Conversation: The conversation between human and AI assistant.
[|Human|] Hi Doc, please help me. In early Feb I had a bowel movement that caused blood. Immediately after I felt pressure in my bladder for about a day. A week later I had blood in my semen. I am set up to have a colonoscpy at the endo of the month. In the past month I have had pain in my penis, my testicles and all of the surrounding area. My DR put me on Cipro, but I started having dizzy spells about 2 hrs after taking it about 4 days in. (I dont think I drank enough water with it). Then I was put on Mrytrebiq (spelling) for bladd control, but had REALLY bad dizzy spell due to that. Is it possible that this could be due to prostatisis, over active bladder or anxiety?
[|AI|]  HelloThanks for query. Pain in testicle and perineum with blood in semen strongly suggests infection of the Prostate (Prostatitis). Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Semen examination and semen Culture.In the meanwhile start taking antibiotics like Doxycycline along with anti-inflammatory medication like Diclofenac twice daily/ Further treatment will depend upon result of these tests and final diagnosis. Please note that Prostatitis takes long time to get desired results hence you may need to take appropriate antibiotics as per culture report for a period of 4-6 weeks. Chat Doctor.