Prostatitis - I've made a mess of it

Suffering since May 2018(though with previous history) - symptoms - burning urination, burning scrotum, constipation and burning defecation - now feeling generally ill

I always thought this was about Candida and spent months on the diet and anti-fungal supplement regimen - made a little halting progress - frequency of bowel movements increased somewhat; symptoms not as bad

Belatedly diagnosed with Chronic Prostatitis 3/4 months ago I had a semen test done and it was reported that I had "a heavy growth of enterococcus faecilis" which was "susceptible to Amoxicillin" - it was suggested that I take a course of 1500mg per day for 6 weeks. I was very suspicious about this because obviously antibiotics make established yeast infections worse - but nevertheless I thought I had to do something about the bacterial infection.

I took the advice of a US based candida expert who advised me to take flucanazole in tandem with the Amox - suprisingly I was able to persuade my GP to prescribe the latter drug. I lasted a week on this cunning plan - late July/beginning August - the symptoms became much worse; and over the next weeks have continued to do so - they have become severe - especially the constipation, dysuria and burning scrotum..

I feel profoundly depressed and down at this point - I have wrecked an incipient recovery and probably done irrecoverable damage - the human body is too complicated for cunning plans however well meaning and knowledgeable the expert advice.

Any thoughts? Advice? I am mentally in the worst possible place

[NPfisherman]

There are a number of things that can be done for Prostatitis that are non-medical and medical--from Cleveland Clinic:

my.clevelandclinic.org/heal...

Sitz baths, food avoiding, and anti-inflammatories...non-medical--for the burning scrotum and burning defecation..

For medical, an alpha blocker may help the urination. For a time, if painful, when starting a new antibiotic, Pyridium may help relieve those burning symptoms...Azo OTC--over the counter...

For an antibiotic choice, have your MD go back to your culture and sensitivity and try something else...Sanford's Guide to Antimicrobial Therapy--a favorite of mine--advises Ceftriaxone....which can be given IM injection at home--reconstitute with 1% Lidocaine solution, if not allergic, otherwise it is painful to inject......Also, Linezolid is advised and available by mouth, but expensive...

For the constipation, try Colace 100 mg over the counter twice a day and can add senna as well, or get Miralax powder taken with water daily...can combine those to get the BM....

Hope this helps...

All the best,

Don Pescado

[Hidden in reply to NPfisherman]

Thanks for the replies gentlemen - I'll consider them all; unfortunately I'm not feeling good at the moment; I'll respond when I feel a bit better

[Tall_Allen]

For an unknown reason, tricyclic antidepressants may give you some relief. I don't think people ever get rid of it completely, but it comes and goes. Antibiotics usually do nothing and may encourage resistance - the AUA warns against them.

[tango65]

Some info about chronic prostatitis:

emedicine.medscape.com/arti...

Fluoroquinolones antibiotics are cipro, levaquin and others.

[Currumpaw in reply to tango65]

Hey tango65,

Fluoroquinolones have literally crippled me, destroyed my shoulders and an injury to a ligament in my back which healed in 1989 went bad again by just getting out of bed. The very serious adverse reaction from fluoroquinolones is that they have been found to cause aortic aneurysms. These drugs are widely used to prevent infection after prostate biopsy. At the age when most men have prostate biopsies it isn't considered unusual for a man to have an aortic aneurysm. Sort of written off as "normal"? It is said that injury to soft tissue, ligaments, tendons and joints can occur as long as 6 months later. My first serious injury happened at 10 months after the first of the fluoroquinolones. I had quite a sequence.

Biopsy in July 2013: Biopsy in September 2013: HIFU ablation on October 12, 2013: October 18, 2013 a prescription of Levaquin, seven days I think. I would almost think that as each shot and oral dose of the fluoroquinolones was given to me the damage they caused was cumulative. Mid August of 2014 my right shoulder which had been injured originally in 1981and had been healed for years, "shredded" as all I did was un rack a light warm up weight for some incline presses. I had to let the bar hit my chest. Not a big deal. I had at that time been benching over 300 lbs. for years. A chiropractor diagnosed this as a result of the fluoroquinolones attacking my old injuries. She has been practicing for decades and has seen this before. The FDA has issue much more stringent warnings on the use of fluoroquinolones in the last year or two.

Anyone who is going for a biopsy should "INSIST" that Rocephin or Cefdinir be used rather than a fluoroquinolone. These drugs will protect you from sepsis and not damage you later.

There is something new. I'd wait until it is either proven to have good results for the majority of men without harming them or is deemed not to be worth the risk in most cases. Intraprostatic injection for prostatitis. Type it in your search bar.

Currumpaw

[j-o-h-n in reply to Currumpaw]

Holy Chit!!! Sorry to use such a technical term...

Good Luck, Good Health and Good Humor

j-o-h-n Monday 09/02/2019 10:28 AM DST - Pinnes

[LearnAll]

My prostatitis disappeared TOTALLY after 30 day course of I V Ertapenem....it was caused by multi drug resistant E Coli.....no sign ..no symptom for last 3 months now..

[Currumpaw in reply to LearnAll]

Hey LearnAll!

Nice to know.

Currumpaw

[Hidden]

Maybe try cranberry capsules? I was going to second the notion on pyridium.