Hello. Thank you for posting your query at DoctorSpring.com
From your symptoms it does not appear that you are suffering from prostatitis. I shall be keen to know if you are having urinary or bowel symptoms.
You are probably experiencing a lot of symptoms related to that area secondary to localized neural dysfunction. You should start yourself on T. Flomax 0.4 mg once in night under the care of your doctor and also get Vitamin B 12 levels assessed if possible.
Feel free to discuss further,
Take care.
Regards.
Dr Rajiv Goel
MS (AIIMS), MCh (AIIMS), DNB ( Uro)
Patient replied :
Thanks for the reply. I'm not having any urinary or bowel symptoms. Occassionally after bowel movement, when wiping forcefully, I'll get a couple dots of red. But I've had that on occassion in months and years old patientpast, and contributed it to wiping too hard.
1) Can you explain a little more what you mean by localized neural dysfunction?
2) I looked up Flomax and noticed it's a drug used for enlarged prostate. Is that what you think this may be? Or were you thinking it may simply help relieve my symptoms?
3) My dad had prostate cancer. I'm 42 and planning to get checked. What are the chances that my symptoms are signs of cancer??
4) I consulted another online Urologist earlier, and he thought it was likely either urethritis or prostatitis, and that he would first test for infection then prescribe antibiotic. I was using DotorSpring as a second opinion. Can you give me your thoughts on the other doctor's assessment?
Sorry for the variety of questions. I just want to learn as much as I can. Thank you.
Thank you for the follow up.
Neural dysfunction means that at times nerves in the local area get strained and thus patients gets discomfort in the involved area.
Flomax is primarily used for treatment of enlarged prostate but in your case it shall help to relieve the symptoms and nothing more.
Your symptoms don't suggest prostate cancer but still annual check up is mandated because of family history.
You don't need antibiotic. Just wait for few weeks and you shall be fine.
Feel free to discuss further,
Regards.
Patient replied :
Ok, I will seek a prescription of Flowmax.
1) You mentioned .4mg, once at night. How long should I take these for?
2) If I didn't take Flowmax, is this discomfort something that would simply go away over time?
3) I only ask the second question because the symptoms (sore testicles and inner thigh numbing) and discomfort have increased over the course of a month or more. Is that normal for this 'condition'? Are the nerves somehow becoming more inflamed/sensitve over time?
Thanks
Hello Sir.
Thank you for the follow up.
Your symptoms should disappear over the next few weeks and they do show waxing and waning pattern. However, your recovery shall be quicker and better if you could take Flomax 0.4 mg once in night for 4 weeks.
Feel free to discuss further,
Regards.
Sincerely