Recently Answered Questions
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I have slow urinating problem with diabetes. Please suggest medication to help both.
Query: Hello doctor, I have a slow urinating problem and I am taking the following medications: Telma H (OD), Glycomet GP (BD), Atorlip 10 (OD), Urimax 0.4 mg (OD), and Vitamin A to Z (OD), and Human Mixtard Insulin 20 units (OD). I have my health check-up done. Please prescribe suitable diabetic and kidne... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Prostate enlargement can cause an obstruction and slow urine. After the age of 50 prostate starts to grow to variable sizes. Although size does not matter but the shape of the prostate can cause obstruction. Medications can shrink the prostate up to 30% and cause improv... Read Full »
I have gallbladder issues. What to do?
Query: Hello doctor, I had got an abdomen ultrasound done for other reasons but, the radiologist observed the following 'gallbladder is partially distended and showing few small concretions at the GB neck. Chronic patient of the prostate. Size 47 by 41 by 38 mm, volume 39 cc. Pre-void urine 281 cc, post v... Read Full »
Answer: Hello, Welcome to icliniq.com. How old are you? There is no need to worry. Small concretions are commonly found in the gallbladder. Also, the prostate size is enlarged and it is probably due to a benign prostatic hypertrophy. You should get Serum PSA (prostate-specific antigen) levels done, whi... Read Full »
I had an MRI of my prostate. Please review my reports.
Query: Hi doctor,I have enlarged prostate, urinary retention, and hematuria for almost a year. I had MRI of prostate done. I would like to have the interpretation of images. Currently, I am on Flowmax and Finasteride. Read Full »
Answer: Hi, Welcome to icliniq.com. The MRI scan of the prostate (attachment removed to protect patient identity) shows a grossly enlarged prostate which is indenting the lumen of the urinary bladder and which you are probably aware of. Further, the median lobe of the prostate is showing hypertrophy and p... Read Full »
My father has hiccups after stopping steroids. Why?
Query: Hello doctor, My dad has been diagnosed with metastases and it has spread to his spines and lungs. He had prostate problems for past five years. Doctor on consultation here gave him few medicines which included Dexon. Once he stopped the medicine, he is hving hiccups continuously. Kindly advise on ... Read Full »
Answer: Hello, Welcome to icliniq.com. Will you be able to provide me with details like: Does he have any other medical conditions like diabetes, heart disease or kidney problem? When was he diagnosed with malignancy and has he received any treatment? What exactly do you mean by prostate problems? W... Read Full »
Can prostate enlargement improve with alpha-blockers?
Query: Hi doctor, I have enlarged prostate. Also, my blood urea and creatinine have increased. Will it improve with the treatment of alpha-blockers (Tamdura)? Read Full »
Answer: Hi, Welcome to icliniq.com. Kindly provide your age, creatinine value, and prostate size. Has the digital rectal examination (DRE) and ultrasound KUB (kidney, ureters, and urinary bladder) been conducted? If PSA (prostate-specific antigen) is high or the prostate feels hard on examination, a prosta... Read Full »
How to manage prostate enlargement?
Query: Hi doctor, The sudden increase in the size of my prostate from 75 g to 100 g in a year worries me. Three biopsy test results taken before six years were negative. The PSA level stabilized, and free PSA ratio was satisfactory. Please see the enclosed results. My problem is frequent urination. Read Full »
Answer: Hi, Welcome to icliniq.com. I think you have undergone extensive prostate biopsy under general anesthesia, and the PSA level (prostate-specific antigen) is not very different from now. The rate of increase of PSA is also fine, and for a large prostate, PSA is on the higher side due to volume. The... Read Full »
Can pain in the testicles be caused due to blue balls?
Query: Hi doctor, I have a dull pain in my testicle for the past three weeks. It is not very severe. I can ignore it. I have performed a TESE. I noticed no lump and no swelling. The testicles are normal to see. I am worried that it could be something serious. Can it be blue balls? Read Full »
Answer: Hi, Welcome to icliniq.com. Pain in testicles can occur due to multiple reasons. Since it is mild, it could be due to prostate swelling, a urinary stone or dilated testicular veins. These can be ruled out by examination and ultrasound. Since no lump is palpable and there is no change in testicular... Read Full »
I am concerned about my PSA and free PSA values. What to do?
Query: Hi doctor,On a recent visit to the doctor, my PSA was 4.7 and free PSA was 0.78. The prostate was swollen on the right side, but no bumps or nodes felt. I had another PSA test three weeks later and the result showed PSA 2.5 and free PSA 0.60. Under what percentage do the 0.78 and the 0.60 values fal... Read Full »
Answer: Hello, Welcome to icliniq.com. Free PSA (fPSA) and %fPSA (free-to-total prostate specific antigen ratio) are called as PSA derivatives. There is no fixed normal range for fPSA. For your age, in the case of PSA above 4 malignancy or cancer needs to be ruled out by doing a biopsy. The %fPSA helps to d... Read Full »
Does prostate enlargement cause blockage in passing urine?
Query: Hi doctor,I have a problem with the prostate. I have a big prostate with a blockage in passing urine. I am living with a catheter and I am taking Tamsulosin 0.4 and Prostamol 505 once a day. I am taking antibiotics such as Sulfamethoxazole 800 mg and Trimethoprim 160 mg for fifteen days. What to do? Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Prostate cancer and enlargement of the prostate is a common problem after 50 years of age. Blockage depends on the shape of the prostate rather than its size. You can do an examination using an ultrasound scan, kidney functions, urine culture, PSA (prostate-specific ant... 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 »