Doctor insights on:
Lose Fecal Matter Following Prostate Exam
Prostate cancer, scheduled for rp, biopsies/6 of 8 positive 2aggressive w/ gleason of 7, CT & bone scan clear, male 55, healthy active. Prognosis?
The prostate is a gland that lies at the base of the bladder and surrounding a segment of urethra. It secretes a milky fluid that is discharged by excretory ducts into the urethra during the emission of semen. It is clinically important because enlargement of the prostate with age, and prostate cancer are two common ...Read more
Male 68yrs. Prostate weight from 49.4gm to 22gms. Residual urine=59 cc.Urine flowrate 10 ml/s per.E-coli & kleb pneumonia in urine.Is surgery needed?
An option: If you have been on Alpha blockers like flomax, (tamsulosin) and 5 Alpha reductase inhibitors like finasteride, and still got a uti, surgery most likely is indicated. Also your doctor may feel that the infection is from prostate infection and that surgery is indicated to remove infected tissue. ...Read moreSee 1 more doctor answer
If endometriosis nearly infiltrating colon recurs after hysterectomy & does inflitrate, how do you know? Any kind of routine follow up typical?
Does fecal matter stay in the rectum after pooping and flushing, is there still matter deep inside the rectum? Anal sex, OCD questions ;)
Complete appetite loss in chemo for metastic colon cancer , does not feel like eating anyting . Is this unusual ?
Yes: Sadly yes a lot of cancer cause appetite loss even without the side effects of chemo. That's why people think that smoking marijuana which has it's own side effect of giving you the "munchies" would help cancer pt eat better. I think cancer pt's should be allowed whatever they need especially if they are in pain and need help should have access to whatever makes them feel better. ...Read moreSee 1 more doctor answer
Psa 7, gleason 8, 30cc prostate, 1cm spot, patient 68yr, no apparent metastities. is radical prostatectomy the best option, can you tell me?
Here are some ...: If he is resonably healthy, yes, radical prostatectomy will give him a better edge of long-term survival although possibly expecting instant negative impact to his erection and urine control. If his health status is marginal, other options of care such as radiation or cryotherapy will result in comparable outcome despite G-score at 8/10. So, consult Doc to balance medical necessity & possibility. ...Read more
What are treatments for anal fistula, surgery required? When urinate, fecal matter also in the urine. Antibiotics did not work. Thank you
Complex problem: This is a rectovaginal fistula. You really need to see a specialist for this as there are numerous causes. Depending on the cause and location a surgery is then picked to fix this for you. I can't simply tell you here without knowing more about the fistula since i would tailor the operation according to the fistula itself. ...Read more
Scan shows Prostatic Wt 19gms/ PVRU 28ml d/d PROSTATISM. 1)Is Prostate size is normal? 2)Is prostate lead to problem in voiding urine in this size? TY
Not able to void urine, doctor said due to prostate ,ultrasound shows prostate 19gms and RBC & Sperms leak in urine.
What is Treatment?& how to void?
Evaluate further: You are young to have an enlarged prostate and your prostate weight is normal. It is not normal to have more than 1-2 RBC's in your urine. You could have a prostate or urine infection. Does it hurt when you urinate? You could also have a bladder stone or a narrowing of the urine channel. Get a detailed report of your urinalysis and a urine culture, then show them to your doctor or a urologist. ...Read more
Stage IV patient , lungs cancer after kidney tumor.2months after diagnosis, weight gain & good appetite, always hungry.No symptoms as doc said.Confused?
Unclear: If the diagnosis of stage 4 long cancer is correct, this may be the calm before the storm. If the diagnosis is not correct, that could be the reason there are no other symptoms. The issue is really more complex than be sorted put on this forum. Need lots more info. Hope this helps! ...Read more
On & off frequent loose stool, after eating food mostly. Stool examination report ; microscopic :: cyst = of giardia seen.
Frequent floating stools that leave a clear haze on toilet water. Normal ct, colonoscopy, stool & 72hr fat test. Can i relax about pancreatic cancer?
