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Diagnosed With Prostatits!

Hello everyone! I started having problems back in February. There was urinary problems(starting,pain after,testicvle pain,etc.) I went to drinking water & things got better. After a few days, things went back in the toehr direction. This time I got fatigued & nausea along with all the previous symptoms. I again went back to just water for drinking & things didn't get much better.

I made a call to the doctor. My initial exam was the DRE with an enlarged prostate with warm feeling to touch along with tenderness. I was given 7-week treatment of Bactrim DS. I got sicker so went to the ER. My meds was changed to 3-week course of Doxycycline. Felt better towards end of third week.

Things got bad again about a week later. Went back to regular doctor for another DRE & the NP thinks the infection(prostatitis, but what kind please?) wasn't fully gone. Now, I'm back on another 2-week treatment of Doxycycline. Feel a little better but not myself still. Any opinions from a doctor here on the forums? What type prostatitis do I have? Or, is it really an infection? Do I also have an enlarged prostate that's leading to the infections? I just want some real answers & if it's an infection what needs to be done to prevent these relapses? Thanks for the time & due to character limits I made this shorter than I wanted!
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Avatar universal
Well, I appreciate the response! The doctor in which I been referring to is a urologist office so I am getting the proper doctor. After 4 visits though they seem to think all these symptoms are related to BPH now & that the infection should be gone.

However, looking at my CBC then I don't know. I requested that my results(both CBC & PSA) be sent to me because I' considering another doctor. I have taken a look at the results & have some abnormalities in the CBC.

My WBC count was low at 4.4 which I read could be signs of a weakened immune system. Also, my monocytes was very high at 10.4 which I read could mean a possible infection. One other reading ALT(SGPT) was high at 64 which can be a number of possible things. All other readings were normal. My PSA was at 0.9 which means a pretty low chance of prostate cancer. Any ideas or clues about my CBC readings?

I am still having some discomfort with urination & also mild testicle pain but better than a few weeks ago. As long as I'm doing the broccoli treatment thing then my symptoms are much better but when I take the breaks then the symptoms come back. I'm still getting some nausea when off the broccoli but not when I'm continuing. It's just a constant battle. Thanks!
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242579 tn?1252111171
MEDICAL PROFESSIONAL
Your symptoms seem to be consistent with prostatitis. Prostatitis can lead to recurrent episodes of these symptoms and the best treatment is extended course of antibiotics and medications such as Advil or other NSAIDS.

There are many causes of prostatitis.  It is well known that numerous types bacteria can cause Prostatitis but it is often difficult to determine the exact type.  There are other cause but the distinction is less important as they are treated the same.  

Some men can have recurrent episodes of symptoms, which may be considered chronic prostatitis.  In these cases, when symptoms return, treatment includes extended course of antibiotics and treatment of symptoms as mentioned above.

Many men develop enlarged prostates as they age. This condition, known as benign prostatic hyperplasia or (BPH), is often suspected when a DRE reveals a larger than normal prostate. However, normal can be relative and BPH is typically not treated until symptoms such as frequent urination, difficulty initiating urination, weak stream, and frequent nighttime urination occur.  

Typically the severity of symptoms is evaluated by a patient’s response to a standardized set of questions that help to establish a threshold of symptoms that warrant treatment with medication.  Prostatitis classically can make the prostate tender on DRE and it is possible that your relatively enlarged prostate can be due to BPH.  

You may want to consider seeing a urologist - particularly if you continue to have recurrent episodes of symptoms.  A urologist can evaluate you further and offer specific treatment and advice and monitor your improvement.  
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Avatar universal
No comments or suggestions from even anyone excluding a doctor?
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Avatar universal
BTW, I did have a PSA done & the results came back normal. Thanks!
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