Prostate :: Alternative To Tamsulosin To Treat Nocturia?
May 18, 2015
I'm a 53 year old male in good health except for the fairly recent onset of Nocturia. My need to urinate pretty much every hour during the night began suddenly around 3 months ago. At the time of writing this, the resulting fatigue/frustration due to sleep deprivation is having a massive impact on every aspect of my life and I'm at the point of giving up any hope of a restful nights sleep in spite of being totally exhausted.
After several visits to see my GP for blood and urine tests plus a DRE (after which the Dr told me my prostate felt okay) I was referred to a urologist 2 weeks ago. After a second DRE (again told my prostate felt okay) and a urine flow test, the urologist explained my PSA level was slightly high for my age at 4.5. He offered me two options, either have an immediate prostate biopsy or wait 3 months and retest my PSA level... I elected to wait. Unbeknown to me, the urologist also instructed my GP to prescribe Tamsulosin 400micrograms (Diffundox). I only found out 10 days later having made yet another appointment to beg for help with getting some sleep.
My annoyance with the GP was cancelled out by the immense relief at finally being prescribed something that might help, but any relief was very short lived... After taking the Tamsulosin for the past 3 days, I can't face taking them again today due to the side effects!... I know it may sound trivial to some, but the side effects are compounded by the fact the medication is having zero effect on the nocturia and my being exhausted. I was still waking almost every hour by the urge to urinate, but thanks to the Tamsulosin my throat and mouth were so dry I didn't even have any saliva to swallow, a persistent dry cough, pounding headaches and disturbing nightmares impaired what little sleep I had been getting, chronic diarrhoea began the morning after taking the first capsule, while the headache and hoarse voice persisted throughout each of the 3 torturous days... On the only positive note, I did notice a slight increase in my urine flow rate, but as I'd never considered the pre-tamsulosin flow a problem it was nothing to be excited about.
My dilemma is... I feel as though I'm back at square one. Where do I go from here? Do I make yet another appointment with a GP and ask for referral back to the urologist?... Will the urologist simply offer me option number 1 again and point at a biopsy needle?... Or is there an alternative medication to Tamsulosin?... Hopefully one that works for frequent night time urination and without the side effects, but with that said, I'd suffer the side effects and hopefully medicate to lessen them if it meant getting even a few hours quality sleep.
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It has brought so many problems.
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I'm 72. I do not want to be done with my sex life. I have BPH and have been taking tamsulosin for quite a few years. I do ok as far as the urinating thing is concerned. Pretty slow sometimes, pretty often lots of times... all of that. But sexually, it takes me 2 or 3 weeks to get done doing what I really want to do. I can get an erection, and have lots of feeling, but then the gas tank goes to empty and I'm done.
Recently I read that this is a known side effect to the tamsulosin, not really a problem of the bph. So the question comes can I or should I arm-twist my doc to try cialis 5mg instead? Again, the erection thingy isn't really a problem, it's the finishing up that doesn't get done.
Does cialis seem to work as well for bph as tamsulosin? Better?
Also, I have emphysema. Once again, I'm not going to let a little old thing like that spoil my day. But one thing that can happen with emphysema is you can get this silly little right congestive heart failure thing going because your lungs are doing a crappy job of oxygenating the blood. One of the treatments for that? Cialis, but in a 20 mg dose. Much higher dose than that recommended for bph or ed. So I'm wondering that even at a lower dose I might get some relief for the pulmonary hypertension thingy. Some would help with energy levels for instance.
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This post is simply me sharing my story so other people may not make the same mistake as I did. I am a 27 y/o male. I first noticed hemorrhoid issues when I was 20, just an occasional flare up for a week or 2 out of the year, no big deal. Each year it continued to flare up more and more. Until for the past year or so every time I would have a bowel movement there would be bleeding sometimes just a couple drops in the water sometimes blood sprayed all over. Still I did not seek treatment besides trying not to strain. Then an unrelated health issue sent me to my Doc, in the course of this he did all the blood tests known to man I think. My consistent bleeding for over a year had made me anemic with a hemoglobin of only 8.3, two weeks later hemoglobin of 8.0 and an extremely low testosterone level as well which was caused by the chronic anemia. The hematologist had me immediately scheduled for an appointment with a surgeon. Endoscopy, Colonoscopy, and a Banding. The banding at first didn't seem to bad, luckily I was knocked out for the colonoscopy so I wasn't awake for the banding. However, the next week was constant pain, and the first two days were nearly unbearable. I've never had a problem with hemorrhoids that seem to remain outside the body until after this procedure not sure if the banding or colonoscopy could have worsened that condition. However 2 weeks after the banding I still have hemorrhoids and the symptoms were worse than ever: pain, itching, burning. Well I had already decided unless the bleeding was extreme again I WOULD NOT go back for another dr visit. I tried sitz bath (which for me over the years have always seemed to provide quick relief BUT then cause worse inflammation in a few hours). I tried ACV on cotton balls, painful and after a week didn't notice any improvement. During this entire time I had also converted to a high fiber diet. After the ACV I continued high fiber diet, using a stacker to put my feet on when I'm having a bowel movement, and using tucks witch hazel in the morning and before bed. With those I finally am symptom free. However, I am going to keep doing these thing forever because it seems to me that hemorrhoids, once they get out of control, will never go away completely. You just have to treat them and manage them and you will remain symptom free but if you go back to the same old habits. They will come back same as before. I am still on an iron supplement and taking testosterone shots as well.
