Prostatitus advice

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Stanley Road
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Prostatitus advice

Post by Stanley Road » October 13, 2018, 9:34 am

Hello people. Some advice if you could help?

I had a full health screening at Bumrungrad in Bangkok last week and it turns out I am a pretty healthy bloke, apart from one bladder/prostate related issue. I had this issue a week or so leading up to the screening in the form of low level bladder pain. The docs at Bumrungrad said that the prostate screening showed a '70% chance that my prostate is fine' and the bladder issue is probably a UTI. However, they suggested I had a prostate exam to be sure. I stupidly decided to take the 70% chance and left with antibiotics for a bladder infection.

5 days later, on Monday just gone, its worse and started showing all the signs: feel like I need to pee every 20 minutes and finding it hard to pee all the time, a constant low level pain in the bladder. I went to a local urologist in Udon Dr Chirawat at the top of Ponsri road, not far from the park). he took a look at the health screening print out and said my white blood cell count was not high enough for a bladder infection, and insisted on doing the two finger exam. It hurt like a swine and he said I have prostatitus. He again checked the report for something which may or may not indicate prostate cancer and said relax, its not that - something in the report suggests it is not prostate cancer (I think lippy count or something)

He gave me some pills and said go back in a week. That was last Monday, its Saturday as I write this.

I have spoke to a friend in the UK who has suffered with this for 3 years and he was a bit baffled that the doc would give me just one weeks worth of pills. He said it takes weeks or months to clear up. Furthermore, im not even sure what pills i have here as the receptionist didnt know how to write down the name of each pill in English. So I am taking three pills each day, no idea what they are, seemingly in the hope this clears up in just a week. Am I right in thinking that sounds a bit off?

I was thinking of going back to Bumrungrad to get the digital prostate exam but I have no health insurance and the screening/hotels/flight I just paid for last week cost me fortunes. Obviously you cant put a price on health and if I have to go back to Bumrungrad so be it - but is there a local option which is just as good? Should I stick with Dr Chirawat?

I called Aek Udon (wife insisted I call them) and asked for Urology. I had to go through 4 different receptionists, each one laughing and joking with friends each time in the background, before being connected to a person who said "Mr, can not speak to doctor' and hung up on me. I didnt want to speak to a bloody Doc. I just wanted to speak to someone in Urology to ask if they have the digitial prostate exam there or just the two finger variety. Either way, it dosent fill me with confidence.

Bangkok Udon hospital in my experience are a waste of time. I first went there with the bladder thing a few weeks ago and they said everything was fine, nothing to worry about. Thats twice I have been told 'all is fine' by them when in fact I had something wrong.

So I am a little lost here, and filling my time researching prostate problems on google, which isnt filling me with confidence. One minute I am certain its just a thing that will clear, in a few weeks the next minute I have convinced myself I will soon be wearing a colostomy bag. My head is beginning to spin with this as I read about prostatitus in all its various forms and how it can take years to clear. And then there are the different types of prostatitus such as chronic, bacterial, or cancer. How can Dr Chirawat possibly know which one it is, and which medicine to provide, just by firing two fingers up there?

So I guess my question is this: In the opinion of any chaps in the know, should I just go back to Bumrungrad, or is that unnecessary because there might be a top doc in that field here in Udon?

Any help appreciated. I have genuinely been pretty cool about this all week - but woke up this morning a bit anxious about it all.

Best

Stanley



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AlexO
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Re: Prostatitus advice

Post by AlexO » October 13, 2018, 10:41 am

I can understand your anxiety Stan. I had the same thing a few years back and was on antibiotics for a about 3 months. The doctor was Thai who only visited Pattaya once every 2 weeks but really knew what he was doing even to the point that he told me to go to a pharmacy and buy the meds rather than pay the inflated prices the hospital charged. The docs can tell by feel if there is anything seriously wrong and then you have a blood test to see if there is anything just lurkng in the background. Get every test there is available just to make sure, I had a cousin who died from PC and its not a pleasant death. Take the bus and stay at a resort, will not cost you fortunes. Good luck mate.

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AA Ins Broker
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Re: Prostatitus advice

Post by AA Ins Broker » October 13, 2018, 11:46 am

If it of help, I can totally recommend Dr Nitti at the Bangkok Pattaya hospital from personal experience

https://www.bangkokpattayahospital.com/ ... 1&depid=28

I took a great deal of time checking different Urologists and found him to be the best – and not necessarily expensive

