paraesthesias prostate infection

[jeff]

Hello. I am a 27 year old male, 6'2", 230 pound former college jock who is still physically fit and maintains a healthy diet. Last March, I felt a slight burning sensation in the area immediately above my genitals and was nauseous and received 10 days of tetracycline. Burning symptom faded but remained and others went away. In may, the same thing occurred with vomitting. Suspecting urinary tract infection, medicine was prescribed, but did not seem to do anything but symptoms seemed to fade. I received blood tests, urinalysis, and hernia tests-all normal. In middle august, I became much more ill (nauseous, vomiting, genital burning sensation) and went to the urgent care center, where they performed an EKG, blood sugar level test, and blood test. Only thing that came up abnormal was the test for an ulcer. I was put on the Helidac Theropy for 4 weeks and some symptoms disappeared. I switched doctors (from a family practitioner to an internal medicine)who suspected a prostate infection (spongy) and put me on Cipro for 30 days, 500mg-2x a day. Things feel better, but the paraesthesias feeling, which was present at the beginning before drugs persists. I am still having lower back aches, but not as bad as before. Is this still prostate related (prostatitus)? I have no known allergies to date. Thank you for any input. I have also seen a psychologists on my own for possible mental imagination of these sensations.

[CCF Neuro[P] MD, RPS]

Dear Jeff:

Since the paraesthesias begin before the Cipro, we can't blame cipro.  It is curious that your symptoms went away and still the internal medicine doc thought you had a prostatic infection.  I would think that the UA might have been telling if that were the case, but it is the wrong end of things for a neurologist.  The parasethesias might be due to alot of things.  I think I would visit a neurologist.  The ulcer could account for the vomiting, etc. but not the parasthesias in the lower extremities.  The prostatitis might give you difficulty urinating but not the parasthesias.  Cipro can induce paraesthesias but you had them before the the cipro.  I would just get things looked at.

Sincerely,

CCF Neuro MD

[don]

I have the same weird sensations which are in my lower extremities. Non of which I had untli after I was diagnosed with prostititis and on Levequin for 75 days. I still have these sensations, do you, are yours better?

[CCF Neuro[P] MD, RPS]

I hope you got your answer.

CCF Neuro MD

[don]

I had Prostititis diagnosed in April/99 (symtoms since Feb. 99). Was on Levaquine form April till end of June. Since then and during the Levaquine, I have had a few "weird sensations". Low back pain, groin pain I think because of the Prostititis. However the senastions that began in the June time frame worry me (like everyone else, is it MS). I have had tingling in my toes, never both feet at the same time. And a vague numbness on each knee, comes and goes. Also my legs periodically feel cold.Again none of this before Levaquine.
  My senations today are much lessened, although I still have the senations but at a much lower intensity.My question is should I pursue any doctors for these sensations? Could these (and my non bacterial prostititis) be realted to any of the following: I was a major stress/anxiety case (doing much better, no medication), I did have major lower back injury in Sept. 98, couldn't move for 3 days,Xray negative, but discomfort continued till prostitits was discoverd. Oh, I was 6'2" 170lbs in April, by Sept. I was and still am 200lbs. Lots of weight quick, Iknow levaqune can cause tendon damage/discomfort, which believe me I felt. Still have a funny functioning prostate, massages help A great deal (have stones). My non doctor opinion is with my back injury I developed some kind of nerve problems that effect my prostate and sensations in my knee and feet. The levaquine attributed to these sensations being enhanced. Just a guess.I appreciate your help.

[CCF Neuro[P] MD, RPS]

Dear Don:

Certainly, the trauma you describe could be one of the etiologies of your parasthesias, the quinolone is also another possible etiology, as the source of your prostatitis (infection) as an etiology.  I would see a neurologist and get a good physical neurological exam and work up.  

CCF Neuro MD