Is the rise in PSA value related to hemorrhoid vein thrombosis?

Question

Hi doctor,

My query is related to prostate-specific antigen (PSA) values. Please look into the attachment. The person is currently suffering from a thrombosed hemorrhoid vein. The treatment which the doctor has proposed is Movicol, a stool softener once daily, Daflon three times daily for the first four days and afterwards for three more days, and Anusol, which is a local cream to apply to the outside of the anus.

My question is, could the PSA values be related to the thrombosis syndrome? Or is there a reason to check the prostate gland independent of the lower intestine syndrome? What should be done in terms of the follow-up of the prostate gland monitoring, tests, frequency, treatment and follow-up over time? Many thanks for your help and support.

Kindly advise.

Answer 1

Hi,

Welcome to icliniq.com.

I have thoroughly gone through your case and can well understand your genuine health concerns. I will try to remain as simple as possible in my conversation so that everything is pretty much clear and easily understandable to you. I have seen the prostate-specific antigen (PSA) values in your attached laboratory reports (attachment removed to protect patient identity). I appreciate the effort taken to upload the reports. It is important to note that looking at prostate-specific antigen (PSA) values in this range alone does not lead to any definite conclusion.

Usually, the first PSA reading is considered a baseline value. Future PSA levels are compared with this baseline to assess whether the values are increasing or decreasing over time. These serial values, when evaluated against the reference baseline, help provide clues about the presence of disease and its progression or regression.

PSA values alone, especially those shared in the attachments, are not sufficient to reach a conclusion. A urologist must take a detailed medical history to determine whether there is any obstruction to urine flow due to enlargement of the prostate. The prostate gland is surrounded by a tough, non-expandable capsule. If there is any growth, such as a tumor, within the gland, it can increase pressure on the urethra.

The urethra (urine pipe) passes through the prostate gland on its way to the penile opening. Any local lesion within the prostate can compress the urethra, leading to obstruction and urinary symptoms. Urologists may recommend serial diagnostic tests and radiological imaging studies to check for abnormal growth.

Therefore, an in-person evaluation by a urologist is essential, and regular follow-up is the best approach. A conservative or appropriate management plan is usually adopted, and follow-up laboratory investigations are often repeated after six to eight weeks.

Regarding thrombosed hemorrhoids, this is a separate condition and has little to no relation to prostate disorders in this patient. The treatment prescribed by the physician for hemorrhoids is appropriate and does not require changes at this stage. In some cases, surgical removal of the thrombosed vein may be required.

Images of the anal region have not been uploaded. If available, they would help in better assessment and management planning. The color of the anal lesion is also important to determine whether the hemorrhoid is healing or non-healing. Please mention how long the patient has had hemorrhoids and when the thrombosis has been present.

If there is persistent burning or discomfort in the anal area, a rectal ointment containing hydrocortisone with a local anesthetic such as pramoxine can be applied externally and internally using the applicator provided. Adequate fluid intake is advised, along with a bland diet. Gentle physical activity should be continued as tolerated.

I hope this helps you.

Thank you.