1. I was suffering from Prostatitis in late August this year: pain in urinating and restricted flow. (I am a British male aged 70 years and 3 months).
2. I saw a Urologist at my long-time Private hospital (outside Bangkok, Thailand) and had a Prostate ultrasound, urine test and a PSA test - which I requested.
3. The PSA test had with a result of 1,000 (when I was told it should be 4-8). The Urologist prescribed me 3 medicines: the antibiotic Levofloxacin (500 mg x 1 tablet per day), Finasteride (5 mg 1 x tablet per day) and Tamsulosin (1 x 0.4 mg tablet per day).
4. After 2-3 days, my Prostatitis started to clear up - and was soon gone.
5. I had lower abdomen CAT scan (for my prostate) in late September, which confirmed that I had Prostate cancer.
6. I had a Prostate Biopsy ((after being advised to – big mistake) on the 14th of October.
6a. The Urologist who performed the biopsy told me it was successful and prescribed me the antibiotic Cefdinir (3x100mg per day) Cefdinir which was totally ineffective; after 3 days I could hardly urinate. I checked online and all the websites recommended 3x100mg Cefdinir every 12 hours, so on the 4th day I increased the dosage of this antibiotic, but the increased dosage made me feel ill / caused pains in my chest at night.
7. I had an appointment with this Urologist one week after the biopsy and advised him (6a) the above and I had increased to dosage, but that I was suffering with Prostatitis and constant pain at the rear of my testicles, to which he said: "I'm sorry".
8. Later that evening (after completing one week of Cefdinir), after completing one week of taking Cefdinir, I switched to the antibiotic Levofloxacin (500 mg tablet x 1 per day).
9. This almost immediately improved Prostatitis symptoms and the pain behind my testicles went away, but after one week the symptoms returned (but not the pain behind my testicles). I started suffering constipation, but I continued taking this antibiotic for one more week.
10. I saw another Urologist at the hospital (on November 4th), described my condition to him, and he changed the antibiotic to Ciprofloxacin (500 mg x 2 tablets per day for 5 days). I also advised the doctor that I am continuing to take Finasteride (5 mg 1 x tablet per day) and Tamsulosin (1 x 0.4 mg tablet per day).
11. After taking the Ciprofloxacin for 2 days, I was no longer constipated but then had LBM (loose bowel movement) – basically every time I needed to urinate (2 hours or less), I also had the need for a bowel movement. The main problem I now have is that when I need to urinate every 1 to 2 hours and I have no bladder control before-hand, meaning that I involuntarily start to urinate without control. (However, I have always drank water through the day: 2 to 3 litres per day). I don't drink alcohol or smoke cigarettes).
12. I had a follow-up appointment with the same doctor one week later; I told him that I was feeling much better (which I was) and that I had completed the course of antibiotics. He ordered a urine test to test for infection, and there was no infection. He just mentioned that the test showed that I was dehydrated. I told the doctor that I drank water constantly throughout the day – which I have done for the last 20 years living in Thailand.
Conclusion
1. Prior to the Prostate Biopsy, I didn’t have Prostatitis.
2. After the Prostate Biopsy, I have Prostatitis once again (as per No. 1 above).
3. I checked online last night for a couple of hours, and I have decided to start a course on Norfloxacin 400 mg tablets (1 every 12 hours on an empty stomach) for 28 days.