I'm back. This time with pressure and pain around the bladder, urgency, stinging in the urethra, and sensations at the tip of the penis. This episode started abruptly without any apparent stimulus.
Since it's been quite a whole since I've had this, I went back to the doctor for the requisite blood test. Negative, of course. No antibiotics, which is fine by me. Instead, though, I was given Phenazopyridine
Is this worth trying? I suppose if it won't hurt me I'll give it a go.
Phenazopyridine
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raunow
- New Member
- Posts: 18
- Joined: Mon Nov 30, 2009 1:18 am
Phenazopyridine
Age: 52 | Onset Age: 52 | New Symptoms: Urinary hesitancy, left frontal pain, left vericocele. Previous Symptoms: Clenching at voiding, sensation at the tip of the penis (this is the worst) specificaly a wet, cool feeling, sometimes with a sense of a b-b or piece of rice lodged in the end (there's nothing there!), urgency (occassionally), fullness in the perineum (even less frequently). | Helped By: Relaxing the pelvis, especially during voiding, self-massage, sitting to pee, heating pad in bed, heated car seats, short-distance running, light weight-lifting (as long as I'm very careful), staying organized and somehow active (if I can), plenty of sleep. Drugs: Atavan, very small amounts of alcohol. | Worsened By: Anxiety, anger, catastrophic thinking, despondency, spicey foods, too much alcohol, long sits, excessive sexual stimulation or too frequent ejaculation (more than every other day).
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Caedar
- Old Hand
- Posts: 319
- Joined: Mon May 20, 2013 9:08 pm
- Location: Massachusetts, USA
Re: Phenazopyridine
Apparently phenazopyridine is a first-line treatment for interstitial cystitis, which is closely related to CPPS. Considering your symptoms are primarily bladder-related, it's not a bad idea.
Age: 26 | Onset Age: 23 | Symptoms: Neuropathic-like pain and hyperalgesia (lateral/anterior thighs mostly, but distributed throughout body); Pain (penis shaft, right side, when erect for long or excess masturbation) | Previous Symptoms: Pain (testicles; penis underside, mostly near base and running up urethra, sharp/burning; perennial region, dull; ejaculatory; post-ejaculatory); Urinary (moderate incomplete voiding; moderate frequency and pain on bladder filling); Sensations (cold in head of penis) | Helped By: Stretching (especially hip rotators and flexors); Yoga (especially lunges, warrior 2, and pigeon) Trigger point release (abdominals; iliopsoas; gluteus muscles and piriformis; bulbospongiosus & ischiocavernosus; thigh adductors); Meditation (mindfulness); Walking & Aerobic Exercise | Worsened By: Stress, anxiety, too much alcohol, lack of sleep, sitting at length | Current prescriptions: nortriptyline (10 mg, 1x at night; for CNS sensitization and IBS) Previous prescriptions: hydroxyzine (10 mg, 1x at night; for urinary symptoms/mast cell stabilization; useful), clonazepam (0.25-0.5 mg, 1x at night; for anxiety/CNS sensitization; useful for short time)
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raunow
- New Member
- Posts: 18
- Joined: Mon Nov 30, 2009 1:18 am
Re: Phenazopyridine
I've given the phenazopyridine a try and can report some relief. It seems to build up in your system, so that by the second pill my symptoms were definitely subsiding. I was only prescribed a scant 9 pills, so I suspect it has some detrimental effects like most pain killers (it's non-narcotic, but is an analgesic). I suppose this will help for a while, but I will be left to wrest this thing to ground by myself. I'll post a more complete update soon. Must try to concentrate on work...
Age: 52 | Onset Age: 52 | New Symptoms: Urinary hesitancy, left frontal pain, left vericocele. Previous Symptoms: Clenching at voiding, sensation at the tip of the penis (this is the worst) specificaly a wet, cool feeling, sometimes with a sense of a b-b or piece of rice lodged in the end (there's nothing there!), urgency (occassionally), fullness in the perineum (even less frequently). | Helped By: Relaxing the pelvis, especially during voiding, self-massage, sitting to pee, heating pad in bed, heated car seats, short-distance running, light weight-lifting (as long as I'm very careful), staying organized and somehow active (if I can), plenty of sleep. Drugs: Atavan, very small amounts of alcohol. | Worsened By: Anxiety, anger, catastrophic thinking, despondency, spicey foods, too much alcohol, long sits, excessive sexual stimulation or too frequent ejaculation (more than every other day).