Is Back And Hip Pain A Symptom Of Prostate Cancer
The American Society of Clinical Oncology estimates 174,650 cases of prostate cancer this year alone. As the most commonly occurring type of cancer in menmostly those over the age of 50.
That isnt to say that you cant get it at a younger age, but the risk of getting this type of cancer is lower. However, studies have pointed to the growing incidence of prostate cancer among younger males as well. This is owing to environmental factors and early screenings.
The prostate is a small gland that produces seminal fluid for semen. Prostate cancer occurs when a group of cells in a mans prostate gland grows faster than others. These cells can often spread and affect normal tissue in the adjoining area.
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What Are The Symptoms Of Prostatitis
Each type of prostatitis has a range of symptoms that vary depending on the cause and may not be the same for every man. Many symptoms are similar to those of other conditions.
Chronic prostatitis/chronic pelvic pain syndrome. The main symptoms of chronic prostatitis/chronic pelvic pain syndrome can include pain or discomfort lasting 3 or more months in one or more of the following areas:
- between the scrotum and anus
- the central lower abdomen
- the scrotum
- the lower back
Pain during or after ejaculation is another common symptom. A man with chronic prostatitis/chronic pelvic pain syndrome may have pain spread out around the pelvic area or may have pain in one or more areas at the same time. The pain may come and go and appear suddenly or gradually. Other symptoms may include
- pain in the urethra during or after urination.
- pain in the penis during or after urination.
- urinary frequencyurination eight or more times a day. The bladder begins to contract even when it contains small amounts of urine, causing more frequent urination.
- urinary urgencythe inability to delay urination.
- a weak or an interrupted urine stream.
Acute bacterial prostatitis. The symptoms of acute bacterial prostatitis come on suddenly and are severe. Men should seek immediate medical care. Symptoms of acute bacterial prostatitis may include
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How We Diagnose Prostatitis:
Prostatitis may be a clinical diagnosis, meaning it is presumed to be the causative issue even when no definitive findings are found. Our urologists may order/perform the following to diagnose prostatitis:
- History & Physical Exam
- Digital Rectal Exam: Inserting a gloved, lubricated, finger into the rectum to feel the prostate. The prostate may feel boggy and is usually more tender than normal in men with prostatitis.
- Urinalysis & Culture: Urine will almost always be positive for infection in men with bacterial prostatitis. However, because not all prostatitis is caused by bacteria, the urine may be negative for infection.
- Blood cultures/labs
- Transrectal ultrasound: An ultrasound probe is inserted into the rectum to visualize the prostate.
- Cystoscopy: A look at the prostate and bladder with a small camera inserted through the urethra.
- Urodynamics: A study used to exam the function of the bladder and help determine if there is an outflow obstruction.
Inflammation Of The Prostate Gland
Bacteria sometimes cause prostatitis . More commonly, the underlying cause is uncertain. Consult your doctor promptly if you experience:
- fever
- pain in the groin
- urgent and frequent urination.
Treatment with antibiotics is essential for acute bacterial prostatitis. Admission to hospital is often necessary and, as with chronic bacterial prostatitis, specific antibacterial drugs are required for a long time.
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What Is The Prostate Gland
The prostate is a gland about the size of a walnut. It is part of the male reproductive system and wraps around the tube that carries urine out of the bladder. It grows larger as you get older. If your prostate gets too large, it can cause health issues. Having prostate problems does not always mean you have cancer.
Sometimes a doctor may find a problem during a routine checkup or by doing a rectal exam. If you think there is something wrong with your prostate, see your doctor right away.
Prostate Cancer Can Cause Pain In Many Areas And Not Just Because Of Bone Spread But Also Due To Other Features Of The Disease
It can feel different ways depending on the nature of the cause.
Curable early stage prostate cancer usually does not cause pain, says Sean Cavanaugh, MD, Chief of Radiation Oncology, Cancer Treatment Centers of America at Southeastern Regional Medical Center.
That is the most important message do not use pain as a primary screening mechanism for prostate cancer.
Most pain associated with prostate cancer is from bone metastases in stage IV disease.
For example, men with bone metastases to their spine may have pain in their back.
Prostate cancer can spread to the ribs , pelvis and femur .
Even shoulder and arm pain are possible when a metastatic tumor is pressing against the spine.
Bone metastases occur in approximately 80% of patients with advanced prostate cancer, says the Journal of Clinical Oncology.
When prostate cancer spreads to other parts of the body, it almost always goes first to the bones.
Bone pain from prostate cancer can feel like a dull ache or feel like a toothache in the bones, or you may feel a sharper sensation.
