instruction: hi doctor I am a 34 year old male with recurring prostate infections with inflammation which is really painful with kidney stones happening all the time I am feet and about 215 labs weight I am currently on trileptal ranitidine and omeprazole and I have been on them for a long time like 10 years or so my symptoms are extreme pain in the lower back and painful urination and ejaculation and it hurts bad when I poop and I have energy I feel totally drained and I have constant hot and cold sweats my questions are can this lead to permanent damage or cancer and also what to do I am waiting to be scheduled with a urologist I have been battling these symptoms for over three and a half months with a few days of relief and the pain starts again any help you can give me will help out a lot also can this lead to me not being able to have kids
output: hello the condition you are having could be chronic prostatitis usually bacterial or any obstructive pathology chronic symptoms suggest that you need complete urological evaluation with urine analysis urine culture ultrasound of prostate etc and treatment accordingly avoid caffeine and alcohol consume a lot of clear fluids empirical treatment with cotrimoxazole or ofloxacin for two weeks can be tried if the appointment with urologist is getting late with proper treatment there should not be any problems with fertility you can normally have kids development of or transformation to cancer is highly unlikely which may occur late after many years late after 50 60 you can try urispas flavoxate 100 my tablet twice daily after doctor prescription to get relief from urinary problems