Chronic Prostatitis

Chronic prostatitis is a persistent inflammation of the prostate gland which develops gradually and lasts for more than three months. The symptoms of chronic prostatitis include an urge to urinate, pain while urinating, pain in the lower back, rectum, penis, or testicles. Chronic prostatitis is treated depending on the underlying cause.

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Why is the severity of my testicular pain after unprotected intercourse not reducing since a month?

Query: Hello doctor, I am having testicular pain after unprotected intercourse, and my doctor has suspected STD after a scrotal scan. The pain lasted for a month, and the severity decreased after taking several antibiotics. The pain had almost subsided but started again when I masturbated two days back. N...  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to icliniq.com. I understand your concern and will surely help you out. You have chronic prostatitis, and the treatment is by alpha-blockers and antibiotics together for four weeks. I suggest you give a sample of semen for culture in the laboratory before you start antibiotics. You...  Read Full »

The burning sensation in my penis is not subsiding even after drinking lots of water. Please help.

Query: Hello doctor, Yesterday I went outside and had alcohol. Since then, there is an extreme burning sensation in my penis. It is burning while I am even urinating. It is constantly there. I drank seven to nine bottles of water but of no help. Earlier this used to happen maybe once in three months, even ...  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to icliniq.com. I understand your concern and will try to help you. Your symptoms are consistent with chronic prostatitis. It is the inflammation of the prostate gland which requires treatment with long-term antibiotics and alpha-blockers. Please do a semen culture. I suggest you...  Read Full »

Is my penile head dry, sensitive, inflamed, and burning due to unprotected sex?

Query: Hi doctor, I have been dealing with what I thought was a UTI for three months. It started with a fever and got worse one month back. I rubbed my genitals with a transgender girl and used her semen to masturbate until I cummed. We did not have sex. She did give me oral sex. I got prescribed Ciproflox...  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome to icliniq.com. I understand your concern. To me, those symptoms seem to be chronic prostatitis, and it has two types, one is with bacterial infection, and the other is without infection. Diagnosis is by semen culture, which is done in any laboratory. If it is positive bacteria, then I...  Read Full »

Is it essential to get a PCR test done for chronic prostatitis?

Query: Hi doctor, We spoke yesterday regarding my chronic pelvic pain condition. I would be doing both urine and semen culture soon. Is there any specific culture or PCR testing to be done? The reason I am asking this is that the traditional dipstick and culture test does not seem to be accurate based on ...  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome back to icliniq.com. The method varies, and the PCR (polymerase chain reaction) is accurate when there are atypical bacteria like TB (tuberculosis), for example. Your urine microscopic analysis showed no bacteria. The thing I am trying to get is the sample that contains the organis...  Read Full »

Will tablet Levofloxacin help in the recovery of my chlamydia infection?

Query: Hi doctor,I was recently tested for chlamydia and had a reading of IgM - 0.9 and IgG - 1.3. I was prescribed tablet Levofloxacin treatment once daily for 14 days. Will this cure the chlamydia infection and make it negative?   Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hi,Welcome to icliniq.com.Yes, tablet Levofloxacine is used to treat chlamydia and gonococcal infections. A course for seven days should be fine. You can repeat the test after a week. Please share the result with me.   Read Full »

Why do I have a burning sensation on the lower side of my penis and the tip of the urethra despite testing negative for urinary tract infections?

Query: Hello doctor, I am having burning sensation in the tip of the urethra and the lower side of the penis that keeps on coming and going. I have undergone UTI (urinary tract infections) test. I did not notice any discharge or change in the color of the penis or urine.  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to icliniq.com. I think you have chronic prostatitis with inflammation of the prostate gland. I suggest you take the tablet Tamsulosine 0.4 mg once at night for 30 days and the tablet Ciprofloxacin 500 mg twice daily for 28 days (consult a specialist doctor, talk with him or her, an...  Read Full »

I have been diagnosed with UTI with pain in the tip of the penis. What should I do?

Query: Hello doctor, Two months back, my doctor diagnosed me with UTI. I had symptoms such as frequent urge to urinate and pain in the penis while having intercourse. I was prescribed Orelox 200 mg, Canesten cream, Luliconazole and Mupirocin cream. It got better after that, but the pain has returned. Last...  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to icliniq.com. This seems to be prostatitis. It can be caused by sexual contact mostly. And treatment is with long-term antibiotics and alpha-blockers. I suggest you consult a specialist and take the following medicines with his or her consent. Tablet Ciprofloxacin 500 mg twice dai...  Read Full »

Why do I have to manually press behind by testes to completely empty the urinary tract?

Query: Hello doctor, I am a 40-year-old male. My height is 5 feet 11 inches, and my weight is 220 lbs (pounds). I have a urinary problem that started two to three years ago and has become more noticeable over the last one to two years. I have to press behind the testes to empty the urinary tract manually. ...  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to icliniq.com. Thank you for consulting us. You have chronic prostatitis, an inflammation of the prostate gland. I suggest you follow the below treatment plan: Capsule Tamsulosin 0.4 mg (Tamsulosin Hydrochloride) one capsule before bed for a month. Tablet Ciprofloxacin 500 mg (...  Read Full »

I have pain in my right iliac region and frequent urge to urinate. Please help.

Query: Hi doctor, I have pain in the right iliac region, I have a frequent urge to urinate, and I also fart so much. Nothing was found on the ultrasound and CT scan. I am currently taking capsule Myoril 4 mg and tablet Pruvict 1. Please help me find a solution. Thanks in advance.  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome to icliniq.com. The symptoms you presented are consistent with chronic prostatitis. The treatment is usually by medications and I suggest you take tablet Ciprofloxacin 500 mg twice daily for four weeks and tablet Tamsulosin 0.4 mg once at night. There is a supplement as well called Pro...  Read Full »

I have resolved epididymitis, but the constant urge to urinate persists even after medications. Kindly help.

Query: Hello doctor, I had epididymitis. All other infections, including STD (sexually transmitted disease), are negative. I had two rounds of antibiotics, and the symptoms were not alleviated. Epididymitis eventually passed. However, a constant urge to urinate presented. Testicles and prostate scan are no...  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hello. Welcome to icliniq.com. This is a typical presentation of prostatitis. Although all tests are normal and the prostate could appear well on ultrasound, it can still be inflammation and not necessarily an infection of the prostate. Therefore, treatment usually is by prolonged antibiotics. I sug...  Read Full »

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