An emergency doc suspected me with acute prostate infection and prescribed
me with
Cipro 500mg for five days after urine sample. At the end of the five day a
urologist gave me
Zinnat 500mg/2week & 250mg/2week, based on the chronic symptom I explained,
the
prescriptions I had, and some ultrasound test (no tumor and etc). No tests
were ever performed
to check the compatibility of the bacteria and either antibiotics.

Back home I found many websites with info for prostatitis and 4week of
Cipro, while Zinnat is
more associated with respiratory infection.

Should I change my antibiotics and erase all the work Cipro has done? Or is
there any considerations
the urologist maybe believed?

Thanks.
Andy.

Andy,

Whenever an infection is determined, the usual M.D. response is to
prescribe an antibiotic.

If the M.D. is convinced, based on empirical (history & physical)
findings, of the causative "bug", the appropriate antibiotic hopefully
will be prescribed.

For example, its winter, your a school-age kid whose throat is examined
and determined to be infected, along with fever, fatigue, and you're the
"millionth" kid seen in M.D. offices this month with the same symptoms!
The M.D.'s, through colleague consultation and published literature,
know a particular "bug" is "going around." Its a 5 minute office visit
and you walk out with an Rx for an already determined "appropriate"
antibiotic and a note to stay home for 3 days. Cool!

However, you're an otherwise healthy (my guess) adult sexually active
(again my guess) male in the E.R, presenting with acute prostatitis!

You did not give your age! Nevertheless, these days red lights, bells
and whistles should go off!

After a thorough history and physical exam including blood and urine
sample, a broad-spectrum antibiotic or one related to the "site" of
infection (M.D. choice) can be prescribed.

The bloodwork, specifically the "blood differential" and "WBC" (White
Bloodcell Count) , will ball-park the "kind" of "bug" and determine the
intensity of the infection, while the urine should be sent for something
called a "Urine C&S" (Culture and Sensitivity) to identify the specific
"bug" and the specific antibiotic most likely to kill it!

You seem to indicate this was not done.

What an insurance Co. will pay is WAY below what the hospital wants
(needs) to charge for these tests to off-set its E.R. operating costs.
Thus, the emergency room is saving money by not performing these
diagnostic tests on your behalf.

I hope this helps. I hope you feel better.

Thank you, Brute.

Though your reply explained how an antibiotics is prescribed, however I
don't understand how I shall
evaluate whether the new antibiotics is working on my illness. I am 27, very
sporty and outgoing guy.
There has been some mild symptom of prostatitics (slight pain and some
tension in the colon in the
afternoon) on me for many years however I misjudged it as sensitive colon
due to my constipation in
the past.

The situation got deteriorated out of nothing over the past three weeks, and
almost got hospitalized since 29/July.
No unclean sex over that period. After taking and switching antibiotics, it
has not improved a lot. I am on Zinnat for
three days now, but today it was still so painful over there. I felt the
pain is sometimes there while other times not.

I want to know, normally how long does it take to get rid of that pain and
live back to my normal life?

Thanks.
Andy






<etubrute@webtv.net> wrote in message
news:24421-3F330B8B-349@storefull-2113.public.lawson.webtv.net...

Re. prostatitis, you ask, "How long does it take to get rid of that
pain?"

That depends on the type of prostatitis you have, which depends on the
proper diagnosis.

There are three types of prostatitis:

1. Acute infectious prostatitis.

2. Chronic infectious prostatitis.

3. Non-infectious prostatitis.

1 and 2 have different antibiotic protocols. 3 involves no antibiotics
but rather deals with structural/functional abnormalities of the
genito-urinary tract.

Did your M.D. tell you what kind of prostatitis you have?

Also, the only diagnostics you reference is an ultra-sound, and an E.R.
urine test.
Such is insufficient to definitively Dx. prostatitis.

To properly and definitively Dx. prostatitis, your M.D. should:

- Perform a preliminary rectal exam, "feeling" the prostate for size,
lumps, hardness/softness, and reaction to pain.

- Perform a "3-glass urine test".
Upon urination, pass small amount of the "1st stream" into a collecting
jar. This urine washes through the urethra collecting any bacterial
material there.

"2nd stream" collection permits examination of "bladder" urine for
bacteria.

Prior to the "3rd stream" collection the prostate is finger-massaged to
stimulate the production of prostate fluid into the remaining urine
sample.

All three samples are examined and compared for pathology (germs).

Based on the finding of the "germs", either type 1 or type 2 prostatitis
as indicated above is diagnosed, with appropriate antibiotis prescribed.

However, if NO pathology (germs) are found, then a "Videourodynamics
Test" may be performed to determine structural or function abnormalities
in your G.U. tract where the prostate fluid, not completely
free-flowing, can become "backed-up" causing chronic-recurrent painful
swelling and inflammation of the prostate gland, as in type 3 above, in
which case antibiotics will not correct the symptoms, only surgery.

Also, a GOOD urologist may perform the VUD Test even if there IS an
infection to determine if there are "pockets" within your G.U. tract
that sequesters not prostate fluid, but bacteria producing urine,
causing it to become stale and leading to chronic low-grade infections
throughout the G.U. tract, INCLUDING the prostate gland.

To your knowledge, has ANY of these measures been affected toward your
diagnosis?

If not, consult your M.D.

Unfortunately, particularly in E.Rs, it is cheaper to save money by just
throwing antibiotics at symptoms, crossing one's fingers, and hoping the
problem goes away.