Tamsulosin belongs to the group of drugs called an alpha-blocker, which loosens the muscles in the prostate and bladder for the urine to flow easily. Thus, it helps relieve prostate enlargement in benign prostate hyperplasia, urinary urgency, and frequency, difficulty, and pain during urination. It is usually taken once a day. Common side effects include dizziness, diarrhea, sore throat, cough, fever, running nose, fatigue, etc.
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Query: Hi doctor, I am 27 years old. I have mild pain in right testicle for a week. The nerves connecting to the right testicle are always in strain mainly in the area of epididymis and vas deference. It pains when I walk, jump, rub or masturbate. I get random swelling, irritation and pain in my right test... Read Full »
Answer: Hi, Welcome to icliniq.com. From your symptoms, I believe you are having one of the following: Chronic inflammation of prostate (prostatitis) with pain being referred to testis. Pelvic pain syndrome with primary involvement of testis. If it is prostatitis then treatment with antibiotics for t... Read Full »
My stress test showed abnormality. Is there any health issue?
Query: Hi doctor, Shortness of breath and rapidly reaching maximum heart rate has been my concern for many years. I turned 50 this year. It is impacting my ability yo exercise, so thought it was time to investigate. I just had a cardiac catheterization test. No blockages were discovered. However, they were... Read Full »
Answer: Hi, Welcome to icliniq.com. First, you need to be started on medicines called as diuretics like Torsemide 10 mg once a day in the morning and also Amlodipine should be replaced with Beta blockers like Metoprolol XR 25 mg once a day. Both drugs will help you in relief of symptoms and also other benef... Read Full »
I am struggling with the side effects of Tamsulosin. What do you advise?
Query: Hello doctor, I have been on Tamsulosin for enlarged prostate for five and a half years. 18 months ago, I started getting some side effects. I am now getting another side effect, a blocked nose which I am struggling to get rid of. I know all the other prostate medications have the same side effects.... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. I understand your concerns. Stuffy nose is one of the major side effects of Tamsulosin (Flamox). And, all alpha-blockers could cause the same issue. The medications that could resolve your problem could make the prostate worse. So, I suggest that you change the Tamsu... Read Full »
Why is my urine output low except when I exercise or do abdominal massage?
Query: Hi doctor,I am a 30-year-old male. I have some problems with urination. It got started before a day. I have low urine output. I have only a small amount of urine passage every time after urination. But after doing exercise or some abdominal massage, I have more urine output. I have attached my repor... Read Full »
Answer: Hi, Welcome to icliniq.com. Your reports are normal except for isolated ketonuria. I suggest you repeat your urine test for ketones. Usually, ketonuria occurs due to uncontrolled diabetes, starvation, prolonged vomiting and diarrhea, glycogen storage disease, severe sustained exercise, dietary imb... Read Full »
Semen volume has drastically reduced after Consistam D. Please suggest a remedy.
Query: Hello doctor, I am a 46-year-old male. I was diagnosed with prostatomegaly (enlarged prostate, 23.48 gm) with significant post void urine volume (86 ml). The doctor prescribed Consistam D once daily. After taking for 40 days, the urge to urination reduced but semen volume and pleasure in sex drastic... Read Full »
Answer: Hello, Welcome to icliniq.com. I think 23 g prostate is not very enlarged. These sexual symptoms are due to Dutasteride. I suggest you take the tablet Tamsulosin. Semen volume is low because of Tamsulosin but that is not a problem (it is called retrograde ejaculation which occurs because of Tamsu... Read Full »
I am experiencing pain but stone has not passed. Should I see a doctor now?
Query: Hello doctor, I was diagnosed several months ago with bladder stones. Tests on stones indicated uric acid content also. I have been on Flomax, then one week ago started Avodart. Most days, I drink lots of water and sometimes coconut water. I pass stones every two or three weeks - different sizes. W... Read Full »
Answer: Hi, Welcome to icliniq.com. I hope the bladder stones you mentioned you had earlier had passed. Blood in urine after renal colic suggests stone may have reached the lower end of kidney tube (ureter) and may pass soon. However, it is best to confirm it has passed by getting an ultrasound done. Flo... Read Full »
What is the reason for my urine infection, and how can we cure it?
Query: Hi doctor,I have not been feeling well, so I had a urinalysis done. I did start my period later that day. Are these results inclusive of starting your period? Can you help with the results of my urinalysis? Read Full »
Answer: Hi, Welcome to icliniq.com. The urine analysis report (attachment removed to protect patient identity) shows urinary tract infection. Did you have a fever, or urinary symptoms like night time frequency, sense of incomplete voiding, an urgency to pass urine? When urinating, does it pass freely o... Read Full »
How to maintain normal diastolic blood pressure?
Query: Hello doctor, My blood pressure runs at about 135/70 mm of Hg and drops to about 125/60 mm of Hg when I wake from sleep at night. I am on Candesartan 32 mg and Reaptan (Arginine plus Amlodipine) for blood pressure. I also take Duodart for prostate issues which contains the alpha-blocker Tamsulosin. ... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. Thanks for your query. You take Reaptan (Perindopril Arginine and Amlodipine). It is completely contraindicated to take both Perindopril and Candesartan at the same time. I strongly suggest that you stop Candesartan. Tamsulosin is good for both your prostate and blo... Read Full »
Is surgery inevitable for an enlarged prostate?
Query: Hi doctor, My father is having enlarged prostate and has to undergo prostatectomy surgery. But, it is getting delayed due to ITP (idiopathic thrombocytopenic purpura). Right now he is under urine catheter. From past 12 days he is using Silodal-D 8 mg. Doctor said that after 20 days the prostate glan... Read Full »
Answer: Hi, Welcome to icliniq.com. Your father was on medication and has history of urine retention in the past. Currently, he is on catheter. Chances of medical management will not be successful. He needs surgery of either TURP (transurethral resection of the prostate) or HoLEP (Holmium laser enucleati... Read Full »
Why do I have to manually press behind by testes to completely empty the urinary tract?
Query: Hello doctor, I am a 40-year-old male. My height is 5 feet 11 inches, and my weight is 220 lbs (pounds). I have a urinary problem that started two to three years ago and has become more noticeable over the last one to two years. I have to press behind the testes to empty the urinary tract manually. ... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome to icliniq.com. Thank you for consulting us. You have chronic prostatitis, an inflammation of the prostate gland. I suggest you follow the below treatment plan: Capsule Tamsulosin 0.4 mg (Tamsulosin Hydrochloride) one capsule before bed for a month. Tablet Ciprofloxacin 500 mg (... Read Full »