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 CPPS in a 24 year old please help how to manage. 
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Joined: Tue Jan 10, 2017 9:29 pm
Posts: 7
Post CPPS in a 24 year old please help how to manage.
Hi I'm a 24 year old male and this is my story of CPPS.
In September 2016, I noticed that I was going to restroom more often ( and waking up in the nights ). I didn't had any other symptom at that time. Went to a urologist, who found microscopic blood in my urinalysis and nothing else, and ordered a CT scan and flexible cystoscopy and couldn't find anything wrong and asked me to live with it. I was little upset but life was normal and happy as usual. But in october ( immediately after the cystoscopy ) I started having pressure and discomfort in my pelvic area which is there almost all the time. Since then till now for almost 4 months the pressure has become chronic, sometimes more severe sometimes better. During this period my urologist did a culture and multiple urinalysis, all with with microscopic blood but couldn't find anything wrong. Sitting for long times makes it worse. Standing and sleeping makes it better. Also I haven't found much relation to the food or drinks I am having to the the discomfort. Also I don't have perenial or pain with ejaculation and don't have to strain. My urologist is hardly bothered and hasn't given me anything apart from tylenol which doesn't help much :(

Do I have CPPS ? The pelvic pressure is killing me, and the thought that CPPS has no cure scares me since I'm only 24 and just started working. Since I have microscopic blood I am hoping it's an infection which can be cured by antibiotics. Is mircroscopic blood without any infection a symptom of CPPS ? Is there anything that I can do about the pain like Tramadol or amitriptyline, so that I can go about my work ( already lost one job because of this ) ? Also how to determine if my CPPS is bacterial or muscular ? In the last four months I basically read every post on Prostatitis/Interstitial Cystisis and have seen so many different theories, that it feels like CPPS is not one disease but a group of dieseases. Please help guys I'm so depressed, alone, and scared that I have to live in so much pain for the rest of my life :cry: . The only thing right now I'm looking for is to manage the pelvic pain. Thanks in advance for reading my sad story.


Tue Jan 10, 2017 10:41 pm
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Joined: Thu Jul 16, 2015 2:53 am
Posts: 66
Post Re: CPPS in a 24 year old please help how to manage.
You won't live with this for the rest of your life unless you keep thinking this way. Pretty much everyone who got prostitits freaks out when hears that CPPS is incurable. It is curable and the majority recover overtime, it dies out by itself, just don't feed it with anxiety and despair.
Do you notice that it worsens with stress? Pain free sleep? Always better during holidays? Then there's a high chance that it's psycho-neuro-musclar. Thus driven by your anxiety and stresses. Did it start after a significant physical or emotional trauma? like an injury or a period of extreme stress, break up etc..
Then the odds are very high that it's psychological in the first place.
Back to the blood in urine(hematuria), just like with you my GP found it during a random test a time I did not have a clue that something like CPPS exists. I still have it till this day, though I pretty much beat prostatitis. It was in my case psychological, however a kidney stone started this vicious cycle of pain-stress-anxiety.
If I was you I would do the following:
1- request a test for all the kinds of STDs and bacteria (CPR test is quite acurate in case of STDs)
2- request an MRI for your pelvis to check if there isn't any significant abnormality
You had a CT scan so the odds to have a kidney stone causing the hematuria are low. If all the tests return negative, please do your self a favor and STOP looking for hidden bacteria, I spent more than a year looking for them and lived a pure hell just to get no where.
Probably your pelvis is in protective mode(hypersensitization) and the muscles there are in spasm, why? no one knows what exactly triggered their CPPS, but theory that makes most sense is that there was a physical indicent during a strong emotional mix, thus you could have a classic infection or kidney stone, or even injury - those were treated and sorted out, but the brain is still using the already created neural pathways and sending false information that there is injury, danger.
3- If that's the case then the muscles in pelvic floor are in spams, you should try a physical therapy of the pelvic floor, it helped alot of people, if you arent able to find any practicioner, then good resources are Amy stein's book heal pelvic pain, and headache in the pelvis.
4- If the manual therapy of pelvic floor will not provide a long term relief, then the odds are very high that this is purely psychological (as it was in my case) and you need to look at things from different perspective.. here comes the TMS world (check TMSwiki site, Dr.John Sarno's books, or read my previous posts)

Last thing, you might need a good painkiller for a while till things will settle down, for me tramadol 100mg ER worked magic. But don't abuse it as it's addictive.
Others said Elavil helped them (antidepressant). Also valium (muscle relaxant)
Good luck


