Chronic prostatitis may be caused by pathogenic infection, low immunity, mental and psychological factors, bad living habits, local pathological changes in the prostate and other factors. It usually presents with symptoms such as frequent urination and urgency, perineal discomfort, sexual dysfunction and other symptoms. Chronic prostatitis can be relieved through anti-infective treatment, physical therapy, psychological adjustment, lifestyle adjustment, and drug symptomatic treatment.
1. Pathogen infection
Retrograde infection by microorganisms such as bacteria and mycoplasma is a common cause. Escherichia coli is the main pathogenic bacteria and can invade the prostate duct through the urethra. Acute infection that is not completely cured may become chronic, manifesting as burning pain on urination accompanied by an increase in leukocytes in the prostatic fluid. Levofloxacin tablets, cefixime dispersible tablets, azithromycin capsules and other antibiotics are commonly used in clinical treatment.
2. Low immunity
When long-term fatigue or chronic disease leads to a decline in immune function, the prostate's defense ability is weakened. People with diabetes are more likely to have recurring infections. Accompanied by soreness and swelling in the lumbosacral region, it is necessary to strengthen nutrition and control underlying diseases. Immunomodulators such as Pidotimod Oral Liquid can be used as directed by your doctor.
3. Mental and psychological factors
Anxiety and depression may affect prostate microcirculation through neuroendocrine pathways. Such patients often experience lower abdominal distension but mildly abnormal examination results. It is necessary to cooperate with psychological counseling and use anti-anxiety drugs such as paroxetine hydrochloride tablets when necessary.
4. Bad living habits
Sitting for long periods of time, which puts pressure on the perineum, or drinking and eating spicy foods can induce congestion. The main clinical manifestations are pelvic pain, and symptoms can often be relieved by changing lifestyle. It is recommended to take a sitz bath with warm water for 15-20 minutes every day to improve local blood circulation.
5. Local pathological changes of the prostate
Blockage of glandular ducts or stone formation can cause secretions to accumulate. Ultrasound examination shows calcifications, accompanied by ejaculation pain. Tamsulosin hydrochloride sustained-release capsules can be used to relieve obstruction. In severe cases, transurethral resection of the prostate is required.
Patients with chronic prostatitis should avoid holding in urine and cycling, and keep their daily water intake above 2,000 ml. Eat tomatoes, pumpkin seeds and other zinc-containing foods in moderation, and quit smoking, alcohol and spicy foods. Maintaining a regular frequency of sexual life will help discharge glandular fluid, but precautions must be taken. If hematospermia or difficulty urinating persist, timely review is required.

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