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Prostatitis doctor in bangkok?


SenorJorge

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3 hours ago, oxysong said:

Sorry for you George  Senor that is,really am.  ,but Id try the Indian option before flying to the USA,the doctors/surgeon's there are extremely good,looked at list here at your nearest point to India Calcutta,they are good,reputation means everything to those guys,they get sacked and kicked out on their hospitals if they foul up,here in Thailand they just promote them.  Consultation about 500 baht  cheap flights,you could have been there and back,treatment delivered for the time this threads been running...  Stay away from chain hospitals  Apollo,Fortis,RG Stone,they are expensive,  not as this lot tho,but the independent hospitals are just as good,opt for ward if deciding on treatment ..they will never put you in one anyway,but save money    If suspected cataracts try one of those eye hospitals there,everything as good if not better than Ruthin and far far cheaper      Anyway hate to see that suffering,it will be damaging your kidneys too

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Well my insurance covers 70-75 percent of my health care costs in the United states.  In india and thailand technically 70 but I have to submit an overseas claim myself.  I have to factor in the cost of the flights of course.  But I don't really mind hanging out in Cleveland for a few months to see if there's an easier fix.

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14 hours ago, SenorJorge said:

I'd recommend really anyone with prostatitis symptoms to head to the USA or one of the well known prostate docs in India.

I feel sorry for you in all that you are going through, however I know exactly how you feel having battled prostatitis for decades and having tried just about every antibiotic that there is known to man, even the newest ones.

 

As I mentioned in another post of mine, doxycycline taken for 90 days at a time was the only thing which provided some relief, and then most likely down to its slight anti-inflammatory action.

 

Like you I've had prostatic fluid examined and cultured, prostate massages, cystoscopies, ultrasounds, urine flow tests, heat treatment (external) and tried pelvic floor exercises and all sorts of antibiotics and combinations thereof, all to no avail.

 

Something you mentioned in one of your posts did actually fire a neuron with me, and that is that after years and years of battling this, one urologist in NZ said that he believed I had prostatic calculi as a result of minor infections in the prostate from shagging around in my youth!

 

It is known that BPH and prostatitis are two separate things, and my symptoms of prostatitis were almost always accompanied with some sort of urine flow obstruction and my last urologist in New Zealand suggested that the prostatic calculi in the prostate were causing inflammation, which in turn was causing the prostate to swell.

 

This was certainly the first time I had heard this, however I continued with the doxycycline for a few more years until the prostate became inflamed again and as this urologist said, "ragged" – – due to the inflammation and calculi in it.

 

Anyway, to cut a long story short, I had a Turp and that must have reamed out the prostatic calculi at the same time, because I have never suffered from prostatitis since that operation, some urine retention now and then (probably needs doing again) however no prostatitis.

 

Maybe this will be of some help to you, coming from someone who as I say, suffered from prostatitis for decades and who saw the top urologists in the UK, New Zealand, and Australia in order to try and get it fixed.
 

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I think what did me in this time, truthfully, is the uti combined with the fact that I didn't ejaculate for about a month because I was out of town and just not in the mood.  If you have prostatitis you really need to ejaculate every day if you have this because if you don't your prostate is just going to swell up with fluid and go into overdrive.  The body's natural way to combat this is with wet dreams but if you're older those won't happen anymore.

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4 minutes ago, SenorJorge said:

Which turp surgery did you have?  Do you still have retrograde ejaculations?  Or did you ever?

My TURP was done with the old-fashioned method, whereas I did want it done with the latest laser and I would still recommend the latest laser as the way to go, because it results in less bleeding and heels quicker, which would have helped me get past the inflammation and urine retention in the bladder.

 

I never had retrograde ejaculations and I didn't after the TURP, but after having a bladder neck incision operation done here, which the surgeon assured me would be no problem whatsoever, now I do.........bugger!!

 

Having said that, there is something which finds its way out of the end of the old fella (though not much), and certainly the feeling is much the same, so I put up with it and move on, because there is nothing I can do about it, although it might appease me somewhat if I were able to strangle the surgeon!!

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32 minutes ago, SenorJorge said:

The body's natural way to combat this is with wet dreams but if you're older those won't happen anymore.

Doxazosin 2mg every night to loosen up the muscles and blood vessels in my nether regions, side effect is a massive one about 2 hours later and either the gf or a dream gets the benefit ........ not so much fun with a catheter in.

