Prostatitus Advice

[dallen52]

On 11/12/2018 at 11:07 AM, faraday said:

Ah yes, Psychosomatic!

 

When I started having Prostate problems, which eventually ended up with having a Cystoscopy, the doc suggested it 'might all be in my head' & later said: 'yes, well, we all get pain in our testicles'.

 

After 5 visits to him, I got referred to a Urologist.

 

Just be persistent, Batty, & eventually it will get sorted.

 

I had a wife who had munchausen syndrome (by proxy) dunno. ?

 

It cost a small fortune. Late 70s.

She did finish up psychosomatic. 

Also had a heart murmur. 

Or mitral valve prolapse. 

 

It's scary stuff. 

For all involved. 

Patients and care providers. 

 

Nobody knows better than the person who is suffering. 

 

Fir me, It took two years to get a full medical diagnosis on my arms.

 

I lost the use of both arms, starting with the thumbs sticking out. 

Then the hands lost strength and grip. Mid 2014.

I couldn't work for three years. 

No disability pay.

Three years off retirement. 

Self funded myself Until pension. 

Caused a divorce. 45 years.

 

MRIs nuclear antibody, even became a Guinea pig for Neurological science in Melbourne to see what could be found..

Bilateral medial neuropathy. 

Cause unknown...

The nerve signals from the brain to the arms had become damaged. 

 

Possibly carrying my brother's coffin who had died from Parkinson's.?

No right answer. 

That didn't make me feel better. 

 

I still take pain relief. Tramadol. 

 

The message is,  dont give up.

Someone will get there.

 

I'm still smiling. 

It is the land of smiles.

[dallen52]

23 hours ago, Batty said:

 

I am just not sure though if thats a normal reaction to have your prostate massaged?  Would a normal, fit and healthy prostate cause no pain when massaged?  Or only an infected prostate?  Because I can say for sure, if pain only comes with an infected prostate than mine must be infected because it hurt like a swine when he went in on Saturday.

 

Then again, he did the same the week before - but not as aggressive with his technique - and it didnt realy hurt.  So this just adds to my confusion.

 

Can I just ask - you mentioned another poster who suggested an antibiotic, you asked for it but the doctor didnt know about it.  Which antibiotic is that please?  

 

 

Mine was palpated in the UK four weeks ago. 

Lady doctor. 

Highly proficient in this. 

It was picked up as enlarged, but I honestly hardly knew she had inserted and felt around. 

Knees under the chin.

Lay on the left side. 

Take a deep breath.

 

It certainly wasn't like the one in Melbourne. 

He had 8 inch wide hands and fingers to match. 

Talk about squeal like a pig.

He actually made me pee.

 

Technique is everything. 

[xylophone]

3 hours ago, dallen52 said:

Tramadol and Amytriptyline can exacerbate the symptoms. 

I stopped my amytriptyline. 

For me certainly amitriptyline is a no go drug, esp as I like my red wine!! Two weeks on it and felt like sh1t and couldn't remember most of it!!

 

Tramadol also makes me feel nauseous and drowsy, so I came off that.

 

I am allergic to sulpha drugs, but taking Tamsulosin was no problem for me. 

 

Edited November 13, 2018 by xylophone

[xylophone]

1 hour ago, Sheryl said:

Tamsulosin is unlikely to help given prostate not enlarged

Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
 

But it can help with relaxing the muscle tissue inside the prostate and the bladder neck thereby making it easier to pass water.

 

Also is the fact that the tissue inside of the prostate can grow and compress the urethra, with very little seen as the growth in actual size of it, hence the compression aspect.

 

"The size of the prostate does not always determine the severity of the blockage or symptoms. Some men with greatly enlarged prostates have little blockage and few symptoms, while other men who have minimally enlarged prostates have greater blockage and more symptoms".

 

[GarryP]

58 minutes ago, xylophone said:

For me certainly amitriptyline is a no go drug, esp as I like my red wine!! Two weeks on it and felt like sh1t and couldn't remember most of it!!

