Recognizing Prostatitis vs Prostate Cancer | Ask a Prostate Expert, Mark Scholz, MD
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- Опубліковано 8 жов 2020
- Alex asks Mark Scholz, MD, about the treatment of "acute prostatitis" also known as symptomatic prostatitis or inflammation of the prostate that causes a man to feel pain.
0:20 What are the common symptoms of prostatitis?
1:36 How prolonged is prostatitis treatment, generally?
2:33 How are men with acute prostatitis treated?
3:38 Which antibiotics are used most when treating prostatitis?
3:51 What are the common side effects of antibiotics for prostatitis?
4:36 Can the weakening of the Achilles tendon be prevented?
4:50 How effective is Dr. Bahn's antibiotic injection treatment?
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#ProstateCancer #Prostate #MarkScholzMD
Try curd pumpkin seeds,main problem of prostatis is the reduction of probiotic lacto bacteria drink curd mix with little water and it increases lactobacteria and decrease ecoli bacteria and walk regularly 45 minutes daily try to avoid bike drive and take a break on sitting long time ,do pelvic floor exercise also you feel better,try to be involved in other activities,dont overthink anout this disease,you will be alright dont worry
Hey dude can u help me p
My prostate problem
Thank you so much
Thank you
Dr Scholz, Please comment on the Rezum procedure to reduce bph. Thank you very much for your videos. I have learned a lot.
You both are excellent
A very helpful video. Thank you
I was with chronic non bacterial prostatitis for 3 months, peeing all the time, pain peeing, pain in the anus, pain in the pelvic area, quality of life really bad, until i went to see a 3rd doctor and he told me certain things i didnt knew.
So i change my habits, i stoped eating red meat, instead i eat fish or chicken with vegetables, i stopped sitting down in the day, almost all the day i am standing up unless i went to the restroom avoid sitting down, i began making cardio excercise all the days, i stopped drinking alcohol and spicy food, i began eating pumpkin seeds and pumpkin seeds oil every day as a routine, i began supplementing with Saw Palmetto and Stinging Nettle Root, and my problems are almost cured, right now i have almost 2 months with no symptoms at all
I have a PSA (Public service announcement). I Think this video would be more effective if I knew what PSA meant. Thank you for your help
I have prostate enlargement problem for last six years.My prostate was 40cc last year and now it is 41cc and the PSA was 7.4ng may last year than after taking medication it dropped to 5.19ng and now it is 5.21ng.
The doctor advised MRI and the findings are as follows.
pi-RADS-4
small sized lymph nodes are noted along the internal iliac vessels on both sides,largest measuring 10mm in maximum dimensions on right side with homogenous enhancement on post contrast study.
multiple, small to moderate sized,homogenously enhancing lymph nodes are noted within in inguinal reason on both sides.
urinary bladder is partially distended and reveals mild generalized smooth skin thickening of its wall,suggestive of cystitis secondary to bladder outlet obstruction.
on thin axial T2 weighted images,small to moderate sized I'll defined nodular lesions are noted in central gland of prostate on both side.largest measuring 2.4×1.7cm.
my age is 63yrs.
kindly tell me what it looks like
It is impossible to say at this point. In the follow video, Dr. Scholz says that a PI-RADS 4 typically represents about a 40-50% chance of their being aggressive prostate cancer (that is, Gleason 3+4=7 or higher). Lymph nodes can enlarge from any number of conditions, so there is not much you can take from that unless they show up positive on something like a PSMA PET scan or are biopsied to see if they contain cancer. If you have anymore questions, feel free to contact our helpline. Our contact information can be found at pcri.org/helpline.
How long you need to take the proscar from 7.4 to 5.19? Thx
@@ThePCRI
Hello.
I have been diagnosed with bacterial chronic prostatis after a few Rounds of Antibiotics Cyproflxin 6weeks (didn't work) then Doxycycline 4weeks (didn't work. 8 Months later as pain would not go the urologist performed a Seman culture which was positive for E coli & Staphylococus.
It has been 8 years altogether this situation occurring & first few years didn't know what it was & didn't get checked as pain would come very Rarely.
I've Noticed when the pain comes it goes away only goes after Ejerculating (doesn't make sense) urologist said when I Ejerculate I'm Releasing some of the infection.
