Hi just a question about my problem, i am 56 my doctor says it prostate disease getting older and can give me a pill to stop me getting up in the night which is great, but not done any tests.
So after a few months and asking doctors what it is i have decided toa sk here.
I work until late about 2am most days and have my last cup of tea about 10pm and carry a bottle of water after that which i just have sips from from until i go to sleep about 2.30am by this time i have been for a wee a few times and have my last one before i try to sleep, but then i am up again about 3 or 4 times during the night going again, is this normal at my ages because i have only had this a few months now ?
I have got the to doctor calling in the morning going to ask for a PSA TEST
I did have a ct scan last year august looking for cancer so i would think that would of picked something up if i had anything, but that was 8 months ago.
It's sensible to restrict fluid intake from at least 4 hours before your regular sleep time. Your age is just a little early to start fussing about PSA readings, and in general terms try to remember that prostate cancer is usually so slow growing that a policy called 'watchful waiting' is followed. An exception might be made if there is a history of prostate cancer in your close family.
There's a whole bunch of tests they can do to determine prostate size, bladder size, if you have retention, urodynamics, etc. PSA can be inaccurate if you have a infection, digital exam, sex 48 hours prior to blood work. Do some online research into the tests and such. So you don't go in uninformed.
so if i go to sleep at 2am don't have any drinks at all after 9/10pm ?
My dad died of pancreatic cancer 59 sister 61 throat and lung and brother had bowl cancer but had treatment and is ok now.
I do have problem with my testicles i can't touch them so tender but they did scan said nothing is wrong. could that be infection and cause this ?
Try it. Could take a while to take effect mind. Seeing your close family record, you may be sensible to be aware, and do your research, but for heavens sake, dont get obsessive about it. If any doctor starts to talk about prostate biopsy, resist as strongly as you can.
Thanks yes i wont let them just do what they want i never do lol
Last year i had the ct scan because of all the weight i lost, did tell them it's from acid reflux and can't eat much. But sent me for a ct scan to make sure and all they found was emphysema changes whcich was the last thing i wanted, now stopped smoking to slow it down or hopefully anyway.
It's probably time for a full work up, including bladder dynamics testing and a scope. You could have bph, you could have bladder issues, you could have both or something else. BPH usually creeps up over a long period of time, but there are exceptions. Don't take any meds or do anything else until you have a real diagnosis, which isn't possible until they've done the kind of workup I outlined.
Also - with your family history, I'd get a PSA test every year and don't let that reflux go. Reflux can lead to esophogeal cancer and with your family history you should treat it aggressively and keep a close eye on it.
Don't know what BPH is sorry, the reflux i take 2 tablets and stopping smoking helped loads.
I was at hospital last year for tests ct scan barium swallow and others the surgeon said he does not think i need an operation to fix my acid because it's not that bad ? i have hiatus hernia and weak muscle that cause the acid, the NHS is in a mess so don't get much help at all and not sure i really want to go back and to again when they don't ever fix anything.
BPH is Benign Prostatic Hyperplasia, or in simpler terms, an enlarged prostate. Its the most common cause of the issues you described, but usually has a long build up - you notice little problems and it just gets worse over time.
As for the reflux - you probably don't need surgery, but i would be aggressive with non surgical approaches as you have a pronounced family history of cancer and its known to be a cause of it.
The CT scan should show the size and configuration of your prostate - which should give the urologist a good idea about whether BPH might be causing your problems.
i have high risk of cancer because i have emphysema also
don't have much luck to be honest.
What do you mean be aggressive with it ? it's only the last few weeks that i have started eating more foods that i have not had for a long time because it's got much better since i stopped smoking.
Not sure they checked but i would of thought they would because they looked at everything even told me about my bowel problem and glall bladder full of stones and damage to lungs.
Take meds for it and have it monitored. Don't just "learn to live with it".
I take 2 esomeprazole for it one morning one at night
I have been dealing with acid reflux or gerd for 40 years( since I was about 13). Over the counter antacid used to work fine. It stopped working about 8 years ago or so. Now prescription meds are barely helping. Insurance decided I only need 1 a day instead of 2. Now I am having issues. Go to get my stomach scoped on the 30th. Hiatal hernia confirmed 2 or 3 years ago.
I was taking Omeprazole. 2 a day. Insurance decided I only need 1. Doc switched to zantec, it didn't do anything. Taking pantoprazole now. It's like taking 1 Omeprazole. Doesn't last.
It's OK to get a PSA test although some controversy on that, but what you describe is not suggestive of cancer, but more suggestive of garden variety bph/luts.
First, if you haven't seen one already, given your age and symptons it's time to see a urologist, not just a GP.
He will want to run a few simple tests including a bladder scan. If he doesn't run a bladder scan to check your post void residual (PVR) then ask him to.
BTW what is the name of the pill they suggested you try? Did you try it?
You might also want to google "IPSS Score" and take the five minute test and report back. It helps put your symptons in context.
Jim
Yes i have Hiatal hernia and weak muscle but stopping smoking as helped me.