Hi I am new to this forum. 2 months ago I had pain in my perianal area and blood in my semen. My prostate was sensitive and tender. My doc gave me 2 weeks of Bactrim-antibiotic. The Bactrim helped but did not get rid of it. I was switched to Cipro but after 1 pill I experienced the tendon side effects. Then I did 3 weeks of doxycycline which helped but I quit after more muscle and tendon side effects. My urine and semen cultures were negative. So presently I have intense pain in my perianal area. My urinalysis are fairly clean with just a few white and red cells present. I have been taking garlic and supplements. How do I tell if this is bacterial or non bacterial? Should I take more antibiotics? I really hate the side effects. Thank you for any feedback.
Dan
How do I know if its bacterial or non bacterial prostatitis
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69barracuda
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Jay
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Re: How do I know if its bacterial or non bacterial prostatitis
Hi,
Firstly, I'm not a doctor, so please take any of my advice with that in mind.
Statistically speaking, about 95% of chronic prostatitis / chronic pelvic pain syndrome cases are nonbacterial. The cases caused by bacteria are actually fairly straightforward to diagnose and treat, with a number of apparent symptoms. Further, prostatic abscesses are typically accompanied by immense pain (among other problems) and require hospital care.
The antibiotics most often used as a first line treatment for chronic prostatitis / chronic pelvic pain syndrome patients do have anti-inflammatory properties. This can fool sufferers into thinking that the medication is killing some bacteria which has otherwise escaped detection. However, to my knowledge, no 'stealth bacteria' has ever been proven to exist where our condition is concerned.
Again, I am not a doctor, but I'd be inclined to seek alternatives to the antibiotics in your shoes. Two weeks of Bactrim and three of Doxycycline is quite a bit of treatment.
Firstly, I'm not a doctor, so please take any of my advice with that in mind.
Statistically speaking, about 95% of chronic prostatitis / chronic pelvic pain syndrome cases are nonbacterial. The cases caused by bacteria are actually fairly straightforward to diagnose and treat, with a number of apparent symptoms. Further, prostatic abscesses are typically accompanied by immense pain (among other problems) and require hospital care.
The antibiotics most often used as a first line treatment for chronic prostatitis / chronic pelvic pain syndrome patients do have anti-inflammatory properties. This can fool sufferers into thinking that the medication is killing some bacteria which has otherwise escaped detection. However, to my knowledge, no 'stealth bacteria' has ever been proven to exist where our condition is concerned.
Again, I am not a doctor, but I'd be inclined to seek alternatives to the antibiotics in your shoes. Two weeks of Bactrim and three of Doxycycline is quite a bit of treatment.
I am not a physician. This is not medical advice. Consult your doctor!
Age: 26 Onset Age: 17 Symptoms: Shooting, nerve-like pains throughout the penis, which abruptly hit and leave. Testicular pain, perineum pain, burning/irritative urination, extended pain after ejaculation. Occasionally, some allodynia or ache in the coccyx/sacrum/thigh/buttocks/legs. Diagnosis: Pelvic floor dysfunction, degenerated lumbar disk, and mildly herniated lumbar disk. Helped By: Physical therapy, pain management doctor, hot baths, therapy pool, stretching regimen, breathing exercises, relaxation, distraction. Worsened By: Arousal/ejaculation (worst), constipation, panicking/obsessing, other triggers depend upon current symptoms. Tests/Prior Treatments: Too many antibiotics to count, multiple urine tests (all normal), testicular ultrasound (normal), bladder and renal ultrasound (normal), lumbar and pelvic MRI with and w/o contrast (revealed disk problems), Elavil 25mg (caused retention), Flomax 0.4mg.
Age: 26 Onset Age: 17 Symptoms: Shooting, nerve-like pains throughout the penis, which abruptly hit and leave. Testicular pain, perineum pain, burning/irritative urination, extended pain after ejaculation. Occasionally, some allodynia or ache in the coccyx/sacrum/thigh/buttocks/legs. Diagnosis: Pelvic floor dysfunction, degenerated lumbar disk, and mildly herniated lumbar disk. Helped By: Physical therapy, pain management doctor, hot baths, therapy pool, stretching regimen, breathing exercises, relaxation, distraction. Worsened By: Arousal/ejaculation (worst), constipation, panicking/obsessing, other triggers depend upon current symptoms. Tests/Prior Treatments: Too many antibiotics to count, multiple urine tests (all normal), testicular ultrasound (normal), bladder and renal ultrasound (normal), lumbar and pelvic MRI with and w/o contrast (revealed disk problems), Elavil 25mg (caused retention), Flomax 0.4mg.