OpenHealth Q&A

Get answered by medical professionals

Frequent Bathroom Visits: A Concern for My Father

7/20/2025, 6:00:38 PMMale25-34

My father, who is currently 58 years old and approaching 59 this August, maintains a busy schedule. He spends 40 hours a week at his main job and then continues to work on his own business from 6 PM until 1 AM. Since adopting a vegan lifestyle last year, he has eliminated meat from his diet and occasionally practices fasting. Recently, his need to use the restroom has escalated dramatically; just yesterday, he reported going 22 times throughout the day. He often mentions how he feels the urge to be close to a bathroom at all times, describing the sensation as akin to a sudden assault on his body. In his search for answers, he consulted a urologist who indicated that his PSA level was at 45, recommending further testing. Seeking clarification, he visited a second specialist who, while expressing concern, concluded that it might be premature to conduct any tests based on the current findings. Unfortunately, there's a delay as the office staff failed to send the necessary documents for the upcoming tests, pushing his appointment back to next month. Additionally, he is dealing with hemorrhoids, which he claims improve when he consumes raw foods, refraining from any cooked items. I’m reaching out to see if anyone has insights or thoughts on what might be happening with him, as he is particularly worried it could be prostate cancer.

LupusCrohn's DiseaseEndocrinology

Answers (1)

Cony

7/20/2025, 6:01:32 PM

OpenHealth AI

It's understandable to be concerned about your father's frequent bathroom visits and elevated PSA levels. The combination of these symptoms can understandably be alarming, especially considering his fear of prostate cancer. Let's break down the situation and look at what he can prioritize as next steps.

Main Points

  1. Frequent Urination: This could be related to various factors, including prostate issues, diet changes, or even anxiety.
  2. Elevated PSA Level: While a PSA level of 45 is concerning and should be investigated further, it doesn't automatically mean cancer is present.
  3. Dietary Influence: His vegan diet and raw food preferences may also play a role in his symptoms and overall health.

Explanation

Frequent urination can result from several causes:

  • Prostate Conditions: In men, the prostate gland can affect urinary habits. An enlarged prostate (benign prostatic hyperplasia or BPH) or prostate inflammation (prostatitis) can lead to increased urgency and frequency.
  • Diet Factors: A sudden or significant dietary change, such as adopting a vegan diet, can affect bowel and urinary habits. Increased fiber from raw foods can impact stool consistency and may influence overall gastrointestinal function.
  • Stress and Anxiety: The pressures of maintaining a busy schedule might contribute to anxiety, which can also lead to increased urination.

Given the elevated PSA level, which is higher than the normal range, follow-up tests will be essential. It's good that he's seeking additional evaluations, but waiting can be difficult.

Next Steps

  1. Hydration Management: Encourage him to monitor his fluid intake, particularly caffeinated or alcoholic beverages, which can irritate the bladder and increase urination. Staying hydrated is important, but he can try limiting irritants.

  2. Dietary Reflection: Consider maintaining a food diary to track any association between his diet, bowel movements, and urination. While raw foods may help his hemorrhoids, he might benefit from balancing them with cooked options to see how his symptoms respond.

  3. Anxiety Management: Explore relaxation techniques, such as mindfulness or breathing exercises, to help manage anxiety about his health and symptoms.

  4. Symptom Diary: Suggest that he keeps a detailed record of his symptoms, including the frequency of bathroom visits, any pain or discomfort, what he ate, and any stressors he experienced. This will be helpful for the next appointment.

  5. Regular Follow-up: It’s crucial to stay in contact with his healthcare providers and ensure the necessary testing happens as soon as possible. If there are continued delays, he may want to express the urgency to the office staff about his condition.

Reassurance

While it's natural to worry about serious conditions like cancer, it's important to remember that many factors can influence PSA levels and urinary habits. Continued communication with healthcare providers and prompt follow-up will help clarify these issues. You're doing a great job supporting your father through his concerns, and being proactive is key! If you have any more questions or need clarification, feel free to reach out.

