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"You have turned my life around"

I am 87 years old, with a problem of the prostate gland. Before I met Dr. Baum, I went to the bathroom every 30-60 minutes. After Dr. Baum's treatment on my prostate, I go only 5 times per day and only 1 time at night! You turned my life around. I am so very grateful!

-Sidney Daigle

I want to thank you for your due diligence. You saved my life. I highly recommend you!

-Dwight Bastian

Thank you Dr. Baum! Because of you I'm back in the "rodeo"!

-Gerald Wallace


Inflammation of the Gland That You Love and Hate

More and more men are becoming aware of their prostate gland since there is an increased awareness of prostate cancer in the community.

With famous man such as Bob Dole, Jerry Lewis, Joe Torre, and John Kerry having prostate cancer and numerous articles appearing in magazines and newspapers on the topic of benign prostatic hyperplasia (BPH), more and more men are becoming aware of their prostate gland. These two diseases, BPH and prostate cancer usually don't affect man before the age of 50. However, inflammation of the prostate gland or prostatitis can affect man at any age. The symptoms of prostatitis include frequency of urination, burning or painful urination, lower back pain, night time urination, and even total inability to urinate or urinary retention.

Prostatitis can be divided into 4 categories:

  1. Acute bacterial prostatitis is a condition where there is abrupt onset of urinary symptoms and also fever and chills. The offending bacteria can be found in the urine and even occasionally in the blood.
  2. Chronic bacterial prostatitis produces vague urinary symptoms such as frequency of urination, urgency of urination, and nighttime voiding. The symptoms are more bothersome than this a drooling. The diagnosis is made by finding bacteria in the prosthetic secretions, and less commonly in the urine.
  3. Non--bacterial prostatitis presents itself with similar symptoms as chronic bacterial prostatitis. However, upon evaluation, no bacteria can be identified from the urine or prosthetic secretions yet inflammatory cells are found in the prosthetic secretions strongly suggesting inflammation of the prostate gland.
  4. Prostatodynia or painful prostate also has symptoms two chronic bacterial prostatitis. The physical examination as well is the evaluation of the urinalysis, and prosthetic secretions are normal. This is a diagnostic term bed is use when no definitive findings can be found yet the patient has significant symptoms that indicate inflammation of the prostate gland.

Symptoms of chronic bacterial prostatitis and acute bacterial prostatitis can be very similar. The difference is that you may not find chronic bacterial prostatitis annoying at first, however, acute bacterial prostatitis has an abrupt onset of symptoms and is accompanied by fever, chills, flu-like symptoms and even urinary retention.

Finding the cause of prostatitis can be difficult and even impossible. In most cases, the identified bacteria is E. coli. This is a bacteria that is normally found in the colon and bowel. It is possible that the bacteria set up shop in the prostate after entering the urethra (the tube that transports urine from the bladder to the outside of the body through the penis).

Since the symptoms for many problems of the prostate are similar, your doctor will need to determine if your symptoms indicate obstruction of the prostate due to BPH with a secondary infection, a bacterial infection without obstruction, or inflammation without the presence of bacteria. Your doctor will need to perform several tests to make this distinction which is very important in determining the appropriate treatment for your condition.

You should be prepared to relate your medical history including details of past urinary tract infections, sexually transmitted diseases, prostate problems and how your body responded to treatments which were prescribed in the past by your doctor.

You will probably be asked to provide a urine specimen and prosthetic secretions may be collected to be tested for the presence or absence of inflammatory cells and bacteria. A kidney x-ray (CT scan) or a kidney ultrasound may also be ordered to check for obstruction or stones within the urinary tract. Abscesses, stones, and tumors can form in the prostate and may become a source of repeated infections. A prosthetic ultrasound can also help to determine the presence or absence of abnormalities of the prostate gland.

The symptoms of acute bacterial infection require the immediate attention of your doctor. If symptoms occur such as painful urination or trouble starting your urine stream accompanied by fever, chills and low back pain, then you should report immediately to your doctor as you will probably need a prescription for antibiotic therapy. Acute bacterial prostatitis can lead to severe systemic illness if it is left untreated. If you respond to antibiotics, you can be treated with bed rest and oral fluids. As with all medications, it is important to take the medication as directed by your doctor and to report any recurring symptoms to your doctor immediately.

Chronic bacterial prostatitis can be very difficult to treat. Antibiotics can be used to fight chronic bacterial prostatitis, but often they do not lead to a cure. It is not uncommon for patients to have a resolution of their symptoms while they are on the medication only to then have the infection return when the medication is stopped or discontinued. One effective method of treating chronic bacterial prostatitis is to use a low dose of antibiotics on a daily basis. This is referred to as chronic suppressive therapy and usually will relieve or control the symptoms.

A diagnosis of non-bacterial prostatitis and prostatodynia are the most difficult to treat the treatment consists of an anti-inflammatory medication such as a non-steroidal anti-inflammatory medication like ibuprofen. Many physicians will recommend warm baths and anti-spasmodic medication to relieve the muscle spasms that occur around the prostate gland. Other recommendations include deleting caffeine, alcohol, chocolate and spicy foods from the diet. Rarely is surgery indicated for the treatment of prostatitis. Also, it is important to note that there is no relationship with prostate infections and prostate cancer. However, all men over age 50 should be tested annually with a blood test (PSA) and a rectal exam as a screening test for prostate cancer.