Dear Dr. Motola,
I underwent brachytherapy and HDR treatments for advanced prostate cancer 16 months ago. This past week I've been experiencing off and on bleeding, with some clots, from the penis. I consulted both family doctor and urologist, but they indicated it was probably from my prostate and did not seem concerned. There is no UTI.
Is this a common occurrence? Should we have further testing done; i.e., scope or CT scan? Obviously, I am quite concerned and just trying to reassure myself that this is a possible side effect of the radiation. Thank you.
If you are experiencing hematuria (blood in urine), and especially passing clots in your urine, cystoscopy should definitely be considered. Secondary cancers of the urinary tract have been reported in patients after undergoing radiation therapy. Cystoscopy and an imaging study of the upper urinary tracts will probably be necessary. Talk to your doctor about this course of treatment.
Omega-3 fatty acids from fish oil have conclusively been shown to reduce risk for heart attack and stroke. They also have the capacity to "thin the blood."
What this means is that omega-3s slightly block the activation of blood platelets and inhibit their "clumping," two basic steps in clot formation. Omega-3s also inhibit production of arachidonic acid and thromboxane that trigger blood vessel constriction and inflammation. The blood clotting protein, fibrinogen, also an independent coronary risk factor when at high levels, is reduced by omega-3 fatty acids. Contrast these effects with that of obesity, sedentary behavior, and an unhealthy diet, all of which favor platelet activation, abnormal blood vessel constriction, and increased fibrinogen levels.
But can fish oil cause excessive bleeding ?
This question comes up frequently. In my cardiology clinic, we use moderate- to high-doses of omega-3 fatty acids to reduce triglycerides, correct inherited ca...
About once or
twice a month, I see a young male in his late teens or early 20s who come to me
to evaluate a bump or lesion on his penis. Interestingly, many of these men
have sought evaluation before and STILL don't know what they have.
Here are the
most common causes of this symptom:
grouped lesions on the penis that are painful? Think about genital herpes as the cause. These lesions can also occur on the buttocks or anal area. The
initial outbreak may be associated with fever. Herpes is the most common STD in
and most genital lesions in men are herpes.
Have a bump
that looks like a wart or has a cauliflower appearance? You may have genital
warts. Warts are caused by certain strains of human papillomavirus --
different ones than those that cause cervical cancer in women. In most cases,
the warts do not cause symptoms, but occasionally they can burn, itch or be
tender. They can also produce a discharge. The lesions may be tan, pink or
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