Whats wrong with me?

Lately I have been experiencing alot of lower back pain,painful urination,bloody stools,and infrequent pain during ejaculation.I am a 19 year old male with no history of problems what could be wrong with me?

[HFHS M.D.-BL]

Dear B. Bell,

Prostatitis denotes a condition of inflammation of the prostate gland.  Prostatitis is typically separated into two categories: those with and those without bacterial infection.  This is a critical differentiation, because bacterial prostatitis is unlikely to spontaneously resolve and also has the potential to escalate into potentially lethal bacteremia.  The symptoms of bacterial and non-bacterial prostatitis are very similar.  Most patients complain of painful urination, increased frequency of urination, ill-defined pelvic or perineal discomfort, and pain with or after ejaculation.


After reviewing your symptoms, I feel that you would benefit greatly from a thorough history and physical exam from a physician.  A physical exam, including a rectal exam, would be useful to either localize your symptoms to the prostate or to possibly find other reasons for your symptoms such as kidney stones.  Your physician would most likely perform a urinalysis to screen for bacterial infection.  After taking a careful sexual history, your physician may also deem screening tests for sexually transmitted diseases as necessary.  Your bloody stools could be related to your urinary tract symptoms, or could be due to a totally different process such as hemorrhoids.  There is no substitute for a complete history and exam by a skilled physician.  


This information is provided for general medical educational purposes only.  Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.  More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).


Sincerely,
HFHS M.D.-BL

[pete walker]

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[andt g]

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[Dave Johnson]

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