 

Tramadol also makes me feel nauseous and drowsy, so I came off that.

 

I am allergic to sulpha drugs, but taking Tamsulosin was no problem for me. 

 

That is interesting because I am allergic to sulpha drugs to so need to keep this in mind if I need to start medicating further down the road. 

[dallen52]

21 hours ago, Sheryl said:

Tamsulosin is unlikely to help given prostate not enlarged

Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
 

Possibly true based on my results. 

Its engineered to work on the specific part of the prostate where the pee tube passes through. 

And smoothest and relaxed the muscles. 

Amazing medication. 

 

Duodart acts similarly. 

 

I'm impressed, and relieved. 

[Batty]

On 11/12/2018 at 6:16 PM, xylophone said:

I have been at this point on a few occasions, I can tell you, but to be honest if I were to go down this road it would be in one on the best/better hospitals overseas, not here. But then again as you have said cost has to be a consideration.

 

IMO, then at least you will have explored all the avenues open to you so if nothing is found then the focus has to be on other areas. A culture taken from a prostate massage should show up any bacteria, so bear that in mind now that you are off the antibiotics. 

 

ALSO be sure to FULLY EXPLAIN what you have been experiencing and what you think it might be AND that you would like to know the state of the prostate and the bladder. THIS IS IMPERATIVE. 

 

Before I give you that name, see how the procedure goes on Wednesday. Also have you been prescribed doxycycline at all for this and if so, dosage and duration.

 

Of the friends I know who have had this done, most don't like it one bit, finding it extremely uncomfortable, some, like me find it painful and one likes it (go figure...….although some massage parlours do give this to willing participants!!).

 

No one size fits all I'm afraid (sorry about the pun).

 

All the best for Wednesday.

Hi there.  Nope, never given doxy for this - two other antibiotcs but not those.

[Batty]

On 11/13/2018 at 7:39 AM, Nomad97 said:

Sounds expensive to me. I have used the Government Hospital in Surin for the past 4 years and the going rate is 4,200 baht per cystoscopy. Previously this was carried out in one of the operation rooms but now they have a dedicated room in the Urology department for cystoscopies. The private hospital charges a little more but less than 5,000 baht per treatment. 

 

Funnily enough, I did feel as though the Doc was 'weighing me up' when he was ariving at the price.  Truth be told, I was happy enough with what he was charging, way less than any private hospital and god knows what it would cost in the west, so all good... But he did give me an up and down look when he was crunching the cost figures, sort of rubbed his chin a little and said 'what about 15,000 is that good for you'.  I told him thats what Bangkok Udon charge and he said 'Ok, what about 10,000?'.  Just plucking figures from the air lol.  So yah, I guess there are places that do it even cheaper still.

[xylophone]

25 minutes ago, Batty said:

Hi there.  Nope, never given doxy for this - two other antibiotcs but not those.

Doxycycline was the most effective antibiotic for me in many years of suffering with prostatitis, and I was only taking one (100 mg) per day, which was no problem whatsoever (you do have to remember that your skin will burn more quickly when you take this antibiotic, so I just made sure I wasn't exposed to much sunlight, for too long).

 

I took it over a 90 day period, mainly because if there is indeed an infection in the prostate, it is very difficult for antibiotics to penetrate this, therefore my urologist suggested this dosage for a longer period of time (although I have noted that other websites recommend two tablets per day for shorter times).

 

No matter, I was very pleased with the outcome because this antibiotic seems to have some anti-inflammatory action to it, which would probably also help. I would be free of this dreaded prostatitis for many months on end after that, and if it flared up again I would go back on that antibiotic, and this continued for many years.

 

One urologist did put me on ciprofloxacin, however that was not as effective as doxycycline and anyway, I don't like the side-effects.

 

The antibiotic I was referring to, in place of doxycycline if that did not seem to work (however it did in my case) would be roxithromycin (Rulide) which has shown a good ability to penetrate the prostate and also has some anti-inflammatory aspects to it, although there hasn't been that much research on this particular drug.