I think so. : Given your age and the test that have been done already it would seem that pancreatic cancer is unlikely. Most common presentation of pancreatic cancer is painless jaundice (yellow eyeballs). Could be diet related. A nutrition consult with a food diary could be useful to determine the possible contributing factor. ...Read more
Too worried - losing too much weight I'm chemo for metastic colon cancer as no appetite . Is 1 stone a lot to lose in 7 weeks ?
See below: If your oncologist has not been able to help you improve your appetite with medication you may ask him/her if cannabis(medical marijuana) is appropriate for you. Studies show that it increases appetite and thus the pleasure derived from sharing good tasting food with friends and family. It may also calm anxiety and improve sleep and mood. It may not however prevent continued weight loss. ...Read moreSee 1 more doctor answer
Is there any imaging test to detect colon cancer that doesn't require bowel prep? I'm symptomatic but can't do bowel prep due to heart & electrolytes
Colin ca test: You state that you are 20 years young! Whoever suggested to you that you get a colonoscopy at your age? Unless you have an inherited polyposis syndrome or some other rare disorder you would not have that done so early. If U have blood in stool it is most likely due to hemorrhoid, not to cancer. ...Read more
For a laparoscopic abdom anterior perineal approach with trans rectal resection. Will they remove a person's seminal vesicles? No disease in area.
8/6 approx 1455hrs EUA & inject > Rectal areaL/A Marcaine &removal of Haemorrhoid @1900hrs.? How long should L/A last . Still have faecal incontience & very numb rectal Not able to tell if having Bowel motion 1800hrs9thPH ULARS 2yrsago
Numbness = hours: Marcaine lasts 6-8 hours. Some temporarily altered sensation + laxity of the tissues after this procedure would be expected. Often people are prescribed laxatives which will also increase the chance of some leaking/soiling. If it is happening more than you think it should then can decrease laxative dose +\- a physical examination/review is needed. However, it sounds like it may just settle down. ...Read moreSee 1 more doctor answer
Recurrent UTI not respond to various antibiotics, u/a shows 4-10RBC 20-40WBC trace bacteria, 45y/o female. Bladder cancer risk? No history of gross hematur
Uti: urine culture results would be important to know. Multiple antibiotics maybe useless if bacteria shows resistance. Blood in urine maybe a problem, but not indicative of cancer, further work-up required to exclude bladder polyps or diverticula, kidney cysts, stones, etc.. Consider visit to urologist or urogynecologist. ...Read more
Is these periodic check up enough or there are more analysis required?
Urine complete anal
Good Start: AT your age these are good routine tests. As you age I'm sure your PMD will order more that are age appropriate. ...Read more
RBC of 5 in urine, no signs of infection, normal kidney function, abdominal discomfort & bloating, no diabetes, no gyno issues, plan to see urologist.
Here are some ...: Finding 5 RBCs in UA reaches the recommended threshold of microhematuria; of course, it's essential to make sure your urine specimen was not contaminated with period; if yes, repeat UA with properly collected fresh urine. If still >5 RBCs, seek uro-evaluation with imaging studies and cystoscopy at least. As to bloating, seek professional evaluation / counseling on how to smooth out digestion... ...Read more
Good day, I have pain passing out stool some times with blood. Treatment has not resolved the issue completely. Looking for a gastroenterologist who can do a colonoscopy in their rooms. I will also like to have a prostate exam done. Thanks?