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You two guys are in for a hell of an awakening when you do finally take the plunge. First hour there in Indian hospital drink water lots of it,then flow meter ,all flat lining as they say,absolutely no flow,just dribble. At discharge same- same but like a rocket,it hurt had to slow stream down.

   No more getting up 5 or 6 times in the night,freedom to piss when I like ,when I like,no changing pants 2   3 or more times in a day. That catheter pained tho the longer it was there,will remain until blood flow was considerably reduced. Pain management,just a small box of the stuff inserted into dehydration tubing into arm,kept increasing the flow by increasing pin pricks into bag ,but morphine strip would have done well,but as I asked the catheter was removed.    The Indians sure treat you with dignity ,professionalism and courtesy,far more than the bunch here in Thailand

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You two guys are in for a hell of an awakening when you do finally take the plunge. First hour there in Indian hospital drink water lots of it,then flow meter ,all flat lining as they say,absolutely no flow,just dribble. At discharge same- same but like a rocket,it hurt had to slow stream down.
   No more getting up 5 or 6 times in the night,freedom to piss when I like ,when I like,no changing pants 2   3 or more times in a day. That catheter pained tho the longer it was there,will remain until blood flow was considerably reduced. Pain management,just a small box of the stuff inserted into dehydration tubing into arm,kept increasing the flow by increasing pin pricks into bag ,but morphine strip would have done well,but as I asked the catheter was removed.    The Indians sure treat you with dignity ,professionalism and courtesy,far more than the bunch here in Thailand
I like your posts on the Indian hospital option, its a shame we don't have more threads on it to increase peoples options and knowledge
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Ureaplasma urealyticum and or mycoplasma hominis seems to have caused a urethral stricture in me.  That's the only explanation for the persistent urethritis I'm suffering from in the absence of an infection.  I'm going to go back to bangkok to have a retrograde urethrogram performed before I go to india or the USA.  I was thinking about self dilating but with all of the pissed off tissue I don't think it's a good option for me right now.  My penis itself is retaining urine and spraying and with a normal case of nonbacterial prostatitis this is not normal.  I'm really getting the treatment in life.  Sometimes I want to wander out in front of a bus but there has to be some answer.  My wife is extremely angry that she may have to stay with her sister while I go to get help in the USA but what the hell can I do?  I'm sick and near death.  Would she rather lose me for three months or lose me for life?  I don't get it why am I getting head games right now

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1 hour ago, scubascuba3 said:
2 hours ago, oxysong said:
You two guys are in for a hell of an awakening when you do finally take the plunge. First hour there in Indian hospital drink water lots of it,then flow meter ,all flat lining as they say,absolutely no flow,just dribble. At discharge same- same but like a rocket,it hurt had to slow stream down.
   No more getting up 5 or 6 times in the night,freedom to piss when I like ,when I like,no changing pants 2   3 or more times in a day. That catheter pained tho the longer it was there,will remain until blood flow was considerably reduced. Pain management,just a small box of the stuff inserted into dehydration tubing into arm,kept increasing the flow by increasing pin pricks into bag ,but morphine strip would have done well,but as I asked the catheter was removed.    The Indians sure treat you with dignity ,professionalism and courtesy,far more than the bunch here in Thailand

I like your posts on the Indian hospital option, its a shame we don't have more threads on it to increase peoples options and knowledge

i got a quote from Goa ....... $2,000 general ward, $4,000 private room.

I thought that was a bit expensive. Still waiting for a quote from a CM hospital.

Hoping I won't need to take further action as weeing normally for 3 days now (since the catheter removed).

 

@SenorJorge, sorry to hear you're in such a bad way, surprised they haven't used a catheter on you, can't say it hurt me in any significant way, bit of bleeding when they first put it in, the negatives for me were it got in the way of hiking, cycling and banging the girlfriend.

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18 minutes ago, BritManToo said:

i got a quote from Goa ....... $2,000 general ward, $4,000 private room.

I thought that was a bit expensive. Still waiting for a quote from a CM hospital.

Hoping I won't need to take further action as weeing normally for 3 days now (since the catheter removed).

