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Patient's Query
Hello doctor,
I am a 65-year-old male healthy and have had a rise in prostate-specific antigen (PSA). My prostate-specific antigen (PSA) is 5.0 ng/ml. One year ago, I had an increase in PSA and took an antibiotic, which lowered it to 3.5 ng/ml. Does it look like that is what I should do again? I also rode a bike sickle the day before the testing, which caused my left leg to be tingly sore. I think that could have irritated the prostate also. What is your opinion, doctor?
Hi,
Welcome to icliniq.com.
I can understand your concern. Prostate-specific antigen (PSA) is an enzyme protein secreted from the prostate gland and can rise in different situations like infections, inflammation, prostate manipulation, or cancer. If PSA is raised, I would suggest antibiotics for two weeks and ask you not to cycle, as riding a bicycle will cause an increase in PSA. I would advise you to take a tablet of Ciprofloxacin antibiotic 500 mg twice daily for two weeks; then, we will repeat the test. Consult your specialist doctor, discuss with them and take medicines with their consent. If it is still high, I suggest you have an MRI (magnetic resonance imaging) scan of the pelvis with PI-RADS (prostate imaging–reporting and data system) scoring. Please continue your follow-up with us, and if you have any more questions, please let me know.
Thank you.
Patient's Query
Hello doctor,
Thank you fot the response. Will you be able to prescribe the antibiotic?
Hi,
Welcome back to icliniq.com.
I am sorry, as I am not practicing in your country, my prescription will not be valid there.
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