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What Does My Blood Test Report Indicate?

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Posted on Tue, 27 Jun 2017
Question: I had blood work done today and a few of the results were concerning. My PSA was 4.3. For the last 6 years I have been bouncing between 3 and 4 with a few results above 4. What bothers me is that I get up once or twice a night to urinate. I used to get 4 may 5 times in the past, so I was hoping my prostate situation was getting better. Instead it's one of the highest readings I have ever had. My free PSA was always in the low to mid teens. (I do not have today's result.) Also, my CRP went from below to 1 to 1.3. Could that be signalling cancer?
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Answered by Dr. Dr. P. T. Patil (22 minutes later)
Brief Answer:
It is unlikely to be Cancer of Prostate .

Detailed Answer:
Hello
Thanks for query .

Slightly raised PSA (4.3) than a normal value being 4 can be due to Benign Enlargement of Prostate and not due to Cancer of Prostate This is confirmed by a fact that you voiding symptoms like nocturia .However I would advise you to consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Trans Rectal Ultrasound (TRUS)

Take antibiotics like Cefixime twice daily along with Tomsulosin and Dutasteride once daily for 10 days and repeat PSA test .A single reading of PSA slightly higher than normal values does not warrant further confirmative test like Prostate Biopsy which usually is advised if the PSA values show raising trend done thrice at the interval of every 2-3 months ..

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.
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. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10583 Questions

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What Does My Blood Test Report Indicate?

Brief Answer: It is unlikely to be Cancer of Prostate . Detailed Answer: Hello Thanks for query . Slightly raised PSA (4.3) than a normal value being 4 can be due to Benign Enlargement of Prostate and not due to Cancer of Prostate This is confirmed by a fact that you voiding symptoms like nocturia .However I would advise you to consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis. 1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis 3) Trans Rectal Ultrasound (TRUS) Take antibiotics like Cefixime twice daily along with Tomsulosin and Dutasteride once daily for 10 days and repeat PSA test .A single reading of PSA slightly higher than normal values does not warrant further confirmative test like Prostate Biopsy which usually is advised if the PSA values show raising trend done thrice at the interval of every 2-3 months .. 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.