 

@SenorJorge, sorry to hear you're in such a bad way, surprised they haven't used a catheter on you, can't say it hurt me in any significant way, bit of bleeding when they first put it in, the negatives for me were it got in the way of hiking, cycling and banging the girlfriend.

This is what I got too,I got them under half price eventually.  You need to tell them that you have had cheaper prices elsewhere,Calcutta ,Desun hospital for instance,they themselves will be cheaper than 2000 USD.  Opt for ward ,they will never put you in one,but semi-private,  just like I.

   It was 2 years ago I had the op there in Goa,suppose like everywhere prices have gone up,not to that avail tho,and Rps against GBP are weak.  Email them back with a quote of 1200 from Desun,more than likely they will accept,give a try anyway

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i got a quote from Goa ....... $2,000 general ward, $4,000 private room.
I thought that was a bit expensive. Still waiting for a quote from a CM hospital.
Hoping I won't need to take further action as weeing normally for 3 days now (since the catheter removed).
 



You didn't look in Kolkata? cheap and quick flights there
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32 minutes ago, SenorJorge said:

Ureaplasma urealyticum and or mycoplasma hominis seems to have caused a urethral stricture in me.  That's the only explanation for the persistent urethritis I'm suffering from in the absence of an infection.  I'm going to go back to bangkok to have a retrograde urethrogram performed before I go to india or the USA.  I was thinking about self dilating but with all of the pissed off tissue I don't think it's a good option for me right now.  My penis itself is retaining urine and spraying and with a normal case of nonbacterial prostatitis this is not normal.  I'm really getting the treatment in life.  Sometimes I want to wander out in front of a bus but there has to be some answer.  My wife is extremely angry that she may have to stay with her sister while I go to get help in the USA but what the hell can I do?  I'm sick and near death.  Would she rather lose me for three months or lose me for life?  I don't get it why am I getting head games right now

Ureaplasma is treatable with antibiotics although some experimentation is needed, whereas Mycoplasma hominis presents a much more difficult case.

 

I'm not sure whether these in themselves can cause a urethral stricture, however just as likely will be procedures such as cystoscopy, catheter use and so on.

 

I know this is a bit "broad" however there is one particular antibiotic which has been shown to have great penetration of the prostate, and that is piperacillin, that is if you think you could still have some sort of infection there.

 

After many years of research on this, I did find an article by a specialist which suggested that "persistent urethritis" with no infection found, actually becomes a condition which in itself causes the symptoms but with no specific cause, i.e. it exists because of the constant urethritis which has been present over time??

 

Anyway I could go on and on about lots of things in this area, but I have just dug out some of my research and the papers which have been produced by various medical universities and institutions and I will send them to you in a PM, in order to save any unnecessary "discussion" about them.

 

Please read them thoroughly and see if you can glean anything which you can follow up on, or discuss with the specialist.

 

All the best.

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49 minutes ago, SenorJorge said:

Ureaplasma urealyticum and or mycoplasma hominis seems to have caused a urethral stricture in me.  That's the only explanation for the persistent urethritis I'm suffering from in the absence of an infection.  I'm going to go back to bangkok to have a retrograde urethrogram performed before I go to india or the USA.  I was thinking about self dilating but with all of the pissed off tissue I don't think it's a good option for me right now.  My penis itself is retaining urine and spraying and with a normal case of nonbacterial prostatitis this is not normal.  I'm really getting the treatment in life.  Sometimes I want to wander out in front of a bus but there has to be some answer.  My wife is extremely angry that she may have to stay with her sister while I go to get help in the USA but what the hell can I do?  I'm sick and near death.  Would she rather lose me for three months or lose me for life?  I don't get it why am I getting head games right now

Get it done in India George,take her with you,they encourage family members to accompany too

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38 minutes ago, xylophone said:

Ureaplasma is treatable with antibiotics although some experimentation is needed, whereas Mycoplasma hominis presents a much more difficult case.

 

I'm not sure whether these in themselves can cause a urethral stricture, however just as likely will be procedures such as cystoscopy, catheter use and so on.

 

I know this is a bit "broad" however there is one particular antibiotic which has been shown to have great penetration of the prostate, and that is piperacillin, that is if you think you could still have some sort of infection there.

 

After many years of research on this, I did find an article by a specialist which suggested that "persistent urethritis" with no infection found, actually becomes a condition which in itself causes the symptoms but with no specific cause, i.e. it exists because of the constant urethritis which has been present over time??