Have only been given Antibiotics twice ONLY for 6 to 9 weeks for a chronic infection of 8yrars & they didn't work. (But pain went away for many months after & then came back)
& now my urologist wants to perform a Rigid Cystoscopy on me & I'm $hitting myself!!!!
just wanted to know if a Regular prostate Massage aswel as supplements like saw palmeto along with prostate Massage & Long course of Antibiotics can help?
I'm very confused about all this & need advice/info.
Have any opinions or Suggestions?
Thanks you for your Time 👍
I have heard of Phage therapy (from Eliava Institute of Georgia) for antibiotic resistant chronic bacterial prostatitis as a good treatment option without any side effects. Any one used this option?
Thank you. 👍
I have prostititis and had it for well over 8 weeks and wont go away for anything. After my last set of antibiotics, I was good for 5 days afterwards, then it came right back. So now I'm watching this video🙄
@@LipRipper-gp5jv did u had urine hesitancy
@@yashshiva7923 no. Turns out I had prostititis
hello dr could you explain why the new procedure called rezum is not recommended to cure chronic prostatitis if after all it is a condition of the prostate itself if this procedure is minimally invasive and has very good results for BPH I understand that a large number of all men at some point we will need an intervention to treat BPH I do not see why it cannot be used to cure prostatitis I am 54 years old 10 of them with chronic prostatitis and to this day after several treatments studies the condition is still there maddening, thanks
Yes this was very informative. I took the antibiotics for 6 weeks and it went away slowly. It came back and I am now talking saw palmetto and I will take alive for the discomfort and see if it works.
How are you feeling now? Saw palmetto helped you?
Did saw Palmetto work?
Which antibiotics u have taken?
Can 28 yr old use saw palmetto?
@@jimalabat1209 Sure they can if their doctor recommends it. My issue went away. I’m 41 and I will only take it if the issue ever comes back again.
Levaquin ruined my elbow tendons 2 years ago and from a lifetime of weight lifting I cannot lift anymore. I was lucky the Achilles pain went away. Be very careful with this drug. I had this reaction and now long term problems from just TWO doses. Two tablets.
I had a very painful prostate. Pain in back, pain in hip joints, bladder pain.
I took antibiotics to clear this problem. My psa has always been average.
What antibiotics and dosage plzz❤
Names
@@user-lm7tw1gb5d sir aap ka prostatitis thak hua haa
what is fusion prostrate needle biopsy?
It's where you "fuse", as in combine, the images from an MRI and the rectal ultrasound during a biopsy to improve the needle targetting.
Hello, I am from India . 33 years old.when I first got the problem, I used to have only urine urgency and strange smell for 3 months. After 3 months the smell went away, only urgency remained. After that perineal pan started and pain after urine & exercise.. After that I went for doctor. I have 100 ml pvr & in normal USG the size was 26 cc & other medium USG it was 40 cc. After taking citrosol syrup, levofloxacin, alfuzosin 10, pain was not, but bladder not emptying completely.
Plz tell me it is chronic prostatitis or bph ?
I've been dealing with prostatitis for over 9 months. Is anybody else's main symptom rectal burning? Sometimes it goes away for a week or two, and comes back. Sometimes it burns for minutes or hours, and goes away. Sometimes it lingers for days, even weeks on rare occasions. The pain can be unbearable. I noticed it's not a common symptom, and was wondering if anybody was dealing with something similar?
Hello,
I am sorry to hear that; it sounds painful. Our helpline might be able to provide you with some information. I am not sure if they will, because it is a condition that is not very well understood, but it is free and worth trying. Our contact information is available at pcri.org/helpline.
I will also add it to our list of questions for future videos to see if Dr. Scholz has any other suggestions for getting some relief.
@@ThePCRI
Hello. I came across your interesting channel.
I have been diagnosed with bacterial chronic prostatis.
It has been 8 years. Pain only goes after Ejerculating.
Urologist done seman sample & came back with infection.
Have only been given Antibiotics twice ONLY for 5 weeks for a chronic infection of 8yrars & they didn't work. (But pain went away for many months after & then came back)
just wanted to know if a Regular prostate Massage aswel as supplements like saw palmeto along with prostate Massage & Long course of Antibiotics can help?
Someone have any opinions?
Thanks.
I was on two different doses of antibiotics , My PBA came back normal , pain in the lower back pain in legs terrified it’s cancer I have to wait to see a urologist this I going on two months now ..
The same problem occuring in mine.
How old are you now?
