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Can TRIMETHOPRIM/SULFA treat CHRONIC PROSTATITIS?

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I am 57 years old, and have had chronic prostatitis for about 30 years. When the infection first happened, my urologist first tried trimethoprim/sulfa, but I was allergic to sulfa. He then tried Cipro, but it gave me a severe upset stomach (and then an ulcer).

My urologist has also since tried levaquin, but I cannot tolerate the drug for more than three weeks without stomach upset. The drug works at the time, but future flareups continue.

Since then, the infection has been more or less managed through 100mg of trimethoprim daily. However, the infection tends to flare up once every 6-24 months. I double the trimethoprim when that happens, and it generally takes about 6-8 weeks for the flareup to subside.

My urologist says that if I could tolerate sulfa or a quinolone for 6 weeks, the condition might be cured, but since I cannot do that, the trimethoprim is the best he can suggest. He said he was not aware of any other anitbiotics that would work, but suggested I might consult an infectious disease specialist to see if they had any other alternatives to suggest.

So, my question is, do you know of any other antibiotics besides sulfa, trimethoprim, and quinolones that may help to cure a chronic prostate infection? Or, if not, are there any quinolone antibiotics that tend to be easier on the stomach than levaquin or moxifloxacin?

Thank you!

Dave

Category: HIV- AIDS Specialist

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Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
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Expert:  Dr. Jaydeep Tripathy
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Hello,
Thank you for your query at DoctorSpring.com
I understand your concerns and anxiety.
No HIV can't be spread through biting. I can assure you that, so please do not worry and there is no need to take the test either.
It can only be spread through intercourse, blood transfusion, peri natally, or through IV drug abuse.
I hope you will stop worrying about it now.
Feel free to discuss further,
Regards.


Patient replied :

Thank you doctor...
i think in the past we had discuused with you..any way i am mentally not perfect due to this..so again nd again iam asking...any way stinging of lips,biting surely no chance right..and my dought is some one says teeth biting is may chance to get..is it? and i have not bitten deeply hardly,but my dought is only if any chance in the sense if any blood she contains? and let me know if she is positive and bitten on my shoulder..what will happend...there are no veins on the shoulder to get into body right? please dont mind for my questions doctor....thank you...


Expert:  Dr. Jaydeep Tripathy
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Hello,
Even if the female who bit you has HIV there is no chance of passing on the infection.
The viral load that goes inside the body needs to be adeqaute to cause an infection.
So it can't be transmitted through biting.
I understand your doubts and I refered your previous consult too, but please do realise that the mode of infection you're talking about is not possible.
Regards.


Patient replied :

ok doctor thank you very much,
so i will try to be normal and will take care if about having sex...and 1 more thing i want to know doctor..from few months my skin was getting reddish when i rubbing only..not usually...if i rubbed on my skin it becomes reddish for some time and will be normal then..what may be the reason...and i reguraly used to take medicines for headache and some other health problems...is it due to medications and water change r any?this would be also my tensing question in sexual problems....
thank you...


Expert:  Dr. Jaydeep Tripathy
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Hello,
That could be due to an allergic response.
If it persists you can try a course of Tab. Claritin 10 mg once daily for 7 days.
Apart from that it is nothing to be worried about. It won't cause any sexual problems.
Regards


Patient replied :

ok doctor,
so that skin problem was not due to any sexual contact right...ok doctor Thank you very much for giving good advices and suggestions for me..actually i am very afraid to test b coz i did not perform any serious r penatration sex...and i did orally...but some one makes me to tense and anxiety..so i thought i need to get correct advises and suggestion to get rid of these issues...b coz i am basically not a person like to be go and to be tested..but during some situations only i went to did the sex thats it.Any ways Thank you very much doctor for giving help ful information...so that i can relax now right?


Expert:  Dr. Jaydeep Tripathy
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Yes you can totally relax as you have nothing to be worried about.
And the skin problem is not related to the sexual relation.
All the best!!
Regards.

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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