Prostate-specific Antigen

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I was advised medicines after a routine prostate test, but I have no symptoms. Please suggest.

Query: Hello doctor, I am a 66 year old male. My only medical history is hypertension (controlled) with Norvasc. I went for my routine prostate test a couple of months ago and the result stated: PSA - 9.8 ng/mL. Free PSA - 1.9 ng/mL. Percentage free PSA - 19.4 %. I went back to another doctor a few weeks ...  Read Full »


Dr. Sandhya

Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. After analysis of the history provided, I would like to give you a brief idea of the same. Firstly PSA (prostate-specific antigen) varies with age. As the age advances, it keeps increasing. Secondly, in spite of that, the PSA level mentioned in your report is in a hig...  Read Full »

Please suggest Ayurveda cure for gallstone and prostate enlargement.

Query: Hi doctor, I got gallstone and prostate enlargement and the PSA is 8. Abnormalities are noted in the lung parenchyma or pleura, but no pulmonary nodules seen. Also abnormalities are seen in neck and mediastinum. When I have cold, cough does not stop itself. I drink some water and I think while worki...  Read Full »


Dr. Niveditha Srinivasamurthy

Ayurveda Specialist

Answer: Hi, Welcome to icliniq.com.  If you take these medicines regularly both your problems will be taken care of definitely. Chandraprabha Vati - one tablet thrice a day after food. Avipattikar churna - one teaspoon mixed with a glass of warm water and take twice daily in empty stomach. Zandu Haritaki ...  Read Full »

I am concerned about my PSA and free PSA values. Kindly guide me.

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 »


Dr. Raja Ramesh

Andrologist, Urologist

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 »

Will 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 »


Dr. Bharat Patodiya

Family Physician, General Medicine Physician, General Practitioner, Internal Medicine Physician, Medical Oncologist

Answer: Hi, Welcome to icliniq.com. Kindly mention your age. How much is the value of creatinine? Also, what is the prostate size? Has the digital rectal examination (DRE) and ultrasound KUB (kidney, ureters and urinary bladder) being done or not? I would suggest a prostate biopsy if PSA (prostate...  Read Full »

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

Query: Hi doctor,My query is related to 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 1-0-0, Daflon 2-2-2-0 for the first four days and afterwards for three more days...  Read Full »


Dr. Muhammad M. Hanif Md.

Cardiologist, Criticalcare Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. I have thoroughly gone through your case and can well understand your genuine health concerns.  Read Full »

Will surgery for BPH prevent prostate cancer?

Query: Hello doctor, This query is regarding my father. He is 65 years old. He suffers from BPH from the last five years and takes Alfusin-D for the same. Five years back, when he was diagnosed, his PSA was 2.8 ng. Last year, we repeated his test and the PSA was 0.9 ng/ml with normal DRE. An ultrasound of ...  Read Full »


Dr. Devendra

Urologist

Answer: Hello, Welcome to icliniq.com. The PSA (prostate-specific antigen) has decreased due to Dutasteride component of Alfusin-D. I suggest he get the screening done yearly for a year or two. Then, a two-yearly screening of PSA and DRE (digital rectal examination) is alright as his PSA is low in spite of...  Read Full »

My father was diagnosed with prostatic adenocarcinoma. What should we do?

Query: Hello doctor, My father is diagnosed with prostatic adenocarcinoma. His biopsy reports show Gleason's grade 3+4 (% of 4 is 30%), tumor involves 60 % of submitted biopsy. No perineural invasion is seen. His PSA level is 107.69 ng/mL. He has triple vessel heart disease, and the echo result showed EP...  Read Full »


Dr. Bharat Patodiya

Family Physician, General Medicine Physician, General Practitioner, Internal Medicine Physician, Medical Oncologist

Answer: Hello,Welcome to icliniq.com.You can get a staging workup with PSMA (prostate-specific membrane antigen) scan or bone scan and MRI pelvis. His high PSA (prostate-specific antigen) does make him high risk, but considering his age, I will not suggest a very aggressive approach to the case.If the prost...  Read Full »

Do you recommend surgery for my prostate cancer?

Query: Hi doctor, I am on active surveillance for the last 2 years. My initial prostate biopsy was 2 years ago and showed 1 out of 10 needles cancerous, Gleason 6, slow growing and Prolaris test showing a medium growth rate. I had second biopsy 6 months ago. Before the second biopsy, my PSA was 5 and four ...  Read Full »


Dr. Shahil Khant

Andrologist, General Surgeon, Urologist

Answer: Hi, Welcome to icliniq.com. I have gone through your details. My main concern is the rise of PSA (prostate-specific antigen) from 5 to 16. Though it might be due to infection, since three months you are taking treatment of infections. So, your PSA should have reduced if the rise was due to infection...  Read Full »

My PSA level is high. Should I get a biopsy?

Query: Hi doctor, I am 62 years old. I have severe pain while urinating and having frequent urination at night. My PSA 62.32, prostate 78 g, RUV 142 mL. Should I get a biopsy?  Read Full »


Dr. Aman Gupta

Urologist, Andrologist

Answer: Hi, Welcome to icliniq.com. I hope your doctor has examined you physically. If there is a doubt of any tumor on prostate examination, then a biopsy should be done. If there is any history of a recent proven urinary tract infection in the last few days, then PSA (prostate-specific antigen) may be fal...  Read Full »

Shall I take Septrin forte for prostate infection?

Query: Hi doctor, I have Morganella morganii infection in the prostate. For the past 15 years, I have been getting blood in semen. I had a short course of antibiotics in the past and I also had a semen microbiological test. Please recommend some antibiotics.  Read Full »


Dr. Raman Tanwar

Andrologist, General Surgeon, Urologist

Answer: Hi, Welcome to icliniq.com. For the infection in the prostate a four to six weeks course of treatment is highly recommended. I suggest Cephalosporins and Aminoglycosides are the best for initial therapy, but ideally it should be guided by culture sensitivity reports. Consult your specialist doctor,...  Read Full »

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