Very same issues with me.Yesterday I stumbled at a guys on UA-cam with similar symptoms turns out he got Prostatitis. But the issue came as a result of low stomach Acid,which led to him having GERD. Many others also confirmed they were diagnosed with both Issues. You have to be on the watch out. For GERD found out that Apple Cider Vinegar in water few minutes before each meal will take care of the problem. What brought me here was yo search for the treatment of Prostatitis. Am no sure what other symptoms you are having though but I know I do have both GERD and the Prostatitis. So just be on the watch cos the stomach play a key role here.
@@elvisedimo5694 got an MRI scan on my prostate came back normal I’m on BETMIGA 50 mg to relax the bladder I have to go back to the specialist for another MRI scan in September,
@@lonelywolf5914 just hit 50 in March normal weight I keep fit , the specialist put me on tabs to control my bladder , had an mri scan on the prostate it’s normal in size no irregularities, I’ve cut back in coffee as well ..
@@opencurtin OK.. nice..
Did u check PSA level?
Hi!
I feel pain in bladder while ejaculation and my semen is also watery.
There is also some redness near tip of the urethra. I am very anxious, plz tell me what it could be.
Im now in 43yrs old and I consider my self have a prostatitis. Due to a very disturbing frequent urination at night Please im asking for help or any suggestion to help me
Toto,
I am sorry to hear that. You are welcome to get in touch with one of our patient advocates on our free helpline. Our contact information is here: pcri.org/helpline.
Frequent urination at night is a common problem with BPH as the prostate grows inward, blocks the urethral passage, and prevents a person from fully emptying their bladder; however, there may be a number of other causes for that symptom and a urologist should be able to identify what is causing it and offer solutions. If it is BPH, there are a litany of lifestyle changes, medications, and procedures to consider, each with different levels of efficacy and risk, so it is important to do some research before committing to a treatment.
So if a certain Dr. has developed antibiotics that does not have side effects for the treatment of this issues why not make it available for public use rather than allowing people use these Ines with deadly side effects?
Is it possible to have a type of prostatitis with no symptoms that is not detectable by a urine analysis? I had a recent PSA test which was 16 (out of the blue). The Dr sent me for a retest as well as a urine test for infection and it was done just 20 days after the first PSA. The second test was negative for urine infection but my PSA jumped to 21. I am scheduled for a biopsy in a few weeks but wonder whether a sudden jump in PSA is better explained by infection rather than PCa. I also had a CT scan which was "normal". No MRI as the wait time is much longer than the wait for a biopsy. I do a fair bit of road bicycling in summer 90 km/wk avg and experience some pain when riding but not otherwise.
Exactly like my case. I have a PSA of 40 dropping to 35 when antibiotics are taken. No bacteria in urine but a semen culture shows antibiotic resistant (it is resistant to most of the current antibiotics) eColi bacteria. Asymptomatic Chronic bacterial prostatitis is obviously present. MpMRI and PSMA PET scan show a small lesion in the transition zone of the prostate (and nowhere else) . Biopsy has been suggested but I have decided to do only active surveillance (against the advice of most urologists) of MpMRI every 3 months to check if it spreads. Only if it spreads will I go for biopsy.
@@kamalsh6123 why not do the biopsy and get peace of mind? Chronic prostatitis can cause lesion that resemble cancer but this can only be known with biopsy. PSA 40 is very concerning. I was worried about my 3.4 PSA lol but i do have one lesion too poorly defined i believe is chronic prostatitis as i had some symptoms for years but i think im gon do the biopsy i need to know for sure otherwise ill go crazy and never have peace im also 39 so is unlikely yo be cancer but you never know
I was diagnosed with Acute prostatitis. I'm taking levofloxacin (Levaquin) for 21 days straight.
How you coping? Been dealing with this for 3 years and its not nice
@ phil at first man I was stressed out having anxiety attacks cause I knew something was wrong but I just didn't know what it was. I went to multiple walk in clinics and thought it was a uti infection and they also thought STD as well cause my problem happened after I had oral did to me . So I was on So different antibiotics until the doctor's finally referred me to a urologist and he check my prostate and I had prostatitis. Man he just told me not worry and it's something I can get rid and he told to trust the process and let the levaquin run it's corse you know. That's the best antibiotics for prostatitis but it also doesn't work as fast as you would like it to. I'm 28 years of age that was my first time experience that kind of pain and burning. I had burning urination and it was bad most time I was scared to pee that how mad it was. Man that's a infection that doesn't go away quietly thats for sure. my advice to you man just dont give up keep drinking plenty of fluids and keep taking antibiotics IT WILL GO AWAY MOST JUST TAKE HELL OF LONG TIME TO GO AWAY
@karisma no it won't
@@brandonharris4239 did u do any USG for this reason?