Can worsen with movement
May come and go or be constant
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Can Prostatitis Come Back
Men who have had prostatitis once are more likely to get it again. Antibiotics may not get into the prostate gland well. Small amounts of bacteria might hide in the prostate and not be killed by the antibiotic. Once you stop taking the antibiotic, the infection can get bad again. If this happens, you might have to take antibiotics for a long time to prevent another infection. Prostatitis that is not caused by infection is often chronic. If you have this kind of prostatitis, you might have to take medicine for a long time.
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Prostate Pain Location Causes Symptoms And Tests
Posted by Dr. Chris
Pain just above the genitals in men usually raises the concern about bladder or prostate problems. In young boys and male teens, prostate problems are usually not a consideration. However, prostate problems can arise in late teens with recent studies noting an increase in prostate cancer among teen males. In younger males, pain above the genitals is more likely associated with the bladder.
With older males, either prostate or bladder problems can be the cause of pain in this region. The bladder lies above the prostate. Therefore bladder pain is typically felt slightly higher than prostate pain. Most of the time this can be difficult to isolate and prostate problems can only be differentiated from bladder problems after conducting diagnostic investigations. Even other symptoms may also be similar in both bladder and prostate problems.
Diagnosis Of An Enlarged Prostate
In order to establish the possible underlying causes for an enlarged prostate, doctors will perform a variety of tests.
Tests which are commonly used to find the cause of an enlarged prostate include:
- A digital rectal exam. A physician or nurse will insert a gloved finger into the patientâs rectum to digitally examine the prostate for swelling and/or enlargement.
- Swab tests for urethral discharge or urine. To determine underlying conditions such as STIs/STDs and urinary tract infections. A swab of discharge or urine is taken and sent to a medical laboratory for culturing, so that any microorganisms are identified.
- Urinalysis. A urine sample is sent to a medical laboratory for analysis and may be tested for urea nitrogen or creatinine, among other things.
- Blood tests. A sample of blood is sent to a medical laboratory for analysis, which may include tests for creatinine or blood urea nitrogen, as well as antibodies and infectious agents.
- Prostate-specific antigen test. A blood sample is sent to a medical laboratory to be tested for prostate-specific antigen , an enzyme produced by cells in the prostate. A change in PSA levels can indicate that there is a problem with the prostate.
If patients are referred to a urologist, they may have further tests, including:
Before referring the patient for tests, the physician may also ask questions in order to determine the possible causes of the discomfort, their severity, and their duration. Such questions may cover:
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Can A Swollen Lymph Node Cause Groin Pain
Perhaps unexpectedly, to many people, swollen lymph nodes can also cause groin pain in men. Swollen lymph nodes, also called lymphadenitis, occurs when a bacterial, fungal, or viral infection spreads. You may usually notice enlarged lymph nodes near the infected area. However, the infection will spread throughout the body with the blood flow.
What Should I Do If I Think I May Have Prostate Problems
Regardless of which problem you may think you have, you should see your primary care doctor. To make the diagnosis your doctor will take a complete history, physical exam that includes a digital rectal exam, and other appropriate diagnostic tests, for example, a urinalysis, urine culture, blood tests such as the PSA test, electrolytes, creatinine, and occasionally blood urea nitrogen levels. Your doctor may order other tests, for example, an ultrasound, endoscopy, urine flow rate studies, and biopsy of the prostate gland. Your doctor also may refer you to a specialist called a urologist, especially if you require surgery as part of your treatment.
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Symptoms Of Prostate Cancer
Once a tumor causes your prostate gland to swell, or once cancer spreads beyond your prostate, you may have symptoms including:
- The need to pee often, especially at night
- Trouble starting or stopping a stream of urine
- A weak stream or one that starts and stops
- Leaking pee when you laugh or cough
- Not being able to pee standing up
- Pain or burning when you pee
- Pain or burning when you ejaculate
- Less fluid when you ejaculate
- Blood in your pee or semen
- Pressure or pain in your rectum
- Pain or stiffness in your lower back, hips, pelvis, or thighs
- New trouble getting an erection
These arenât symptoms of the cancer itself. They happen because the cancer growth is blocking your prostate.
Diagnosis Of Enlarged Prostate Gland And Urinary Problems
If you are troubled by urination problems, see a doctor no matter what your age. If your doctor agrees that your symptoms need further evaluation and treatment, you may need to undergo a few tests.These may include:
- general examination medical history and review of any health conditions including obesity, diabetes, obstructive sleep apnoea, depression and erectile dysfunction. A rectal examination may be done to check the size and shape of your prostate gland
- a urine check to ensure the prostate is not infected
- a flow-rate check to estimate the speed with which you pass urine
- an ultrasound examination to assess if the bladder is emptying completely and to examine your kidneys
- urodynamics a series of tests on the bladder to see how your urinary system is functioning may be recommended in some circumstances.