Wed Jan 11, 2017 8:46 am
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Joined: Tue Jan 10, 2017 9:29 pm
Posts: 7
Post Re: CPPS in a 24 year old please help how to manage.
Thanks carbonevo bro for your suggestions,
1)Yes it worsens with stress, Weekends I feel much better than weekdays, but mine is a desk job and that stress cant be avoided
2)I can't think of any cause (I was very career focused and was never in a relationship, so no sex ever :( ). No injuries I can think of either. No other health problems or even infections either. A very clean life, with no alcohol or smoking either. The only thing I can think of which started the pain is the cystoscopy , but can't believe a cystoscopy can have such detrimental effects.
3)I believe the microscopic blood in urine is connected to my CPPS as I had urine tests done before in my life as general checkups but never had blood in urine but now I have it every time I have it checked. The CT scan showed nothing abnormal about kidneys or other organs.
carbonevo Did you have urinary problems too like frequent urination ? is there something that can be done about it ? Waking so many times in the night is breaking my sleep and I'm unable to work my job with all that sleepy feeling, anxiety.
4)I will lookup for the physical therapy stuff and your other posts for more help from you.
Anyone else any suggestions it will help me a ton thanks a lot guys for reading my "rant".


Wed Jan 11, 2017 3:15 pm
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Joined: Thu Jan 12, 2017 5:10 pm
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Post Re: CPPS in a 24 year old please help how to manage.
Carbonevo suggestions are dead on. Keep with a positive attitude and work towards feeling better. I have been fighting very similar symptoms as yourself op. I've done a lot of research myself and the reason I could find that they say its incurable is b/c theirs no magic pill you take and everything is over, I highly recommend do what Carbonevo suggested. Try your best to stay active and drink plenty of water, also try to avoid spicy things, that seems to make things worse for me. Keep you head up, it will get better.


Thu Jan 12, 2017 5:20 pm
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Joined: Tue Jan 10, 2017 9:29 pm
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Post Re: CPPS in a 24 year old please help how to manage.
Hi Bicopter,
Thanks buddy, so how are you managing your symptoms ?
Also did either one of you use Prostaq or some other supplement , I know there is no miracle pill, but something should help right ??


Fri Jan 13, 2017 12:17 am
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Joined: Fri May 08, 2015 2:59 pm
Posts: 640
Post Re: CPPS in a 24 year old please help how to manage.
I think it'll get better with time and could go away or you'll learn to manage it well, this seems to be what happens most of the time. Prostaq is worth a go that's a good idea. I think it's better just to try that rather than buying everything in it individually and all that. NSAIDs stopped night time urination for me, I stopped the naproxen after a year, it is not good long term, but it worked while it was bad. Prostaq at least that doesn't have bad side effects we know about. If there is food or drinks you find makes it worse, just avoid it completely. Meditation works for stress if you carry on with it.


Fri Jan 13, 2017 4:00 pm
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Joined: Tue Jan 10, 2017 9:29 pm
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Post Re: CPPS in a 24 year old please help how to manage.
Chris, your very optimistic view of CPPS is very encouraging for me. I also read your main post so many times and it feels good to know that people are getting better over time. :)

One more thing is ProstaQ or other such products more for the bacterial CPPS or muscular kind of CPPS ? Also where do you guys buy it ? Amazon or some other website


Fri Jan 13, 2017 11:57 pm
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Joined: Fri May 08, 2015 2:59 pm
Posts: 640
Post Re: CPPS in a 24 year old please help how to manage.
If you Google it first link that comes up. Comes from USA. Not sure if it will be effective for your kind of prostatitis, but it's worth a try I think. It wont cost that much and is tried and tested. I was very pleasantly surprised how much better I got over time and also with homeopathy, so I did find something that helped me. Don't worry your not alone there are many of us out there. Just need to get on with things and take it one step at a time.


Sat Jan 14, 2017 3:41 am
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Joined: Tue Jan 10, 2017 9:29 pm
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Post Re: CPPS in a 24 year old please help how to manage.
Chris, thanks I will order it on Farlabs and see how it goes.


Mon Jan 16, 2017 4:43 pm
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Joined: Sun Nov 06, 2016 12:59 am
Posts: 307
Post Re: CPPS in a 24 year old please help how to manage.
Hi Roberto! I'm very sorry to hear of your condition at such a very young age. My first bout of prostatitis was at the age of 21. It was acute so it was resolved by antibiotics in a week time. It did not reoccur until 8 months ago which is 20 years later, I'm 41 now and this time it's chronic. For the past 8 months I had 2 major relapses which prevented me from doing my normal activities. Each relapse lasted for 8 weeks. My symptoms were pretty bad that I had to be in bed 90% of the time during those times. I had blood in my urine but my tests never revealed any positive result for any pathogen, but my prostate showed a great degree of inflammation during rectal examination. I read the response of other guys in this post and I agree with them. There are a lot of theories surrounding this condition, it could be bacterial infection, neuromuscular, pelvic muscle floor dysfunction, autoimmune and sacro-illiac joint disorder. After 8 months of battling this condition my symptoms are more controlled now. I can say that about 70% of my symptoms are now gone and I am hopeful that with my effort and prayers I will see more remarkable progress in the coming months. I would like to share some of the things that benefited me.


