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TN
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SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
General Practice
Languages spoken
English
Doctor Q&A
81 Answers
233 Agrees
The number of answers this doctor has agreed with.
A 43-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
No: It isnot normal to have a lot of pain with a full bladder. It could be a condition like interstitial cystitis but coul also be adhesions to the bladde... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 23-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Not exactly: Prostate cancer is typically effected by testosterone. One way to treat prostate cancer is to reduce the testosterone levels to very low values. The m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 50-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
It shows the kidney: The ct scan that is typically done to look for kidney stones is done without any intravenous contrast. Almost all stones show up easily on ct scan. Re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Open prostatectomy: With a prostate that large, an open prostatectomy is probably your best choice but it depends on your surgeon.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Bones and lymph node: Prostate cancer typically spreads to the pelvic lymph nodes or into bones, particularly he spine.
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Difficult to say: In studies on dogs in the past, if a kidney was completely blocked, there was some irreversible damage that stated to occur at 2 weeks. If the obstruc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Possibly: Some people seem to be sensitive to foods that they eat or drink and others don't seem to be affected at all by what they drink. Try it and pay attent... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Yes: Many people are born with a single kidney instead of two and never know about it unless they have some form of medical imaging.
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Dehydration number 1: The biggest risk for most people is dehydration. You should consume enough liquids to produce about 2.5 liters each 24 hours. This decreases the risk ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
CT Scan: Normally today, most stones are seen on a non-contrasted ct scan of the abdomen.
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Multiple: Family practice, internal medicine, urologists just to name a few.
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
No: While the percent of men with prostate cancer increases with age, it is not normal to have cancer cells at age 60.
The chart below shows the percent ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Several things: It could be epididymis is ( infection or inflammation of the epididymis), it could be torsion of the testicle ( twisting on the vascular cord ) which ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Medications: There are medications that your doctor can prescribe that should decrease the sensation of needing to void frequently.
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Yes: A man with a brother or father with prostate cancer has double te risk of developing prostate cancer than a man with a negative family history.
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Partially: Most of the fluid when a man ejaculates comes from the prostate and only about 5% is actually sperm. Radiation of the prostate kills the cancer cells ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Usually: Usually after external beam radiation treatments to the prostate, sexual function is preserved although the ejaculate volume will decrease to almost n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Yes: One of the early effects of a seed implant of the prostate is the the ejaculate volume will decrease to almost nothing. It typically does not interfer... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
It depends: There are several causes for calcium oxalate stones. If the problem is due to high calcium in your urine, about 50% of the time, limiting calcium inta... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Quicker recovery: In the old days, we did open surgery for stones where we made an incision and removed the stone. You were typically in the hospital a few days and had... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
2 days: Most men will see an improvement in their voiding symptoms in just a day or two but may see more improvement over several weeks.
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Lining breakdown: It is a condition thought to be caused from the breakdown of the gag layer in the bladder. It is associated with frequency and pain in the bladder.
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsAnswered >2 years agoMerged
A 38-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
No: Sciatic nerve pain is a separate issue from kidney stone pain although sometimes they are confused. If the pain radiated down into your leg, most like... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
No: Ten percent of males diagnosed with testicular cancer give a history of recent trauma to the testicle. It is not thought that the trauma causes the ca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
No: While i never like to say never, the chance of a teenager with prostate cancer is very close to zero.
20 to 30 years, 2% to 8%
31 to 40 years: 9% to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 25-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Check it now: If you have a prostate tumor of any size, i would recommend having it checked out. If it is a cancer, the sooner you know it the better.
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
No: BPH means benign prostatic hyperplasia. This is the enlargement of the prostate that most men experience with age. Prostatitis is inflammation or infe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 56-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Imaging studies: Either x-rays ( ct scan or kub ) or an ultrasound can show stones.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 22-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Yes: There is not always blood in the urine with a stone and ultrasound is really not the best imaging study for kidney stones.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Possibly: Exercise has a lot of beneficial effects with sexual performance being something that could benefit.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
No: Urinary tract infections are fairly common in sexually active women.
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Both men and women: It has a tendency to run in families which suggests a genetic factor. It is diagnosed more commonly in women.
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
No: Interstitial cystitis does not interfere with a womans ability to have children.
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 26-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Most in 2 days: The time to pass a stone is really the same for men and women. Most stones pass in the forst 48 hours. The chance of it passing after a week is around... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Yes: There are many ways to help with the symptoms. Dietary modifications help some people. I would check out http://www.Ichelp.Org for more information.
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
For some people: Sone people find that a heating pad can help them with some of the discomfort from interstitial cystitis.
Created for people with ongoing healthcare needs but benefits everyone.
6.2k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
It depends: If you have only had 1 stone, the risk is about 50% if you have had more than one, the risk goes higher.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Time: If the stone is a passable size (5 millimeters or less), given time, the ureter which it is passing through will contract to pass the stone through in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 54-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Possibly: Yeast likes to live in a warm moist environment like the conditions under the foreskin. It is possible your partner is reinfecting you.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 22-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Possibly: Cranberry juice makes the urine more acidly and some bacteria don't grow well in urine that is acidy.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Venous leak: This can be a problem called venous leak where the penis leaks blood back into the circulation and the erection is lost. You probably need to see a ur... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
It varies: Stones can be anywhere from a millimeter (1/25 of an inch) up to a staghorn stone that fills the kidney an could measure 8-9 centimeters in size (seve... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 25-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Capture it: Hopefully, you were screening your urine and caught the stone. If the scan showed a 3 mm stone and you captured a 3mm stone, that is good enough. You ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Multiple: If it is localized, surgery both conventional or laparoscopic/robotic, radiation including radioactive seed implant, external beam, gamma knife radiat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Yes: It can be a symptom of prostatitis particularly if it turns into a urinary infection too.
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Probably not: If a person has an enlarged prostate and repeated infections it might increase the risk of certain stones. If the prostate is enlarged, it is possible... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Yes: Because cranberry juice causes the urine to become acidic, certain bacteria can't grow in urine that is acidic and it can help eliminate an infection.
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Yes: Some people find benefit from herbal medications that typically contain saw palmetto. More often than not, it doesn't help as much as prescription dru... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 50-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
No: Normally, if you have a stone on the right, it will always hurt on the right side. It is possible that you might be passing a very small stone on the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Phillip Porchanswered
42 years experience
Some you can: If you are "lucky" enough to have stones made of uric acid, you can actually dissolve them by making your urine less acidy. Normally with uric acid st... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.3k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
4
Recommendations
406
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Porch is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Porch is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Feb 8, 2012
excellent advise, thank you
HealthTap member
Thanks. My mono Mac antib wasn't clearing it even though the ecoli tested sensitive for that drug to work. I'm now taking the herbal stuff that I mentioned that I was told make it difficult for the ec...Read More
HealthTap member
Thank you, your answer was very helpful! I am feeling better thank you Dr.
HealthTap member
Thank you, your answer or tip was very helpful! And very quick response.
Education & Training
Medical/Graduate school
University of Tennessee College of Medicine, TN
Graduated 1981MD
Awards
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