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Urology (Expert Forum)
prosate cancer?
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
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prosate cancer?
by jlg17, Feb 26, 2006 12:00AM
HI THERE..I HOPE YOU COULD HELP ME..THIS WILL BE A LONG DETAILED QUESTION AND WOULD APPRECIATE A LONG DETAILED ANSWER IF ABLE TO DO SO. I AM A 35 YEAR OLD MALE 5.7 175LBS.I HAVE BEEN EXPERIENCING ABDOMINAL PAIN FOR MANY YEARS. TO THE POINT OF MAKING ME CRAZY.I HAVE HAD EVERY TEST IN THE BOOK.I WAS TOLD MY GALLBLADDER WAS NOT WORKING AND SINCE REMOVED..PAIN WENT AWAY FOR 9 MONTHS AND THEN RETURNED,THEN PAST A KIDNEY STONE,AND PAIN WENT AND RETURNED..I HAVE RIGHT SIDE ABDOMINAL PAIN THAT NEVER GOES TO THE LEFT SIDE.ITS AROUND MY NAVEL THEN UNDER MY RIGHT RIB AND PAIN IN BACK OF RIGHT UPPER LEG.I HAVE HAD A COLONOSCOPY,CYSTOSCOPY,4 CT SCANS,ULTRASOUNDS OF ABDOMINAL AREA AND TESTICALS,EVEN A CT SCAN WITH DYE OF UPPER SIDE WHEN MY ARM WAS BOTHERING ME AND I WAS CONVINCED IT WAS IN MY LYMPH NODE SYSTEM..I HAVE HAD EVERY BLOOD TEST TAKEN,,TUMOR MARKERS,BONE DENSITY ..EVERYTHING..I HAVE BEEN TOLD I HAVE HAD GALLGLADDER STONES,KIDNEY STONES AND EVEN HAVE PROSTATE STONES..I HAVE DRIBBLING AFTER URINATING.MY PSA WAS .50..TAKEN 2 TIMES IN LAST 2 YEARS.SECOND TIME IT WAS .79.BEEN ON WEEKS OF ANTIBIOTICS,AND EVEN A PROSTATE REDUCER..TOLD ITS FROM PROSTATITIS..ALL THESE TESTS ..NO FINDINGS AND STILL RIGHT SIDE LOWER ABDOMINAL PAIN THAT I MUST SAY EFFECTS MY UPPER LEG AND HIP ESPECIALLY IN AM WHEN I WAKE UP..I AM LOST.I ALSO HAVE UPPER LEFT ARM PAIN WHICH I HAVE HAD A X RAY DONE AND A MRI OF ELBOW WHICH BOTH CAME BACK NEGATIVE. I THEN WENT TO A NEUROLIGIST AND HE GAVE ME A MRI OF MY LUMBAR SPINE AND THAT CAME BACK NEGATIVE..I AM CONVINCED I HAVE CANCER BUT WITH ALL THESE TESTS I FIGURE THEY WOULD OF FOUND SOMETHING..I NEED HELP..DETAILED IDEAS WHAT IT COULD BE..I HAVE CONVINCED MY UROLIGIST WHO I FEEL IS GREAT TO GIVE ME A BONE SCAN BECAUSE I FEEL ITS ADVANCED CANCER THAT HAS SPREAD TO BONES.HE SAYS NO BUT WANTS ME TO MOVE ON AND FIGURES IF HE GIVES ME THE TEST I WOULD KNOW ITS NOT CANCER..I HAVE HAD A BSAP AND MANY ALK PHOS TAKEN AND NEVER NOT NORMAL...I WANT TO KNOW IF I COULD HAVE CANCER AND ITS BEING MISSED..HIP PAIN AND ARM PAIN ARE MORE NOW AND ABDOMINAL PAIN HAS GONE AWAY FOR THE MOST PART.URINARY SYMPTOMS ARE FREQUENCY AND SLOW STREAM.ALL TESTS HAVE BEEN DONE WITHIN LAST YEAR TO 18 MONTHS..PLEASE LET ME KNOW IF YOU FEEL ITS CANCER BEING MISSED OR WHAT..PLEASE IF YOU COULD GIVE ME DETAILS.THANKS FOR YOUR HELP
Doctor's Answer
by Kevin Pho, MD, Feb 27, 2006 12:00AM
, Feb 27, 2006 12:00AM
You have had a pretty comprehensive set of tests that would find most of the major causes of your symptoms.
Right lower quadrant pain can be caused by the appendix, inflammatory bowel disease (i.e Crohn's disease), or referred pain from the kidneys.
The CT scans would likely eliminate appendicitis from the list of causes. You can consider a small bowel series or a capsule endoscopy to further evaluate the small bowel for inflammatory bowel disease.
A bone scan can be considered to look for diseases or cancer that may have spread to the bone. With the normal testing thus far, it would be unlikely that cancer was missed.
If the tests continue to be negative, irritable bowel syndrome would be another cause where treatment can be optimized (i.e. with increasing the amount of fiber in the diet or with antispasmodic agents).
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
Right lower quadrant pain can be caused by the appendix, inflammatory bowel disease (i.e Crohn's disease), or referred pain from the kidneys.
The CT scans would likely eliminate appendicitis from the list of causes. You can consider a small bowel series or a capsule endoscopy to further evaluate the small bowel for inflammatory bowel disease.
A bone scan can be considered to look for diseases or cancer that may have spread to the bone. With the normal testing thus far, it would be unlikely that cancer was missed.
If the tests continue to be negative, irritable bowel syndrome would be another cause where treatment can be optimized (i.e. with increasing the amount of fiber in the diet or with antispasmodic agents).
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
Member Comments (4)
by jlg17, Feb 27, 2006 12:00AM
To: Prostate
0
by Michael MRM, Mar 12, 2006 12:00AM
To: Prostate
0
by jlg17, Mar 14, 2006 12:00AM
To: Prostate
0
by msrcs, May 02, 2006 12:00AM
To: Prostate
0