@@brandonharris4239 how are you now?
I'm a US veteran never got a rating for hemateria they had me cipro antibiotics for 15 years now I have torn pectoral in both arm and back as well as then all memory lost
Sorry to hear this. I heard ciprofloxacin is dangerous. I pray the best for you. Dont give up.
what they dont tell you cipro can tear other ligaments and break down your immune system
@@Marcothemillionaire memory lost?
Thank you for this video. I find for prostatitis, many urologists are reluctant to use antibiotics. They prefer to do a biopsy instead which I find once you start you keep having to do. However, is there a way to identify the type of bacteria in play, once it is determined the case is acute prostatitis? What tests are available?
No such thing as if you start antibitoics you will keep having to do so. protatitis is due to bacteria even if not present in test, hence the elevated PSA. The same as a UTI can self resolve so can prostatitis. using antibiotics is just speeding up the process. It is not a virus so letting you body resolve it on its own versus using antibiotics won't magically give you more immunity and make you more resilient to re-infection. Was dealing with this for months (2 months.) took ciproflaxin and after 2 weeks so far symptons are negligable. I've had it twice so far. when I let it ran it course took me nearly 6 months to self resolve did not come back for 10 years.
if you are suffering from this disease. I would immediately get 28 days of ciproflaxix and some alpha blocker, The antibiotics will clear up the infection and the relaxation of the prostate will reduce the inflammation, if you are sexually actiev you may hve to pass on the alpha blockers as these temporarily will reduce erections.
@@KeepersWay I think what he meant to say is the biopsy. How many biopsies does a urologist and pathologist want if nothing has been detected?
@@KeepersWay It keeps recurring for me sadly. Chronic bacterial prostatitis. There was 2 bacterias in high loads and now after just 1 month of being off of antibiotics there's again 2 different bacterias with high load. Really have no hope anymore, afraid that this will just goin on forever and i cant keep using atbx forever. My symptoms are weird though, no pain basically only blood in semen and ED. PSA was 0.6, MRI came up clear. Is it common for CBP to have no symptoms like pain or regular prostatitis symptoms?
Hi. I have chronic prostatitis. My urologist uses semen culture to identify bacterial strains, colony growth, drugs sensitive to it.
Hi I'm 65yrs of age and for the last 14 month my PSA have been 12.4. My Urologist sent me for an MRI scan and the results came back as inflammation and a enlarged prostrate. My Urologist informed me that i have prostatitis. I did mention a biopsy but he went on to say the prostrate is clear and their is no target for the biopsy needle. I'm a little nervous as both my Dad and Grandad both passed away with prostrate cancer. I even thought about having my prostrate removed paying privately and that will end my anxiety about prostrate cancer.
I had another blood psa test yesterday and praying it has come down since my last blood test 2 months ago🙏
How have things been going for you by chance?
@@scoot0boy I'm fasting this evening as I'm having blood check tomorrow morning. PSA result end of week. I know its going to be a high psa reading then it's back to the Urologist. Will go from there. Hoping for a biopsy but Urologist prefer to do mri scans 1st and rely on mri readings to much. But I'll push for biopsy. My dad didn't have mri nor two of my friends just biopsies only and all 3 of them prostrate cancer...
@@stephenpisani1730 Thanks for the reply! How did the PSA go? I'm 40 and my doctor gave me a CT scan, blood test, ultrasound, and urinalysis. I have a history of kidney stones, so I was surprised to find out I apparently have prostatitis. It has lasted a month so far, some days good and some days bad. My uncle on my mom's side had prostate cancer and they caught it when he was in his 40s. I'm sort of worried, but from what I'm reading, most cases of prostate cancer have no symptoms. So, if that is true, it wouldn't make sense that I would have cancer after all this testing. Plays with my mind. My follow up appointment should be next week. My pains haven't gone away on antibiotics though I do see an improvement with Flomax. Get back to me when you can. I would enjoy hearing how things went for you during the appointment. 👍
@@scoot0boy my appointment is on the 4th March with Urologist. I should receive my blood results next Monday. I know my psa will be over 12 which is not good. I will push for a biopsy if no change in psa levels.
My Urologist in UK Chris Bates told me some years ago 5yrs that if my psa level reaches 8 your in for a biopsy forget the MRI. Over here on Malta the Urologist relays on the mri for results. So it's a little confusing ..
