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Chronic prostatitis and seminal vasculitis
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Kidney & Urinary Health
Question #11023
280 days ago
349

Chronic prostatitis and seminal vasculitis - #11023

Elijah

Suffering from chronic prsotatitis and seminal vasculitis past 5 months Also consulted with 3 urologist.all are giving same treatment like tablet Alfuzosin, pregabalin, amitriptylline, and some antibiotic but there is no relief

300 INR (~3.53 USD)
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Doctors' responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
280 days ago
5

Please visit a specialist for better assurance.

1971 answered questions
59% best answers
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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.
280 days ago
5

Hello dear Please be advised See it seems you are already taking the best medication. Iam prescribing some preventive measures do follow them Take simple diet without excess fat Avoid alcohol or smoking Avoid junk food Eat plenty of water In addition,avoid excess proteinaceous diet comprising of cheese or eggs For medication please consult nephrologist or urologist for better results Regards

2990 answered questions
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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
278 days ago
5

Chronic prostatitis and seminal vesiculitis can be difficult to manage and sometimes require a combination of long-term antibiotics, anti-inflammatory measures, and lifestyle changes rather than just medications. Persistent pain may also be linked to pelvic floor dysfunction, which can improve with physiotherapy and relaxation techniques. Please consult a urologist specializing in chronic pelvic pain for proper evaluation and treatment.

1243 answered questions
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2 replies
Anonymous
Client
278 days ago

My testes is hanging down more than normal and penis become very loose and also the skin of penis has become very loose What is the reason for this condition

Anonymous
Client
276 days ago

Plz reply

Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
279 days ago
5

Elijah kindly do these along with medicine Lifestyle & Self-care

Avoid sitting for long hours → use cushion, take breaks.

Warm sitz baths (10–15 min, 1–2 times daily) → relax pelvic floor, improve blood flow.

Avoid bladder irritants (coffee, alcohol, spicy food, acidic drinks).

Regular exercise (walking, yoga, stretching).

Chronic prostatitis is strongly linked with stress/anxiety cycles → CBT or mindfulness therapy helps reduce pain perception.

546 answered questions
74% best answers

6 replies
Anonymous
Client
278 days ago

Plz reply

Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
278 days ago
5

This can be reversible.i would suggest to do kegel exercises as your muscles are getting loose

546 answered questions
74% best answers
Anonymous
Client
278 days ago

Okk sir i will start kegels But these muscle are geeting loosness because of alfuzosin or another cause ?? Also my testes are hanging very much than normal and penis becomes losse

Anonymous
Client
279 days ago

Thank you sir Tell me what are the side effect of Alfuzosin bcoz when i am taking this tablet i gets problem in erection and sex drive Also the skin and muscle of penis becomes very loose Plz sir tell me i am much worried about it

Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
279 days ago
5

It is because of alfuzosin which causes erection dysfunction on standing

546 answered questions
74% best answers
Anonymous
Client
279 days ago

I am geeting erection problem in every position not only in standing

And one more thing sir are these symptoms are reversible or permanant. And what is the treatment for these symptoms.

With persistent symptoms despite ongoing treatment, it might be essential to reassess and consider different approaches or adjuncts to standard regimens. Chronic prostatitis and seminal vasculitis can be particularly challenging due to their multifactorial nature and symptoms that don’t always respond well to standard antibiotics or pain management alone. You might need a comprehensive evaluation, starting with confirming the diagnosis through specific tests like urine cultures, semen analysis, or imaging studies to rule out any structural abnormalities or other underlying causes. It may also be worthwhile to assess lifestyle factors that could be contributing to symptom persistence, such as stress level, diet, and physical activity. While medications like Alfuzosin, pregabalin, and amitriptyline are common targets, exploring more holistic approaches may also grant some some relief. Pelvic floor physical therapy, dietary changes focusing on anti-inflammatory foods, and stress management techniques such as mindfulness or yoga might aid in reducing chronic inflammation or discomfort. Furthermore, a consult with a specialist in chronic pelvic pain could provide intensive management strategies. If there’s ever a sudden change in symptoms, like fever or severe pain suggesting an acute infection, it’s crucial to seek prompt medical attention, as these might require urgent treatment adjustments. Regular follow-ups with your healthcare provider will be essential to monitor your condition and make necessary changes to your treatment plan.

20176 answered questions
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