Do you think my prostatitis is bacterial? I'm stumped!

[kidoairaku]

Firstly, for anyone viewing this post, thank you very much. I, like other people here, are yearning for help in coping with their prostatitis. Secondly, I would like to share my prostatitis story and see what all of you knowledgeable people have to say.

BTW I have suffered from mild IBS (looser bowels and mucus) for 7 years and I have scoliosis in my lumbar region.

2007:
I first started having symptoms of prostatitis in may of 2007. It first started as weak ejaculations with an occasional painful one. In July of 2007 I then noticed that I would have a milky discharge of urine when I passed a stool. Also, when I had to urinate I sometimes would have the urge to pass a stool too. By mid November 2007 I had frequent urination, burning in my pelvic bone area, pus in my urine (my stream would change from yellow to pure white), and very painful ejaculations which would cause my whole abdomen and lower back to ache. I went to the doctor and took a urine test for STDS but it was negative. The doctor said I had white blood cells in my urine though, so he gave me a shot of doxycycline and 10days of it @ 200mg per day. By the end of the session I was better, except that I still had slightly painful ejaculations, a little heaviness in my abdomen, and a little more frequency in urinating when I would drink beer. Interestingly, after masturbating one night in Dec. 2007 I ejaculated a little dark brown stone. I thought nothing of it.

2008:
I went to a urologist in feb of 2008 for a cystoscopy because of my painful ejaculations and he said I was fine but that I should take hot baths at night. My state continued without change from December 2007 to july 2008; I wasn't really in that bad health, but I wasn't normal. I got salmonella in July 2007 and was prescribed Cipro for 5 days. I went to Japan while still sick and took the medicine when I was there. After abstaining from masturbation and hitting the hot springs for a couple weeks after arriving in Japan, I ejaculated one night and I was amazed to feel back to normal. For the next couple of months my ejaculations were strong and felt normal. I thought I was fine. During this time, however, I stopped taking hot baths and I had a lot of stress at school and work. Fast forward to mid November 2008, I masturbated a little too much one night and it caused a constant ache in my perineum. I woke up that night sweating and had to go to the bathroom (my first nocturia experience). Since that night I have had nocturia, pain in my perineum (mostly when standing), very frequent urination, occasional cloudy urine and night sweats, loss of appetite sometimes in the morning, body aches and low energy. My ejaculations are painful too, of course. Most interesting, however, is that I have had flareups in my IBS symptoms which consist of basically farting out clear mucus and water. I have passed two more little dark brown stones since the beginning of this year, which is a puzzle to me. I had more cultures of my urine done, still negative. I also did a 7 day hold on my sperm culture which was negative too. I went through a 3 week course of doxycycline in march this year, an antibiotic that I had taken before, and it helped take away the loss of appetite, body aches, and some of the perennial pain, but they came back and I still have the symptoms today. Since march I have had more pain develop in my abdomen: when I push on my abdomen or lay a certain way a sharp cramp is felt near my bladder which shoots up to around my stomach.

Basically, I would just like to know if my symptoms can be associated with chronic prostatitis / chronic pelvic pain syndrome and not a chronic infection. I also must say that I have had a job for the last 3 years that has put a lot of strain on my lower back and pelvis, in addition to making me hold my urine at times. My symptoms appeared 6 months from starting this job. Whenever I work, my symptoms flare up because prolonged standing causes my perennial pain. Sitting or laying down relieves/helps my symptoms. Any help would be greatly appreciated because I really just want to know what is causing it --if that's possible, haha. All I know is that when I was in Japan for a month I felt 95% normal; was it the Cipro or was it the soaking in the hot springs and lack of strain on my lower back from not working?

thank you so much for listening to my story everyone. I hope that you still can find joy and peace in your lives despite having this debilitating health problem.

Paul

[webslave]

Paul, welcome to the site, and yes, it sounds like you have a case of UCPPS. The telltale sign was the removal of symptoms through use of Japanese hot baths. Heat relaxes muscles.

The stones are probably from your kidneys, unless they are only in your semen. Keep them and show them to a urologist. Normal men can have stones in their prostates too, so it may have no significance at all. However, in your shoes I'd arrange a transrectal ultrasound (TRUS) to have a look at what's going on in the prostate. Ask your urologist.

[kidoairaku]

Thanks for your prompt reply, but what is the acronym you typed? I only know CPPS. Yea I'm trying to get an appointment for a transrectal ultrasound but the darn urologist is a you know what, and has a really unprofessional attitude. I've seen him a couple times and each time his demeanour implied that he couldn't have cared less about me and my issue. I'll update once I get the exam. I was thinking of some type of scan of my abdomen too. What do you think? Btw, is this the best way to reply to a user's comment on my post? Thanks again. Ciao

[webslave]

UCPPS

If you are unhappy with the uro, find another. Scan of abdomen is unlikely to be helpful.

[Jay]

Hi Paul,

I'd agree that you should get another urologist if your current one is dismissive. Try to find younger one, as they tend to be more open-minded and informed about our condition. There's certainly no reason to deny you the ultrasound, given that it's a simple test, but don't go into the new place demanding it. Just sorta drop the hint that you're interested in having one done. :)

[kidoairaku]

Does anyone know of a scoliosis link to IBS symptoms, or more significantly, CPPS? I have scoliosis and it has always made my muscles tight and achy when I stand a long time (lower back to the pelvic sides). After starting a job years ago which really made my lower back and tailbone area tight, I gradually began to develop CPPS. What do you all think? Any post here would be very much appreciated. Thanks and I wish you all the best!

[webslave]

There are no known links between scoliosis and IBS or CP/CPPS.

[kidoairaku]

Thanks for letting me know about the scoliosis. One other thing if someone can tell me. How does chronic prostatitis / chronic pelvic pain syndrome cause body aches, cloudy urine and night sweats? While its not every night, I do experience them.

[webslave]

The night sweats and body aches are symptoms of Chronic Fatigue Syndrome and/or Fibromyalgia. chronic prostatitis / chronic pelvic pain syndrome patients often have CFS too (I did). (Neither symptom denotes an infection, BTW.)