 

Having said that in the many days/weeks/months/years that I have been researching prostatitis, I have come across just a few trials of roxithromycin for prostatitis and it has good if not better penetration of the prostate than many others.

 

If it comes down to it I would certainly give doxycycline a long trial, and then perhaps roxithromycin if needed later on, but obviously you need to discuss this with your doctor, although having said that when I suggested roxithromycin to my urologist here, he didn't know what it was and basically threw me out of the surgery for even daring to suggest that the any months of various antibiotics he had been trying weren't working.

 

You can buy it over-the-counter, but as I said best to try and discuss it with a good open minded urologist first.

 

[xylophone]

25 minutes ago, Batty said:

Hi there.  Nope, never given doxy for this - two other antibiotcs but not those.

Doxycycline was the most effective antibiotic for me in many years of suffering with prostatitis, and I was only taking one (100 mg) per day, which was no problem whatsoever (you do have to remember that your skin will burn more quickly when you take this antibiotic, so I just made sure I wasn't exposed to much sunlight, for too long).

 

I took it over a 90 day period, mainly because if there is indeed an infection in the prostate, it is very difficult for antibiotics to penetrate this, therefore my urologist suggested this dosage for a longer period of time (although I have noted that other websites recommend two tablets per day for shorter times).

 

No matter, I was very pleased with the outcome because this antibiotic seems to have some anti-inflammatory action to it, which would probably also help. I would be free of this dreaded prostatitis for many months on end after that, and if it flared up again I would go back on that antibiotic, and this continued for many years.

 

One urologist did put me on ciprofloxacin, however that was not as effective as doxycycline and anyway, I don't like the side-effects.

 

The antibiotic I was referring to, in place of doxycycline if that did not seem to work (however it did in my case) would be roxithromycin (Rulide) which has shown a good ability to penetrate the prostate and also has some anti-inflammatory aspects to it, although there hasn't been that much research on this particular drug.

 

Having said that in the many days/weeks/months/years that I have been researching prostatitis, I have come across just a few trials of roxithromycin for prostatitis and it has good if not better penetration of the prostate than many others.

 

If it comes down to it I would certainly give doxycycline a long trial, and then perhaps roxithromycin if needed later on, but obviously you need to discuss this with your doctor, although having said that when I suggested roxithromycin to my urologist here, he didn't know what it was and basically threw me out of the surgery for even daring to suggest that the any months of various antibiotics he had been trying weren't working.

 

You can buy it over-the-counter, but as I said best to try and discuss it with a good open minded urologist first.

 

[mokwit]

Roxithromycin is not US FDA approved and that is why in the US they prescribe drugs that have to be taken for weeks/months rather than the 10 days Roxithromycin is taken for. It seems to be uniquely efficacious for prostrate infections.

[dallen52]

2 hours ago, xylophone said:

Doxycycline was the most effective antibiotic for me in many years of suffering with prostatitis, and I was only taking one (100 mg) per day, which was no problem whatsoever (you do have to remember that your skin will burn more quickly when you take this antibiotic, so I just made sure I wasn't exposed to much sunlight, for too long).

 

I took it over a 90 day period, mainly because if there is indeed an infection in the prostate, it is very difficult for antibiotics to penetrate this, therefore my urologist suggested this dosage for a longer period of time (although I have noted that other websites recommend two tablets per day for shorter times).

 

No matter, I was very pleased with the outcome because this antibiotic seems to have some anti-inflammatory action to it, which would probably also help. I would be free of this dreaded prostatitis for many months on end after that, and if it flared up again I would go back on that antibiotic, and this continued for many years.

 

One urologist did put me on ciprofloxacin, however that was not as effective as doxycycline and anyway, I don't like the side-effects.

 

The antibiotic I was referring to, in place of doxycycline if that did not seem to work (however it did in my case) would be roxithromycin (Rulide) which has shown a good ability to penetrate the prostate and also has some anti-inflammatory aspects to it, although there hasn't been that much research on this particular drug.