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What are the best supplements to treat hemorrhoids? I have a few suggestions I am willing to compare.
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How can you treat pinworms in first trimester , I'm 6 weeks now ? Also I have never had any vaginal infection before , it doesn't smell but I am itchy and irritated , I have a white thick discharge that gathers in the folds of my vaginal and clit area! :( I am very hygienic and bath and wash regularly, so I don't know how I would get either of these :( can someone help me as to what treatments are possible ? And and these harmful to my unborn baby ? Or my husband ?
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I'm 29 weeks, and just failed my glucose test. According to my sono the baby is almost 4lbs already. Is that high? And what is the likely hood that I have gestational diabetes? If it turns out that I do have it how will they treat it?
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I was just rubbing my girlfriend down there, and my hands weren't probably completely clean (I haven't really done anything like this before). I was mainly stimulating the clitoris, at times using her wetness to lube her up. She didn't seem to mind and at that time, she wasn't in pain or anything, in fact according to her she was enjoying it. After going back home though, she felt that the area around her clit became really sore and that it hurts horribly while trying to pee. It also itched when soap touched the area while trying to take a shower. It feels uncomfortable in general, and aches when trying to move. Most importantly, she says she has discovered some sort of a 'hole' beside her clitoris, which does not look like a scar, but is red. This has freaked us out both, and although I haven't seen the condition myself, I can't describe it more precisely. She says it's like the type of 'fold' we get when we apply pressure on our skin with the nails, except that it's round, tiny and deeper. She is also having pain in her tummy (in fact this happens when she masturbates too much) which makes it all the more worse. She is really mad at me and I know I have done something careless (especially when it is the first time we have been doing something like this), and I probably don't even deserve to be her boyfriend, but I feel really guilty and I want to help her in every way possible but I don't really know what to do about it. She hasn't spoken to anyone about it yet although she is suffering and all I care about now is that this condition goes away as soon as possible. She is not ready to go the gynecologist because she is too ashamed to talk about it as she is from a conservative family.
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I went to a new rheumy who specializes in fibro. He spent an hour with me my first visit. I really like him. He typically treats many people with synthroid for fibro because he feels we really have a hypothyroid even though our numbers are good. i do have many symptoms of thyroid, always cold, used to have constipation, dry skin and eyes, heavy periods, etc
He called in a script for synthroid name brand for me, I haven't picked it up yet I guess I am nervous to try it.
He did do my bloodwork, TSh was in guidelines, free T 4 and T3 were in range but at 50% of the range.
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I saw my doctor last week and she said she had just been to a menopause seminar where the continual use of vagifem was discussed to treat VA. She said that there have not been any long term effects and that patients could use it twice a week for an indefinite time.
She also said that if a patient stopped taking it the recurrence of VA could be severe and much harder to treat going forward.
I asked about the Mona Lisa laser treatment but she had not heard of this.
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Im 7 1/2 months pregnant and i have a severe cold which the doctor refuses to treat. You can imagine how miserable i am. Apparently i'm a selfish b**** because i didn't cook my husband a 5 star meal today. He has not once asked if there was anything he could do to make me less miserable. Anyone else's husband a complete douche bag even though you are carrying their child?
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Has anyone used Parsley leaf capsules or tea to treat kidney stones and/or low functioning kidneys.