I managed to see my Urologist today who has referred me for an MRI scan hopefully next week. My blood results psa showed that its dropped from 12.4 to 9.5 but its still high. Urologist told me to repeat psa blood test in 2 months time.
I developed supra ventricular tachycardia 3 days after taking levofloxacin 500 mg for 14 days, could that be a side effect of the antibiotic?
Yes it is a side effect. Go to your doctor and ask him to change it.
geez
am on day 5 of that same meda
@@J.D.Whiteye did levo help
@@anthonylove1364 I wanna say it did. . but am still dealing with some of same symptoms. so no it didn't complete fix it. pain periodically right testical. idk why and it's fkn scaring me . go for ultrasound Jan 24th . by time I get test and back doc for treatment will be close to dam 12 months of waiting for doc appointment s
@@J.D.Whiteye it started a month ago for me, just got a z pack and a shot in the gluten. Hopefully it goes away. And I hope you're doing better now 🙏
Is a 20.6 PSA. Normal when a Prostate infection exists?
Did you get an answer?
This is the proper treatment that has been applying for patients who are suffering in prostatitis l shared below, please all the medical authorities in the world please share and transfer this needle treatment throughout the world countries l have friends they have been suffering and they received the proper treatment so no problem left at all for ages.thanks for your consideration
Heyy plz tell
@@yashshiva7923 hey, how are you now? How's your prostate health?
@@yashshiva7923 How are you now?
Can you share this treatment with us?
I've been having burning sensation after I urinate at the tip and around the shaft just under the head with redness. Also have leaking after urination. Been going on for months and have seen primary care. Finally have an appointment with a urologist coming up. Hope I can get some relief.
Yes same please share
Please share an update, hope you get better!
How u feel now
Would like to hear an update on what the urologist said if you wouldn’t mind sharing?
How are you feeling now? I am having the same symptoms now. I am allergic to cipro and was put on bactrim. Was fine until I ran through the course
Hi. I have chronic non-bacterial prostatitis and no pain during urinate but some pain in lower abdomen. Something that bothers is that my left cremaster muscle is going crazy like spasm, up and down all the time with a tingling sensation and I wonder if prostatitis can affect the cremaster muscle?
how are u
same
@@ahtisham6900 Hi. I'm still the same, same nubness/tingling every day, sometimes i forget it but then it comes back.. How about you?
I have legs massle and narv pain
Burning after ajaclotion
Is a psa of 4.5 something i should freak out about.im 33years old??
There are all kinds of benign reasons why a PSA would be elevated. You can contact our helpline if you have any questions about your result: pcri.org/helpline#about-helpline
Not freak out but it's slightly elevated for your age and you should take medical advice for possible further investigation that can reassure you.
After months and months of Antibiotics and consent unbearable pain, I got my partner to take 500mg Quecetin, Pomegranate and leg stretches like standing up spilts 5min three times or more a day BUT THE TURNING POINT WAS A.VAGEL STINGING NEETLE URTICA DROPS (20 drops in water twice a day) and tea...Started to get the next day, now he's dancing about worked like a miracle. Give it a go good luck 👍
Is he still feeling okay?
@ee8999 All good just went with nettle drops and tea with stretching most of the time..not even taking any thing now, I will add half way through he felt a liquid come out ? and continued to improve now 💯 hope this helps xx
Hey, me too. I began supplementing with Nettle Root in combination with Saw Palmetto and my problems are gone. I have now 2 months without any symptoms
@lalo160 That's great so happy for you
Pls pls tell me . & Give my answer.
The Chines protocal injects antibiotics directly into the prostate daily over 45 days. Also breaking up calcium that the bacteria hide in.
What are the symptoms of chronic bacterial prostatitis? I had frequent urinating and irritation in urethra after urinating in August I was given 5 days of Bactrim and symptoms went away completely. 90 days later I got the same symptoms and it doesn’t seem to go away now with a 30 day course of antibiotics.
I did have some clear discharge as well
I was put on bactrim too and after the first round it came back. Now on second round. Why were you on bactrim and not cipro? I was allergic to cipro.
@@jas20708 I took Bactrim as well as cipro both didn’t do anything. Not sure why the urologist chose Bactrim first.
i have weak urinary stream but no pain anywhere no burning after ejaculation no pain for long sitting is there anyone feeling same
@@waynechapton3704 I see. I've Been trying to eat raw garlic paste now . Heard it might help. Seems like antibiotics are becoming less and less effective due to resistance
I have blood in semen and not in urine Iv been told I have prostatitis ? Is inflammation a precursor to prostate cancer ?
