Anxiety over Dr. appt results

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Regular Member

Date Joined Jun 2009
Total Posts : 25
   Posted 6/25/2009 6:44 AM (GMT -6)   
Male, age 52, taking 20 mg Lexapro for panic attacks.  This drug is really helping me, been on it about 3 years.  Recently received word from my urologist that my PSA (prostate cancer screening) test came in at 2.47.  While this is not terribly high, it's higher than the previous 1.51 taken two years ago.  The results card indicated he wanted to do another test in 6 months.  It's been 2 days and I'm scared to death about this.  Posted some notes on the Prostate Cancer forum, but I'm afraid my main problem could be in my anxiety and mental health more than physically.  I have made another appt. with my Dr. for next week, as I don't think I can wait 6 months for news.  This is absolutely taking over my thought processes.  Aftraid I'm already becoming obsessive about this.  Any advice?   THANKS! 

Elite Member

Date Joined Apr 2007
Total Posts : 32602
   Posted 6/25/2009 7:20 AM (GMT -6)   

Good Morning arkclk

Welcome to the A & P Forum. My husband and I went through the very same thing  about 18 months ago, elevated PSA, he was put on an antibiotic for 14 days and then after a week off the antibiotics the PSA was repeated.  You may want to ask your physician about this as other things besides cancer can cause an elevated PSA ? 

I know we went through 2 extended periods of waiting and my husband was OK, he just refuses to talk about it while I had to just let it ride as I cannot control time.

My best advice to you is do not start catastrophysizing the situation, stay in the moment.  Kick that anxiety to the curb for now and take a big deep breath.  You are going to be OK.

Again a warm welcome,



Moderator: Osteoarthritis & GERD/Heartburn
Co-Moderator: Anxiety/Panic, & Depression
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"When you find peace within yourself, you become the kind of person who can live at peace with others."
Not a mental health professional of any kind

Regular Member

Date Joined Mar 2009
Total Posts : 341
   Posted 6/25/2009 7:25 AM (GMT -6)   
Hi Ark,

Don't beat yourself up to much here. You have every right to be concerned. That is just human nature. Something we all have to grasp at some point in time. So your just reacting like anyone else in your position would be. How you deal with it is what makes the difference.

Now with that said! Ask doc for a "quickie" med like Xanax to help ease some of your extra panic/anxiety. This might help ya function a little better through out the day. Maybe try some focus breathing

And keep in mind that is a low reading. Which is a good sign. If something is up you are catching it way early!

-- I am female (duh name gives it away) And I have health anxiety (major) So I do not know much about your situation you are facing. If I was to check into it I would probably worry the rest of my life about dad, bro's etc. Which of course would not be a good thing. So I am sorry I can't offer any words of wisdom. But I think you are smart to insist on another visit get some word from the doc on why he wants to wait 6 months. Being Proactive instead of Reactive is my little motto. Nip it BEFORE it turns into something major.
As stated I have no idea. Something might cause an up and down reading..(guessing here).
But I wish you luck. And be persistent with that doc of yours. If you do not get answers to your questions find another who will do what is needed to ease your concerns or at least act quicker on them.

Good luck and



gentleman k
Regular Member

Date Joined May 2009
Total Posts : 87
   Posted 6/25/2009 9:35 AM (GMT -6)   
PSA readings can fluctuate back and forth. As long as you're within the norm(0-4) you shouldn't have anything to worry about. One year mine jumped from 2.21 to 3.75 and my urologist wasn't overly concerned about it. The following year when I went back to my dr., it dropped back to 1.43. Try to relax. You should be ok. Good luck!

gentleman k

Veteran Member

Date Joined Dec 2008
Total Posts : 1015
   Posted 6/25/2009 2:47 PM (GMT -6)   
We all have to remember that nowadays, cancer is curable when it's found early. Don't fret just yet as others have said. Worrying only brings on other problems. Try to keep your mind off of your prostate by doing fun, relaxing things. Don't forget to exercise! You'll feel better!
Generalized Anxiety Disorder
60 mg. Prozac, Ativan as needed.
"Nothing makes us so lonely as our secrets." Paul Tournier

Regular Member

Date Joined Jun 2009
Total Posts : 25
   Posted 6/25/2009 7:17 PM (GMT -6)   
Thanks for all of the advice. This truly helps me feel a part of something bigger with all of your responses. I'll continue to check in for more responses and will post again when I know more. I have a Dr. appointment next Tuesday so I hope to find out what the options are for sorting this out sooner rather than later.
Thanks again.

Elite Member

Date Joined Apr 2005
Total Posts : 14995
   Posted 6/26/2009 7:57 AM (GMT -6)   
Hi Ark,

I don't have much to add but did want to add my welcome to you. I will keep an eye out to here how your doctor appt goes.

Big Hugs
Gail *Nanners*
Gail*Nanners* Co-Moderator for Crohns Disease and Anxiety/Panic Forum
Been living with Crohn's Disease for 33 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium  w/Vit D, and Xanax as needed for my anxiety.  Resections in 2002 and 2005. Also diagnosed with Fibromyalgia, Osteoarthritis, and Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

Veteran Member

Date Joined Jul 2005
Total Posts : 1952
   Posted 6/27/2009 9:43 AM (GMT -6)   
Welcome, Ark!

My father has been prostate cancer-free for 15 years or so now. There are good treatments out there, and a diagnosis, even of cancer, is not the end of the story. (I, too, have terrible health anxiety, so can relate to your feelings.)

Good luck to you, and hang in there.



  • Co-Moderator, Anxiety and Panic Forum
  • DX: Anxiety, Depression, LPR (acid reflux), Allergies
  • Meds: Paxil, Nexium, Zantac, Singulair

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