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 »
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 »
Why do I have irritation and discomfort at the tip of penis while getting an urge to urinate?
Query: Hello doctor, I am a 23-year-old male. For the past, 24 hours I have been experiencing an ongoing urge to urinate with a slight discomforting pain which feels near to the inside of the tip of the penis. When I do urinate, I only do small amounts, and being a volunteer fire fighter I know that the ur... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Your symptoms of frequency indicate inflammation or irritation to your bladder, prostate, or urethra, which we call as lower urinary tract. Inflammation can be secondary to an infection, and irritation can be due to stone at lower ureter or bladder. Previous history of ye... Read Full »
Is surgery the sole option for treating my enlarged prostate?
Query: Hello doctor, The patient is a 75-year-old male patient with a history of hypertension and Parkinson's disease history. He also has an enlarged prostrate with a focal lesion. He is on Maxvoid Plus 8. But PSA is low. Is surgery the only way? Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome to icliniq.com. The treatment for prostate enlargement, especially with patients with Parkinson’s disease, will be with medications and depending on symptoms. Parkinson’s disease will cause overactive bladder and also urinary retention. After treating Parkinson’s disease with ... Read Full »
My reports show renal calculi and prostatomegaly. Need help.
Query: Hello doctor, I am having on and off episodes of red-colored urine with suprapubic pain. My ultrasound report shows renal calculi with mild dilated pelvicalyceal system and grade 1 prostatomegaly. Kindly help. Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. The reason for your red-colored urine might be an obstruction or stone. I suggest you do a complete urine analysis, urine culture, and a flexible cystoscopy to get a clear picture of your illness. Regards. Read Full »
I get blood in my semen quite often. What could be the reason?
Query: Hello doctor, I am a 32-year-old man. About two years ago, I was using a dildo (male) and ended up having old brown blood in my semen for three months. I consulted various doctors, and they just asked me to give it time. It went away after three months, but I have been having enlarged prostate sympt... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome to icliniq.com. It looks like hematospermia due to inflammation, infection, or tumor. Proper investigations are required to diagnose the condition. Inflammatory causes are infections, stones, and cysts present with discomfort or dysuria, or hematospermia. Investigations required for... Read Full »
I have problems urinating after sex or ejaculation. Can it be prostate enlargement or UTI?
Query: Hello doctor, I was recently diagnosed with a heart rhythm issue and atrial fibrillation and am scheduled to have a catheter ablation in a little over two weeks. I am currently taking tablet Multaq 400 mg, one in the morning and one in the evening, tablet Diltiazem 240 mg in the morning, tablet Eliq... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. From your history, I suppose it is prostate enlargement, and symptoms get more pronounced when you ejaculate as this sex gland enlarges further, causing urinary retention. I suggest you get ultrasound KUB (kidney, ur... Read Full »
Do I experience pressure in my rectum and constipation due to prostate gland enlargement?
Query: Hello doctor,I have had constipation issues and feeling pressure in my rectum for the past ten days. It feels like I need to urinate, but I do not. I thought it was constipation. So, I went to the doctor and got a urine test done. The test showed trace amounts of occult blood. I was given the tablet... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome to icliniq.com. From the attached reports (attachments removed to protect the patient's identity), this seems to be chronic prostatitis and not enlarged prostate. Prostatitis can cause rectal symptoms as it is located adjacent to it. Inflammation will cause swelling and some degree ... Read Full »
I was diagnosed with an enlarged prostate and a high urine retention rate. What could be the reason?
Query: Hello doctor, As I was doing medical examination, I discovered that I have enlarged prostate, and my urine retention rate is high. Kindly help me. Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi Welcome to icliniq.com I have read your query and understand your concern.The prostate gland can be enlarged in patients above 50 years of age and is treatable with medicines, but might need some tests like uroflowmetry and serum PSA (prostrate-specific antigen) test. I suggest you take Tablet ... Read Full »