 

Having said that in the many days/weeks/months/years that I have been researching prostatitis, I have come across just a few trials of roxithromycin for prostatitis and it has good if not better penetration of the prostate than many others.

 

If it comes down to it I would certainly give doxycycline a long trial, and then perhaps roxithromycin if needed later on, but obviously you need to discuss this with your doctor, although having said that when I suggested roxithromycin to my urologist here, he didn't know what it was and basically threw me out of the surgery for even daring to suggest that the any months of various antibiotics he had been trying weren't working.

 

You can buy it over-the-counter, but as I said best to try and discuss it with a good open minded urologist first.

 

My urologist gave me Rulide and Duodart together for one severe flare up.

Certainly worked.

[GarryP]

What sort of impact do these medicines have on erectile function? 

[xylophone]

1 hour ago, dallen52 said:

My urologist gave me Rulide and Duodart together for one severe flare up.

Certainly worked.

IMO that is one smart urologist.

 

[xylophone]

2 hours ago, mokwit said:

Roxithromycin is not US FDA approved and that is why in the US they prescribe drugs that have to be taken for weeks/months rather than the 10 days Roxithromycin is taken for. It seems to be uniquely efficacious for prostrate infections.

Don't know about the USA, but Roxithromycin can be taken over periods much longer for various treatments...…….low dose and long term is fine with this antibiotic.

[xylophone]

47 minutes ago, GarryP said:

What sort of impact do these medicines have on erectile function? 

Which medicines GarryP? 

[GarryP]

18 minutes ago, xylophone said:

Which medicines GarryP? 

Sorry, I should have been clearer. Not the antibiotics. Medicines such as Duodart, Tamsulosin, etc.  

[xylophone]

19 minutes ago, GarryP said:

Sorry, I should have been clearer. Not the antibiotics. Medicines such as Duodart, Tamsulosin, etc.  

These links will help; with a combination of Tamsulosin (Flomax) and Cialis working well together.

 

Viagra not so good with poss some interaction with Tamsulosin

 

https://medivizor.com/blog/SampleLibrary/benign-prostatic-hyperplasia/combining-flomax-and-cialis-can-effectively-treat-urinary-symptoms-as-well-as-erectile-dysfunction/ 

https://www.drugs.com/drug.../tamsulosin-with-viagra-2146-0-2061-1352.html

 

A Moderate Drug Interaction exists between tamsulosin and Viagra. View detailed information regarding this drug interaction.

 

[Batty]

22 hours ago, xylophone said:

Doxycycline was the most effective antibiotic for me in many years of suffering with prostatitis, and I was only taking one (100 mg) per day, which was no problem whatsoever (you do have to remember that your skin will burn more quickly when you take this antibiotic, so I just made sure I wasn't exposed to much sunlight, for too long).

 

I took it over a 90 day period, mainly because if there is indeed an infection in the prostate, it is very difficult for antibiotics to penetrate this, therefore my urologist suggested this dosage for a longer period of time (although I have noted that other websites recommend two tablets per day for shorter times).

 

No matter, I was very pleased with the outcome because this antibiotic seems to have some anti-inflammatory action to it, which would probably also help. I would be free of this dreaded prostatitis for many months on end after that, and if it flared up again I would go back on that antibiotic, and this continued for many years.

 

One urologist did put me on ciprofloxacin, however that was not as effective as doxycycline and anyway, I don't like the side-effects.

 

The antibiotic I was referring to, in place of doxycycline if that did not seem to work (however it did in my case) would be roxithromycin (Rulide) which has shown a good ability to penetrate the prostate and also has some anti-inflammatory aspects to it, although there hasn't been that much research on this particular drug.

 

Having said that in the many days/weeks/months/years that I have been researching prostatitis, I have come across just a few trials of roxithromycin for prostatitis and it has good if not better penetration of the prostate than many others.

 

If it comes down to it I would certainly give doxycycline a long trial, and then perhaps roxithromycin if needed later on, but obviously you need to discuss this with your doctor, although having said that when I suggested roxithromycin to my urologist here, he didn't know what it was and basically threw me out of the surgery for even daring to suggest that the any months of various antibiotics he had been trying weren't working.

