Prostatitis in Thailand

Hi everyone: I've read pretty much everything in this group, which has been a source of comfort of sorts, but just wanted to add here: my recent diagnosis of acute Prostatitis, how it first presented, treatment, and wondering where I go from here. It might chime with others and also help them/us.

Initial presentation: Me: 45 yr old, British male. Low level anxiety sufferer, store stress in jaw and gut. Generally optimistic and sociable, weekend binge drinker. Late march: growing urge to pee more frequently, which built up to around every 4-6minutes. Treated locally with antibiotics for a general UTI. Symptoms got worse, tender perineum, rectum, dull aching testicles, burning pee, pain up and down urethra. Masturbation really hurt the general area, esp urethra.

Urologist: Booked to see urologist at Thai international hospital. Physical prostate exam. Disgnosed with an inflammed prostate (exam really hurt, whole area was highly sensitive).

Treatment (late march): Given cipro, tamsulosin, and finasteride. Blood and urine samples taken, PSA: 3.5. Cipro ended after 4 weeks, new PSA: 0.8. Severe pain cleared and i was relieved about the PSA number. However, it returned around 10 days later as highly frequent urination and tender general region of the pelvis. Lasted 24hrs. Still high frequency peeing as of now, but much less, and high level pain has gone. Currently very low level.

Experience and pain over past month: Ghost muscular pain: like arthritis as i have experienced gout before (4 years ago last attack) this pain affects outer thigh, groin, lower back. I say ghost, as it appears and disappears at will. Abdominal pain, dull aching testicles, a sore and tender rectum, perineum, and urethra. Pain shooting from testicles and pelvic region and radiating throughout the body, sometimes as a bolt up the spine toward the head.

As of now these pains exist but at a very, very low level. (May 6). I have cut alcohol completely, and cut caffeine, carbs, and dairy to a mininum, and I have started long daily walks and jogs, and kettlebells, as my diet and exercise until the diagnosis has been sub-par. Thanks reddit.

Outlook here in Thailand: After reading this Reddit, i investigated pelvic floor PT here but so far can't find and my current hospital doesn't have one. I was convinced it was merely prostate-related infection before reading this Reddit, now I'm moving more towards cpps and multimodal condition, because of all the different types of pain, and the very sudden return of high frequency peeing, and reading this reddit. Next appointment is 1 June. For PSA and general discussion of what's next. I will ask urologist what he understands about cpps and pelvic pt. Still taking tamsulosin and finasteride, 1 of each before bed until complete (another 3/4 days).

Hope anyone who reads this might offer suggestions on what to do next, or finds it a source of comfort knowing they are not alone.