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What Causes Intense Pain During Bowel Movement Or Ejaculation And Near Prostate Area?
Question: This is a question for my husand-
He is 31 healthy and active us marine in great shape-
Non smoker (dod smoke as a teen)
Non drinker as january-
Not everytime but at tomes when he either has a bowel movement or ejaculates gets a very intense pain where he has to lay down and get extremly pale from the pain on his prostate area- he saw the naval dr but said hes fine- we both think theor has to be some sort of answer opposed to just pain medications as needed. This has gone on for a yesr possibly a couple (2-6 ) times a month
He is 31 healthy and active us marine in great shape-
Non smoker (dod smoke as a teen)
Non drinker as january-
Not everytime but at tomes when he either has a bowel movement or ejaculates gets a very intense pain where he has to lay down and get extremly pale from the pain on his prostate area- he saw the naval dr but said hes fine- we both think theor has to be some sort of answer opposed to just pain medications as needed. This has gone on for a yesr possibly a couple (2-6 ) times a month
Brief Answer:
Investigations as suggested.
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
The symptoms you have described fit well into a condition called stricture (narrowing) of the urethra in the prostatic part or just after it.
I would advise such a patient the following:
Get a Per-rectal examination done by a General Surgeon or an Urologist to determine the situation of the prostate- its size, consistency, nodularity, tenderness on palpation etc; as also to palpate the urethra in its full length to see for any nodularity.
Another step would be to get retrograde urethrography done in which a XXXXXXX is passed from the external opening of the urethra and X-rays are taken.
Then can be subjected to direct visualization by doing Cysto-urethroscopy. This is diagnostic as well as sometimes curative as the stricture can be widened by cutting through it.
In addition to undergo all the other tests: Blood- complete blood picture, kidney functions tests, blood sugar fasting and post-lunch;
Urine- routine,microscopy, culture and sensitivity ( before start of antibiotic)
Ultrasonography of abdomen.
All these tests will help to get a proper diagnosis and give the plan for further management.
The symptoms your husband is getting is probably due to obstruction in the urethra acting as a valve when subjected to more pressure at defecation of ejaculation. When the local edema increases he would get the symptoms hence the occurrence at some times only.
I hope this answer helps you to get a systematic outline to go ahead with investigations, getting a diagnosis and a plan for the treatment.
Please feel free to ask further if you need any clarification; you may please rate this answer.
Investigations as suggested.
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
The symptoms you have described fit well into a condition called stricture (narrowing) of the urethra in the prostatic part or just after it.
I would advise such a patient the following:
Get a Per-rectal examination done by a General Surgeon or an Urologist to determine the situation of the prostate- its size, consistency, nodularity, tenderness on palpation etc; as also to palpate the urethra in its full length to see for any nodularity.
Another step would be to get retrograde urethrography done in which a XXXXXXX is passed from the external opening of the urethra and X-rays are taken.
Then can be subjected to direct visualization by doing Cysto-urethroscopy. This is diagnostic as well as sometimes curative as the stricture can be widened by cutting through it.
In addition to undergo all the other tests: Blood- complete blood picture, kidney functions tests, blood sugar fasting and post-lunch;
Urine- routine,microscopy, culture and sensitivity ( before start of antibiotic)
Ultrasonography of abdomen.
All these tests will help to get a proper diagnosis and give the plan for further management.
The symptoms your husband is getting is probably due to obstruction in the urethra acting as a valve when subjected to more pressure at defecation of ejaculation. When the local edema increases he would get the symptoms hence the occurrence at some times only.
I hope this answer helps you to get a systematic outline to go ahead with investigations, getting a diagnosis and a plan for the treatment.
Please feel free to ask further if you need any clarification; you may please rate this answer.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Thank you for the response. My husband will show his doctor this information.
We greatly appreciate this
We greatly appreciate this
Brief Answer:
Most welcome.
Detailed Answer:
Thanks for your appreciation.
Most welcome !!
You may please rate this answer.
Most welcome.
Detailed Answer:
Thanks for your appreciation.
Most welcome !!
You may please rate this answer.
Above answer was peer-reviewed by :
Dr. Raju A.T
Also dors it ge worst over timet
Brief Answer:
It does.
Detailed Answer:
Do you mean - Also does it get worst over time ?
Yes, it does get worst over time and can have complications of back-pressure on the urinary bladder, ureters and kidneys.
It does.
Detailed Answer:
Do you mean - Also does it get worst over time ?
Yes, it does get worst over time and can have complications of back-pressure on the urinary bladder, ureters and kidneys.
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Above answer was peer-reviewed by :
Dr. Raju A.T
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