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Bleeding due to BPH - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I have just noticed a small mark (15mm by 5 mm) in my underpants which looks like fresh bloood. It looks as though it has come from the tip of my penis. I noticed a similar mark about 2 weeks ago and thought nothing of it. I have BPH and have been taking tablets for this condition for the past 10 years or so. I've never seen these marks before. What could it be?
Doctor :   hello
Doctor :   give me a min , let me read your query
Doctor :   well the type of bleeding you are talking about usually comes from the prostate gland
Doctor :   may i know your age please ?
User :   I'm 63
Doctor :   When the prostate contracts, a vein may tear and blood mixes with the semen
Doctor :   Red blood indicates new and dark discoloration indicates
previous bleeding. Old clots may also be mixed with the semen.
Doctor :   BPH is one of the cause
Doctor :   also it can be due to some infection
Doctor :   what you would have to do is to go to the lab and get urine test done
Doctor :   that will help to pinpoint the problem
User :   I have not had an ejaculation for 4 days, Neither did I have one prior to the first mark I noticed. The blood is fresh. I finished a course of antibiotics for the h pillori bacteria just over a week ago. I have only seen this twice.
Doctor :   what all medications are you taking ?
User :   Xatral for BPH Aprovel for high blood pressure plus Lumigan for Glaucoma.
Doctor :   ok , well whenever we come across a similar complaint like yours the most common diagnosis is an underlying infection
Doctor :   you would be required to get a urince examination done
Doctor :   **urine
User :   I have no pain or discomfort.
Doctor :   pain and discomfort and even burning sensation during urinating are just symptoms of an urinary track infection JUST LIKE blood in urine
Doctor :   it can present in any one of these ways
User :   Sorry but I do not see any blood in my urine. I have only seen these marks in my underpants twice.
Doctor :   they have come only from the penis.
User :   Yes, the mark is where the tip of my penis lies.
Doctor :   the right approach is to get a urine test done
User :   OK I'll go to see my GP next week. Thank you.
Doctor :   i understand what you are saying , like i said it can be also from the prostate , getting the tests will help us rule out
Doctor :   your welcome
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