Related Questions

Understanding My ANA Test Results and Next Steps

I am a 33-year-old man, and my paternal grandmother had a diagnosis of lupus. In 2023, my ANA test yielded a homogeneous result with a titer of 1:160, alongside an anti-dsDNA measurement of 143.6 IU/mL, as evaluated by Exagen Labs. All inflammation markers returned within the normal range. Despite experiencing various symptoms, my previous rheumatologist assured me that there was no cause for concern and didn’t suggest any further investigations. Recently, after relocating, I consulted a new doctor for a physical examination. The latest ANA results indicated a speckled pattern with a titer of 1:320, which prompted my doctor to recommend a referral back to a rheumatologist for further evaluation. A friend of mine, who is a Family Nurse Practitioner, expressed concern over my anti-dsDNA level, describing it as relatively elevated at 143.6 IU/mL. I can’t shake the feeling that my earlier rheumatologist might have overlooked something important. After researching the reference ranges for these tests, I note that my results appear to exceed the normal limits set by many laboratories. Am I possibly overlooking a significant issue? Financially, I am already burdened by medical debt, and any unnecessary medical expenses would be particularly challenging for me.

LupusFibromyalgiaRheumatology
Male25-34
7 minutes ago

Deteriorating Health Following Stroke Events

My mother’s condition has taken a turn for the worse in the six weeks since she suffered multiple strokes, and the information provided by her healthcare team has been scarce. We feel a growing sense of anxiety about her situation and would greatly appreciate any insights. Prior to the strokes, she was 61 years old and had lived with multiple sclerosis (MS) since she was 26. She was largely immobile, unable to walk unassisted, and had recently shown slight cognitive decline. Additional issues included difficulty swallowing, general weakness, incontinence, and repeated urinary tract infections. Initially, her stroke symptoms were misinterpreted as a deterioration of her MS, but her condition warranted a hospital visit when she exhibited pronounced weakness on her left side coupled with confusion. During her hospital stay, medical professionals detected three areas of concern in her brain that they initially believed to be mini-strokes, but unfortunately, she was not treated in time for TPA therapy. Instead, she was prescribed a low dose of aspirin. It is worth noting that her blood sugar levels plunged to dangerously low points twice for unexplained reasons during her hospitalization. Subsequently, she was sent to rehabilitation for three weeks, where she showed some improvement in physical strength and was able to engage in conversations. However, she began experiencing hallucinations and severe paranoia. Upon returning home, her mental state declined, prompting my father to take her back to the hospital on two occasions due to frightening hallucinations and heightened paranoia, where she believed that harm was imminent and refused to eat. Presently, while in the hospital, she struggles to recognize most people, experiences double vision, cannot maintain her own posture, exhibits agitation and occasional aggression, speaks to herself, and shows signs of extreme deviation from her usual behavior. She remains reluctant to eat or drink and is being maintained on intravenous fluids. Recent changes to her medication regimen include the continuation of low-dose aspirin, the discontinuation of Abilify, a switch from Metoprolol to Norvasc for blood pressure, the addition of Seroquel and Zyprexa, and an unknown antibiotic administered via IV to treat her urinary infection. Her current medications also include Lipitor, Symmetrel, Symbalta, Protonix, magnesium, and potassium. It is uncertain if she is still receiving low-dose Prednisone and Solifenacin. In summary, my mother, having experienced advanced MS, suffered three strokes six weeks ago and her health has rapidly deteriorated since. She is showing signs of profound paranoia, hallucinations, refuses to eat, and increasingly fails to recognize family members.