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Re: Prostatitus advice

Post by pf-flyer » October 13, 2018, 1:32 pm

I went thru a similar experience with my prostate when I was living in the U.S. I had frequent urinating and an ache in the area of my bladder and prostate. After weeks of dealing with a urologist at the county hospital, I went to a urologist at the University of Pittsburgh Medical Center. They did a urine analysis, Blood work, PSA and urologist performed a digital prostate exam which was not painful. He discovered a nogile on my prostate and he wanted to eliminate the possibility of cancer so he performed a prostate biopsy which turned out to be negative. By that time my aching and frequent urinating had cleared up and the doctor told me to come back if the problem returned. He advised me to get annual digital prostate exams when I moved to Thailand. When we moved to Udon Thani we went to AEK to register. I had the lady at the international desk set up an appointment with an urologist so that I could have my annual digital prostate exam like I was doing back in the U.S. At my appointment the Urologist at AEK just looked at my PSA reading said that it was good and said the digital prostate exam was not necessary and that was the end of the appointment. Needlessly to say I was disappointed. I remember the anxiety that I went thru back in the U.S. when I had my prostate issues and I ended up traveling the extra miles to a Medical facility that had the people that would be able to take care of my problems. Good luck.
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Re: Prostatitus advice

Post by choi choi » October 13, 2018, 1:36 pm

Dont know about Prostatitus, I have BPH (Enlarged Prostate) Had for about 2 years now
I take 5 mg Finasteride and 4 mg Doxasillin everyday.
I'm up 4-5 times a night. Pain in the butt !
Dont know whether the medicine works so good. Cant stop dosage.
This stuff dont work straight away. Takes a month or more to see results.
I cant afford an operation here I think expensive
Just hope dont get worse!

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pf-flyer
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Re: Prostatitus advice

Post by pf-flyer » October 13, 2018, 2:12 pm

[quote=pf-flyer post_id=524897 time=1539412323 user_id=4566]
I went thru a similar experience with my prostate when I was living in the U.S. I had frequent urinating and an ache in the area of my bladder and prostate. After weeks of dealing with a urologist at the county hospital, I went to a urologist at the University of Pittsburgh Medical Center. They did a urine analysis, Blood work, PSA and urologist performed a digital prostate exam which was not painful. He discovered a nogile on my prostate and he wanted to eliminate the possibility of cancer so he performed a prostate biopsy which turned out to be negative. By that time my aching and frequent urinating had cleared up and the doctor told me to come back if the problem returned. He advised me to get annual digital prostate exams when I moved to Thailand. When we moved to Udon Thani we went to AEK to register. I had the lady at the international desk set up an appointment with an urologist so that I could have my annual digital prostate exam like I was doing back in the U.S. At my appointment the Urologist at AEK just looked at my PSA reading said that it was good and said the digital prostate exam was not necessary and that was the end of the appointment. Needlessly to say I was disappointed. I remember the anxiety that I went thru back in the U.S. when I had my prostate issues and I ended up traveling the extra miles to a Medical facility that had the people that would be able to take care of my problems. Cranberry Juice that can be found at the Big C and Lotus is effective in clearing up bladder issues. Good luck.
[/quote]
"Life is like a tube of toothpaste. Outward pressure brings out the inward contents."

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maaka
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Re: Prostatitus advice

Post by maaka » October 13, 2018, 5:41 pm

for decades have suffered from all sorts of hell from downunder, and every time one thinks the worst. I have had the rubber glove and the hubble telescope search beyond my inner regions numerous times..I have had screaming pain, bowls full of blood that I just didnt want to know about, you name it..and bugger all has come of it...My dad died in his sleep of PC, and some say it runs in the family, so you cant help but be scared, but I push it to back of my mind..I found once the pain was caused by a certain chew bar I was eating by the dozens, last time the pain was so bad, the doc took one look and the rubber glove, and turned out I had spit something, afew days of cream, and was good as Larry.

I did see read in your post that the doc has said your prostrate was swollen, which is defined by the rubber glove test..Swabs can detect bowel cancer, blood tests can detect other factors...but searching google for answers will only led you to dying of stress...so take a breath dude, step back, your not alone, ok...me I would get a second opinion from the best you can find, even if that means returning homeward for a spell.. There are many wonders of the nether regions that do not lead to a bad outcome...my brother in law has just had his water works done due to a lack of flow, but he did not have PC...so heads up...

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maaka
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Re: Prostatitus advice

Post by maaka » October 13, 2018, 5:42 pm

I did NOT see in your post
sorry mistake

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Re: Prostatitus advice

Post by yartims » October 13, 2018, 6:50 pm

i had a camera down my dick pipe to check my prostate and bladder after a few UTI episodes ...all seemed ok eventually without drugs.many have a swollen prostate it seems

all my plumbing was on TV screen for analysis
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Re: Prostatitus advice

Post by DuiDui49 » October 13, 2018, 8:21 pm

Best regards
//DuiDui
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Re: Prostatitus advice

Post by maxeboy » October 14, 2018, 7:43 am

Referring to duidui's posting STHLM3 test for Prostate cancer I have just been back in Denmark for a family visit.
I learned about the STHLM3 test last year, an decided to take this test when I was in Denmark.
I had to make an appointment with a doctor in Stockholom (Did it on internet) and got and referral to to any Swedish hospital to have a blood test taken. This blood test was sent to Karolinska Hospital in Stockholm for testing. It took e little more than a month for an answer and the result was:

29 % risk of cancer. Doctor recommend. If a Swedish citizen then have a biopsy. My PSA show 8,2.

