Patient's Query
Hello doctor,
I am a 64-year-old man experiencing increasing difficulty with urination, including a weak stream, a frequent need to urinate, especially at night, and feeling like my bladder never completely empties. I have noticed some blood in my urine occasionally, and I have persistent pain in my lower back, hips, and pelvis that seems unrelated to any injury.
My recent PSA blood test came back elevated, and I have been losing weight without trying while feeling more fatigued than usual. I also have a family history of prostate cancer in my father and brother, which makes me more concerned about these symptoms. Could these urinary problems, pain, and elevated PSA levels be signs of a serious condition affecting my prostate gland?
Kindly help.
Hello,
Welcome to icliniq.com.
Thank you for explaining your symptoms in detail. I understand your concern, especially given your family history. The urinary problems you describe, weak stream, frequent night urination, incomplete emptying, and occasional blood in urine, along with your elevated prostate-specific antigen (PSA) and unintentional weight loss, are significant and do require prompt evaluation.
It could be due to the following causes: benign prostatic hyperplasia (BPH), which is a common non-cancerous enlargement of the prostate; Prostatitis, which is inflammation or infection of the prostate; and Prostate cancer, especially given your elevated prostate-specific antigen (PSA), weight loss, bone and pelvic pain, and strong family history.
I would suggest the following investigations:
Repeating the prostate-specific antigen (PSA) with the free and total ratio.
Urine analysis.
Kidney function tests.
Imaging such as ultrasound or magnetic resonance imaging (MRI) of the prostate and pelvis.
Referral to a urologist is needed for digital rectal examination (DRE) and possible prostate biopsy if indicated.
A bone scan may be required if cancer is suspected to evaluate pelvic and hip pain.
Please follow up on time. It is very important that you consult a urologist promptly so that we can clarify the cause and start appropriate treatment early. Please do not delay further evaluation.
I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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