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BANGKOK 23 July 2019 12:29
SenorJorge

Prostatitis doctor in bangkok?

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6 hours ago, Bonobojt said:

Thanks for the tips but I’ve read about all that stuff before, as I mentioned, I believe mine is caused by pelvic trauma, not an infection, even though my symptoms did start one day after a night of sex, it was protected sex. I’ve had the finger up the bum a few times and never felt any pain when the doctor felt my prostate and doctor never said my prostate felt Enlarged. 

 

I do indeed have flares, for me, exercise, certain physical activity, edging when masturbating, having sex 3 times or more in one day, riding a bicycle with the seat high up, all these can flare me up. 

 

Basically my pelvic structure is messed up, maybe I have a twisted pelvis or something, and my pubic bones are not right, physio therapist diagnosed me with mechanical issues with my pelvis. This was all caused by that bicycle fall. Pelvic floor release stretches can help a little bit. There isn’t a pelvic floor PT anywhere near me where I live unfortunately. 

 

Mental health is bad, I’m quiet, don’t talk much anymore, find it hard to fit in at work and be social, suicidal thoughts, can’t really get a girlfriend with this pelvic problem, I’ll probably be alone forever, can’t exercise, not really happy, future isn’t looking good. Not sure what will happen. 

 

Been living with this for almost 3 years. Sounds like yours is worse than mine, I’m not taking any medication, I can ride a bicycle to work providing the saddle is the lowest it can be, I can work, I only get up to pee at night around 2 to 3 times per night. Some days are worse than others, I’m not bed ridden, but my symptoms just suck, it makes life suck, I miss being a normal healthy human. 

I would scale back or even forgo the bicycling.  Cycling is probably the worse exercise you can do with chronic pelvic pain syndrome.  Consider powerwalking  or calisthenics as an alternative modality of exercise.

 

Due to my severe spinal condition, polyathralgia, and cp/cpps, I am an invalid.  I spend most of every day in bed.  I am not in a nursing home because I can't afford it.  It's cheaper to have a thai lady to look after my needs.

 

Pt in California with the link I provided would only take six days.  They give you everything you need to start the exercises at home.  

 

A year ago I was urinating anywhere between 40-50 times daily.  Now I am urinating between 100-120 times daily.  My pelvic pain has gone from 5-6 on most days to. 9-10.  I don't live for myself anymore.  I live for others.  What would my parents and my wife do without me?

 

If I were you, I would do what I am doing, and invest in the weis-anderson protocol.  Good luck.

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Posted (edited)
1 hour ago, SenorJorge said:

Drr,

 

Unfortunately, urolift is an approved procedure for benign prostatic hyperplasia, but not chronic prostatitis/chronic pelvic pain syndrome.  They're not the same animal.  

After reading many medical papers, I'm not convinced (many?) doctors can tell the difference between BPH and Prostatitis. My doctor certainly didn't do any tests before pronouncing BPH as my affliction.

 

And many papers suggest taking a course of antibiotics with or without bacteria in the urine.

https://watermark.silverchair.com/50-12-1641.pdf

Edited by BritManToo

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Posted (edited)
44 minutes ago, BritManToo said:

After reading many medical papers, I'm not convinced (many?) doctors can tell the difference between BPH and Prostatitis. My doctor certainly didn't do any tests before pronouncing BPH as my affliction.

 

And many papers suggest taking a course of antibiotics with or without bacteria in the urine.

https://watermark.silverchair.com/50-12-1641.pdf

The problem with putting a device that holds the urethra up and away from the prostate if it's caused by an infection is you will have continued pain and muscle dysfunction with voiding.  Bph is usually painless and just big.  If the bladder is painful its just because you aren't voiding the way that you should.  The only approved procedures for prostatitis are transurethral resection of the prostate (turp) and prostatectomy.  If you look at the side effect profiles of these procedures you can plainly see why you'd want to exhaust all other options first.  

