Doctor insights on:
Alternative Treatments For Elevated Psa
Not really: It may increase the psa very slightly but only briefly as part of an inflammatory response. But, generally, no. The psa should not be elevated high enough to worry. If it is, you need it checked out. ...Read more
Its value from 0 - 4 ng/ml has been adopted as its normal range but notoriously inaccurate to predict prostate cancer (P-Ca). To explore its best possible clinical use, PSA has been looked from different angles resulting in its following "derivatives" such as PSA density, velocity, age-specific PSA, complex PSA, and total/free PSA. More? To ...Read more
Here are some. ..: Its value from 0 - 4 ng/ml has been adopted as its normal range but notoriously inaccurate to predict prostate cancer (P-Ca). To explore its best possible clinical use, PSA has been looked from different angles resulting in its following "derivatives" such as PSA density, velocity, age-specific PSA, complex PSA, and total/free PSA. More? To http://www. Formefirst. Com/FreeInfoProstate. Html. ...Read more
Here are some. ..: PSA ng/ml at 60 is slightly elevated but should be correlated with its change over time (PSA velocity - high if >0.75 ng. Ml in 1 yr), possible UTI, or the finding of DRE (digital rectal exam) as well as with patient medical background so to decide if prostate US is a medical necessity. To explore more PSA dilemma, please view the articles in http://formefirst. Com/FreeInfoProstate. Html. ...Read more
High, get checked.: If this is your first result showing high blood psa, you should see your doctor to get worked up to be sure it isn't prostate cancer. Other things, like prostate hypertrophy, can give high psa, but there are different results on dre (digital rectal exam) than cancer. The prostate would be firm, smooth, and rubbery, not rough and irregular. But you don't know unless you get checked, so see dr. ...Read more
What do you recommend for persistently elevated PSA (8-9) with multiple negative prostate biopsies and negative prostate MRI?
52 male w/rapidly elevated psa, poor free psa test, dre that shows thickening upper right quadrant with nodule. Will docs sedate for biopsy if rqstd?
Rising PSA: Rising psa is very concerning. A biopsy is in order. ...Read more
I have a small bump in the perenium area and have been seejng a urologost yearly for elevated psa cpuld this be a swollen gland or a calcium deosit?
Unlikely: Not related to psa....Show your doc.Get a more detailed answer ›
Can a primary care doctor diagnose you with prostate cancer based on a psa test that shows elevated psa?
Prostate cancer: You can never diagnosed prostate cancer based on a psa test they just aren't that accurate. Diagnosing prostate cancer requires doing a biopsy. Most primary care physicians are good at finding suspicious lesions but they usually refer to urologist for biopsy. Psa tests are not that accurate. ...Read more
I have a psa 1, 7, my prostate doesn't see enlarge but somehow the inner channel has reduced making the urine flow weak, what alternatives of treatment?
PSA: Do you have a 1 and then a 7, or a 1.7? Big difference of course. If 1.7-ok, if one was now 7, need to follow-up with urology for an eval and discussion. Even if low and no dre evidence of enlargement, you have symptoms of some bladder outlet obstructive process. There are medications that can help this. Urology will treat this, best wishes. ...Read more
Looking an alternative for hormone therapy. Operated on in 2002 for prostate cancer....psa level is at 4 from 1.5 3 years ago.
Better ask: Your oncologist, s/he would be the best to answer your queries in context of your history and clinical exam, unfortunately there is no generic answer, wish you well ...Read more
Make sure patient has a transrectal prostate ultrasound.
If there is no sign of tumor, a urologist will probably want to take a prostate biopsy. No medication should be started until these tests are completed. If the prostate is simply enlarged (BPH) without tumor. There are mediciations to help shrink the gland and enhance urination. ...Read more
I would like info on treatment for fising psa after prostatectomy. Level is now 1.49 13 months post op.?
Here are some. ..: Rising PSA after definitive Rx such as radical prostatectomy (RP), external beam radiation therapy (EBRT) or brachytherapy (radio-seed implant) or cryotherapy may suggest: local recurrence /residual tumor or nearby spread such as lymph node or distant spread such as to lungs, ribs, spine, pelvis, hips, etc. How to handle individual condition? Ask your treating urologist for assessment and Rx as. . ...Read more
Urologist: Perhaps you should get checked out by a urologist ...Read more
My dad- 64 yrs- got psa values of 10.4- what are the next steps and what is best treatment? Not spread to other organs yet
Urology: A urologist will be able to do initial tests and studies. Further decisions will be based on these results. ...Read more
Not enough info:
You describe a complex situation that requires complete review of the medical record. Questions that need to be answered include:
- cancer grade
- psa at diagnosis
- rate of psa rise
- stage, ? Mets?
- duration of hormones
- how long since radiation...
See your urologist or radiation oncologist and ask them all of your questions. If you don't feel comfortable with them, seek another opinion. ...Read more
Different causes: Prostate specific antigenpsa) is a protein produced by prostate cells. It can be detected at low levels in men of all ages, but increases when the prostate enlarges or becomes inflamed. Psa test used to screen men for prostate cancer or for recurrence of cancer. Benign prostatic enlargement, inflammation (prostatitis), recent ejaculation, strenuous bicycle riding, and recent rectal exam can be cause. ...Read more
Dad had prostate removed in 2004. Psa rose in 2013 prompting radiation. First psa after treatment. 05. Docs want it at 0.00. Should he be worried?