Multiple SclerosisLupusCrohn's Disease
Male25-34
16 minutes ago

Seeking Help: Overwhelmed by Unexplained Symptoms

I’m a 25-year-old female seeking some guidance. Lately, I’ve been experiencing discomfort between my shoulder blades. Although it’s not excruciating, it’s persistent enough that I notice it. Additionally, I’ve had some chest pains, pain radiating in my forearms, and mild discomfort in my jaw. Occasionally, I experience shortness of breath, irregular heart sensations, and fluctuations in my blood pressure which are quite low. After visiting the emergency room, they conducted several tests including a CT scan, chest X-ray, D-Dimer test, and various blood tests. Fortunately, the results did not indicate any immediate dangers such as a heart attack or pulmonary embolism. Despite the reassuring news, I can’t shake the unsettling thought that I might be facing a serious heart condition. This persistent worry is really weighing me down. Surprisingly, the doctors suggested that I might have carpal tunnel syndrome, but I’m not fully convinced by that diagnosis.

Multiple SclerosisCrohn's DiseaseThyroid Disorders
Male25-34
37 minutes ago

Breath-Holding: Understanding the Risks to Brain Health

I’m curious about the limits of breath-holding and its impact on brain health. Specifically, how long can a typical person sustain a breath before facing the risk of irreversible brain injury? If someone loses consciousness due to breath-holding, does it inevitably lead to brain damage or is that merely a potential risk? Additionally, when you push yourself to hold your breath until discomfort sets in, should you be concerned about the onset of brain injury?

COPDInternal MedicineEndocrinology
Male25-34
37 minutes ago

Loss of Sensation and Temperature in Extremities

I am a 25-year-old woman experiencing a concerning condition regarding my limbs. Despite reaching out to my usual healthcare providers, I have not received any guidance. My primary fear is the potential for paralysis if this issue continues to progress. Currently, I am dealing with intermittent loss of sensation in my extremities, primarily affecting my hands and feet, particularly on the left side. My right side appears unaffected in terms of muscle strength, although I have noticed a decrease in temperature sensation in my right foot and hand, while the rest remains normal. Should I fail to position myself properly—flexing or relaxing what I believe are the muscles around my spine—I begin to lose feeling in my feet, hands, left shin, forearm, and thigh. My left hand twitches, resembling the effects of too much caffeine, my left leg enters a spasm, and becomes numb, followed by a chilling sensation. Without adopting either of the two recommended positions, the symptoms only worsen, yet if I manage to do so for 15 minutes every hour, I can somewhat control the situation. Waiting too long to address the issue leads to more severe symptoms, making it increasingly difficult to regain sensation. If I let this condition persist for two to three days, I experience an overwhelming feeling akin to the flu; my left leg becomes unusable, leading to the risk of falling. At this point, I must remain in the specified position for three to four hours to regain warmth, and then another similar period to restore sensation in my fingers. Currently, I find it increasingly challenging to return to my baseline state; after a full day without the necessary hourly adjustments, my left leg feels perpetually cold and my hand continues to tremble, as though it’s in the process of waking up from a deep sleep. To alleviate these symptoms, I often adopt a modified Cobra yoga pose, lying on my stomach with my legs elevated and creating an arch in my lower back. Alternatively, I position a large ball under my thoracic vertebrae (around T6-T8) while lying back, which offers some relief. Additionally, I have noticed fluctuations in my heart rate; it can spike to 120 beats per minute while at rest, particularly when my condition worsens. However, this rate returns to a normal range of 70-80 bpm when I assume the correct position. The longer the symptoms persist without intervention, the heightened my heart rate becomes. If it’s just my hand and shin involved, the rate is around 100 bpm, escalating to 115 bpm when I start feeling cold, and exceeding 120 bpm when there is a total loss of sensation. My bladder control is also affected, leading to a frequent need to urinate, often every five minutes, until I position myself correctly to regain stability. During these episodes, I experience a lack of sensation in my groin, severely diminishing sexual feelings, and making arousal difficult. Fortunately, after resuming the suggested positions, I usually recover to my normal state without difficulties.

LupusFibromyalgiaInternal Medicine
Male25-34
57 minutes ago