As being 82 years of age I think that going through a program with medicine, hormone, operation etc. is worse than the risk for a cancer developing in an aggressive way.

My conclusion: Watchful waiting. Ultrasound checking every 6 month. And PSA check every 3 month.

Kind regards from maxeboy.
GreatDane born free taxed into slavery

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Faraday
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Re: Prostatitus advice

Post by Faraday » October 14, 2018, 7:55 am

Yes, I think that unless things get alot worse Max, it's often better to "wait & see" how it progresses, if indeed it does.

John

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Re: Prostatitus advice

Post by Stanley Road » October 15, 2018, 1:16 pm

Thanks for the replies, truly appreciate it. I guess there isnt too much I can do, being just one week into this. It looks likely that I am in for a good few weeks or maybe months of it. There are far worse things to have but by christ its a miserable bloody affliction! I counted 18 trips to the toilet this morning between 8am and 10am, each one a waste of time.

I did get a second opinion from another urologist in Udon on Saturday. Without doing any checks and just looking at my health screen report he confirmed what the other urologist in Udon had said. Probably just a simple prostate infection. But what bothers me a little is there distinct reticence to realy delve into this and figure out what the issue is for certain at this early stage. There are three or four types of prostate issues all in the same ball park, but all treated differently. From what I can muster, the fast track to finding out what the issue actually is involves a digital probe, a blood test and a urine culture. I asked the second opinion urologist if we could do the urine culture. He just smiled and said very difficult. What the feck? Difficult? How is that an answer? It is either 'its kinda tricky but we should do it', or 'We dont need to do it'. Is he saying he cant be bothered because its not easy? I despair at these dudes sometimes. For all I know they could be totally wrong and I have something awful like prostate cancer. My Dad had it, after all. Faffing around with different antibiotics wont help if that is the case and it just seems like they are not rolling there sleeves up and getting stuck into this thing.

I have my second appointment with the first Udon Urologist tonight. Depending on how seriously he seems to be taking this, I will decide if it might be wise just to take the bull by the horns and visit Dr Niti at Bangkok Pattaya Hospital, as AA Ins Broker suggested (thanks for that). Im heading down there on Friday for 3 days anyway so I guess I could roll up a day or two early and see if he can nail this before it gets worse.

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Re: Prostatitus advice

Post by rjj04 » October 15, 2018, 4:14 pm

I don't know if this has any relevance to Prostatitus, but there seems to be a lot that can be done about BPH, and prostate cancer with nutrition. One simple thing that doesn't involve removing anything from one's diet is to add a tablespoon of ground flaxseed to your food each day. I just put it in my oatmeal or khao tom jai in the morning. Anyway, some info on this in these videos below...

* Flax seed works as well as "Flomax" medicine to reduce BPH
https://nutritionfacts.org/video/prosta ... us-plants/
* Flax vs Prostate Cancer
https://nutritionfacts.org/video/was-it ... n-or-both/
https://nutritionfacts.org/video/flaxse ... te-cancer/

side effects of eating flaxseed are...
* Reduced hypertension better than many hypertension medicines (high quality study)
https://nutritionfacts.org/video/flax-s ... ertension/
* Lowers cholesterol especially LDL
https://nutritionfacts.org/video/new-ch ... -fighters/
* Lowers HbA1c for Diabetics (small open label study)
https://nutritionfacts.org/video/flaxseed-vs-diabetes/
* Shown to cause healthier skin

and it is cheap!!

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Re: Prostatitus advice

Post by yartims » October 17, 2018, 5:04 pm

Bill Turnbull, a former presenter of BBC Breakfast, says cancer has been a ‘massive pain in the backside’. Photograph: Isabel Infantes/PA

The former BBC Breakfast presenter Bill Turnbull has told of the debilitating effects of undergoing chemotherapy for prostate cancer.

The Classic FM host, 62, revealed he was diagnosed with the disease at the end of last year, and it spread to his legs, hips, pelvis and ribs. After eight rounds of chemotherapy, Turnbull said he asked his consultant to release him from the treatment because he “couldn’t bear it any longer”.

“We ended up doing one more and then called it a day,” he told the Radio Times. “When I was first diagnosed, my PSA (prostate-specific antigen) level – the standard marker, determined by a blood test – was 583. It should have been less than five. We got it down to the 50s, so we’ve made some progress. The cancer has stopped spreading, but it hasn’t been beaten back entirely. We’re at a stalemate.”