 

You can buy it over-the-counter, but as I said best to try and discuss it with a good open minded urologist first.

 

 

Thats great feedback thanks so much.  I am going to start with self medicating today (more on why in my post below)

 

Ill try Doxycycline daily.  Roxithromycin sounds interesting, but it sounds like it might have worked for many but not you?  Im wondering if both could be taken at the same time - I will take a look on google for interactions etc, see if I can unearth anyone who has taken them both together.  I fully understand this is not the 'proper' way to do things but I am at a bit of a dead end hear, and need to take the bull by the horns.

 

Or possibly Doxycycline and Tamsulosin Hydrochloride?  That has been suggested by another poster?  Again, ill have to do some research first.

 

I did get a couple of strange reactions from Doctors when I suggested something they didnt know much about.  Cystitus for example, and the medication suggested by the British NHS to treat it - I got a wave of the hand and body language that seemed to say 'button it young man'.  Maybe its a culture thing.  I cant imagine a western doc being ignorant of an illness that is plastered all over the internet, and being so reticent to even talk about it.  Thats in no way be disrecpectful to any doc I have seen, especialy the KK Prof who is realy like, I guess its just how it is here.

 

Sheryll if you are reading this, you might be pulling your hair out.  Doctors advice is always the best way to go and I understand self medicating is not always a great idea, but I as I said I am at a massive dead end hear and need to try something.

 

 

 

[Batty]

On 11/13/2018 at 4:13 PM, dallen52 said:

Mine was palpated in the UK four weeks ago. 

Lady doctor. 

Highly proficient in this. 

It was picked up as enlarged, but I honestly hardly knew she had inserted and felt around. 

Knees under the chin.

Lay on the left side. 

Take a deep breath.

 

It certainly wasn't like the one in Melbourne. 

He had 8 inch wide hands and fingers to match. 

Talk about squeal like a pig.

He actually made me pee.

 

Technique is everything. 

Yah, Im learning the same.  The Pattaya Doc was so gentle I was half expecting him to lean over and meet my eyes with a loving gaze.  I could feel him on the prostate, but it didnt hurt.  It was more of a gentle prod.  The KK doc was the same for the first exam, but then the second he went in like a bull in a china shop.  I couldnt bare it.  And therien lies the problem  - when they ask if it hurts.  Yes, it hurts, but I dont know if that owes to a brutal technique or an infected prostate.

 

I have always said that one day they should invent some kind of magic like machine.  You step into this machine, and it scans you.  The doc then steps in, hits a button and he immediately feels every pain and ailment you have. 

 

Its not always easy to explain what kind of pain you have, and if it is indeed a pain or more of a feeling.  With the language barrier that is even more tricky.

[faraday]

If you have pain more than you can bear, then I would suggest that there is an issue, & not the Doc's technique - if you get what I mean, without me being more explicit.

 

[Batty]

I had my cystoscopy on Weds.  It wasnt very nice, but bearable.  I was booked in for a mild anesthetic but when the junior doc casualy mentioned something about 'danger' and asked me to sign a waiver, I opted to go without.  I would say it was more of a real high discomfort than actual pain.

 

Anyway, as predicted they didnt see anything abnormal.  So thats blood and urine tests (several) ultra sound, xray, CT scan and cystoscopy and nothign alarming showing up.

 

The only good thing I can say is that it still feels better, and hasnt reverted to how it was 3 or 4 weeks ago.  Back then, it was quite painful in the bladder (i couldnt even drive) and I was going to pee every 20 minutes, all day and night, most of the time not successfully.  Now, and for the last week or two, it has been an on/off thing.  Very low level bladder pain - totaly bearable but still there - peeing every hour and each time a half decent stream (no straining).  The back ache is the worst of it and I absolutley sware 100% it is not a lumber issue, although I used to struggle with that a little.  This is a different kind of back ache and feels more central, deep inside, than muscular.

 

I am back to thinking its prostatitus.  As some of you have said in older posts, I probably had this from the start 7 weeks ago but without the blood/urine tests back then there is no proof.  The subsequent antibiotics probably killed off the bacteria so now the tests are showing as negative.  However, the prostate is probably still infected and has formed a seal.

 

In the grand scheme of things, and I think I ahve mentioned this before, compared to some of you guys this is realy nothing to complain about.  You have been through hell and back with this for years, and I just have a low level thing for a month or two.  Its like a stubbed toe compared to your broken leg.   Regardless of that there is still 'something' wrong and I want to nail it as quickly as possible before this gets worse and drags on for years.

 

The Doc who performed the cystoscopy suggested I continue taking the bladder relaxer pills that KK doc gave me and almost, but not quite said "just hope it goes away, whatever it is.  next!'.  And so, we have hit a wall.  I know I cant just take bladder relaxer pills and hope this goes away, because it wont.  Its a stubborn illness that needs treating and so I guess my only option is to self medicate.

 

Ill start with Doxycycline, and one of two other medications that have been mentioned here (I will check interactions first) and see how it goes.  I fully appreciate none of you have given direct medical advice and this is of my own undertaking, its my idea to do this.  I cant see what harm it can do, surely if anything it can only help?

[Batty]

1 minute ago, faraday said:

If you have pain more than you can bear, then I would suggest that there is an issue, & not the Doc's technique - if you get what I mean, without me being more explicit.

 

During the exam?  Yes absolutley - I couldnt handle it for more than a few seconds, I went through the roof actualy!

[Sheryl]

34 minutes ago, Batty said:

 

Thats great feedback thanks so much.  I am going to start with self medicating today (more on why in my post below)

 

Ill try Doxycycline daily.  Roxithromycin sounds interesting, but it sounds like it might have worked for many but not you?  Im wondering if both could be taken at the same time - I will take a look on google for interactions etc, see if I can unearth anyone who has taken them both together.  I fully understand this is not the 'proper' way to do things but I am at a bit of a dead end hear, and need to take the bull by the horns.

 

Or possibly Doxycycline and Tamsulosin Hydrochloride?  That has been suggested by another poster?  Again, ill have to do some research first.

 

I did get a couple of strange reactions from Doctors when I suggested something they didnt know much about.  Cystitus for example, and the medication suggested by the British NHS to treat it - I got a wave of the hand and body language that seemed to say 'button it young man'.  Maybe its a culture thing.  I cant imagine a western doc being ignorant of an illness that is plastered all over the internet, and being so reticent to even talk about it.  Thats in no way be disrecpectful to any doc I have seen, especialy the KK Prof who is realy like, I guess its just how it is here.

 

Sheryll if you are reading this, you might be pulling your hair out.  Doctors advice is always the best way to go and I understand self medicating is not always a great idea, but I as I said I am at a massive dead end hear and need to try something.

 

 

 

Remember that it is quite likely you got in this mess in the first place by having antibiotics started without a culture. Adding in more antibiotics on your own will only make proper diagnosis harder.

 

I think you are over reacting a bit. It is very, very common for prostatitis to take months to resolve, sometimes even longer. Read up on "chronitic prostatitis".

 

If you want to consult another urologist and don't mind travelling see Dr. Viroj at Bumrungrad.

[Batty]

It seems Doxycycline and Roxithromycin taken together might be a bad idea.  There are no interactions and they are both from a different family of antibiotics so they CAN be taken together, but I am reading about people being completely exhausted when taking the two together.

 

I think I am going to go with Doxy 200mg first day, then 100mg taken once a day.  That, and Tamsulosin.  No interactions or adverse side affects, as far as I can muster.  Ill try that combination for a couple months.

 

 

[Batty]

1 minute ago, Sheryl said:

Remember that it is quite likely you got in this mess in the first place by having antibiotics started without a culture. Adding in more antibiotics on your own will only make proper diagnosis harder.