 

Anyway I could go on and on about lots of things in this area, but I have just dug out some of my research and the papers which have been produced by various medical universities and institutions and I will send them to you in a PM, in order to save any unnecessary "discussion" about them.

 

Please read them thoroughly and see if you can glean anything which you can follow up on, or discuss with the specialist.

 

All the best.

The bacteria is gone.  Antibiotics got rid of it.  What I suffer from now is the scarring of the tissue from the infection.  They're parasites.

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12 minutes ago, SenorJorge said:

The bacteria is gone.  Antibiotics got rid of it.  What I suffer from now is the scarring of the tissue from the infection.  They're parasites.

That's good to hear, although as has been previously said, bacteria in the prostate are extremely hard to eradicate.

 

Mycoplasma hominis of and within itself is not a parasite but a species of bacteria, however this can cause problems if it forms a symbiotic relationship with Trichomonas, which is a parasitic type infection.

 

Anyway your main aim at the moment seems to be to get rid of the feeling of urethritis, which is bloody annoying and worrying, and to be able to pass urine normally.

 

I got to a similar situation as you and was suffering from what appeared to be continual urethritis with no apparent cause, however what did help was taking anti-inflammatory drugs for a month, which helped calm the situation down, and whether any scarring was helped to heal during this, I can't say, but I don't suffer from it now.

 

There may be some interesting info in amongst the attachments I sent you, but if not, possibly keep them on file for later use. Good luck.

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11 minutes ago, xylophone said:

That's good to hear, although as has been previously said, bacteria in the prostate are extremely hard to eradicate.

 

Mycoplasma hominis of and within itself is not a parasite but a species of bacteria, however this can cause problems if it forms a symbiotic relationship with Trichomonas, which is a parasitic type infection.

 

Anyway your main aim at the moment seems to be to get rid of the feeling of urethritis, which is bloody annoying and worrying, and to be able to pass urine normally.

 

I got to a similar situation as you and was suffering from what appeared to be continual urethritis with no apparent cause, however what did help was taking anti-inflammatory drugs for a month, which helped calm the situation down, and whether any scarring was helped to heal during this, I can't say, but I don't suffer from it now.

 

There may be some interesting info in amongst the attachments I sent you, but if not, possibly keep them on file for later use. Good luck.

Thank you.  I mean they're parasites in the elemental sense.  They're bacterial infections that enter the urinary tract of the human host to extract nutrients from your urea and other tissue.  Yeah there can be hidden infections especially if you've been on antibiotics forever as we both have.  I stopped taking them so I can have a new culture done antibiotic free after thirty days.  I've been on 500 mg naprosyn x2 daily for about two months now.  Urine usually backs up in the bladder and backflows into the prostate with  prostatitis.  Now here's where things get tricky.  Uu and mh can both cause strictures.  Strictures can cause prostatitis.  It's not normal for urine to be trapped in the urethra with prostatitis.  I had four urinary cultures, swabs of the urethra, two post prostatic massage cultures done.  Nothing.  I'm going to have my urethra looked at in bangkok and then we're leaving the country for better prostate care.  Thanks for the well wishing everyone.  This disease is so bad it would be an appropriate punishment for Adolf Hitler.  

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3 hours ago, SenorJorge said:

Thank you.  I mean they're parasites in the elemental sense.  They're bacterial infections that enter the urinary tract of the human host to extract nutrients from your urea and other tissue.  Yeah there can be hidden infections especially if you've been on antibiotics forever as we both have.  I stopped taking them so I can have a new culture done antibiotic free after thirty days.  I've been on 500 mg naprosyn x2 daily for about two months now.  Urine usually backs up in the bladder and backflows into the prostate with  prostatitis.  Now here's where things get tricky.  Uu and mh can both cause strictures.  Strictures can cause prostatitis.  It's not normal for urine to be trapped in the urethra with prostatitis.  I had four urinary cultures, swabs of the urethra, two post prostatic massage cultures done.  Nothing.  I'm going to have my urethra looked at in bangkok and then we're leaving the country for better prostate care.  Thanks for the well wishing everyone.  This disease is so bad it would be an appropriate punishment for Adolf Hitler.  

I wish you all the very best Señor, and would be most interested to hear how things go for you and what sort of treatments you have and how well they have worked.