 

If there's no bacteria in the urine that doesn't necessarily mean there's no bacteria in the prostate.  You need to massage the prostate and collect a prostatic fluid sample to get a culture of that bacteria, if any.  Some medications like Bactrim have a natural anti-inflammatory effect and if there's no infection some people say it still makes them feel better.  This hasn't been my experience.  Taking antibiotics for long periods of time can really mess up your gut health.  If you're going to be on antibiotics for a month or even three, as I have been, you really should be taking a daily probiotic.

Edited by SenorJorge
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Posted (edited)

Pill taking is a waste of time,the prostate is a huge blood flowing  organ,think about 5 feeds.  All you can do is surgery,try laser,turps bit crude,  guess around 10 million here in Thailand,under 1000USD elsewhere   yes side effects but they vanish over time. You may have stenosis,now that is painful,put you on your knees in pain if shut down of flow too quickly,few 00  baht govt hosp put that right

 

Week or so after surgery ran out of the anti bacteria pills prescribed,penicillin or the others no good,only govt,hospital had them   Told to do a pee test before prescription,told the doc there would be blood in urine,so there was,never seen a Thai doctor move so fast  on drip in hospital for upwards of an hour,it does take a while for the scabs to fall off prostate after surgery,hence bleeding

Edited by oxysong
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37 minutes ago, oxysong said:

Pill taking is a waste of time,the prostate is a huge blood flowing  organ,think about 5 feeds.  All you can do is surgery,try laser,turps bit crude,  guess around 10 million here in Thailand,under 1000USD elsewhere   yes side effects but they vanish over time. You may have stenosis,now that is painful,put you on your knees in pain if shut down of flow too quickly,few 00  baht govt hosp put that right

 

Week or so after surgery ran out of the anti bacteria pills prescribed,penicillin or the others no good,only govt,hospital had them   Told to do a pee test before prescription,told the doc there would be blood in urine,so there was,never seen a Thai doctor move so fast  on drip in hospital for upwards of an hour,it does take a while for the scabs to fall off prostate after surgery,hence bleeding

While prostatectomy will provide immediate relief of flow symptoms in patients with a true obstruction of their urethra by the prostate, I would be suspicious of any doctor who would commence a surgical procedue before first going though other treatment modalities, including antibiotics, alpha blockers, physical therapy, and natural remedies to the chronic prostatitis problem.  There's far too many surgeons out there trying to make a quick buck.  And I've regretted three surgeries I've had already.

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5 minutes ago, SenorJorge said:

While prostatectomy will provide immediate relief of flow symptoms in patients with a true obstruction of their urethra by the prostate, I would be suspicious of any doctor who would commence a surgical procedue before first going though other treatment modalities, including antibiotics, alpha blockers, physical therapy, and natural remedies to the chronic prostatitis problem.  There's far too many surgeons out there trying to make a quick buck.  And I've regretted three surgeries I've had already.

Have to agree if Thailand,they would hack away at anything,eventually arriving at your wallet.  Sent you PM ,try it.

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Posted (edited)
1 hour ago, SenorJorge said:

If there's no bacteria in the urine that doesn't necessarily mean there's no bacteria in the prostate.  You need to massage the prostate and collect a prostatic fluid sample to get a culture of that bacteria, if any.  Some medications like Bactrim have a natural anti-inflammatory effect and if there's no infection some people say it still makes them feel better.  This hasn't been my experience.  Taking antibiotics for long periods of time can really mess up your gut health.  If you're going to be on antibiotics for a month or even three, as I have been, you really should be taking a daily probiotic.

Various papers suggest Levofloxacin 500mg daily for 1 month, which is what I'm trying.

I usually have yogurt with live bacteria every day  along with Ginger tea lime and honey.

Zero gut problems 7 days in.

 

Actually the gut problems I've previously had have disappeared since the yogurt and ginger tea so no matter what other outcomes, I'll keep taking them.

Edited by BritManToo
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8 hours ago, BritManToo said:

Various papers suggest Levofloxacin 500mg daily for 1 month, which is what I'm trying.

