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What Causes Discomfort In Prostate Area For A Couple Of Weeks?

Posted on Mon, 2 Jun 2014

Question: I have been facing discomfort in prostate area for a couple of weeks especially long hours of sitting. I feel there is a slight swelling. I face problems in urination as well. It feels as if I have to force the bladder to empty. My stomach is also not smooth. Get constipation for few days and then loose for few days. Now I am facing problem in getting normal erections. I am really worried. Please advise. Didn't get time to consult a doctor as I am traveling for client visits

Answered by Dr. Deepak Kishore Kaltari (25 minutes later)

Brief Answer:
Symptoms likely to be due to reduced water intake

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day

Dear XXXXXXX

I would like to have additional information before we proceed for the management. Do not worry will take care of the things

1. Duration of symptoms
2. Is there any burning sensation while passing urine
3. Is the urine high coloured?
4. Are you circumcised?
5. Is the problem of erection during masturbation or intercourse.
6. Is there associated fever?

Constipation is likely to be due to following
1. Low fibre diet
2. Decreased intake of water
3. Presence of lesion of anus and rectum

I would suggest you the following

1. Plenty of oral fluids: 2-3 liter of water a day
2. High fibre diet: 2 servings of vegetable salad and fruits everyday
3. Oral Laxatives : Syrup Lactulose 5 ml twice a day will be helpful.
4. Regular intake of meals
5. Avoid spicy and oily food
6. Avoid alcohol/carbonated beverages

Ensuring water intake of 3 liter a day will also solve the issue of Urine complaints.

Do get back to me

Take Care

Best Regards
Dr Deepak Kishore
MBBS,MS,MCH
Consultant Surgeon

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (11 minutes later)

thanks for answer.
1. symptoms have been for 3, 4 weeks. it subsided for 2 weeks then again refuraced now.
2. burning sensation was there for 2 days. it subsided.
3. urine was dark yellow for a week or so
4. I am not circumcised.
5. erection problem happened during intercourse. I had good erection history. suddenly one day I suddenly faced this problem. I have to touch manually to get an erection. it dies not stay for long.

FYI, I take thyronorm for hypothyroidism.
I feel there is a bit of swelling in the prostate area. I do feel feel my bowel is not empty. and feel discomfort in lower abdomen as well..

Answered by Dr. Deepak Kishore Kaltari (17 minutes later)

Brief Answer:
Likely to be due to reduced intake of water

Detailed Answer:
Namasthe

Dear Mr XXXXXXX

The most likely cause of your symptoms is decreased intake of water and fibre in diet. The Heaviness you are facing is likely to be due to pelvic congestion due to concentrated Urine and constipation( Both Urinary and rectal muscle share the same pelvic floor , constipation can cause urinary complaints and vice versa).

I would suggest you the following which will definitely Help

1. Ensure good intake of water: minimum of 3 liter a day( remember its summer season , I assume you are based in India) So the water requirements are high.
2. Avoid alcohol: Alcohol acts as diuretic and washes water off the body.
3. Urinary Analgesic: Tablet Pyridium(Phenazopyridin) 200 mg thrice a day for 3 days: It will help relieve pain/burning while urinating. It may cause orange discolouration of Urine , its bsolutely normal
4. Syrup Citralka: 5 ml in glass of fresh lime water thrie a day
5. Antibiotic: (Advising since you have no time to go to doctor): Tablet Ciprofloxacin 500 mg twice a day for 5 days
6. Laxative: Syrup Lactulose 5 ml twice a day
7. Rectal Suppository: Single insertion f rectal suppository Like Dulcolax(DBisacodyl) inserted into the rectum(its bullet shaped smooth, it can be inserted digitally into the rectum). It will cause evacuation of stools and relieve you of fullness

Do keep me updated about the progress. Its always feels good to know the progress.
Do get a thorough clinical examination from your physician after getting appointment
In case you need any assistance, just write to me directly , assuring you of speedy solution

Take Care

Best Regards
Dr Deepak Kishore

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (57 minutes later)

Thanks. I will try these and will come back with condition after a few days.
for antibiotics, I have Ciplox TZ carrying with me. will that help?

Answered by Dr. Deepak Kishore Kaltari (4 minutes later)

Brief Answer:
Relaxation technique will be helpful

Detailed Answer:
Dear XXXXXX

CIPLOX TZ will also do.
Erection problem could be temporary. Majority of the erectile problem are due to stress and anxiety. Relaxation and enjoying the act will be beneficial.

Take care

Best Regards
Dr Deepak

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Deepak Kishore Kaltari (2 days later)

I have started medicines and started following your instructions. However, I am still facing issues with erection especially during intercourse.
When I try to get erection I feel more discomfort in prostrate area up till anal muscles. I am really worried. Plz guide. I will definitely go through a complete checkup once I land back in my city.

FYI. I have been severely stressed in the past one year and also my physical stamina has gone down since prostate n stomach issues have started. I get exhausted by evening..

Answered by Dr. Deepak Kishore Kaltari (23 minutes later)

Brief Answer:
Wait for the medicine to act

Detailed Answer:
Hi
Greetings,

I do understand your difficulties. Do not worry things will be taken care off. Let the medicine start acting. Also would suggest you Multivitamin and Hematinic supplements.
Do not just concentrate on Erection, enjoy the act. You will be surprised to see that you no longer have any problem with erection. Stress , Psychology have a negative impact on erection. As you have mentioned that you were stressed that could be the major factor in it.

Be relaxed
You should be fine soon.

Take Care
Regards
Dr Deepak

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