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Just a couple weeks ago I had a bump forming right next to my nostril and directly on my cheek. I've had it for over two weeks and just yesterday I had it checked by my doctor and she prescribed me a topical solution ( smells a lot like alcohol) called Clindamycin Phosphate. I've done everything she had mentioned to me as far as putting a warm compress on my face which I have done the past couple nights and later applying the solution. Well, just a while ago as I was searching for some advice, I twitched my nose then all of a sudden I felt a tingle on my face and was in a way relieved to see that the boil had popped! I washed my hands, took a q-tip and just dabbed all the puss and blood out. Not sure if I'm doing anything incorrectly since I can't seem to get all the puss out of it since the bump is still there. I waited it out a bit before washing my face for the rest of the blood to come out since it was still dripping a bit. I gently washed my face with aveeno and waited for it to dry as I later dabbed the solution on the boil which stung like bloody murder >;) ! I'm very worried that this bump will remain on my face as this is the very first time in my life to experience such a traumatizing experience. If there is any help, please I beg you, how do you treat a boil/pimple after it hasn't completely drained?? Should I just wait it out and continue to use my prescription? My doctor told me I didn't need a follow up for it, but I'm so worried I can't help it! Should I continue to apply a warm compress twice a day? What should I do?
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I was wondering if anyone has had a metal stent placement to treat SOD level one at all. I have posted here in the past as I have gone through 5 ERCP since my gallbladder removal summer of 2013. 3 of the 5 had a single plastic stent placement which all worked until the stent either passed on its own, or was removed by my GI doc. The other 2 times I had multiple stents placed intended to stretch the duct open in hopes of staying that way when these were removed. Obviously it didn't stay open as I relapse into the same set of symptoms that I hope to alleviate......stinging pain where the GB was, bloated all the time, the feeling of a softball lodged into the R abdomen, and pain in the back and R shoulder blade. GI doc (who is well respected here at the Univ. of MN) says that the only options left for me are a botox injection, or metal stent. Any opinions out there? Status quo being stent-less right now is not how I want to live the rest of my life. I am 52 and feel way too young to concede this whole thing.
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Some doctors cured their patients of ulcers in the mid 20th century with cabbage juice. Supposedly they got some relief after 4 days and most of them were cured after 7-10 days.
Here is how to proceed: one has to drink 200 ml of fresh cabbage juice 5 times a day, so every 3 hours. I am going to mix mine with one apple in the morning (if I can take the acidity of the apple), and other vegetables (carrots, spinach, celeri, fennel) the rest of the day to make it more tasty.
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My partner has been taking methotrexate for two years but due to the effect of it lowering his immune system he has suffered many infections and problems with wounds healing etc. As a result he has had to take various antibiotics, almost continually, for the past year. He has recently had a severe bout of mouth ulceration which, after research seems to have been caused by the excessive amounts of antibiotics creating a build up of the methotrexate. Does anyone out there know of an effective, natural alternative to methotrexate
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I am about to speak to my GP and Cardiologist about having one of the alternative blood thinners as because of an underlying problem with my bladder I am often on Prophylactic antibiotics and they do not interact well with the warfarin, making it difficult for them to get my INR correct. can any of you on any of the alternatives let me know how you are on them, any any side effects related to them, don't want to jump out of the frying pan into the fire!!!! the good thing for me would be I understand they do not interact with other medication, the 3 I have found that are available are Dabigatran, Rivaroxaban and Apixaban.
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is there anything alternative that can help get rid of kidney stones
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I'm currently taking 2 500mg naproxen a day, One when I wake then One about 4/5pm to get me through the rest of the day but they're slowly starting to work less and less is there anything I can swap them with? Anything you guys take for anti inflammatory.
Maybe something over the counter I can take with it? Ofcourse not ibuprofen.
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I have an appointment with the doctor next week to discuss possibly changing to a different AD. I love mirtazapine in every way but for the weight gain. I need to lose a stone and am dieting. I have lost 2 lbs in a week, but if I can't sustain it, I need to change drugs. Last time I tried to come off mirtazapine I suffered terrible nausea and insomnia (I tend to sleep badly in any case but mirtazapine has really helped). Can anyone suggest a different AD that really helps with sleep but does not cause weight gain? I don't get on with SSRIs.
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I hit my inner ankle bone against the bed post 3+ months ago and the MRI diagnosed a bone bruise. I have consulted podiatrists and orthopedic doctors and their advice for treatment is conflicting, but generally of the conclusion that there is no treatment, nor any idea how long it will take to heal. I am still limping and in strong pain all day long every day. One doc says to stay off the foot. One says to exercise mildly. One says to do PT exercises. One says to immobilize in a pneumatic walking boot, one says to use an ankle brace. all have been unsuccessful. Has anyone recovered from a bone bruise? If so, did you use alternative medicine like Chinese herb soaks?
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