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Suggest Remedy For Yellowish Green Discharge After Urination

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Posted on Thu, 19 Mar 2015
Question: I'm a 51 years old male, I've been taken antibiotics for a while, I've noticed some improvement, however, the burning feeling is still there! I've also noticed a couple of times some yellowish green discharge after urinating when I squeeze the pennies to remove the urine remains. A recent ultrasonic scan showed that the prostate is mildly enlarged in size with inhomogeneous echotexture with approximately 12x11x10mm sized cyst. The prostate measures 37cc by volume. Transverse prostatic diameter measures 5.3cm. The impression is that I have a mild prostatomegaly with small prostatic cyst. Can I have your opinion regarding this condition please? Thanks
doctor
Answered by Dr. Chobufo Ditah (27 minutes later)
Brief Answer:
You probably have a prostate infection!

Detailed Answer:
Hi and thank you so much for this query.

I have reviewed your information fully. I think you have an infection called prostatitis. This explains the symptoms and ultrasound findings. Treatment consists in using antibiotics for long to eradicate the infection. Sincerely, it would be a difficult infection to treat and you may need antibiotics for as many as 6weeks. If response is not god enough, I will suggest you get cultures and antibiotics sensitivities done to identify the germ and what exact antibiotic is required.

I hope this helps. I wish you well. Thanks for using our services and feel free to ask for more information and clarifications if need be.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (15 hours later)
Hi Chobufo Ditah
Thanks for getting back to me.

I've been advised that no extra charge will apply until the 5th March! Please advise me otherwise.

I just need some further clarification.
Test analysis indicated the presence E.Coli, so I had Norofloxacin for two weeks, however, the burning feeling came back after two weeks, a second test result showed the presence of E.Coli again, and now I've been taking the same medication for three weeks, still got tablets for one more week.
Can you please advise what type of prostatitis I have?
Do I need to take more antibiotic, i.e. 6 weeks treatment?
Will the cyst go/disappear using the antibiotics?
Kind Regards
XXXX
doctor
Answered by Dr. Chobufo Ditah (1 hour later)
Brief Answer:
Chronic prostatitis is difficult and takes long to be treated!

Detailed Answer:
Hi,

You probably have chronic bacterial prostatitis.

This condition is difficult to treat and it takes long. The difficulty is that most antibiotics do not penetrate this gland. You would need to take the drugs for long and follow up with your doctor. In extreme cases, you may require surgery to take off the gland if the infection cannot be controlled with drugs. This is however the last option and we are no where close to that at this time.

I hope this clarifies some doubts you had. It is true, you can keep on discussing with me at no additional cost to you as advised.

I wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (11 hours later)
Hi Dr Ditah,
Thanks again for your reply.
Based on the sensitivity test, Norofloxacin appeared to be the most efficient antibiotic, not sure how would we know whether it penetrates the prostate gland? what can be done to improve the penetration, i.e. hot sits baths? exercise to promote blood recirculation in that specific area? drink specific juices such as cranberry? etc.
Also, as mentioned earlier, I've been referred to a urologist and I'm expecting further investigation to be done which may involve taking a biopsy from the gland, some kind of scop through the urethra, etc. Do I need to go through all of that? Finally, How many courses of the antibiotic should I take? I've taken 3 courses so far and I'm feeling some improvement. Do you recommend another antibiotic?
Kind Regards
XXXX
doctor
Answered by Dr. Chobufo Ditah (2 hours later)
Brief Answer:
Follow up with the urologist!

Detailed Answer:
Hi,

Thanks for this detailed information. Other ways that may prove helpful is to do sits baths which consist in sitting in a bowl of lukewarm water to help increases circulation to the gland and improve antibiotics delivery. Gentle massage has also been shown to be helpful.

In any case, I will suggest that you follow up with the urologist. This would be a great opportunity to understand more and address accordingly.

Keep me updated. Norfloxacin is among one of the best drugs used for this condition along side other like bacterium. I will not recommend any further courses or antibiotics at this time unless something else comes up.

I wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (46 hours later)
Hi Dr Ditah,
For some reason I've started experiencing some low back pain, I know this could result from the prostatitis, however, I don't have the burning feeling anymore and my urine stream has also significantly improved (straight line), the frequency of urinating is normal and no pain in the urethra? I'm still taking antibiotics?
Your comments will be appreciated.
Best Regards
XXXX
doctor
Answered by Dr. Chobufo Ditah (2 days later)
Brief Answer:
Please follow up with your urologist.

Detailed Answer:
Hi,

Glad to know that you are doing good now. Yes, the low back pain could be due to prostatitis by itself. I would suggest you to continue the antibiotics as long as you have been prescribed for, since it will take a long time to be cured completely. Please follow it up with your urologist. Further course of action can be decided only by him/her.

I would request you to close this discussion.

Thank you!
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Chobufo Ditah

General & Family Physician

Practicing since :2009

Answered : 6323 Questions

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Suggest Remedy For Yellowish Green Discharge After Urination

Brief Answer: You probably have a prostate infection! Detailed Answer: Hi and thank you so much for this query. I have reviewed your information fully. I think you have an infection called prostatitis. This explains the symptoms and ultrasound findings. Treatment consists in using antibiotics for long to eradicate the infection. Sincerely, it would be a difficult infection to treat and you may need antibiotics for as many as 6weeks. If response is not god enough, I will suggest you get cultures and antibiotics sensitivities done to identify the germ and what exact antibiotic is required. I hope this helps. I wish you well. Thanks for using our services and feel free to ask for more information and clarifications if need be.