****Bactrim- this is the antibiotics that helped with the inflammation of my prostate probably due to its anti-inflammatory properties or probably due to its anti-bacterial action, not sure because my case was never confirmed as caused by bacterial infection.

****Diet modification- I totally avoided red meat, spicy foods, gluten, sweets and sugars, milk and dairy products, oily and greasy foods, acidic foods ( I react to tomatoes and any food with tomato sauce) and caffeine(coffee, green tea, coke, chocolates, energy drinks etc.). I stick to sea foods (fish, shrimp, crabs, mussels and squid), chicken breast, vegetables (mushroom, eggplant, spinach, avocado, carrots, okra), eggs, gluten free bread (but I limit it to 3x a week, my main staple foods are brown rice, corn, plantain, quinoa and sweet potatoes). This has a lot of positive impact in controlling my symptoms.

****Supplements- Zinc, magnesium, bromelain, prostaphil-2, prostate 5LX, buffered Vit. C and probiotics helped me in managing the symptoms.

****Exercise- I try to do some walking everyday for 30-45 minutes to help with relaxation and blood circulation. I avoided strenuous exercise for now which is quite hard for me since I was active in the gym for ten years doing heavy lifting.

****I avoided stress- this is the main culprit for my relapse. My doc prescribed me with cepralex to manage my anxiety and depression

****I limit sex\ejaculation to 2x a week. Whenever I do it more than 2-3x a week a feel a sharp pain in my abdomen and lower back and some pain in my perineum.

****hot bath- it helps relax my pelvic muscles especially whenever I feel some pain

****donut cushion-help to ease pressure during prolonged seating.

****prayers, lots of prayers

My next steps- planning to see a physical therapist to help me with point trigger release and internal stretching(my urologist is suspecting that my case is caused by both bacterial infection and pelvic muscle floor dysfunction), planning to see a reputable Chinese doctor in my area to try Traditional Chinese Medicine, planning to see a Chiropractor or an Osteopath to check my sacro iliac joint and to help other CP\CPPS sufferers in any possible way I can and make this as part my advocacy from now on :-)

So keep your faith, you are not alone, be optimistic that you can go back to normal life.
Praying for your speedy recovery.

P.S. Which country\city do you live?


Tue Jan 17, 2017 2:29 am
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Joined: Tue Jan 10, 2017 9:29 pm
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Post Re: CPPS in a 24 year old please help how to manage.
Heyy Yakuh thanks for your tips, I live in Omaha,Nebraska. I just saw my urlogist and he suggested me to do physical therapy for 3 months and meet him after that. I hope I can get better with that. I strongly believe I have the muscular kind of CPPS as I never had sex before, never had a urinary tract infection before, and I am a lot better during weekends or nights. I guess that is the reason why the doctor hasn't given any kind of antibiotic, or any other drug in the last 4 months. The only thing I still don't understand is if its muscular kind of CPPS why is there microscopic blood in urine always. Will post here if I get better so others who are suffering like me can try.


Thu Jan 19, 2017 10:01 pm
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Joined: Sun Nov 06, 2016 12:59 am
Posts: 307
Post Re: CPPS in a 24 year old please help how to manage.
robert103 wrote:
Heyy Yakuh thanks for your tips, I live in Omaha,Nebraska. I just saw my urlogist and he suggested me to do physical therapy for 3 months and meet him after that. I hope I can get better with that. I strongly believe I have the muscular kind of CPPS as I never had sex before, never had a urinary tract infection before, and I am a lot better during weekends or nights. I guess that is the reason why the doctor hasn't given any kind of antibiotic, or any other drug in the last 4 months. The only thing I still don't understand is if its muscular kind of CPPS why is there microscopic blood in urine always. Will post here if I get better so others who are suffering like me can try.



microscopic blood in the urine can be indicative of an infection but not always. I suggests you to see a specialist for infectious disease aside from Urologist to reconfirm that it is not bacterial type. In my case my infection was dormant, it was very mild infection during the lab test that all results came back negative but they always see traces of blood in my urine. That caused my Uro to check my pelvic muscle floor if it is tight or with spasms but none as well so my uro concluded that it was not neuro muscular, he then performed prostatic massage and examine my EPS under the microscope and that's when he found out some signs of mild infection.


Last edited by yakuh11 on Mon Jan 23, 2017 12:31 am, edited 1 time in total.



Sun Jan 22, 2017 11:20 pm
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Joined: Tue Jan 10, 2017 9:29 pm
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Post Re: CPPS in a 24 year old please help how to manage.
Yakuh, Yeah that is also a possibility, if my physical therapy doesn't work that is the next thing I have to do


Mon Jan 23, 2017 12:15 am
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