does having a high psa prostate reading mean you have prostate cancer?
the first test psa test i took come back 6.3. and i was tested two week later and this time the results was 4.9. and my doctor is sending me to see and urgolist does this mean i have prostate cancer?

Probably not.
I was diagnosed with prostate cancer this past December. My doc suspected it from my PSA acceleration – my PSA jumped from 1.5 to a 2.3. A retest 5 months later showed a minor increase to a 2.4. From what I have learned, the PSA continues to escalate with cancer, not decrease. You may just have an infection.
The urologist scheduled the biospy which is not a big deal at all – it fills part of a day, has little discomfort, and removes all the question marks.
Due to my age (56), I opted for surgery and had the DiVInce robot about 7 weeks ago. I’m almost fully recovered and functional (viva Viagara).
I know what you’re going through, my friend. Good luck!
Edit: Adding on to Saphire comments – I took Saw Palmetto for over 20 years, and firmly believe it works. Other than the cancer, which comes from different causes, I had a healthy prostate – I had no symptoms. If you do have just an enlarged prostate, start Saw Palmetto and Ginko, both good for this sort of thig.
The best thing you can do where it does or not is eat plenty of fresh vegetables especially peppers and take beta sitosterol -
the active ingredient that is suppose to be in saw palmetto–
make sure it is quality with beta sitosterol.