I usually have yogurt with live bacteria every day  along with Ginger tea lime and honey.

Zero gut problems 7 days in.

 

Actually the gut problems I've previously had have disappeared since the yogurt and ginger tea so no matter what other outcomes, I'll keep taking them.

I hope this is on the advice of a doctor.  Regardless, be careful with flouroquinalones.  If you notice any sudden joint pain, especially in your feet, ankles, or Achilles tendon areas, stop taking the drug immediately and seek medical attention.  I cannot take flouroquinalones because I had a reaction in my feet.  They're the main class of antibiotics used for prostatitis thesedays outside of penicillins and macrolides.  So it really puts a lot of people with preexisting joint issues in a pickel.  Good luck and seek good medical attention.  You don't want to end up like me in the long term.

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Posted (edited)
22 minutes ago, SenorJorge said:

I hope this is on the advice of a doctor.  Regardless, be careful with flouroquinalones.  If you notice any sudden joint pain, especially in your feet, ankles, or Achilles tendon areas, stop taking the drug immediately and seek medical attention.  I cannot take flouroquinalones because I had a reaction in my feet.  They're the main class of antibiotics used for prostatitis thesedays outside of penicillins and macrolides.  So it really puts a lot of people with preexisting joint issues in a pickel.  Good luck and seek good medical attention.  You don't want to end up like me in the long term.

I've had cipro a few times with no torn tendons.

6 days into Levo and no negatives so far.

 

Doctor only advised Doxazosin, not convinced he was entirely competent as he prescribed immediately with no tests at all. 

I'm now taking the full range a western doctor treating the condition would give.

No prescription required, just bought at the local pharmacy.

 

No point on hanging back, I'd rather be dead that live like this, so cure or die.

If it doesn't work in a month, it'll fly home or fly from an upper balcony.

I have absolutely no intention as living as a sick old man.

Edited by BritManToo

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I usually have yogurt with live bacteria every day  along with Ginger tea lime and honey.

Zero gut problems 7 days in.

 

My comment is not directly-related to the topic of this thread, but I drink ginger tea and live kefir yogurt every day, simply as part of a healthy diet for my gut.  Never have any gut problems 🙂

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On 5/10/2019 at 10:40 AM, oxysong said:

Have to agree if Thailand,they would hack away at anything,eventually arriving at your wallet.  Sent you PM ,try it.

Yeah I got your pm and right now I am in an emergency situation with this.  I'm trying to work out a visa to the us because it's really not a good idea for either of us to be alone.  I had a complete physical collapse on the last flight and the house was burglarised last week.  India is our second line option.  I really want the docs at the Cleveland clinic to handle this.

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33 minutes ago, SenorJorge said:

Yeah I got your pm and right now I am in an emergency situation with this.  I'm trying to work out a visa to the us because it's really not a good idea for either of us to be alone.  I had a complete physical collapse on the last flight and the house was burglarised last week.  India is our second line option.  I really want the docs at the Cleveland clinic to handle this.

Sorry to hear that, you're not having much luck lately.

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If you cannot empty the bladder properly,urine backs up,creating bacteria.  you did a size test on the prostate,no idea,usually they do a weight test by ultrasound ...mine according to surgeons was a near world record 140 grammes (to them it was) never operated on anything so big,did a delay in operation while every surgeon from miles around gathered,yes,dozens of them looking through the wired camera, had big problems

    You can take all the pills,drink all the tea in China,not going to do a damned bit of good,you need surgery,no big deal,cheap enough,can recommend a place, but if you have insurance  OK,go back to USA

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Posted (edited)
3 minutes ago, oxysong said:

You can take all the pills,drink all the tea in China,not going to do a damned bit of good,you need surgery,no big deal,cheap enough,can recommend a place, 

Where and what, and how much?

Edited by BritManToo

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3 minutes ago, BritManToo said:

Where and what, and how much?

do not want to advertise       PM sent

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