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Prostate Questions

Asked for male, 76 years old from new delhi
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My dad is dealing with prostate cancer and metastatic i.e. Spread to bones. He is heart and diabetic patient as well. He had undergone surgery to remove testicles almost year back. Psa test shown low reading - 0.140 after surgery but start increasing gradually since then. Now psa stands at 18 and just had 2nd pet scan. Doctor compared both pet scans (6 months gap) before and after surgery and did not alarm anything new. No bone pain as such currently. Based on doctor prescription he stated zoledronic acid injection on monthly basis. 2 injections so far. He currently takes bicalutamide (50 mg) along with other calcium and vitamin d supplement here are the 2 major issues I need help1. After zoledronic acid injection. He got light fever for a week and nausea. His psa score was very low after surgery but gradually increasing in recent months now 18. He is taking bicalutamide (50 mg) (1 tablet daily) since november 2022. What are treatment options to treat the rising psa. I can share the pet scan and other reports. I am looking for a senior doctor opinion and follow up appointment. No homeopathic doctors please.

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MBBS, MD, CCEPC, FISSP, OBS, NFPM

Oncologist•Delhi
Cancer staging needs to do first. Different treatments / approaches are available for different stages. Psa will stop increasing only if we are able to treat the cancer or stop the cancer growth. Zoledronic acid & bicalutamide have limited role. Pet scans. Other reports & most imp patient s clinical condition will decide further treatment.
Asked for Male, 28 years old from Baramula
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MD Consultant Pathologist, CCEBDM Diabet...read more

Sexologist•Sri Ganganagar
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Hypertrophoid mucus can be rectified by
1.use humidifier
2.use saline mist or nasal spray
3.use decongestant
4.avoid caffine ,salt ,tobacco and alcohol
5. Check for wax
use tab. Sultahhed 375 twice daily for 5 days
and
tab. Brufen one daily.
3 people found this helpful
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MD-Ayurveda, BAMS

Sexologist•Haldwani
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Hello-
severe prostatitis can cause erectile dysfunction directly. In milder forms, the condition can produce painful ejaculation, which can certainly interfere with sexual pleasure and may lead to erectile dysfunction. Unfortunately this kind of ed needs much more than prostate treatment for recovery. Better consult a qualified ayurveda doctor for help.
21 people found this helpful
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Bachelor of Ayurveda, Medicine and Surge...read more

Sexologist•Pune
Yes

More masturbation isn't good for health and future sexual life.

Do meditation, and avoid overthinking of sex and about opposite gender.

If there is nightfalls then it's ok.

Do concentrate on study, good physical and mental health.

Do kegale exercises for muscle tone which you will get on YouTube.

Eat healthy food avoid junk food.

Eat more ghee and drink milk regularly.
40 people found this helpful
Asked for female, 23 years old from Allahabad
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DNB - Nuclear Medicine, FEBNM (Europe), ...read more

Nuclear Medicine Physician•Delhi
Please discuss with your doctor regarding possibility of lutetium psma therapy. It may help with pain control and disease control.
10 people found this helpful
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MBBS, DGO

Sexologist•Kolkata
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Quick discharge/ premature ejaculation is very common and is usually not associated with any disease but may be due to anxiety, sometimes however there may be problem with prostate gland and thyroid hormone. Most often it is a chronic problem and you have to take medicines off and on. You can learn to control quick discharge by doing this exercise- pull your muscles that you pull at the end of urination for few seconds then release repeat this several times daily. Another is stop-start technique...more
95 people found this helpful
Asked for male, 69 years old from Delhi
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MBBS, MS - General Surgery, M.Ch - Urolo...read more

Urologist•Bangalore
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Prostate enlargement itself as well as associated diabetes and hypertension could contribute to erectile dysfunction. There are treatment options available for erectile dysfunction. You will need to be assessed clinically before starting treatment for erectile dysfunction.
86 people found this helpful
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