Recently Answered Questions
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Can BPE lead to prostate cancer?
Query: Hi doctor, I am a 74-year-old male with BPE. I am in good health for my age. I take blood pressure and cholesterol medicines along with Tamsulosin (Flomax) for my BPE. Is it true that sexual activity (ejaculation) is good for the prostate? Can it help prevent prostate cancer? Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Thanks for consulting with us. BPE (Benign prostate enlargement) is a problem of people after the age of 50 years. Obstruction depends on the prostate shape rather than size; that is, which part of the prostate is enlarging rather than the prostate's total size. Some ... 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 the following medicines: Tablet Multaq 400 mg, one in the morning and one in the evening. Tablet Diltiazem 240 mg i... 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 evaluated with the follo... Read Full »
How to treat prostate enlargement and difficulty urinating?
Query: Hi doctor,I have a sleep disorder, anxiety, panic disorder, high blood pressure, and prostate enlargement for a week. I have difficulty in urinating for two weeks. Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Prostate enlargement occurs commonly after 50 years of age and it causes symptoms like difficulty in passing urine. Doing investigations like ultrasound KUB (kidney, ureter, and bladder) and prostate will help to know the size of the prostate and other abnormalities in ... 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 fo... Read Full »
What could cause urinary incontinence with urine flow in different directions?
Query: Hello doctor, I have occasional urine incontinence. Urine flows in different directions and drops on my legs. I have persistent high pressure, weak erection and quick ejaculation. And also have difficulty concentrating on tasks for a long time. Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Incontinence of urine and multiple streams with high pressure are consistent with urethral stricture. It is narrowing of the urethra causing the above mentioned symptoms. Enlarged prostate can also cause the same issue but less common with multiple streams like this. T... Read Full »
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 dr... 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 »
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 »
Do frequent and burning urination with swollen penis indicate prostatitis?
Query: Hello doctor, I am frequently urinating, and it is burning afterward and after sex. It got better for a week, and I had left flank pain for a day. I have burning in my back, stomach, and penis. The penis feels swollen a little. This problem started a month back and came and went. I drank alkaline wa... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome to icliniq.com. This is a combination between prostatitis and enlargement of the prostate. After 50 years, the prostate physiologically starts to get bigger and can obstruct urine, but it does not cause burning. However, prostatitis can cause burning in micturation. I suggest invest... Read Full »