Several of your issues may indeed be linked to your medications. Concor (bisoprolol) and alpha-blockers like Dynapres (tamsulosin) and Alfoo (alfuzosin) can cause dizziness, headaches, and erection problems. Taking two alpha-blockers simultaneously is unusual and can significantly lower your blood pressure, worsening these symptoms. While your PPI manages stomach burning, chest and arm pain should always be evaluated by a doctor to rule out heart concerns. Please schedule a review with your physician to safely adjust your medications.

While some urethral irritation can occur after kidney stone surgery and stent removal, experiencing burning, blood at the end of urination, and painful erections 20 days later is not typical and suggests ongoing inflammation or a possible infection. Since you have taken antibiotics like faropenem (Faronem) and ofloxacin (Zenflox), and are on flavoxate (Uripil) and alfuzosin (Alfoo), it is important to contact your urologist. They may need to perform a simple urine test or check for localized irritation to help you heal comfortably. Please reach out to them for a reassuring check-up.

In Ayurveda, herbs like Gokshura and Varuna are traditionally used to support urinary flow and prostate health, similar to how bladderwrack is used. However, because you are 29, urinary flow issues require a proper medical evaluation by a urologist, as the underlying cause may differ from typical age-related prostate enlargement. I gently advise against self-treating with herbal remedies without a professional diagnosis. Please consult your doctor to safely discuss alternatives to alfuzosin.

I understand how frustrating it is to experience low blood pressure from Alfoo (alfuzosin). While supplements like saw palmetto, pygeum, or beta-sitosterol are popular for prostate support, they are not scientifically proven to reliably treat active prostate inflammation. Sometimes, taking Alfoo at bedtime can help minimize blood pressure drops and dizziness during the day. Please consult your doctor before stopping your medication. They can safely evaluate your symptoms and discuss alternative prescription treatments or gentler therapies that will effectively manage your prostate inflammation without affecting your blood pressure.

It is very common for prostate inflammation (prostatitis) to require longer treatment, so these returning symptoms do not mean you have a permanent condition. At 28, your symptoms are likely due to temporary inflammation rather than a permanently enlarged prostate. Because your pain and trouble urinating have returned after stopping Alfoo (alfuzosin), mirabegron, and levofloxacin, it is important to contact your prescribing doctor. They may need to adjust your medication or extend the treatment. With the right care, these symptoms can be managed effectively, though recovery timelines vary.

Alfoo (alfuzosin) does not cause permanent infertility. It can sometimes cause a harmless, temporary condition where semen flows into the bladder during ejaculation, but this completely reverses once the medicine is stopped. Regarding your second question, alfuzosin is designed to be taken daily to work effectively and is generally not meant to be used only 'as needed' for sudden discomfort. Taking it sporadically may not provide the relief you are looking for. I gently encourage you to speak with your doctor about these symptoms so they can help find the safest and most effective way to manage your pain.