I Had An Elevated PSA. Doctor Prescribe Me Antibiotics For

Posted on Tue, 6 Oct 2020

Question: I had an elevated PSA. Doctor prescribe me antibiotics for 5 weeks. I am on my 3rd week. Is it reasonable to assume that if I get a PSA test done within the 3rd week, the PSA level should be decreasing if antibiotics are working?

Follow up: Dr. Dr. P. T. Patil (0 minute later)

I had an elevated PSA. Doctor prescribe me antibiotics for 5 weeks. I am on my 3rd week. Is it reasonable to assume that if I get a PSA test done within the 3rd week, the PSA level should be decreasing if antibiotics are working?

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
PSA levels should decrease with antibiotics.

Detailed Answer:
Hello
Thanks for query .

You have not provided few details in your query .

I shall be happy if you can post me more details to help me in making precise comments.
1) What is your age ?
2) What are the symptoms that you have for which PSA test was done ?
3) Have you consulted qualified Urologist ?
4) What are the other tests done if so upload detail reports

Normally PSA levels decreases if there is Benign Enlargement of Prostate associated with infection .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (12 hours later)

I am 45 years old. Had symptoms at night of frequent urination, blood in urine and a fever i believe. Was put on antibiotics-cipro...urine was positive for leukocytes,nitrities and hematuria. Urine culture had no growth. CBC test and MBP test were good except for low iron. PSA was 11.4. One week later urine test was negative for hematuria, leukocytes and nitrities. Ultrasound showed enlarged prostate 6.2x3.2x4.1 with volume 43.1cc. Bladder and kidneys,etc were normal according to the doctor. DRE was done and prostate was normal according to the doctor.Will be taking another PSA when done with antibiotics. Had another urine test which was negative. Just so worried!

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Answered by Dr. Dr. P. T. Patil (32 minutes later)

Brief Answer:
Elevated PSA could be mostly due to Acute Prostatitis

Detailed Answer:
Hello
Thanks for feedback .

Elevated PSA 11.4 is mostly due to Acute Prostatitis and should come done after taking antibiotics for 2-3 weeks .

Frequent urination with enlarged prostate detected on scanning needs to investigate further by doing Uroflowmetry to decide for taking alpha blockers like Tomsulosin .

Repeat PSA and consult your Urologist for further management .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (24 minutes later)

DRE was done and doctor said nothing felt abnormal, but ultrasound 2 days later shows enlarged prostate...please advise.

Follow up: Dr. Dr. P. T. Patil (0 minute later)

DRE was done and doctor said nothing felt abnormal, but ultrasound 2 days later shows enlarged prostate...please advise.

Answered by Dr. Dr. P. T. Patil (4 hours later)

Brief Answer:
Start taking Tomsulosin and Dutasteride once daily

Detailed Answer:
Hello
Thanks fr follow up .

You seem to have voiding symptoms due to Benign Enlarged Prostate (BEP).

Start taking combination of Tomsulosin and Dutasteride once daily (preferably at night) .

You need to monitor the size of the prostate by doing Ultrasound Scanning at every six months interval .

Repeat PSA test after six weeks as suggested earlier

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (3 hours later)

As far as tomusulosin and dutasterid, my doctor only prescribe antibiotics for 4 weeks. I'm not sure why he didn't prescribe the other two. During Dre, doctor felt nothing abnormal. But ultrasound showed enlarged prostate...why is that?

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Answered by Dr. Dr. P. T. Patil (6 minutes later)

Brief Answer:
My suggestions are based on Scan report and your symptoms .

Detailed Answer:
Hello
Thanks for follow up .

It is likely that he may reassess you after 6 weeks and prescribe drugs for BEP.

DRE detects presence of hard nodule (Suggestive of Cancer of Prostate ) Since he did not find any hard nodule on DRE examination he has commented as nothing abnormal .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (2 hours later)

Thanks for your input....my only question is where did the blood that i seen in my urine that one time cone from?.....started on antibiotics, had 2 urine test after that and no more hematuria and leukocytes/nitrites. So apparently it cleared up I guess.

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Answered by Dr. Dr. P. T. Patil (29 minutes later)

Brief Answer:
Hematuria is from congested enlarged prostate

Detailed Answer:
Hello
Thanks for follow up .

Blood in urine is usually due to rupture of a tiny vein on the surface of congested enlarged prostate which gets sealed off spontaneously and bleeding stops within a day or two .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (2 days later)

Is having hives,welts, itching,swelling associated or symptoms of prostate cancer or when prostate cancer spreads from your experience? And can you have a enlarged prostate with a normal PSA level?

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Is having hives,welts, itching,swelling associated or symptoms of prostate cancer or when prostate cancer spreads from your experience? And can you have a enlarged prostate with a normal PSA level?

Answered by Dr. Dr. P. T. Patil (5 hours later)

Brief Answer:
These are symptoms due to UTI secondary to enlarged prostate

Detailed Answer:
Hello
Thanks for follow up .

The symptoms that you had are most likely due UTI secondary to Enlarged Prostate .