 

I think you are over reacting a bit. It is very, very common for prostatitis to take months to resolve, sometimes even longer. Read up on "chronitic prostatitis".

 

If you want to consult another urologist and don't mind travelling see Dr. Viroj at Bumrungrad.

 

You are right Sheryll absolutley.  But im almost out of options to be honest.  I dont want to get overly personal on this thread but for over 10 years I had a thriving business that made lots of money.  Last year it took a total nose dive and I am struggling.  I was a little foolish with the money I made - overly generous, lots of business class flights on nice holidays etc, didnt save much.  I brought a house, we have a couple of cars and I have zero debt, but im close to broke.  Im making like 40,000 baht a month right now (on a good month) compared to 7 or 800,000 a month in the past.  My savings have gone pretty much and im struggling.  No insurance.  This has cost me well over 100,000 Baht in the last 7 weeks with flights, hotels, tests etc.  I just cant afford an expensive Bumrungrad visit to be honest.  I can afford the consultation obviously, but it will almost certainly lead to more tests that I really cant afford. 

 

As it stands at the moment, I have no antibiotics for this - just bladder relaxer pills.  Im no doctor but I know for certain I have an issue that needs treatment and without antibiotics, its not going to get any better?

 

 

 

 

 

[xylophone]

34 minutes ago, Batty said:

Ill try Doxycycline daily.  Roxithromycin sounds interesting, but it sounds like it might have worked for many but not you?  Im wondering if both could be taken at the same time - I will take a look on google for interactions etc, see if I can unearth anyone who has taken them both together.  I fully understand this is not the 'proper' way to do things but I am at a bit of a dead end hear, and need to take the bull by the horns.

Actually I didn't need to try Roxithromycin in the end as finally an infection of e-coli ESBL was cultured, possibly as a result of hospital acquired infection (from cystoscopy), or because the idiot Dr Death urologist kept on prescribing month after month of different antibiotics without doing a culture.

 

Result was 14 days of intravenous rare antibiotic infusion, cost me about 50k baht in all and 1.5 hrs every day in hospital. Cured that.

 

But please note this was not about prostatitis but more about the effects of a poorly emptying bladder causing problems and an idiot urologist here.

 

Back onto doxycycline and Roxithromycin...…...DO NOT TAKLE THEM TOGETHER AS NO NEED. Give the doxycycline a try (1x100mg per day, after food and not before bed) for at least 60 days and see how you go.

 

Roxy was my next try/standy because I uncovered some good info on its use with prostatitis.

 

The peeing every hour could suggest a form of urethritis in which the urethra becomes "irritated" and that needs time to settle although doxy can help this.

 

The bladder relaxing tabs worked for me over a couple of months and helped me to retrain my bladder to empty better, so I stopped them and practise a "double voiding" technique now which is ok.

 

 In summary and IMO, try the doxy on its own; the Tamsulosin will help if you have a problem with passing water, which you don't seem to have now, and Cialis has been approved for BPH but doesn't do much for me in that regard.

 

You need to separate treatments and note the results so that you know which works and which doesn't. Take a methodical approach and it will help you understand things better.

[georgegeorgia]

Next get your kidneys checked, stones, function etc

 

Then again it could be the pancreas.

Pancreatic cancer is hard to detect until the last stages, I'm not joking about that Google it.especially as u have back pain.

 

 

[mokwit]

16 minutes ago, xylophone said:

Give the doxycycline a try (1x100mg per day, after food and not before bed) for at least 60 days and see how you go.

Perhaps you genuinely know something I don't, but I don't understand why you are advocating taking doxycycline for 60 days when Roxithromycin will likely clear it up in 10 days if it is bacterial. I have direct experience of Roxithromycin and it has been effective every time within 10 days. Granted doxycycline could be broader spectrum and a better choice from that angle.

Edited November 16, 2018 by mokwit

[mogandave]

If you have pain more than you can bear, then I would suggest that there is an issue, & not the Doc's technique - if you get what I mean, without me being more explicit.
 

Exit only!!!!