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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Psa Shot Up, Gout Flare-up, Knee Swelling With Fluid, Medication, Constipation

My psa shot up from 1.91 to 10.63 from last Sept. to this March. I also have had A Gout flareup that went from the foot to the knee swelling with fluid. I am on a daily dose of medication and I m wondering if that could have caused it to go that high. I also have been constipated with hard stools
Sat, 26 May 2012
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Pathologist and Microbiologist 's  Response
hello. welcome to HCM,
The PSA elevation is marked but what is more important is that PSA velocity (increase over time )is also high. Your foot swelling indicates another pathology (? gout) which also needs investigation.
You need to get investigated thouroughly by TRANSRECTAL ULTRASOUND AND BIOPSY to rule out malignancy. Otherwise PSA may also increase in benign enlargements and prostatitis, though increase may not be that rapid.
so, please do not ignore, and get tested shortly.
Take care
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Psa Shot Up, Gout Flare-up, Knee Swelling With Fluid, Medication, Constipation

hello. welcome to HCM, The PSA elevation is marked but what is more important is that PSA velocity (increase over time )is also high. Your foot swelling indicates another pathology (? gout) which also needs investigation. You need to get investigated thouroughly by TRANSRECTAL ULTRASOUND AND BIOPSY to rule out malignancy. Otherwise PSA may also increase in benign enlargements and prostatitis, though increase may not be that rapid. so, please do not ignore, and get tested shortly. Take care