 

I ask this out of a desire to hope that you are cured, but also to learn more about this horrible affliction and what treatments are available.

 

Kind regards

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3 hours ago, SenorJorge said:

Thank you.  I mean they're parasites in the elemental sense.  They're bacterial infections that enter the urinary tract of the human host to extract nutrients from your urea and other tissue.  Yeah there can be hidden infections especially if you've been on antibiotics forever as we both have.  I stopped taking them so I can have a new culture done antibiotic free after thirty days.  I've been on 500 mg naprosyn x2 daily for about two months now.  Urine usually backs up in the bladder and backflows into the prostate with  prostatitis.  Now here's where things get tricky.  Uu and mh can both cause strictures.  Strictures can cause prostatitis.  It's not normal for urine to be trapped in the urethra with prostatitis.  I had four urinary cultures, swabs of the urethra, two post prostatic massage cultures done.  Nothing.  I'm going to have my urethra looked at in bangkok and then we're leaving the country for better prostate care.  Thanks for the well wishing everyone.  This disease is so bad it would be an appropriate punishment for Adolf Hitler.  

George,  the blockage you talk about could be sub meatal stenosis,it is blockage at the end of the cock. On discharge from that hospital in India they gave me these plastic rods (whatever the name is) supposed to insert it into cock and massage it for a time,about 10 days worth,opens the end up that has closed due to scar tissue or something like. Could not handle it,the thought made me shudder,but I suffered really did,it was painful when taking a piss,all over the place too.  Went to govt. hospital,told them what I wanted doing,trained nurse opened it up for me,only took a minute or so  530 baht

 

 I did go to Goa to get my op,there is more going on there,Calcutta,not much 'cept for historic buildings,getting into that surf just at daybreak is something else.

  Dashed my foot on a rock,went to nearby , cottage hospital for dressing  plus injection 100 baht,but there was visiting cardiologist from top heart hospital there,doing turn of duty ,did a heart echo test 200 baht,CD and ticker tape,thought this is crazy,how much here 20.000?

 

   Monsoon on horizon   Id get moving  quick-quick......Adolf Hitler says sod you

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I'm just about dead.  We're going to laos to pick up an Indian visa and heading to Delhi.  Where can we stay that's like cheap but safe?  Pool helps too.  My wife swims.

 

I'm basically dead.  Every night I go to sleep now wondering if I'll wake up in the morning.  I'm ravaged by this.  The wife doesnt get it Im afraid.  She speaks maybe 50 words of english.

 

I picked her up in pattaya and she doesn't work.  She had a job at a factory.  I'm guessing she doesn't have a snowballs chance in hell in getting a tourist visa for me to go to my doctor in america.  I can't travel alone.  I think I'm ****ed.

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1 hour ago, SenorJorge said:

I'm just about dead.  We're going to laos to pick up an Indian visa and heading to Delhi.  Where can we stay that's like cheap but safe?  Pool helps too.  My wife swims.

I don't know what your travel plans are but I would avoid India the next couple of weeks. Their 7-phase general elections end this Sunday and results are to be declared Th. 23/5.

 

Because of the expectedly close contest a fair amount of turbulence is likely post-23rd, which in India can mean violence and curfews. So I would keep an eye on the situation and book tickets only after the situation settles down, which it will. After that it should be fine to go to any major city.

 

I will PM you re another option.

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9 hours ago, SenorJorge said:

I'm just about dead.  We're going to laos to pick up an Indian visa and heading to Delhi.  Where can we stay that's like cheap but safe?  Pool helps too.  My wife swims.

 

I'm basically dead.  Every night I go to sleep now wondering if I'll wake up in the morning.  I'm ravaged by this.  The wife doesnt get it Im afraid.  She speaks maybe 50 words of english.

 

I picked her up in pattaya and she doesn't work.  She had a job at a factory.  I'm guessing she doesn't have a snowballs chance in hell in getting a tourist visa for me to go to my doctor in america.  I can't travel alone.  I think I'm ****ed.

Gees George,wake up (for a bit)  No need for Laos for Indian visa,do it on line,the forms a bit long-winded,take a break when doing it,the guy at the other end monitoring it will help too.  Just go to Trip Advisor,go look at options. The Rrps is down against most currencies so good time to go                                                 .plus if you cannot answer any or most of the questions,put any old crap down,they never check

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12 hours ago, SenorJorge said:

I'm basically dead.  Every night I go to sleep now wondering if I'll wake up in the morning.  I'm ravaged by this.  The wife doesnt get it Im afraid.  She speaks maybe 50 words of english.

