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Hello Doctor. I Have Been Undergoing Prostatitis Treatment For Last
Question: Hello doctor. I have been undergoing prostatitis treatment for last 6 months. In April this year i started feeing better. My semen analysis showed 2-4 HPF however culture report showed pseudomonas aeruginosa. The doctor said since I am ok and there are no symptoms it is probably the sample contamination. He still gave me levoflox for 21 days and then asked to undertake one more semen culture and analysis.
I did the semen test again and the culture report was normal and the analysis now showed hpf as 8-10. I do not have those early symptoms anymore and there is very occasional pain in the scrotum which is of very less intensity. Do I need to be worried or you reckon that reports are normal and nothing to worry. Someone said that 8-10 hpf is not concerning and actually normal .
Thanks
Hemant
I did the semen test again and the culture report was normal and the analysis now showed hpf as 8-10. I do not have those early symptoms anymore and there is very occasional pain in the scrotum which is of very less intensity. Do I need to be worried or you reckon that reports are normal and nothing to worry. Someone said that 8-10 hpf is not concerning and actually normal .
Thanks
Hemant
Brief Answer:
MANAGEMENT OF BACTERIAL PROSTATITIS.
Detailed Answer:
Hi XXXXXXX
Welcome to "Ask a Doctor" Service.
I am Dr Ajeet XXXXXXX
As per your description,it seems that you have been cured completely and you don't have to worry much.
Points in favour of this are...
1)You are free from symptoms now (Fever with chills and rigors,nausea,vomitings,urinary burning etc)
2)You have completed the full course of antibiotic treatment.(Quinolones like Levofloxacin are the drug of choice)
3)Your seminal culture is sterile (It is highly sensitive to detect a bacterial prostatitis).
This is an indicator that your infection has been treated adequately.
The reliability of semen as a diagnostic sample is very debatable.
Usually clinicians (and me) supplement it with urine test,Blood tests(counts /PSA) and sonogram to identify the disease.
I agree with your clinician on contamination theory because pseudomonas aeruginosa is the most common contaminent encountered in medical labs.
For good prostatic health,avoid activities that can irritate your prostate such as prolonged sitting,try to stand up as much as possible, be physically active, have a healthy diet, keep yourself well hydrated(that would keep the system flushed), practice safe sex, mantain good hygeine and avoid spicy foods.
Hope that I have answered your query.
If you have any doubts,please let me know.
Stay healthy.
Best regards.
MANAGEMENT OF BACTERIAL PROSTATITIS.
Detailed Answer:
Hi XXXXXXX
Welcome to "Ask a Doctor" Service.
I am Dr Ajeet XXXXXXX
As per your description,it seems that you have been cured completely and you don't have to worry much.
Points in favour of this are...
1)You are free from symptoms now (Fever with chills and rigors,nausea,vomitings,urinary burning etc)
2)You have completed the full course of antibiotic treatment.(Quinolones like Levofloxacin are the drug of choice)
3)Your seminal culture is sterile (It is highly sensitive to detect a bacterial prostatitis).
This is an indicator that your infection has been treated adequately.
The reliability of semen as a diagnostic sample is very debatable.
Usually clinicians (and me) supplement it with urine test,Blood tests(counts /PSA) and sonogram to identify the disease.
I agree with your clinician on contamination theory because pseudomonas aeruginosa is the most common contaminent encountered in medical labs.
For good prostatic health,avoid activities that can irritate your prostate such as prolonged sitting,try to stand up as much as possible, be physically active, have a healthy diet, keep yourself well hydrated(that would keep the system flushed), practice safe sex, mantain good hygeine and avoid spicy foods.
Hope that I have answered your query.
If you have any doubts,please let me know.
Stay healthy.
Best regards.
Above answer was peer-reviewed by :
Dr. Kampana
Thank you Dr Ajeet. It is much appreciated that you took time to respond.
My only question is about the pain in the scrotum. It is very short lived and does not affect me too much but is it normal when I touch or press the penis or wash it during shower.
My only question is about the pain in the scrotum. It is very short lived and does not affect me too much but is it normal when I touch or press the penis or wash it during shower.
Brief Answer:
PROSTATITIS
Detailed Answer:
Hi Sir.....
After the infection,inflammation of the prostate gland takes some time to resolve.
Many of patients complain of pain in the lower back,lower abdomen,pubic area, penis, scrotum and anus.
You can take NSAIDs like advil (Post meals) for pain and residual inflammation.
Many a times, muscle relaxants like Tizanidine and anti-anxiety medications are prescribed to the patients who do not respond to simple pain killers.
Prostatic massage (Massage therapy) can help drain the residual fluid that is causing the inflammation and hasten up the recovery.
Hot baths and heat therapies can also help to reduce the discomfort.
Make dietary changes,which I have advised(to avoid further prostatic irritation).
You symptoms should improve very soon.
Regards
PROSTATITIS
Detailed Answer:
Hi Sir.....
After the infection,inflammation of the prostate gland takes some time to resolve.
Many of patients complain of pain in the lower back,lower abdomen,pubic area, penis, scrotum and anus.
You can take NSAIDs like advil (Post meals) for pain and residual inflammation.
Many a times, muscle relaxants like Tizanidine and anti-anxiety medications are prescribed to the patients who do not respond to simple pain killers.
Prostatic massage (Massage therapy) can help drain the residual fluid that is causing the inflammation and hasten up the recovery.
Hot baths and heat therapies can also help to reduce the discomfort.
Make dietary changes,which I have advised(to avoid further prostatic irritation).
You symptoms should improve very soon.
Regards
Above answer was peer-reviewed by :
Dr. Kampana
Thank you doctor. I am grateful for your advice. Probably I can take Advil as adviced.
Just one last question. For how much duration you recommend I should take that medicine.
Just one last question. For how much duration you recommend I should take that medicine.
Brief Answer:
PROSTATITIS
Detailed Answer:
Sir,you can take it twice a day for next 5 days.
Take it after your major meals to avoid gastritis.
Wishing you the best.
Happy living.
Regards.
PROSTATITIS
Detailed Answer:
Sir,you can take it twice a day for next 5 days.
Take it after your major meals to avoid gastritis.
Wishing you the best.
Happy living.
Regards.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Yogesh D
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