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What Is Prostate Pain
Prostatodynia is the medical term for prostate pain. It may also include other sensations like prostate discomfort and is a sign of prostate problems. Pain and discomfort may be seen in all three of the main conditions affecting the prostate gland prostatitis, benign prostatic hyperplasia and prostate cancer. The pain may vary in severity and nature radiating to surrounding structures and extending to the lower back or even the tip of the penis.
At times, prostate pain may involve a large area of the lower abdomen or the entire pelvis. It is not uncommon for no pain to be present, especially in mild BPH and chronic prostatitis, with discomfort or pain only being reported during acute exacerbation and a secondary prostate gland infection.
Problems With Enlarged Prostate Gland
Benign enlargement of the prostate gland is more common as men get older. It can cause troublesome symptoms, although it doesnt always.
The urethra passes through the prostate gland, so men may have problems urinating if the enlarged gland restricts the flow of urine. If the flow stops completely, a catheter is required to empty the bladder. It is rare for this form of acute urinary retention to cause kidney damage.
An enlarged prostate doesn’t always cause urinary problems. Studies indicate that the size of a man’s prostate gland has little influence on the type or severity of his urination problems. BPH is just one possible cause of urinary symptoms.
Another cause of urinary symptoms can be changes to the muscular wall of the bladder, which may cause spasms of the bladder or weaken the bladder, causing problems passing urine.
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Are Prostatitis And Bph The Same Prostate Gland Problem
The answer to this question is yes and no, because both may have some similar health symptoms , but each prostate problem have different causes. Yes, BPH is by definition an enlarged prostate, and no, because the cause is not an infection/inflammation like prostatitis. However, not all enlarged prostates are due to BPH. An enlarged prostate may be caused by BPH, prostatitis, and prostate cancer.
Bladder And Urinary Troubles
A prostate tumor that has grown significantly in size may start to press on your bladder and urethra. The urethra is the passage the carries urine from your bladder out of your body. If the tumor is pressing on your urethra, you might have trouble passing urine.
One of the common areas for prostate cancer to spread to is the bladder, because the two organs are close. This can cause additional problems with urination and bladder function.
Some symptoms your bladder and urethra are being affected by cancer include:
- urinating more frequently
- getting up in the middle of the night to pee
- having blood in your urine or semen
- feeling like you have to urinate often and not actually passing anything
Its not as common, but prostate cancer can also spread to your bowel. The cancer first spreads to the rectum, which is the part of your bowel closest to the prostate gland.
Symptoms of cancer thats spread to the bowels include:
- stomach pain
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Can Enlarge Prostate Cause Stomach Pain
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Is It Possible To Have Pain In The Anus With Prostatitis
Yes, it is possible. In this disease, the prostate gland becomes inflamed, becomes painful itself, and, depending on where the inflammation is localized, begins to give pain to other areas. The perineum is the most common site of pain, but other locations are also common:
- suprapubic area
- lumbosacral region of the spine
- the anus.
As a rule, pain in the anus becomes more intense when sitting or after the act of defecation: in these situations, the pressure on the inflamed prostate gland increases, which leads to an increase in discomfort. However, there are cases when the pain that goes to the anus remains regardless of the mans behavior.
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What Is The Prostate
The prostate is a walnut-shaped gland that is part of the male reproductive system. The main function of the prostate is to make a fluid that goes into semen. Prostate fluid is essential for a mans fertility. The gland surrounds the urethra at the neck of the bladder. The bladder neck is the area where the urethra joins the bladder. The bladder and urethra are parts of the lower urinary tract. The prostate has two or more lobes, or sections, enclosed by an outer layer of tissue, and it is in front of the rectum, just below the bladder. The urethra is the tube that carries urine from the bladder to the outside of the body. In men, the urethra also carries semen out through the penis.
How Can You Resolve Prostatitis Related Back Pain
Prostatitis-related back pain can be difficult to solve, especially if you have chronic prostatitis and chronic pelvic pain syndrome. There is actually no consensus about what to do and when. So, doctors need to use a trial-and-error approach until they find the right treatment for you.
There is no cure for chronic pelvic pain syndrome. Some patients experience longer asymptomatic periods. But a flare-up may bring back the symptoms once again after a while. What doctors do in these cases is trying to manage pain symptoms as much as possible.
In acute prostatitis, the problem is easier to solve. The pain usually goes away with the right combination of antibiotics and anti-inflammatories. In most cases, it is enough with over-the-counter non-steroidal anti-inflammatories drugs-for example, ibuprofen and naproxen. Only a few cases may require more specialized pain-relieving therapies such as oral or injected steroids.
Unlike chronic pelvic pain syndrome, acute prostatitis resolves after a few weeks. However, you need to take your meds exactly as prescribed, or it may become a recurrent problem .
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