Hello. 54-year-old type 2 diabetic here. I posted on here back in 2018 and received some great support during a bout of prostatitis, which thankfully eventually resolved itself. Since then, I saw a urologist with regard to my frequent urination symptoms who found no problems except for an overactive bladder, and he prescribed me with desmopressin that was great until, as per many such meds stopped working as well after a year or so. I am on the list to see a urologist again to see if any new meds can be prescribed but with the backlog due to Covid it's a year or so down the line and I am still on the waiting list.
Back in 2019 I started getting what I can only describe as terrible rectal pain flare ups. Anything from 5 minutes to 30 minutes and they would just come out of the blue, mainly at night. At the start it was maybe one a month, now it's more often. I saw a specialist late 2019 who performed a sigmoidoscopy, but all that was found was a mild case of diverticulitis. The symptoms the consultant agreed were very likely to be a little-known condition called proctalgia fugax. In the meantime, I stumbled across a way to relieve the symptoms. Firstly, sitting in quite a hot bath seemed to do the trick, albeit not ideal at 3am, and finally noting that two paracetamols worked pretty quickly. I've just lived with it since.
This brings me to last night. Still suffering a bit of nocturia (always have), I was awoken again by a painful fugax attack. This time I needed to desperately pee as well. I rushed down to the kitchen to grab some paracetamol and then up to the bathroom. I tried to pee but was struggling to get a stream going, never had that before. When I did finally pee the rectal pain incredibly vanished. Was it the paracetamol or the urination that cured it, I don't know. Usually, I just then carry on but because having a pee seemed to relieve the pain on this occasion has got me concerned that it could be something going on with the prostate. I have "googled", (yes, I know) "rectal pain relieved by urination" and have found no results as such. Prostate symptoms don't seem to show this at all, and neither do the remedies for proctalgia fugax.
I have a PSA every year. In 2017 it came back as 2.05 so they did it again and it was 1.9. Jan18 it was 1.61, Aug19 2.25, Sep20 1.92 and Mar22 it was 1.77.
I may just have stumbled across another way to relieve the proctalgia fugax but at the same time it's just aroused a concern. My GP, along with everyone else's, seems still reluctant to accept appointments so was just wondering if anyone would push for an appointment as a matter of concern? Thank you.