Doctor insights on:
Prostate Cancer Rectal Pain
PROSTATITIS EVAL: R/O prostatitis v Epididymitis tough to treat. Hopefully you have seen a urologist recently. Tx with doxycycline. I would recheck labs /UA C&S. & testosterone if no response ,cipro (ciprofloxacin) may be needed for 8-10wks. Recheck labs and culture. You also need abdominal/pelvic/prostate US R/O prostate stones. Also switch to gluten free diet Wholeapproach.com gutbliss.com Cipro (ciprofloxacin) may also be tried if no change. ...Read more
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
Are prostate problems/ prostate cancer typically associated with rectal pain? Butthole aches/slight pain.
Not cancer: Prostate cancer is very rare in young men. In 30 years of oncology practice I have seen zero cases in men your age. Prostatitis, however, can occur in young men. The symptom is seldom in the anus per se, but more deep in the pelvis. The only way to know what your problem is, is to see a doctor. ...Read more
Possibly: Depending on the stage of the prostate cancer, rectal bleeding can be present. However, if it an early stage prostate cancer, rectal bleeding is generally not associated with prostate cancer. Also, previous radiation treatment for prostate cancer may cause rectal inflammation and cause subsequent rectal bleeding but this generally resolves over time. ...Read moreSee 2 more doctor answers
Yes: One of the potential side effects for radiation therapy to treat prostate cancer is rectal bleeding. This can occur after brachytherapy or external beam therapy. This is called proctitis and is generally mild and self-limiting. It usually does not require any treatment other than conservative management such as maintaining soft bowel movements, hydration, and monitoring of blood work. ...Read moreSee 2 more doctor answers
Which test is recommended for checking that prostate cancer is organ-contained? A needle biopsy or a Trans-rectal MRI?
Radiography: Needle biopsy will only reveal tumor cells within the prostate gland. Usually, multiple core biopsies are obtained as cancer cells can be scattered throughout the prostate gland. To determine if the cancer has spread beyond the prostate locally, transrectal ultrasound or MRI would be more appropriate. To evaluate for metastatic disease, CT or PET scanning would be modalities of choice. ...Read moreSee 1 more doctor answer
I'm 50years old, african descent, no family history of prostate cancer. Psa 4.1 but normal digital rectal exam. Is biopsy recommended? Any risk? Thanks
Yes: Indication for a prostate biopsy are an abnormal dre or an elevated psa (most common reason). There is no psa level at which one can absolutely say that prostate cancer is or is not present; only that the higher the psa the greater the probability. Normal/average psa for age 50: ~0.7. Chance of fnding pca on bx with psa 4.1: ~25-35%. Risks of bx: infection, bleeding, pain, urinary retention. ...Read moreSee 1 more doctor answer
Healthy Lifestyles: Prostate cancer is quite common in males >70 years but it is rarely of any consequence because an average patient with prostate cancer lives for>15years.This is the reason for not to even do psa test for >70 year old males. On the other hand we promote healthy lifestyles to prevent chronic diseases like heart disease and cancer, both of which can be minimized by cutting out animal fats in our diets. ...Read more
Surgery/Radiation: The 2 main forms of curative treatment for prostate cancer is radical surgery or some form of radiation therapy. There is also cryotherapy which is freezing of the prostate but not as common as surgery or radiation. If the cancer is advanced, then treatment consists of hormonal therapy. ...Read moreSee 1 more doctor answer
Rectal exam and PSA.: Digital rectal exam and serum psa levels are what doctors usually use to determine the next steps in care. Rectal exam showing one or more hard, irregular nodules on the posterior surface on the prostate is considered positive. Serum psa over 4 ng/nl is also seen but it is nonspecific, and even values <4 can possibly be in cancer cases if rectal exam is positive. That's why biopsy is done. ...Read moreSee 2 more doctor answers
We could try...: ...but would fall way short of the good explanation you deserve because of the 400 character limit. I suggest you check the American Cancer Society (cancer.org) and the National Cancer Institute (cancer.gov) websites. They provide good information about different cancer types. Best to you. ...Read more
Prostate cancer: The main way to diagnose prostate cancer is with a biopsy of the prostate. Most men have a biopsy due to an abnormal PSA; the higher your PSA the higher chance of prostate cancer. If you have a PSA of 50 in the absence of other issues you have a very high chance of prostate cancer. Most men have PSA in the .5-2.5 range; a pt with prostate cancer in the bones can have a PSA over 1000 ...Read moreSee 1 more doctor answer
Varies: Prostate cancer may have no symptoms at all. This is a good reason for men over 50 to be screened for prostate cancer. Depending on size and spread of tumor a man may have urinary symptoms, including bleeding in urine, back pain from tumor having spread to the bone, weakness, weight loss, pelvic discomfort etc are other symptoms, but are signs of late disease. ...Read moreSee 1 more doctor answer
Abnormal glands.: Prostate cancer is the abnormal growth of glands within the prostate. Changes in the dna can accumulate, then cause these glands to grow abnormally, no longer observing the boundaries with other tissues and structures. Aggressive forms can lead to growth that extends outside of the prostate, and spread can lead to invasion of lymph nodes, bone, and other organs. ...Read more
Prostate cancer dx: Only men get prostate cancer (women don't have prostates). To diagnose this, men usually first are found to have a high result on a blood test called the PSA. This can also be high for other reasons, so to see if it is from cancer, they undergo a biopsy done by a urologist (doctor specializing in male urinary tract). Biopsy is done in the office as outpatient. ...Read more
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
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