A digital rectal examination, also called DRE, is a diagnostic procedure where the doctor examines the anal opening, rectum, and other internal organs by inserting the lubricated fingers into the anus. It is used to diagnose rectal tumors, prostate tumors, hemorrhoids, etc.
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What are the non-invasive procedures to detect prostate cancer?
Query: Hello doctor, I am a 79 year old male. Excellent health, take no medications with the exception of an occasional Viagra. In a recent DRE, my urologist discovered two small nodules on my prostate. A PSA at the time was 6.3. Over the years, I have ranged in 2's and 3's. He suggested a biopsy of the pr... Read Full »
Answer: Hi, Welcome to icliniq.com.I have gone through your query. I concur with your urologist in the need for a biopsy. Any PSA (prostate-specific antigen) more than 4 or abnormal findings on DRE (digital rectal examination) needs evaluation to rule out prostate cancer. None of the non-invasive techniques... Read Full »
What does calcification in DRE and TRUS indicate?
Query: Hello doctor, Prostate biopsy was prompted by rising PSA over several years (20% to 25% per year) reaching over 4 this past year (spiked at 7.3 which I think really is why they wanted the biopsy but I expect it to come down since then). 12 core came back benign, but I do not understand the implicat... Read Full »
Answer: Hi, Welcome to icliniq.com. I have studied your reports and consulted with my pathologist. (attachment removed to protect patient identity). As per her advice and mine too, your reports are normal, the biopsy changes are age related. In the biopsy no carcinoma is identified. Doing DRE (digital recta... Read Full »
My father has a third-degree prostatomegaly with a decreased PSA. What to do?
Query: Hello doctor, This query is regarding my father. He is 65 years old. He suffers from BPH from the last five years and takes Alfusin-D for the same. Five years back, when he was diagnosed, his PSA was 2.8 ng. Last year, we repeated his test and the PSA was 0.9 ng/ml with normal DRE. An ultrasound of ... Read Full »
Answer: Hello, Welcome to icliniq.com. The PSA (prostate-specific antigen) has decreased due to Dutasteride component of Alfusin-D. I suggest he get the screening done yearly for a year or two. Then, a two-yearly screening of PSA and DRE (digital rectal examination) is alright as his PSA is low in spite of... Read Full »
What is the treatment for recurrent anal fissure?
Query: Hi doctor, I am a 22 year old female. I have been having constipation since a year. I am having anal fissures. The doctor says that the fissure has healed, but I still have a burning sensation and mild itching in and around the anus. There is increased burning after bowel movement. I have had two ep... Read Full »
Answer: Hello, Welcome to icliniq.com. Episode of pain and itching suggest healing phase of the fissure. This time pain is because of slight narrowing of the anal canal at the fissure site due to the replacement of normal tissue with fibrous tissue. You should continue these medications and if there is no... Read Full »
What causes a painful lumpy vein on the side of penis?
Query: Hello doctor, I had sex with a partner last year who probably had herpes. I applied lots of soap because I panicked. I had a lumpy vein on the right side of my penis, which also ran under the base of the right side of the penis, and it is painful. This vein became swollen a year before that when I h... Read Full »
Answer: Hello, Welcome to icliniq.com. I am so sorry that you are suffering from such an unpleasant disorder. However, after having read your description and the medical data sent (attachment removed to protect patient identity), I came to the conclusion, that Mondor's disease might be a part of the probl... Read Full »
Why do I have changes in bowel movements after going for a vacation?
Query: Hi doctor,I went for a vacation before five months. I came back and got sick. My bowel movements got changed from thick to smaller and thinner with less volume of total stool. A stool test was done and it was normal. I did a fit test before two years and it was normal. The ultrasound of abdomen was ... Read Full »
Answer: Hi, Welcome to icliniq.com. Please say whether you have abdominal pain, do you strain to pass stools, have a problem of anal fissure, or feeling pain after passing stools during constipation. It can be a simple anal fissure. Please say whether your physician did a digital rectal examination or ins... Read Full »
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