Please 🥺 what is the solution?
I’ve been diagnose with prostatitis . Has anyone had stomach, loss of appetite problems also?
John,
I added that to our list of questions for future videos.
how are u
Hi what type of stomach problems do you have ? Please help 🙏
did you have constipation problem?
@@lucasluc7341 I do in terms of not going as frequently per day but I don’t go days without going, I have bloated lower belly 24/7 and have trouble starting urination sometimes, with low urine volume
I have a chronic one, and I use broccoli 🥦 water for a month and fix it. No antibiotics. Boil it for 5 min and lukewarm drink it for 20 days. Check your PSA again 20 days check and gone.
Thanks for this information. I will try this
I got prostatitis back in 2020 from an anal intercourse injury. It went away and did nothing sexual for 4 months. I was great until this last March I got it again from another anal injury (sensitive rectum) . It went away after two weeks but came back almost a month later, got rid of it, came back in a week. I’m having trouble getting rid of it this time around. I’m scared this is forever for I heard it’s difficult to get rid on non bacterial chronic prostatitis. Any advice on how to get rid of it?
Hey, did you got better? Which antibiotics did you take and for how long?
No sé, lo hice sin antibióticos. Tomé el suplemento L-Fortex para la inflamación. La inflamación desapareció con un curso. Pero fui al especialista de inmediato, así que pude deshacerme de ella rápidamente.
Tolterodine, Uribel resolves my urinary issues. No more peeing every 20 minutes.
Can I remove my prostate...
Prostatectomy hasn't been studied extensively in men for prostatitis, but it has been studied a very small number of patients who couldn't achieve symptom relief by any otber means. In one study, it resolved symptoms in about 19 or 20 of the 21 men, but had very high rates of incontinence and impotence.
Im 19 years old, over last 3 months I have developed low libido, low quality erections, low quantity and quality of ejaculate, coldness in testicles, and I am really worried what it is, whats wrong with me.
Taking ADHD medicine? Typically at your age medications are the source
@@notofthisworld5998 i feel a lot better now thank you. It may have been mental, after covid lockdown i got to meeting friends, girls and its all well now thanfully. Or much better at least
I was 19 when i first noticed a blood mixed in my urine for about 2 days, and it reoccur again a year later when i was 20. It came back again now that i am 21 but this time i started to feel pain in my prostate area, feels like a needle stuck inside every time after i pee, also having a hard time taking a poo because of this. I don't know if frequent ejaculation was the reason for this.
I might try taking antibiotics for 3 days, but if it's still there or it came back again I'll consider consulting to a doctor.
@Jet frequent ejaculation does not cause problems. If you think you have prostatitis you should see a doctor. Typically, 3 days is not long enough treatment. It may take 30-90 days of antibiotics. An exam and expert consultation would be valuable
@@notofthisworld5998 Few days later turns out i may have bladder stones. I peed last time and some stone-like thing about 1/2 cm came out. Still under diagnosis.
Does prostatitis cause erectile dysfunction?
yes and loss of sexual desire , symptomps really changing person to person
Guys do exercise, yoga , eating healthy it benefits alot
Keto Qurciten, saw palmetto
Does anyone else feel vibration in the penis with prostatitis?
This debade not helpful...
...... she's really hott
42 year old here that had a "bacterial" inflammation which caused sore muscles, skin blisters, bleeding gum, bad stomach, and pain urinating like 2 times per hour for 3 months.
Got 4 weeks of Cipro and some other AB and that took care of most of the infection but I got stomach pains, discoloring under my nails, heart palpitations, pain between my ribs and brain fog so had to stop after 2 weeks. The infection was cleared but the prostatitis came back with a vengeance, pain from navel to knees, pee blood, etc for all of Christmas. They never figured out what bacteria it was but they suspect it was some kind of amoeba.
I instead got 6 weeks of 100mg Doxycycline (works great on amoebas, etc) and 500mg Naproxen, no sideffects and it was like magic. After 3 weeks 90% of the symptoms were gone. Was told by my doctor that it will take many months/years to heal out the prostatitis/uretritis and to expect re-occurrence every now and then and to take PSA-tests every three months for the next year and expect it to go yo-yo for a while.
Doxycycline is my new hero.