Suggest treatment for brown semen
Patient: Presently I have brown semen. A little history and maybe you can help me. 12/23/11 I had sex and in the condom was bright red throughout, scared the shit otta me and my girlfriend. I went to the emergency room the next morning and they ran blood and urine tests and found nothing unusual. Just minor amounts of blood in the urine. I did make an appointment with an urologist and seen him a week and a half later. But prior to seeing the Dr. I started to have quite severe pains in my lower left back and nausea, and then the pain moved to the front lower abdomen. The Dr. preformed a prostate exam and urine test and found no blood in the urine. But I still had brown semen. He prescribed Flomax and a pain killer and set up a CT scan. That was yesterday. I don't get the results for another 4 days and still my semen is brown and watery. I have no pain when i urinate or ejaculate. My pain in my stomach is dull but still I have nausea. Is there anything or test I can do? I'm drinking lots of water and urinating frequently. I have had a kidney stone problem 7 years ago, and this almost feels like that, but really no blood in the urine pretty much just in my semen. Please let me know if I can do anything else for the next 4 days while I'm awaiting the test results. Thanks. Doctor: Hi,Dear,Thanks for your query to HCM.Dear I read your query and reviewed it with context to your query facts.I understood your health concerns and feel Concerned about them.Based on the facts of your query, you seem to suffer from-Chronic Bacterial Prostatitis(CBP) with urethritis mostly with ?Orchitis- from Incomplete or unnoticed- STD recurring infections lately Or could be accompanied UTI with Old Kidney stone with STD / CBP urethritis , as you have first attack of severe lower left back  pains with nausea, which moved from lower left back to front lower abdomen, indicating Cysto-urethritis and ? Orchitis.Presence  of no pains in urethra while ejaculation indicates chronic low lying Sub Acute CBP-infection from the bygone STD in the past, which has resurged lately.Pain in stomach and nausea points to -pyelonephritis / and could also  be from Epididymo-orchitis.Presency of Kidney stone with Pyelo-nephritis with cysto-prostatis, could mimick this and needs to be ruled out and treated.Persistent  brown coloured semen indicates definitive Prostatitis with all this complex story and points to the possibility of Sub acute long Prostatitis with Epididymo-orchitis lately.CT is awaited.Remedy Suggested -Continue plenty of fluids Good Sex hygine and avoid illicit sex contacts to avoid risk of  recurrent exposure .Good Diet with full rest 8 hrs a day with Supplementary Vitamins / antibiotics after sending samples to Bacterial Culture.In this above discussed complex scenario- I would suggest LCr test with Semen from prostatic massage which could rule out Gonorrhea and STD from Chlamydia infections, which were incompletely treated in the past.Urine Culture / or prostatic massage semen fluid Culture would give definitive  lead of proposed antibiotic usage, as your case seems to hibernating without much of clinical complaints from you.CT Prostate and Testes and cord with Cysto-urethrography would heilp in proper assessment of -Causative factors.This would help in targeting the treatment accordingly.USG Abdomen in initial stages and LCr test of Urine and semen and prostatic massage by this time would save dealy in initiating right antibiotic attack- either by oral / or by Intratprostatic Injections / with hyaluronic acid infusions to increase antibioitic  reach in chronic fibrotic prostatic tissues, which is giving you tough times now.Addition of Tamsulosin/ Flomax with Pyridium would reduce your discomforts along with Chymoral forte /and Diclofencac Sodium for 2-6 weeks period, which would assure you  better outcome.Hope the above discussion and points in it, would help you to plan further treatment from your Urologist at the expeditious speed  Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard.Good Day!! Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS