day isn't good!! Current Progress : Since 1st Sept 08, no pain!!! :)
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Post by carld »

garyholc wrote:Thats great news.

For me, my biggest problem still is the feeling of needing to pee all the time. Its driving me mad, what causes this? Its causing me to tense up and be anxious. I don't get any pain when I go, or afterwards, but the feeling is always there that something is going to come out. I have a 3 hour car trip with my new boss on Thursday and I am soooo worried about it. Scared in case I get stuck in traffic, or something happens I cannot control. Please tell me that by following the SP this feeling with subside completely?

I am going to my Dr tonight, and will ask for something to deal with this feeling as I can't stick it anymore!

On the plus side, I haven't any pain today, and have started drinking green tea. I had a glass of white wine last night because I was feeling so good, maybe this has caused the increase in urination feeling today... arrghhh I hate this thing !!!
An inflamed prostate and all the surrounding nerves are causing this. The prostate is right under the bladder and all of those irritated nerves and muscles are behind that sensation. This is my main complaint as well and to get this under control I had to get my anxiety under control. Take Quercetin to reduce the inflammation and Aleve (naproxen) as needed. I take uroxatrol to relax those irritated muscles and Elavil to quiet all those nerves and reduce the anxiety. All the stretching and hot baths to calm me down. The internal PT I had done which would mimic my symptoms proved that tight muscles were behind this. I learned to do this my self from my PT as needed. Learn how to meditate to my own abilities and breath deeply through my nose and do yoga when I have time. You have to really set time aside for your self to walk and breath deeply and ponder life's miracles and the beauty that we are surrounded by. To live and stay active in all the things that interest you. It really is a combo of things that you have to experiment with to see what helps.

You have to check your progress my months and not by days. This time last year, I was suffering and in a vicious cycle of tension and burning pain in my perineum and always feeling like I had to urinate. Now I'm 90% to 99% better. 90% means I put my frequency and discomfort at a 1-3 on a scale of 10. 10 being the worst. It's more of an annoyance and awareness that somethings off. All I have to do is think of the hell I was in last year with this and where I am now thanks to Mark (webslave) and a great urologist, Dr. Scott Zeitlin. It takes time and work to get better. Every new person here has to know that there is no magic bullet.
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I encourage anxiety prone UCPPS people to consider L-Theanine
Age, 44 onset age 37 Feb 2006 Freq. need to urinate. Sensation of having to urinate soon after going. Perineum discomfort/burning/tightness, pubic area discomfort @ times,poor urine stream, post urine dripping/spray. All symptoms have improved with my protocol. At the worst I give it a 1 to 2 on irritation and discomfort and frequency. Helps: Elavil 5mg for anxiety and mast cell protection, (will only take it as needed) self internal PT as needed, stretching, walking, stairmaster cardio workout and light weights, reducing stress, moment to moment relaxation, deep breathing relaxation and using a Theracane. Makes worse: sitting for long periods, stress, over focusing on it. Currently 95%-98% recovered. Stay positive, relaxed and control your anxiety.
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Post by brettboz »

Nice post carld.

I agree with everything you say, as you know my condition is very similar to yours. I had 3 weeks with almost no symptoms (which is a record during the last year). And just this week (last thursday) I had a big flare up which has caused a lot of pain and all the usual symptoms. Now I was probably a little more stressed the week before this and also getting a little too sure of myself, I stoped trying to relax and stoped using heat treatment when relaxing (a hot sack thing I put in the microwave).

But this time round my PT told me to not take any NSAID's. She also said that really the pain is now not really being caused by inflamation because there is hardly any left, its an axiety / tension based condition. Although I agree with her I found it hard not to take any medicines but I did it and even managed to get to a local fiesta and enjoy myself even though I was in a lot of pain and had to pee all the time.

Today, tuesday I am just starting to feel better. I have been relaxing, taking it easy doing things I like and want to do. The thing is I got through the flare on my own with no meds. This has made me feel great and I'm now even more sure its anxiety based.

So I have made an appointment with the psychologist to see if they can get me to take things a little more in my stride rather than too much panicking.
Age:33 | Onset Age: 30 | Symptoms: burning urethra after urinating, followed by rush to urinate again, frequency, pain under left testicle, perineum pain. | Helped By: NSAID's, Hot Bath | Worsened By: Stress, Sitting and unknown reasons (seems to come every 2 weeks).
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Post by carld »

brettboz wrote:Nice post carld.

I agree with everything you say, as you know my condition is very similar to yours. I had 3 weeks with almost no symptoms (which is a record during the last year). And just this week (last thursday) I had a big flare up which has caused a lot of pain and all the usual symptoms. Now I was probably a little more stressed the week before this and also getting a little too sure of myself, I stoped trying to relax and stoped using heat treatment when relaxing (a hot sack thing I put in the microwave).

But this time round my PT told me to not take any NSAID's. She also said that really the pain is now not really being caused by inflamation because there is hardly any left, its an axiety / tension based condition. Although I agree with her I found it hard not to take any medicines but I did it and even managed to get to a local fiesta and enjoy myself even though I was in a lot of pain and had to pee all the time.

Today, tuesday I am just starting to feel better. I have been relaxing, taking it easy doing things I like and want to do. The thing is I got through the flare on my own with no meds. This has made me feel great and I'm now even more sure its anxiety based.

So I have made an appointment with the psychologist to see if they can get me to take things a little more in my stride rather than too much panicking.
That's great!!! I think you are well on your way to getting better. You just have to remember that your flair ups will pass and try to remember that when you feel great. Focus on all the things you are doing that keep you in that mode mentally and physically, so when you get hit with a flair, the ups are right around the corner and lock on to those moments of feeling well again. Stick with your protocol that works for you.

I don't like the notion that I take Uroxatral and Elavil, but I'm over that. It's part of what I do to allow my self to heal in the mental and physical and move on and not have this condition be the most important thing in my life anymore.... :wink:
I am not a medical doctor. Please fill out your signature (click here) ☼ ☼ My Starter List for new members
I encourage anxiety prone UCPPS people to consider L-Theanine
Age, 44 onset age 37 Feb 2006 Freq. need to urinate. Sensation of having to urinate soon after going. Perineum discomfort/burning/tightness, pubic area discomfort @ times,poor urine stream, post urine dripping/spray. All symptoms have improved with my protocol. At the worst I give it a 1 to 2 on irritation and discomfort and frequency. Helps: Elavil 5mg for anxiety and mast cell protection, (will only take it as needed) self internal PT as needed, stretching, walking, stairmaster cardio workout and light weights, reducing stress, moment to moment relaxation, deep breathing relaxation and using a Theracane. Makes worse: sitting for long periods, stress, over focusing on it. Currently 95%-98% recovered. Stay positive, relaxed and control your anxiety.