Patient's question:
Here is the English translation of the provided text, with the original Chinese line breaks preserved:---
There have been three years of masturbation, once a day. Now I am very regretful and want to quit. During this period, I have experienced frequent urination and urgency. A thorough hospital examination of urine routine and renal function showed the first test results as: hematuria +/?, proteinuria +, leukocyturia +, and creatinine 79 (normal range: 62–115). I was given some medication for a urinary tract infection. A week later, a second thorough examination of the urine routine was completely negative, with creatinine 94 (normal range: 62–115). Why did the creatinine increase so much in just a week?
Recently, the symptoms have worsened, including weak urine flow, hesitation during urination, and incomplete emptying of the bladder. I also experience pain in the buttocks and groin. I need to urinate every half hour. The waist feels sore and. Sometimes, there is also intestinal. Prostate and kidney ultrasound results were normal. Is this a severe prostatitis and kidney disease? If I ignore treatment and control it myself, will it improve? Could it worsen into prostate cancer and nephritis?
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Doctor's answer:
You probably have kidney problems, because the lower back pain is located in the kidney area. Additionally, your urinary tract infection may be improving but not fully resolved. The metformin you are taking may be a medication that can exacerbate kidney damage, but based on your hyperinsulinemia, you still need treatment. It is recommended that you consult to see if there are better medications available in your area. If left untreated, your condition may worsen. Prostate conditions are prone to recurrence and require long-term medication.