Not sure why you haven't had a catheter put in.

Doesn't cost much (about 250bht in a government hospital) and will alleviate your symptoms in the short term.

Didn't hurt either, mostly inconvenient for my previously active life style.

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Well the problem is that I have organ pain.  That will drain the urine but I am emptying so it doesn't matter.  The problem is my prestate itself hurts.  9-10 out of 10 pain.  It feels like I have a tennis ball in me.  That's not my bladder, thats the prostate.   That lump that you feel about two and a half inches into my rectum.  It's time for it to be hallowed out, I'm afraid.  I've had post void scans of my bladder and even a urodyanamic study.  I empty.  It's just a slow trickle but it comes out.  The prostate itself is very sore and there's nothing I can do about it beyond what I've tried already.  I've reached the limit of what thai doctors can do for me.

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23 minutes ago, SenorJorge said:

Well the problem is that I have organ pain.  That will drain the urine but I am emptying so it doesn't matter.  The problem is my prestate itself hurts.  9-10 out of 10 pain.  It feels like I have a tennis ball in me.  That's not my bladder, thats the prostate.   That lump that you feel about two and a half inches into my rectum.  It's time for it to be hallowed out, I'm afraid.  I've had post void scans of my bladder and even a urodyanamic study.  I empty.  It's just a slow trickle but it comes out.  The prostate itself is very sore and there's nothing I can do about it beyond what I've tried already.  I've reached the limit of what thai doctors can do for me.

You must have had something in mind George to want to go to Delhi. Sounds like there may well be something going on beside prostate,cannot see how that is paining you,you already stated it is small sized,cannot judge by your method ,but mine at 140 grammes was a whopper by any measurement,not that it hurt but life sure was screwed up before the op,...pissing when you do not want to,not pissing when you are bursting,...back in agony because of liver problems created by it....but you are still here George,taking your time over these events

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Chronic postatitis can be described as a smouldering haystack. It can flare up

even when the fire appears to out.

 

Treatment must be long and prolonged...intensive for the first 4 months....and then 

a lighter regimen for the next 6 to 12 months. This wreaks a bit of havoc inside the gut

so must be supplemented by good probiotics. And discipline in terms of diet is key.

No alcohol, coffee, spicy stuff for sure....lots of water, natural cranberry and pumpkin

seeds. 

 

The current regimen should be Bactrim (trimethoprim sulfamethoxazole) 800mg twice a day

for two weeks. Followed by twice a day Ofloxacin 400mg, for two weeks. Repeat this cycle three

more times.

 

Then, if it hasn't gone completely, you need maintenance for 6-12 months. 

 

One way to tell you're ok is having a problem fee piss....and of course a Peter North

style ejaculation. Only one way to find out.

 

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On 5/9/2019 at 2:52 AM, SenorJorge said:

 

Last thing, you need to get your head straight.  Find a psychologist who deals with chronic pain patients who is equipped to deal with your issues, help you relax and cope with your pain.

 

 

This is sage advice.    Do what he said,  there is some stuff you have to get help for.  

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I just got an email from an Indian doctor.  I'm going to take care of this possible stricture in bangkok (at least they can do that), some internal hemorrhoids, and then it's away I go to india.  Laser, hifu, nerve block among my options.  Awesome.

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I remember one thread where a guy went to India for treatment but seemed to come back too quickly so when he had a couple of issues after he couldn't get it sorted. I'd hang about there until reasonably confident no issues. Cheap place to stay anyway apparently

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Get a bucket list too Bowel cancer scan about 500   here in thailand have seen it for 32000 upwards...endoscopy  same -same...skin cancer check up,about 2/300...maybe heart echo    heart stress test  all cheap,few good quality shirts made up  last time there about 5 bucks a piece,  glasses/hearing aids whatever, get a roadside  cut-throat barber  shave...nothing quite like it,the guy may well come inside the hospital doing it,  about 10 baht.....if any moles ,get them removed there and analysed  have seen prices here of 42000 ,guy swimming last week just had one removed stated for his 17000 baht  there about 500baht

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