Maybe: That's a long gap between surgery and radiation. He must have had scans determining psa rise was still local. It's a tough call whether to put him on long term hormone therapy for a psa of 0.05. Lots of major health risks with hormones. He needs to exercise daily, eat a high fresh/frozen vegetable diet and follow the psa trend closely. If he has significant heart disease already, avoid hormone rx. ...Read more
Evaluate first: Liver inflammation is not common with psoriasis and psoriatic arthritis though inflammatory conditions can occur together. Before assuming that the liver inflammation is related, I would first rule out fatty liver, viral hepatitis, etc. Then, and only then can a treatment plan be decided. ...Read more
Which is the fastest working and best of testosterone treatment my TSH is 1.8 my thyroxine is 1.18 my psa total is 1.3 and testosterone is 227?
Had radical prostactemy, PSA level that has been 0.8 in last 2 readings. Doing hormone treatment, should I do radiation as well or diet changes?
PSA pretty good..: Often, in your situation we would like to see the PSA be undetectable, but 0.8 is low & reassuringly stable. Only your treating physicians can advise you on the risks/benefits of adding a treatment such as radiation in your individual case. Besides generally healthy eating, two diets may reduce prostate cancer risk: Japanese-green tea/soy/veggies/fish & Mediterranean-tomatoes/garlic/olive oil, etc ...Read more
My father in low has cancer prostate, on diagnosis his psa was 17 ng/ml, he recieved hormonal treatment now psa is 0.3 ng/ml, wht is that mean?
No prostate, rising PSA, negative bone scan. What can I expect for treatment steps. Very anxious. 51yr, surg. 1/13 - salvg rad, hormone therapy, . 6 PSA?
Rising PSA: In order to determine the next steps, it is important to know if your PSA ever dropped to zero. With hormonal therapy, the PSA should be undetectable. What was the pathology from your surgery? IF bone scan is negative, that only rules out metastatic disease to the bony structures. Micrometastatic disease is the most likely with a rising PSA. It is also important to have at least 3 PSA results ...Read more
What is the best treatment for prostrate enlargement BPH of 140gm & psa 6.73? Catheter insertion for one month & chronic sob, no hypertension. 72years
Simple Prostatectomy: Given your psa, a biopsy should be considered, though not imperative. Your only choices are to continue with a catheter indefinitely to see if medications eventually help, or proceed with removal of the obstructing portion of the prostate (a simple prostatectomy). This operation carries a fair amount of morbidity, but it can be done with spinal anesthesia. This would be helpful in light of sob. ...Read more
I had prostate cancer radiation treatment, last psa test was. 58. If cancer do reoccur what kind symptoms will I get physically, feel, notice etc.?
79 yr old father psa 6.1 biopsy showed gleason 3+4 prostatic carcinoma, otherwise in perfect health condition, what would the treatment options be?
More information?: ? symptomatic or "routine" PSA that prompted biopsy &/or has he symptoms of ptostatic obstruction? How many biopsy cores +ve? ? general health, ? life expectancy 10 yrs? .Most die with prostate Ca rather than from it. Options watchful waiting, Hormone-Estrogen/Lupron, Trans urethral resection if urine flow obstructed w or w.out hormone, Radiation therapy, Surgery (robot assisted by expert), cryotherapy ...Read more
Cardiac n sugar patient, under treatment for BPH, PSA upto 3 yrs ago was normal. Now PSA-100. Whether biopsy is advisable n future course of action.
Likely Prostate canc: Once PSA level is over 20 ng, it is almost certain to be due to prostate Cancer. Biopsy is done to confirm (100) that you have Prostate cancer so that you can be placed on some sort of medical or surgical treatment. You need to consult a Urologist for further guidance. ...Read more
I'm desperate for a clear cut DX and treatment plan. I'm losing everything. My medical care has been all over. Dx'd with inflammatory polyarthritis of unknown origin first, then lupus, ra and as mentioned, now psa but it's not clear. Says Ana neg so not l
Arthralgias: If you like, I can take a history regarding your polyarthralgias, if that is indeed your chief complaint. I can also do a patient-guided physical. I can review the lab studies already performed, as well as any radiographic study reports. Let me know if you would like this kind of help from me. ...Read more
I am having bone pain here and there, did prostate cancer radiation treatment 2 yrs ago. Psa ok, 0.5 now. Initial psa 7.20, gleson 7 during treatment.
Prostate cancer- what are the best diagmostic tool- biopsi/mri/serology -psa values? What is the best treatment option? Male 64- obese- high bp
Biopsy: A biopsy should be done but if the psa is very high, > 100 unlikely anything else. A biopsy will give tissue diagnosis, grade of the tumor, and help the physician decide on therapy. Hope this helps. ...Read more
Psa is a protein made in the prostate gland that functions to liquefy sperm. It is a serine protease made by both normal and malignant prostate glands. Commonly used as a screening test for prostate cancer, the psa test is widely used to detect which men would benefit from a prostate biopsy as well as detect cancer recurrence in men who have been ...Read more