Hello. Thank you for your query at Doctorspring.com
I understand your concern.
The pain around the prostate area or the lower abdomen can be due to a lot of causes like prostatits, cystitis, stones or UTI. I need some additional details to guide you. Most commonly the pain in the prostate is due to prostatitis in which you will have symptoms like pain in the abdomen, increased frequency of urination, an urge to urinate constantly, waking up in the middle of night to pass urine, fever, feeling of incomplete voiding, burning micturition. What is the severity of the pain? Is it constant/ intermittent?
Do you have any such features? Do you have any burning sensation while passing urine? Are you sexually active? Since you said your urine tests are fine, it rules out UTI, however prostatitis can't be ruled out by simple urine examination. Hence an elaborate history is required.
Once you give me additional details, i will guide you further. In such cases with a long duration pain like for one month, not resolving, it is advisable to get an Ultrasound-Whole Abdomen done.
Regards
Patient replied :
Thank you for your answer.
The pain on a scale from 1 to 10 is a 3 or 4. I feel i need to pee very frequent but when i go i pee just a little urine and my bladder feels 'empty' / towards burning. But not really painful. I had a urine bladder echo which was ok. Sexually active not since im on the job. My girlfriend back home however was tested positive for eureaplasma (?). It was 5 months ago since last intercource.
Hello. Thank you for writing to us again.
All your symptoms point towards cystitis. Did you have a urine culture done? Whatever reports you have, is it possible for you to upload?
Since you have not been active sexually recently i can rule out STDs. However since your girl friend has positive Ureaplasma, it is a cause of concern, since this organism colonizes the genital tract for a long time and can cause prostatitis/cystitis and cause the symptoms that you're having currently. Though the chances are less, however it is possible.
Hence i need you to get an urine culture done, if not already done.
I will also advise you to start :
Tab. Norfloxacin 2 tablets twice daily after food for 7 days.
Get back to us and please upload all your reports,
Regards