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What Causes Elevated PSA Levels?

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Posted on Mon, 19 Jun 2017
Question: PSA for last 4 years been 4
Two months ago right after a stomach bug it jumped to 7
1 month ago is at 5
Feeling some soreness in groin and lower back
Dr ordered MRI, after ultra sound and urine test dre came back nothing abnormal
Is prostrate cancer a high possibility?
doctor
Answered by Dr. Robert Galamaga (1 hour later)
Brief Answer:
Considerations.

Detailed Answer:
hello and thank you for sending the question.

At this point I think it would be reasonable to follow your PSA again in 4 to 6 months. I would consider prostate cancer less likely given your history.

with a normal MRI and normal DRE and the PSA trending lower these are signs which leads me to believe that again there is less likelihood of prostate cancer in your case.

if your PSA again begins to rise higher over time then a biopsy might be a consideration. I don't feel strong indication for biopsy right now with the normal MRI and normal physical exam.

thank you again for sending the question.

Sincerely,

Dr. Galamaga


Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Robert Galamaga (15 hours later)
Having right side back pain going to ask dr about kidney stones
Many syrmptons seem like it but do not have difficulty urinating and urine does not have bad odor
Sudden pain comes and goes right side ribs to waist
Radiates to groin
Thoughts?
doctor
Answered by Dr. Robert Galamaga (1 minute later)
Brief Answer:
Followup

Detailed Answer:
Hello again.

You might ask your doctor about performing a bone scan to make sure there are no lesions within the bones contributing to your symptoms.

Most likely your discomfort is related to osteoarthritis. As for the groin pain this may be due to hip arthritis which classically radiates to the groin.

Thank you again for the query.

Dr Galamaga
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Robert Galamaga

Oncologist

Practicing since :2002

Answered : 2635 Questions

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What Causes Elevated PSA Levels?

Brief Answer: Considerations. Detailed Answer: hello and thank you for sending the question. At this point I think it would be reasonable to follow your PSA again in 4 to 6 months. I would consider prostate cancer less likely given your history. with a normal MRI and normal DRE and the PSA trending lower these are signs which leads me to believe that again there is less likelihood of prostate cancer in your case. if your PSA again begins to rise higher over time then a biopsy might be a consideration. I don't feel strong indication for biopsy right now with the normal MRI and normal physical exam. thank you again for sending the question. Sincerely, Dr. Galamaga