Recently Answered Questions
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I am experiencing pain from ureteral calculus. Please help.
Query: Hello doctor, I contacted you last year with a stone problem which was stuck in my VUJ and came out after taking your medicine. Now since two days, I again have similar symptoms like before, but this time on the left side. I have severe pain with fever in between. I also have frequent urination with... Read Full »
Answer: Hello, Welcome to icliniq.com. The size of the calculus in the ureter is 6 mm (attachment removed to protect patient identity). This may also come out on its own. So, we will try with medicines as last time. You, please take tablet Veltam (Tamsulosin) 0.4 mg every night for two weeks, tablet Levoflo... Read Full »
I have gallbladder issues. What to do?
Query: Hello doctor, I had got an abdomen ultrasound done for other reasons but, the radiologist observed the following 'gallbladder is partially distended and showing few small concretions at the GB neck. Chronic patient of the prostate. Size 47 by 41 by 38 mm, volume 39 cc. Pre-void urine 281 cc, post v... Read Full »
Answer: Hello, Welcome to icliniq.com. How old are you? There is no need to worry. Small concretions are commonly found in the gallbladder. Also, the prostate size is enlarged and it is probably due to a benign prostatic hypertrophy. You should get Serum PSA (prostate-specific antigen) levels done, whi... Read Full »
I am experiencing urine leakage despite taking medications. Why?
Query: Hi doctor, I am 26 years old. I have been to the urologist and had a cystoscopy because I was having problems with leakage of urine after I pee and urgency. The doctor said my prostate was slightly larger than normal and gave me some medicines. Those medicines did not help with the symptoms, and he ... Read Full »
Answer: Hi, Welcome to icliniq.com. Please answer a few questions so I can provide better guidance: How much urine do you leak after urinating? How often do you wake up at night to urinate? How would you describe the flow of urine? Your cystoscopy results appear normal (attachments removed to prote... Read Full »
Why do I have a constant urge to urinate?
Query: Hello doctor, I have an urge to urinate since 15 days. Top of my penis glans become darker some days before I get the urge to urinate. I have constant urge throughout the day. I am 27 years old. Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. Coming back to your query, have you started your own treatment? Although the picture you provided (attachment removed to protect patient identity) is of low quality, I can make out some bluish discoloration near the tip. Is that what you are referring to? Please answer ... Read Full »
My semen volume has reduced. Please help.
Query: Hello doctor, I am a 46-year-old male. I was diagnosed with prostatomegaly (enlarged prostate, 0.8 ounce) 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 drasti... Read Full »
Answer: Hello, Welcome to icliniq.com. I think 0.8 ounce 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 T... Read Full »
How to manage prostate enlargement?
Query: Hi doctor, The sudden increase in the size of my prostate from 75 g to 100 g in a year worries me. Three biopsy test results taken before six years were negative. The PSA level stabilized, and free PSA ratio was satisfactory. Please see the enclosed results. My problem is frequent urination. Read Full »
Answer: Hi, Welcome to icliniq.com. I think you have undergone extensive prostate biopsy under general anesthesia, and the PSA level (prostate-specific antigen) is not very different from now. The rate of increase of PSA is also fine, and for a large prostate, PSA is on the higher side due to volume. The... Read Full »
I am struggling with the side effects of Tamsulosin. Kindly help.
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 do I have sudden frequent urination and flank pain?
Query: Hi doctor, I have been suffering from frequent urination for the last two days and slight pain in the left side abdomen. The urine test found 10-15 hpf RBC and the USG report came back normal. What does this mean? Read Full »
Answer: Hi, Welcome to icliniq.com.At 33 years, the combination of recent onset of frequent urination with flank pain and urine analysis showing RBC (red blood cells) indicates the most likely passage of the small ureteric stone. If USG comes persistently normal with same picture repeated, then we might ne... 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 »
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 take capsule Tamsulosin 0.4 mg (Tamsulosin Hydrochloride) one capsule before bed for a month, and tablet Ciprofloxacin 500 mg (Ciprofloxacin 212.6 mg, and ... Read Full »