Symptoms and treatment of prostatitis

 


Bladder, Prostate, Urethra, Glans penis, Spine, Seminal vesicle, Cowpers gland, Rectum, Epididymis, Scrotum, Testis.


 Prostatitis: It is a swelling and inflammation of the prostate gland, which has the size of a walnut and is located directly behind the bladder (between the bladder and the penis) in men.


 The prostate gland produces a thick white colored fluid that mixes with sperm and forms the semen that nourishes and transports sperm.  And unlike other health problems that affect the prostate in advanced stages of life, such as an enlarged prostate or prostate cancer, prostatitis affects men of all ages, but it is more common in men of the middle age (under the age of fifty).


 Prostatitis symptoms:


 Symptoms vary depending on the cause of the inflammation, but in general they are:


 A burning sensation accompanied by pain during urination. Difficulty urinating or intermittent urination. Frequent urination, especially at night. Urgent urge to urinate. Pain in the abdomen, groin, or lower back. Pain in the perineum (the area between the scrotum and rectum) Pain in  Testicles or penis pain when ejaculating (orgasms) cold and flu-like symptoms (if the infection is bacterial)  Blood in urine or semen.


 When should you see a doctor:


 If you experience pain in the pelvic area, or difficulty and pain when urinating or when ejaculating, you should see a doctor.  In some cases, if symptoms are neglected or not treated, they may cause worsening of the condition and infections and lead to other health problems.


 Causes of prostatitis:


 Disturbances in the immune system, such as HIV infection AIDS. Nervous system disorders, especially health problems affecting the nerves in the genital area. Infection in the prostate or prostate area. Bacterial prostatitis: It usually occurs as a result of the presence of bacteria in the urine, and from  Then the infection spreads and seeps into the prostate.


 The dangerous factors leading to prostatitis:


 Previous prostatitis Inflammation of the bladder or urethra (the tube that carries semen and urine to the penis) Trauma to the pelvic area, such as injury from riding a bike or horseback riding. Not drinking enough water and fluids. Using a urinary catheter.  (It is a tube that goes into the urethra to drain the bladder). Having unprotected or unprotected sex. HIV infection AIDS. Stressful situations and frequent life stresses. The presence of some inherited traits (genes) that make some men more susceptible to prostatitis  All middle-aged youth are vulnerable to prostatitis, especially between the age of (35-50) years. The presence of an enlarged prostate.


 Complications from prostatitis:


 Bacterial infection in the blood (bacteremia) Epididymitis (which is the tube that connects to the back of the testicle and serves to ripen and store sperm) Prostate abscess (which is the formation of a pus-filled sac inside the prostate). Abnormalities in semen and infertility (may  This occurs when prostatitis is chronic). High level of prostate specific antigen (PSA): It is a protein produced by the prostate gland, and its percentage increases when there is inflammation.


 To screen for prostate cancer, a doctor will order a PSA test.  Cancer cells produce more PSA protein than normal cells, which leads to a significant increase in PSA levels in the blood, which indicates the presence of prostate cancer.  But prostatitis does not develop or usually lead to prostate cancer.


 Tests and Diagnosis:


 The patient undergoes a comprehensive examination that includes a digital rectal exam, and the doctor detects the presence of an enlarged prostate or not.  Then he performs several tests such as an analysis of prostate fluid to detect the presence of infection or a transrectal ultrasound test, in addition to the following tests:


 Blood test: The doctor orders this test when there are signs of a blood infection. Urine test: To detect the presence of infections in the urethra. Bladder tests: (cystoscopy) These tests are usually used to check the extent to which the bladder can empty, which reveals the degree of  The effect of prostatitis on your ability to urinate, in addition to several tests such as a computerized tomography (CT) scan.


 Types of prostatitis:


 After performing the previous tests, your doctor will determine the type of prostatitis you have:


 Acute bacterial prostatitis:


 It is the least common case of prostatitis, but the symptoms are usually severe.  The infection begins suddenly and is accompanied by an infection in the urinary tract, in addition to symptoms that resemble the symptoms of colds and flu, such as fever, chills, nausea and vomiting.


 It requires immediate treatment, and it may lead to a bladder infection, prostate abscess, or a complete blockage of the urethra.  Treatment is usually done in the hospital with intravenous antibiotics, analgesics and fluids.  If not treated, it may lead to a drop in blood pressure and may be life-threatening.


 Chronic bacterial prostatitis:


 This occurs as a result of recurrent urinary tract infections that do not respond to antibiotics and transmit to prostatitis, which leads to frequent infections that are difficult to cure.  And between recurrent episodes of inflammation, you may have no or only minor symptoms.


 Chronic prostatitis is not due to bacterial:


 It is called chronic inflammation when it lasts for more than three months, and it is also known as chronic pelvic pain syndrome.  It is the most common type of prostatitis, and the root cause of the inflammation often cannot be determined.  And for most cases, symptoms are continuous at the same frequency throughout the period of presence of the infection.  In only a few cases, the severity of symptoms increases or decreases.


 Prostatitis without symptoms:


 This type of prostatitis does not cause symptoms, and it is often detected when tests are done for other health conditions.  This type of inflammation usually does not require treatment.


 Prostatitis treatment:


 The type of treatment varies depending on the type of infection and its causes, which include the following:


 Antibiotics:


 It is the most common type of treatment for prostatitis, and depending on the severity of the infection, the type of antibiotic and the duration of treatment are chosen.  In severe infections, the doctor prescribes intravenous antibiotics.  As for oral antibiotics, the treatment should be taken for 4-6 weeks.  It may take a longer period of time for chronic or recurrent infections, such as ciprofloxacin.


 Alpha blockers:


 These medications help relax the bladder neck and the muscle fibers where the prostate is attached to the bladder.  These medications relieve symptoms and pain associated with urination, such as Cardura, Tamsulosin (Flomax), Rapiflo and Uroxatra.


 Anti-inflammatory agents:


 Like NSAIDs, they make you feel more comfortable, like ibuprofen to relieve pain.


 Prostate massage:


 This is done by a specialist, as it helps relieve symptoms, but doctors differ in its effectiveness.


 And in severe cases of pain, the doctor prescribes pain relievers such as gabapentin and amitriptyline.  And in some cases, the treatment requires the surgical removal of the affected part of the prostate, as in cases where an enlarged prostate occurs that causes a complete blockage in the urethra.


 Tips and home remedies for prostatitis:


 Warm baths. Avoid alcohol, caffeine, and spicy, acidic or spicy foods. Avoid sitting for a long period of time, or try to sit on a pillow to relieve pressure on the prostate. Avoid cycling, or prefer wearing padded pants, and control the bike in a way that prevents pressure.  On the prostate.


 Prostatitis alternative treatment:


 Quercetin, the chemical that is found in green tea, onions and other plants, has proven effective in treating prostatitis. Nutritional supplements to promote prostate health, which include zinc, selenium, vitamin E and vitamin D.  Doctor before taking it. Acupuncture: which has proven effective in relieving symptoms and cases of prostatitis.

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