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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...
Alternative Names Bleeding from the nose; Epistaxis Home Care Sit down and gently squeeze the soft portion of the nose between your thumb and finger (so that the nostrils are closed) for a full 10 minutes. Lean forward to avoid swallowing the blood and breathe through your mouth. Wait at least 10 minutes before checking if the bleeding has stopped. Many nosebleeds can be controlled in this way if enough time is allowed for the bleeding to stop. It may help to apply cold compresses or ice across the bridge of the nose. Do NOT pack the inside of the nose with gauze. Lying down with a nosebleed is not recommended. You should avoid sniffing or blowing your nose for several hours after a nosebleed. If bleeding persists, a nasal spray decongestant (Afrin, NeoSynephrine) can sometimes be used to close off small vessels and control bleeding. Call your health care provider if Get emergency care if: Bleeding does not stop after 20 minutes Nose bleeding occurs after an injury to the head -- this may sugg...
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