hi i have a headache for 5 days and it becomes sharp at times and hasn’t gotten any better over the past few days my eye is paining as well as i have glaucoma. i have fever and blisters on ...
Duodart, a combination of dutasteride and tamsulosin, is commonly prescribed for benign prostatic hyperplasia (BPH) and can be effective in reducing symptoms by decreasing prostate size and relaxing prostatic smooth muscle. However, as you've experienced, side effects such as erectile dysfunction, dRead more
Duodart, a combination of dutasteride and tamsulosin, is commonly prescribed for benign prostatic hyperplasia (BPH) and can be effective in reducing symptoms by decreasing prostate size and relaxing prostatic smooth muscle. However, as you’ve experienced, side effects such as erectile dysfunction, decreased libido, and ejaculatory issues can be bothersome for some patients.
Rezum, or steam therapy, is a minimally invasive treatment for BPH that uses water vapor to ablate excess prostate tissue. This procedure is typically performed in an outpatient setting and is designed to relieve urinary symptoms by reducing the size of the prostate. Here are some key points to consider regarding Rezum therapy:
1. Effectiveness: Rezum has been shown to be effective in reducing BPH symptoms, with improvements in urinary flow and symptom scores. Clinical studies have demonstrated significant symptom relief, comparable to some surgical interventions, with a lower risk of serious complications.
2. Durability: The effects of Rezum are generally long-lasting, with many patients experiencing sustained symptom relief for several years. However, as with any treatment, there is a possibility that symptoms may recur over time, and some patients may require additional treatments.
3. Comparison to Surgery: While Rezum is less invasive than traditional surgical options like transurethral resection of the prostate (TURP), it may not be as effective for very large prostates or in cases with severe symptoms. TURP remains the gold standard for surgical intervention, particularly for patients with significant prostate enlargement or complications such as recurrent urinary tract infections or renal impairment.
4. Side Effects and Recovery: Rezum is associated with fewer side effects compared to surgery, with a lower risk of sexual dysfunction and incontinence. Recovery is typically quicker, and most patients can return to normal activities within a few days.
5. Patient Suitability: Rezum is best suited for men with moderate to severe BPH symptoms who prefer a less invasive option and are willing to accept the possibility of needing future treatments. It may not be suitable for those with very large prostates or significant complications.
Before deciding on Rezum or any other treatment, it’s important to discuss your specific symptoms, prostate size, and overall health with your healthcare provider. They can help determine the most appropriate treatment plan based on your individual needs and preferences.
See less
Given the symptoms you've described, it's crucial to consider several potential causes and seek immediate medical attention. Here's a detailed breakdown of the possible conditions and their implications: 1. Herpes Zoster Ophthalmicus (Shingles involving the eye): - Symptoms: Fever, headache, and bliRead more
Given the symptoms you’ve described, it’s crucial to consider several potential causes and seek immediate medical attention. Here’s a detailed breakdown of the possible conditions and their implications:
1. Herpes Zoster Ophthalmicus (Shingles involving the eye):
– Symptoms: Fever, headache, and blisters on the temple could indicate shingles, especially if the blisters follow a dermatomal pattern. When shingles affect the ophthalmic branch of the trigeminal nerve, it can lead to eye pain and potentially serious ocular complications.
– Action: Immediate evaluation by a healthcare professional is necessary. Antiviral medications are most effective when started early.
2. Acute Angle-Closure Glaucoma:
– Symptoms: Severe eye pain, headache, nausea, and visual disturbances. Although you mentioned having glaucoma, if there’s a sudden increase in intraocular pressure, it could exacerbate symptoms.
– Action: This is an ophthalmic emergency. Seek urgent ophthalmological evaluation to prevent vision loss.
3. Infection or Inflammation:
– Symptoms: Fever and headache could also indicate an underlying infection or inflammatory process, such as sinusitis or meningitis, especially if accompanied by neck stiffness or altered consciousness.
– Action: A thorough clinical examination and possibly imaging or lumbar puncture may be required to rule out these conditions.
4. Photokeratitis:
– Symptoms: While typically associated with UV exposure, symptoms include eye pain and discomfort around bright lights. However, it usually resolves within a few days, which may not align with your prolonged symptoms.
– Action: Protective measures and symptomatic treatment are advised, but given your symptoms, other causes should be prioritized.
5. Trigeminal Neuralgia:
– Symptoms: Sharp, stabbing facial pain could be indicative of trigeminal neuralgia, especially if triggered by touch or temperature changes.
– Action: Neurological evaluation and management with medications like anticonvulsants may be necessary.
Given the complexity and potential seriousness of your symptoms, I strongly recommend seeking immediate medical attention. A healthcare professional can conduct a comprehensive assessment, including a detailed history, physical examination, and necessary investigations, to determine the exact cause and appropriate treatment.
See less