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Question

I have suffered three bacterial prostatitis (escherichia coli, morganella morganii, enterococcus faecalii) in the last seven years, all of them properly treated with antibiotics and with no infection after the treatments. Since day one, I have suffered pain in the pelvic region, specially in the anus and surrounding areas. It worsens with being seated, after defecating and after having sex. I have recently done a complete urologic check (complete ecography, fluxometry, urine analysis, semen analysis, prostate cancer antigen analysis) and all are OK. A proctologist have also checked me finding nothing. All treatments for the pain (many kind of general and prostate specific anti-inflammatory medicines) have proved unsuccesful. My urologist has now suggested a medicine which is used for the benign prostate hyperplasia, but I have discarded it by now due to its side effects and uncertainty of results. As I know prostatitis is difficult to cure, I only want some symptomatic relief.

Submitted: 172 days and 21 hours ago.
Category: Health
Value: $15
Status: CLOSED
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Optional Information

Gender: Male
Age: 50

Posted by Susan RN 172 days and 21 hours ago.

Info Request

I want to just review something from what you have stated here; the doctor gave you some medicine to try. Did you try it before you threw it out or did you just throw it out without trying it? What other medical conditions do you have? What other medicines do you take?

172 days and 21 hours ago.

Reply

I have tried every medicine I have been prescribed for the specified time with no success.
I have no additional health problems except for moderate high cholesterol, for which I´ve been prescribed simvastatine 10 mg and diet which I do.
I am actually medicated for a moderate depression I have three years ago. I´m taking mirtazapine 30 mg three days a week only.

Posted by Susan RN 172 days and 21 hours ago.

Info Request

Have you tried taking a sitz bath or sitting in a tub of warm water for 30 minutes each day to help with the discomfort? I know that this type of pain can be very troublesome. I worked with a gentleman who had this same problem. He would sit on an inflatable donut to keep the pressure off his bottom. Has the doctor tried all of the different medicines for BPH or just the one?

172 days and 20 hours ago.

Reply

I have tried both things and they provide little and momentary relief. In fact the inflatable donut only allows me to stay seated to do my work (I must stay seated for long periods of time). I know been seated for a long time is a bad idea BUT I have experienced that NOT being seated doesn´t neccesarily improve the pain. I find that the oscilations in pain are not neccesarily linked with being seated or not (sometimes walking increases the pain, sometimes the opposite, sometimes a hard seat increases the pain, sometimes improves it and so on...).
Sorry if my English is hard, it´s not my native language.
Thanks

Posted by Susan RN 172 days and 20 hours ago.

Info Request

Is your doctor a general practitioner or a genitourinary doctor?

172 days and 20 hours ago.

Reply

I have been examined and treated by two genitourinary doctors along these seven years. Both have proved unsuccesful regarding pain relief.

Posted by Susan RN 172 days and 20 hours ago.

Info Request

Do you think there could be some type of nerve damage in that area from the inflammation caused by the infections? Have you thought about going to a pain specialist?

172 days and 20 hours ago.

Reply

I have thought that, but I´m a little afraid of "heavy artillery" kind of medicines. Do you know some kind of moderate successful and non-harmful treatment? I´ve been told and read about trigger points massaging and so on, but I can´t find any specialist where I live (Barcelona, Spain).

Posted by Susan RN 172 days and 20 hours ago.

Info Request

if you could find a massage therapist who does this type of massage, they could take care of this. In Spain, since I am in the US, do they have a listing of gyms or health clubs or even chiropractors who could have a massage therapist on staff? YOu could contact those places and ask. They may be able to refer you to someone they know of who could do this type of massage. I have a massage therapist in the states who does sacral-cranial massage and she has worked on my trigger points before with much success.

172 days and 20 hours ago.

Reply

I´ll try to find one

Accepted Answer

I will keep you in my prayers.

 

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Expert: Susan RN
Pos. Feedback: 98.0 %
Accepts: 299
Answered: 9/30/2009

Nurse

RN DNP, nurse educator 13yrs,hospital RN 10 yrs,Advd practice, OB/Peds,Pharm, Dosage calc, medical

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