One can have normal PSA with enlarged prostte .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (22 minutes later)

A UTI can cause hives, welts, itching? Never heard of that. My urine was tested 3 weeks ago and no infection. Just trying to figure out whether these hives,itching,etc is related or not. Doctor ordered CBC and CMP blood test. Doctor said that she didn't see anything that would cause those issues from blood report.

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Answered by Dr. Dr. P. T. Patil (5 minutes later)

Brief Answer:
UTI can cause these symptoms

Detailed Answer:
Hello
Thanks for follow up .

UTI can cause the symptoms that you have mentioned .

Urine culture would be more appropriate and is confirmative than only routine urine analysis to rule out UTI.

Thanks and Regards.
Dr Patil..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (7 minutes later)

Had a urine culture done almost 4 weeks ago when the initial symptoms started....frequent urination, hematuria,etc...urine tested positive for leukocytes, nitrites and hematuria. Urine was sent off for culture but no growth. One week later urine tested negative for hematuria, leukocytes and nitrities.

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Answered by Dr. Dr. P. T. Patil (7 minutes later)

Brief Answer:
It can become sterile after taking few doses of antibiotics

Detailed Answer:
Hello
Thanks for follow up .

It is your treating physician at that particular time to judge the cause of the symptoms .

My comments are based on general finding that we come across in our day to day practice .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (10 days later)

I started on antibiotics on 7/27/20 and finished on 8/25/20. On 9/4/20 i have blood work for PSA count and doctors consult on 9/15/20. I was so anxious to know whether my PSA was going up or down, so on 8/19/20 I had blood work drawn myself for PSA count. Previously PSA count was 11.4, on 8/19/20 it was 2.4. Is that a good sign? I was still on antibiotics for about an week after that 2.4 PSA count. Do you recommend that i should take ibuprofen,naproxen,etc for my enlarge prostate, until I see the doctor on 9/15/20?

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer:
Stop taking antibiotics

Detailed Answer:
Hello
Thanks for follow up
Your recent PSA is well within normal range suggesting that infection of Prostate (Acute Prostatitis ) has been completely cured

There is no need to take antibiotics now

You may continue Tomsulosin and Dutasteride once daily for enlarged prostate .

Thanks and Regards
DrPatil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (15 days later)

Psa is 1.1 as of 9/2/20. I go to the doctor next week to discuss. I am confused on whether I have a enlarged prostate due to a prostate infection or a enlarged prostate and a prostate infection. I thought once the infection was gone that the prostate would return to normal size. And also I had a urine test done today 9/12/20 sciatica it showed positive for nitrities ( No leukocytes). Everything else was negative. That has me a little nervous....plz advise...thanks!

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Answered by Dr. Dr. P. T. Patil (4 hours later)

Brief Answer:
There is nothing to be worried .

Detailed Answer:
Hello
Thanks for follow up

Your recent PSA is almost normal .

The infection of the prostate was the primary cause for PSA to be raised .As regards enlargement of prostate you need to do repeat Ultrasound Scanning of abdomen to assess the size of the prostate .

As regards presence of Nitrites in urine you need not worry about it as long as there are no leukocytes.

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Kampana

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. P. T. Patil (6 hours later)

Thanks!!...i have some allergy symptoms. Can I take one Zyrtec? I did some research/reading and some say not to use Zyrtec (especially benadryl), some say it's okay to use Zyrtec since its a 2nd generation drug if u have an enlarged prostate. Please advise.

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Can take Zyrtec

Detailed Answer:
hell
Tanks for writing again .

Since you do not have any obstructive voiding symptoms there is no harm in taking Zyrtec for few days .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. P. T. Patil (49 minutes later)

And finally....as I stated before I had nitrities in urine as of 9/12/20. I have some extra Bactrim pills. Should I start taking them now? I have an doctor appt on 9/15/20, should I wait until then and let him prescribe me something or do I need the antibiotics now? I don't want the urine culture to be sterile( no growth) if doctor does urine culture. If this makes sense.

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Answered by Dr. Dr. P. T. Patil (11 hours later)

Brief Answer:
Wait till you get examined by your Dr on 9/15/20

Detailed Answer:
Hello
Thanks for follow up .

You can wait till tomorrow and start taking antibiotics if advised by your Dr. .
Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (48 hours later)

Do taking medication for enlarged prostate such as tomusulosin and dutasterid to relax the prostate cause any problems like erectile dysfunction? And is it something u take daily for the rest of your life?

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Answered by Dr. Dr. P. T. Patil (12 hours later)

Brief Answer:
Tomsulosin will cause Retrograde Ejaculation .

Detailed Answer:
Hello
Thanks for follow up .

Tomsulosin has a side effect of Retrograde ejaculation .Dutasteride taken over a long period does affect sexual potency causing loss of libido .

Both the drugs are being advised and give symptomatic relief and help to improve urine flow however one has to evaluate the status of Enlarged prostate at frequent interval say every six months and may need to take a call for need for surgical intervention which depends upon the severity of symptoms , status of size of prostate and post void residual urine volume .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar