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    What causes frequent urination when PSA level is 1.9?

Posted on Wed, 5 Jul 2017 in Urinary and Bladder Problems
Question: I am 48 years old. My psa level went from 1.3 to 1.9 in 9 months. I have been getting up to urinate 5 to 6 times a night sometimes having to strain to go. Plus my calcium level went from 9.5 to 10.1 in 2 months. Are they connected and should I be worried?
Answered by Dr. Matthew J. Mangat 1 hour later
Brief Answer:
No need for any worry.

Detailed Answer:
Hello Greene and welcome to HCM.
As an Urologist, i can understand your concern.

Once the PSA is found to be normal(1.3), it need to be repeated only after a year.
However,your repeat PSA of 1.9 is also within normal limits.
So nothing to worry on that front.
But you must get an examination of the prostate,by an Urologist.

As you're having nocturnal frequency(nocuturia),you need to get following tests:
1. urine routine and culture.
2. blood routine,RBS,s.creatinine,LFT,and platelets.
3. Uroflowmetry.
4. ultrasound-KUB,with residual urine and a TRUS.

According to the reports,an expert opinion can be given.
The calcium levels in blood, isn't enough to comment.
You should do a 24 hour urine calcium,phosphorus and uric acid study.
There's no need to repeat the s.calcium,unless you've a specific indication.

There's no need to worry as such, in your reports.

Dr.Matthew J. Mangat.

Above answer was peer-reviewed by : Dr. Prasad
Follow up: Dr. Matthew J. Mangat 8 hours later
I read that if the psa is under 2.0 and increases by .35 or more in a year that's cause for concern. Mine increased by .6. Is this true.
Answered by Dr. Matthew J. Mangat 6 hours later
Brief Answer:
Examination by urologist is mandatory.

Detailed Answer:
Hi Greene,
I can understand your anxiety.
This is the reason, I advised you to first get examined by an Urologist.
Then only an opinion can be given, regarding significance of the rise in PSA level.

Dr. Matthew J.Mangat.
Above answer was peer-reviewed by : Dr. Nagamani Ng
Answered by
Dr. Matthew J. Mangat


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