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Suggest Treatment For Chronic Non-bacterial Prostatitis

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Posted on Wed, 19 Oct 2016
Question: Sir
I have cronic nonbacterial prostititas since 20 years. Every two years pains come and after medication of helopathi, some times homeopath and ayurvwda pains reduced. Again now pains started please suggest latest medication.
doctor
Answered by Dr. P. T. Patil (7 hours later)
Brief Answer:
Get Semen culture done and take appropriate antibiotic.

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you are known to have Chronic Prostatitis since 20 years and getting relapses of the same .

To be true it is really a cumbersome disease for the patient and treating physician .
One has to repeat the Semen culture every time after getting relapse of infection and take appropriate antibiotic as per culture report .

In Chronic Prostatitis I advise patients to do gentle prostate massage everyday .It helps to reduce the congestion of prostate and thereby reduces the severity of infection .

If you are sexually active have a sex thrice a week or ejaculate by masturbation .

Start taking either Doxicycline or Bactrim D,S along with anti inflammatory medicine Diclofenac twice daily and switch on to appropriate antibiotic as per culture report .

Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you .
Thanks and Regards.
Dr.Patil.



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. P. T. Patil (14 hours later)
Sir,
Last time when I had pains Dictor told me it is nonbacterial prostititas so antibiotic medicines are not usefull. Please give sugession whether I have to use antibiotics or not.
doctor
Answered by Dr. P. T. Patil (9 hours later)
Brief Answer:
Repeat Semen Culture and take antibiotics if required

Detailed Answer:
Hello
Thanks for follow up .
Chronic prostatitis is characterized by repeated episodes of infection and the possibility of bacterial infection has to be ruled out by doing semen culture and take antibiotics ( If turns out to be positive for bacterial infection ).

Consult your Urologist and explore his opinion and advice regarding daily prostate massage as a modality of treatment.I am routinely practicing this modality in my patients of Chronic Prostatitis since last 45 years of my practice and getting encouraging results .

Thanks and Regards.
Dr.Patil.



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. P. T. Patil (5 days later)
Sir
Semen culture done report states nobactiria found after 48 years incubation. I have mild pains in pelvic area and pains at the time of ejuculation. Urin flow is perfect with no pains. Please suggest best suitable latest medication.
Thanks
XXXX
doctor
Answered by Dr. P. T. Patil (3 hours later)
Brief Answer:
Take anti inflammatorymedication like Diclofenac twice daily for 2 weeks .

Detailed Answer:
Hello
Thanks for follow up
Negative semen culture suggest that you have non bacterial prostatitis .

Take anti inflammatory medication like Diclofenac twice daily .

You can have trial of Prostate Massage daily .It helps to reduce congestion of prostate and thereby reduces the pain.

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. P. T. Patil (4 hours later)
Sir,
I just want to tell u that, I born with mono kidney. So my creatinine level always between 1. 3 to 1. 5. Doctors previously said taking too much anti inflamatory drugs affect kidney function please suggest you opinion.
Thanks
XXXX
doctor
Answered by Dr. P. T. Patil (3 days later)
Brief Answer:
Anti inflammatory drugs on short tern has no side effect

Detailed Answer:
Hello
Thanks for follow up and sorry for delay in addressing your query being out of country .

Anti inflammatory medication taken for a short duration does not have nephrotoxic effect .Hence there no harm in taking it for 10 -15 days

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10528 Questions

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Suggest Treatment For Chronic Non-bacterial Prostatitis

Brief Answer: Get Semen culture done and take appropriate antibiotic. Detailed Answer: Hello Thanks for your query ,based on the facts that you have posted it appears that you are known to have Chronic Prostatitis since 20 years and getting relapses of the same . To be true it is really a cumbersome disease for the patient and treating physician . One has to repeat the Semen culture every time after getting relapse of infection and take appropriate antibiotic as per culture report . In Chronic Prostatitis I advise patients to do gentle prostate massage everyday .It helps to reduce the congestion of prostate and thereby reduces the severity of infection . If you are sexually active have a sex thrice a week or ejaculate by masturbation . Start taking either Doxicycline or Bactrim D,S along with anti inflammatory medicine Diclofenac twice daily and switch on to appropriate antibiotic as per culture report . Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you . Thanks and Regards. Dr.Patil.