Turnbull was diagnosed while recording an episode of the Great Celebrity Bake Off, to be broadcast on Channel 4 for the Stand Up To Cancer fundraiser. “When I was making my cupcakes, I had the disease and didn’t know it,” he said, describing the first few days after being diagnosed as some of the worst in his life.

He paid tribute to his colleague Rachael Bland, who died aged 40 after blogging about her treatment for breast cancer, saying she showed “courage indeed”. He also described how box sets and music, as well as support from family, friends, colleagues and the public, have helped him cope.

“It’s the fact that having cancer is so relentlessly boring,” Turnbull said. “You go to bed at night thinking about it, and it’s still there when you wake up. It’s there all day, every day – a fact of life you have to get used to. And it’s a massive pain in the backside.”

In 2015, Turnbull left BBC Breakfast after nearly 15 years. The following year, he announced he would be joining Classic FM to present two weekend morning shows.

Prostate Cancer UK told Radio Times its telephone service had its busiest day ever when Turnbull revealed his diagnosis, with calls up 400%. In the days after Turnbull’s announcement in March, visits to the health information page on the charity’s website increased by 190%.

Turnbull has previously told the magazine he hopes he can live for another 18 years. His blood count has been brought down by the chemotherapy, but he said the disease could return within months.

Though he had prostate tests aged 40 and 50, the presenter said he was annoyed at himself for not having visited a GP in four years – and encouraged others to get tested.

Angela Culhane, the chief executive of Prostate Cancer UK, praised Turnbull for sharing his story. “Awareness of prostate cancer is increasing and more men are having potentially lifesaving conversations with their GP, coming to us for more information and spreading the word,” she said.

“In the meantime, being aware of his risk is a man’s greatest defence against prostate cancer. Men over 50, black men and men with a family history of prostate cancer are at higher risk and should speak to their GP.”

https://uk.yahoo.com/news/bill-turnbull ... 04651.html
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Re: Prostatitus advice

Post by choi choi » October 17, 2018, 7:05 pm

rjj04?Thanks so much! I learned alot from the videos! I will order Flaxseed! Nothing gained.... nothing lost!

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rjj04
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Re: Prostatitus advice

Post by rjj04 » October 17, 2018, 9:25 pm

choi choi wrote:
October 17, 2018, 7:05 pm
rjj04?Thanks so much! I learned alot from the videos! I will order Flaxseed! Nothing gained.... nothing lost!
I'm glad you found them informative. Flax seed can be found at Big-C. It is with the raw seeds and nuts... I think the brand name is Heritage. Tops also have them. It is about 60THB for a bag that will last 2-3 months (one tablespoon a day) I suppose. You just need a blender/grinder.

choi choi
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Re: Prostatitus advice

Post by choi choi » October 17, 2018, 10:48 pm

Thanks! I will try Macro first. If not Big C! Macro might be cheaper

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Re: Prostatitus advice

Post by Tartempion » October 18, 2018, 4:25 am

Op: strange you do not have a PSA reference to show!
I had chronic prostatitus on a yearly basis, 10 days of antibiotics usually cured it.
From age 60 onwards got BPH (enlarged prostate) and have PSA and free PSA checked every 6 months.
Three years ago had last episode of prostatitus, went to AEK Udon where a PSA of 174 was discovered, where my usual score was around 7.
Got 3x intravenous antibiotic injections and two weeks on ciproflaxin.
Re BPH was advised to take tamsulosine but felt bad taking that.
I am on a very expensive med since 2016: combodart, 90€ for 90 pills, but my PSA is down to a low 2.93, hasn't been that low since I started checking PSA, no more prostatitus since taking that combodart med.
PSA 2003 was 4.73, 2005 5.5, 2006 7.2, 2008 8.7, 2009 12.4, 2010 21.8 (prostatitus) 2011 8.5, 2012 9.5, 2013 11.1
2015 10.3, 2016 5.3, 2017 4.1, 2018 2.93, the effect of combodart as of 2016 is obvious.

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Re: Prostatitus advice

Post by rjj04 » October 18, 2018, 6:34 am

Tartempion, I'm not trying to be a wise-arse or anything, but I was under the assumption that once you use an anti-biotic then all the little critters are completely dead (which is why they tell people to continue to take the meds until they are finished and not when they just "feel" better). Did your doctor have any idea what the bacteria is, and why it seems to keep coming back? Is it something in the food your eating? I'm curious about this as up until this thread I didn't even know there was such a thing as Prostatitus. I know women are sometimes getting urinary tract infections due to just handling chicken...

https://nutritionfacts.org/video/urinar ... g-chicken/

Or maybe they still have no idea? It does seem that animal products are being found more and more to be a vector for many of these viruses and bacteria.

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