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Posted

I've had prostatitis for several years, down to E.Coli ESBL, and it not only plays havoc with my PSA numbers, it causes pain when peeing, a dreadful fishy smell, aches in my pelvic region etc. I'm sure it's not healthy in the long-term to have this bacteria...

 

I know that Carbapenems are the first line of treatment, but the cost of this expensive treatment is beyond my financial means, and BPH/prostatitis etc are excluded on my medical cover.

 

I did try a single dose of Monurol a few years ago, with no beneficial effect noticed.  This time, I'll try 3g/day, administered every other day for 3 days. See if that kills the ba stards!!

Posted
4 hours ago, simon43 said:

I've had prostatitis for several years, down to E.Coli ESBL, and it not only plays havoc with my PSA numbers, it causes pain when peeing, a dreadful fishy smell, aches in my pelvic region etc. I'm sure it's not healthy in the long-term to have this bacteria...

 

I know that Carbapenems are the first line of treatment, but the cost of this expensive treatment is beyond my financial means, and BPH/prostatitis etc are excluded on my medical cover.

 

I did try a single dose of Monurol a few years ago, with no beneficial effect noticed.  This time, I'll try 3g/day, administered every other day for 3 days. See if that kills the ba stards!!

Have you tried Bactrim.  Worked for me when I had similar symptoms.

Posted
1 hour ago, Hawaiian said:

Have you tried Bactrim.  Worked for me when I had similar symptoms.

Thanks.  I'll try the Monurol and then if that's no good I can try Bactrim!

Posted

I suggest you prioritize your spending to afford the carbapenems.

 

You are right, definitely not good long term.

 

What's more important, your health or money?

  • Agree 1
Posted
11 minutes ago, Lacessit said:

I suggest you prioritize your spending to afford the carbapenems.

 

You are right, definitely not good long term.

 

What's more important, your health or money?

Well, I can afford this drug if pushed to it.  But there is no quarantee that the treatment will actually work.  I think a course of injections is about 15,000 baht, but I might be 15k out of pocket and still with the infection...

Posted
6 hours ago, simon43 said:

I've had prostatitis for several years, down to E.Coli ESBL, and it not only plays havoc with my PSA numbers, it causes pain when peeing, a dreadful fishy smell, aches in my pelvic region etc. I'm sure it's not healthy in the long-term to have this bacteria...

 

I know that Carbapenems are the first line of treatment, but the cost of this expensive treatment is beyond my financial means, and BPH/prostatitis etc are excluded on my medical cover.

 

I did try a single dose of Monurol a few years ago, with no beneficial effect noticed.  This time, I'll try 3g/day, administered every other day for 3 days. See if that kills the ba stards!!

 

In agony for weeks….took one dose of Monurol and I nearly cried at the relief…..fingers crossed for you….(and it tastes so nice..555)

Posted
8 minutes ago, simon43 said:

Well, I can afford this drug if pushed to it.  But there is no quarantee that the treatment will actually work.  I think a course of injections is about 15,000 baht, but I might be 15k out of pocket and still with the infection...

As they say, up to you.

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Posted
5 minutes ago, Will B Good said:

 

In agony for weeks….took one dose of Monurol and I nearly cried at the relief…..fingers crossed for you….(and it tastes so nice..555)

Sadly, the adaptability of bacteria to pharmaceuticals means what works for one person does not necessarily work for another.

 

Good to see in your case, fingers crossed for the OP.

Posted
4 minutes ago, Lacessit said:

Sadly, the adaptability of bacteria to pharmaceuticals means what works for one person does not necessarily work for another.

 

Good to see in your case, fingers crossed for the OP.

 

I tell you it was ****ing amazing.

 

Even after all this time I’m still amazed/shocked at the impact….….and as you say fingers crossed for the OP.

Posted
2 hours ago, simon43 said:

Thanks.  I'll try the Monurol and then if that's no good I can try Bactrim!

If I recall correctly you had a culture & sensitivity which showed the organism is resistant to most antibiotics including sulfonamides. 

 

Treatment should be based on that not what helped other people whose pathogens likely differed. 

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Posted

I know it might sound like an "out there" idea, but have you considered trying an alternative medicine practitioner for this if your latest round of treatment doesn't work? You might find some of the natural anti-microbials that herbalists use like oregano oil, clove oil etc might work. A quick Google search shows that some of these are listed as effective against E coli.

 

I had a gastro issue that mainstream medicine couldn't fix and I eventually ended up with an alternative medical practitioner in Australia. It took 3 months treatment with a personalised liquid herb concoction to fix the problem which 3 years of doctor and hospital visits couldn't resolve.

 

You might also consider a Traditional Chinese Medicine practitioner, of which there are many in Bangkok. They use similar herbs with anti-microbial properties.

 

Best of luck with the current treatment protocol.

Posted
6 hours ago, simon43 said:

Thanks.  I'll try the Monurol and then if that's no good I can try Bactrim!

After reading Sheryl's post I looked up E. coli, ESBL.  All recommendations said treatment is carbapenem.  Bactrim is inexpensive and regimen is around 5 days.  Up to you.  Good luck.

Posted
49 minutes ago, Hawaiian said:

After reading Sheryl's post I looked up E. coli, ESBL.  All recommendations said treatment is carbapenem.  Bactrim is inexpensive and regimen is around 5 days.  Up to you.  Good luck.

My apologies.  I was prescribed DOXYCYCLINE HYCLATE and not BACTRIM.  They are not the same.

Listen to Sheryl.  She knows what she is talking about.

Posted

Sheryl has a good memory concerning sensitivity results.  The last test that I had at Life Care last June showed a PSA of 8.9 and sensitivity to Carbapenems, also Amoxicillin somewhat.

 

My concern about having a course of Carbapenem is what hospital/doctor in Pattaya can I trust to actually give me the correct course of treatment, and not throw in a whole load of unnecessary and expensive tests.  IE - I need a doctor who will get straight to the correct course of treatment.

 

results.jpg.c97c49734a6b49a5928fe8da8842dd49.jpg

 

Posted
1 hour ago, simon43 said:

Sheryl has a good memory concerning sensitivity results.  The last test that I had at Life Care last June showed a PSA of 8.9 and sensitivity to Carbapenems, also Amoxicillin somewhat.

 

My concern about having a course of Carbapenem is what hospital/doctor in Pattaya can I trust to actually give me the correct course of treatment, and not throw in a whole load of unnecessary and expensive tests.  IE - I need a doctor who will get straight to the correct course of treatment.

 

results.jpg.c97c49734a6b49a5928fe8da8842dd49.jpg

 

Wish I could help, but I live in Hawaii.  In the past Sheryl has been pretty good at furnishing that kind of information.  Hopefully, she sees this.

I had a PSA reading much higher than that, but my UTI symptoms have gone away for now after taking the doxycycline hyclate.  Next visit with my urologist is a couple of months from now.

Posted
2 hours ago, simon43 said:

Sheryl has a good memory concerning sensitivity results.  The last test that I had at Life Care last June showed a PSA of 8.9 and sensitivity to Carbapenems, also Amoxicillin somewhat.

 

My concern about having a course of Carbapenem is what hospital/doctor in Pattaya can I trust to actually give me the correct course of treatment, and not throw in a whole load of unnecessary and expensive tests.  IE - I need a doctor who will get straight to the correct course of treatment.

 

results.jpg.c97c49734a6b49a5928fe8da8842dd49.jpg

 

There's a good urologist at Queen Sirikit or Pattaya International, I'd go and see him, he did a minor op on me and a bladder op on a friend, good reports all round, plus not rip off pricing

IMG_20210310_081407~2.jpg

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