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कई दवाओं के इस्तेमाल के बाद भी पुरानी प्रोस्टेट सूजन और हेमाटोस्पर्मिया के लिए क्या करें?
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Gynecology & Pregnancy Care
Question #30434
19 days ago
57

कई दवाओं के इस्तेमाल के बाद भी पुरानी प्रोस्टेट सूजन और हेमाटोस्पर्मिया के लिए क्या करें?

Client_244e29

दवा का नियमित उपयोग करने के बावजूद भी स्थिति में सुधार नहीं हो रहा है।

How long have you been experiencing hematospermia?:

- 3-6 months

How would you describe the severity of your symptoms?:

- Moderate — noticeable but not constant

Have you experienced any other symptoms along with hematospermia?:

- Frequent urination

Have you noticed any specific triggers for your symptoms?:

- No clear triggers

How has your overall health been during this time?:

- Occasional fatigue

Have you had any imaging or tests done for your prostate?:

- Yes, ultrasound

Have you made any lifestyle changes to help with your condition?:

- No changes made
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Doctors' responses

Persistent hematospermia and chronic prostate inflammation despite extensive antibiotic treatment can be frustrating. Given your use of nitrofurantoin, levofloxacin, ciprofloxacin, and tamsulosin, it’s essential to consider several possibilities. First, confirm an accurate diagnosis; conditions like prostatitis can sometimes be bacterial but also non-bacterial (like chronic pelvic pain syndrome). Your current treatment might have targeted persistent bacterial infection, but if it’s non-bacterial, antibiotics won’t resolve it. Check with a urologist if you haven’t already, as further evaluation, perhaps with prostate-specific tests or imaging, might be needed to exclude other issues like cysts, stones, or less common pathologies. Consider a comprehensive look at lifestyle factors—stress, fluid intake, or diet changes can affect symptoms. Pelvic floor physical therapy or biofeedback might help if muscle tension is suspected. Persistent prostatitis can also benefit from multimodal approaches, including anti-inflammatory medications and alpha-blockers like tamsulosin, but often it’s the combination with lifestyle modification that aids recovery. In refractory cases, management of chronic pain symptoms may include neuropathic pain agents or complementary therapies under professional guidance. Always inform your healthcare provider before adding over-the-counter supplements or herbal remedies. If you notice any alarming changes, like severe pain or urinary obstruction, prompt assessment is necessary to rule out complications.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
16 days ago
5

Hello dear See as per test results it seems presence of infection due to Bacteria White blood cell Probably diagnosis includes Uti infection preferably pseudomonas Glomerulunephritis Nephrotic syndrome Bladder issue Iam suggesting some tests Please share the result with urologist in person for better clarity Cbc Esr Serum ferritin Serum tsh Serum hb Rft Lft Gfr Serum creatinine Serum bilirubin Hemogram Urine analysis Urine culture Kidney USG Hopefully you recover soon Regards

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