Antibiotics: Effectiveness Question

Elmiron, steroids, antibiotics etc
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elitynski
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Antibiotics: Effectiveness Question

Post by elitynski »

Since there are 30k plus posts - I'm not sure if this question was asked.

I have noticed in many posts that it's very common for Urologists to prescribe anti-biotics during someone's initial bout with this condition. I've read numerous posts where the initial results were positive but subsequently the ABX didn't have a positive effect.

If the ABX aren't treating a bacterial infection but rather reducing inflammation (correct me if I'm wrong), then why wouldn't they also be effective on subsequent treatments. What exactly is the body responding to or not responding to?
Age: 49 | Onset Age: 43 | Symptoms: Some overactive bladder symptoms | Helped By: Hot Baths, relaxation, a little valium, exercise / weight loss | Worsened By: stress, possibly diet, possibly...(fill in the blank)
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Jay
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Re: Antibiotics: Effectiveness Question

Post by Jay »

Hi,

I'm not entirely sure of the answer to your specific question. There may be an adaptation effect.

At any rate, it's not a good idea to use antibiotics for pain management of CPPS, because this is harmful in the long term. You may end up killing off flora which is important to your body, to say nothing of the side effects of harsher ABs like quinolones (Cipro, etc). You'd also set yourself up for issues if you have some non-CPPS problem requiring antibiotics later on, and they no longer work because you'd been taking them for CPPS.

All the antibiotics ultimately do, to my knowledge, is mask a problem that's going to come back. It would be less hazardous to seek assistance from an actual pain management physician.
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.
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