Symptoms of prostatitis

The main symptoms of prostatitis include frequent urination, urgency, dysuria, perineal pain, and difficulty urinating. Prostatitis may be related to bacterial infection, prolonged sitting, decreased immunity, urinary reflux, mental stress and other factors. It usually manifests as lower abdominal distension, burning sensation in the urethra, sexual dysfunction and other symptoms. It can be relieved through medication, physical therapy, lifestyle adjustments, etc.

1. Frequent urination and urgent urination

Patients with prostatitis often experience increased urination frequency and difficulty in controlling it, especially at night. This is related to the stimulation of the bladder neck by prostate congestion, which may be accompanied by reduced urine output but frequent need to urinate. Acute bacterial prostatitis may also cause sudden high fever and burning pain on urination, which requires timely treatment with antibiotics such as levofloxacin tablets and cefixime dispersible tablets.

2. Perineal pain

The pain is mostly located in the suprapubic area or perineum, presenting as persistent dull pain or swelling, which is aggravated by sitting for a long time or during defecation. In patients with chronic nonbacterial prostatitis, pain may radiate to the lumbosacral region and is related to prostatic fluid stasis. Hot compresses can relieve symptoms. In severe cases, analgesics such as celecoxib capsules are required.

3. Difficulty urinating

Symptoms include thinning of the urine stream, difficulty in urinating, or dribbling after urination, which is caused by the enlarged prostate compressing the urethra. Some patients will experience interruption of urination, which may be related to bladder stones. Tamsulosin sustained-release capsules can be used as directed by your doctor to relieve urethral obstruction, and the possibility of prostate hyperplasia must be ruled out.

4. Abnormal urethral secretions

White mucus can be seen at the urethral opening in the morning, especially in patients with chronic prostatitis. If the secretion is purulent and accompanied by fever, it indicates the possibility of gonococcal infection, which needs to be treated with drugs such as azithromycin granules. Daily care should be taken to keep the perineum clean and avoid holding in urine.

5. Sexual dysfunction

Some patients experience premature ejaculation, ejaculation pain, or hematospermia, which are related to inflammation involving the seminal vesicles. If it is not treated for a long time, it may affect fertility. It is recommended to use drugs to improve prostate function such as Puxitai tablets. Psychological counseling plays an important role in relieving sexual dysfunction caused by anxiety.

Patients with prostatitis should avoid cycling or sitting for long periods of time, drink more than 2,000 ml of water every day, and empty their bladder regularly. The diet needs to limit spicy foods and eat tomatoes, pumpkin seeds and other zinc-rich foods in moderation. Bed rest is required during the acute attack. If high fever or hematuria occurs, seek medical attention immediately. Regular levator exercises can help improve local blood circulation, but when symptoms persist for more than two weeks or recur, prostatic fluid examination should be performed to determine the cause.