What to do about aseptic prostatitis

Sterile prostatitis can be improved through lifestyle adjustments, physical therapy, drug therapy, traditional Chinese medicine conditioning, psychological counseling, etc. The disease may be caused by prolonged sitting, spicy diet, pelvic floor muscle spasm, immune abnormalities, psychological stress and other reasons.

1. Lifestyle adjustment

Avoid sitting for more than an hour and get up and move around for 5 minutes every 40-50 minutes. Drink 1500-2000 ml of water every day and limit the intake of alcohol and spicy food. Regular sexual intercourse or ejaculation, 1-2 times a week can help drain prostate fluid. Choose pelvic floor muscle exercises such as levator ani exercises and squats, 2 groups of 15 times a day.

2. Physical therapy

Use warm water around 40℃ for sitz bath, once a day for 15-20 minutes each time, which can promote local blood circulation. Ultrashort wave therapy uses high-frequency electromagnetic waves to act on the perineum and can relieve muscle spasms three times a week. Rectal prostate massage needs to be performed by a professional physician to help drain accumulated prostate fluid.

3. Drug treatment

Tamsulosin hydrochloride sustained-release capsules can relax urethral smooth muscle and improve urinary discomfort. Celecoxib capsules, as non-steroidal anti-inflammatory drugs, can reduce sterile inflammatory reactions. Diazepam tablets are suitable for people with anxiety, but they need to be used strictly in accordance with the doctor's instructions for short-term use. Adverse reactions such as dizziness and gastrointestinal discomfort need to be monitored during medication.

4. Traditional Chinese Medicine conditioning

Prostate Ansuppository contains ingredients such as Cortex Phellodendron and Sophora flavescens, which can clear away heat and promote dampness when administered rectally. The addition and subtraction of Bazhengsan decoction based on syndrome differentiation is more effective in treating damp-heat type. Acupuncture uses acupuncture points such as Guanyuan and Sanyinjiao once every other day to regulate the flow of Qi and blood in the pelvic floor. The treatment with traditional Chinese medicine needs to last for more than 4 weeks, and you should avoid eating raw, cold and greasy foods.

5. Psychological counseling

Cognitive behavioral therapy helps correct excessive focus on symptoms, and psychological counseling is provided once a week. Mindfulness-based stress reduction training improves physical discomfort through meditation and is practiced for 20 minutes every day. Establish a symptom diary to record the relationship between urination changes and emotions to assist in identifying stress triggers. Spousal involvement reduces illness stigma.

Maintain a regular schedule and moderate exercise. You can choose swimming, brisk walking and other exercises to avoid straddling pressure. Add foods containing zinc and lycopene such as pumpkin seeds and tomatoes to your diet, and limit caffeine intake. Regularly review the prostate fluid routine. If symptoms persist for more than 3 months, the treatment plan needs to be re-evaluated. Avoid overexertion and coldness, and pay attention to keeping the perineum clean and dry.