Pain/blood w/stool: Pain & blood may be from hemorrhoids, fissures, ulcerations as in ulcerative colitis, Crohns disease or polyps, mass. Go to your nearest ER for evaluation/referral t ogastroenterology. Colonoscopies in the US are done in special surgical suites or hospitals as they are done under anesthesia, you could discuss that at your local hospital ER. A urologist is best for prostate ...Read moreSee 1 more doctor answer
No, and ...: It is nice to know you are ahead of the game concerning prostate health. If you have some issues about urination, seek evaluation for right care. At 18, the odd to have significant prostate issue almost next to none. To help you know more on men;s voiding and life reality, go to articles listed in http://formefirst.com/onBPH-LUTS-VoidingTrouble.html, & http://formefirst.com/onLifeBasics.html. ...Read more
Some are...: - start annual dre (digital rectal exam) at 50 for average-risk men and at 45 for the high-risk - those with fh of prostate cancer, blacks, ; agent orange exposure; its interval may adjust later. - judicious psa test after counseling its pros ; cons. - a professionally friendly finger can make dre reasonably comfortable. - judicious use of prostate ultrasound ; biopsy. More? Ask doc for detail. ...Read more
No: Individuals who enjoy the sensation of prostate stimulation do not necessarily have a gay or bisexual sexual orientation. Gay men desire to have physical and emotional relationships with other men. This does not necessariy apply to men to enjoy anal or prostate stimulation. ...Read moreSee 1 more doctor answer
Yes, of course: You can decline anything once you find out the risk and the benefit from your doctor, he would not push or force you for anything you do not wish to have done to you. After all it is your body...And you are in charge! ...Read more
A few days ago i had a prostate exam. Everything was good no issues but ever since the examination I've had really bad pain in my anus. ?
Anal Fissure/tear: You probabely have Anal Fissure as a result of Rectal Exam or a tear in the anal wall.Avoid constipation with high fiber diet and may need stool softner like Docusate Sodium.And plenty fluids.But if it persists see your doctor and you may be prescribed Nitroglycerine ointment 0.2% can be prescribed.It relaxes the anal sphincture and help the fissure heal.Other choice is Nifedipine cream. ...Read moreSee 2 more doctor answers
In any normal situation, should a prostate exam cause or possibly irritate/infect the prostate? had an exam now butthole/maybe prostate hurts?
How high would DHT need to be for it to be treated? In general would it be ok to treat a abnormal DHT even if a digital prostate exam was normal?
Embarrassed about prostate exam: Is there a possibility of unintentionally getting an erection from pressure on your prostate and how common is it?
I'm a 47 year old male and I never had a prostate exam. Do men ejaculate when this procedure is being performed? And if so is it a normal reaction.
Men do not usually ejaculate due to prostate examination.
Wish you good health! - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more
What is the procedure for getting a prostate exam? What type of insurance coverage would i need? Do they put you to sleep to do the exam? I am afraid.
Simple: Go to your doctor and the initial exam is a rectal exam to feel the prostate, if needed a blood test can be done as part of your insurance, and if there's anything abnormal a referral to the specialist can then be made. These should all be part of your care under your insurance minus the deductibles and copays. ...Read more
Here are some...: For high-risk men, i. e., having family Hx of prostate cancer, blacks, & Agent Orange exposure, start prostate exam at 45-50; for average risk men, start prostate exam at age 50-55. Over the past 5-10 years, significant shift in age recommendation for prostate exam has taken place resulting from more professional scrutiny. To http://www.formefirst.com/NewAUAPSA.html for more detail. ...Read more
Yes: Most men are a little anxious about having a prostate exam. It consists of the physician placing the index finger into the rectum to feel the prostate to assess for size, consistency, and nodules. This digital examination and a blood test called psa are screening tests employed to help detect prostate cancer. ...Read moreSee 1 more doctor answer
Here are...: I realize the digital rectal exam (DRE) is the most dreadful part of prostate exam. To ease the tension from DRE, do these: anticipate some discomfort but not bad; keep both hip joints in at least 90-degree flexion in either standing or lateral position; open mouth, take deep breath, and relax the anus. These together will make DRE a more acceptable experience than ever. Best wish... ...Read more
Prostate Exams: First, this vital examination should be done if you have concerns, or symptoms of problems regardless of age. But, without symptoms, there is very little need to do a prostate exam until after forty. A prostate exam is a small part of predicting if you have any unwanted growth or other abnormality requiring more investigation. Do not be afraid to ask your health care provider when to examine. ...Read more
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