Symptoms and methods of treating prostatitis

The main symptoms of prostatitis include frequent urination, urgency, dysuria, perineal swelling and pain, and sexual dysfunction. Treatment can be carried out through lifestyle adjustment, antibiotic treatment, physical therapy, alpha-blockers, and plant preparations. Prostatitis is usually caused by factors such as bacterial infection, sedentary life, long-term urinary retention, mental stress, and low immune function.

1. Lifestyle adjustments

Appropriate exercise can improve pelvic blood circulation and reduce prostate congestion. 30 minutes of brisk walking or swimming every day can help relieve symptoms. Regular work and rest can prevent immunity from declining and reduce the probability of infection. The diet should be mainly light, avoid spicy food and limit alcohol intake. Keep the daily water intake above 2000ml to promote urination. It is recommended to avoid riding or sitting for long periods of time and get up and move around for 5 minutes every hour.

2. Antibiotic treatment

Bacterial prostatitis requires the use of antibiotics as directed by a doctor. Levofloxacin tablets can inhibit gram-negative bacteria through the prostate capsule, clarithromycin sustained-release tablets are effective against atypical pathogens, and cefixime dispersible tablets are suitable for Enterobacteriaceae infections. Adverse reactions such as gastrointestinal discomfort or rash may occur during treatment. Only by completing the full course of medication can recurrence be prevented. Prostatic fluid routine needs to be reviewed regularly during medication.

3.Physiotherapy

Warm water sitz bath improves local microcirculation through water temperature of 40℃. It can relieve pelvic muscle spasm twice a day for 20 minutes each time. Prostate massage can promote the discharge of inflammatory secretions and needs to be performed by a professional physician once a week. Perineal ultrashort wave treatment can promote drug penetration and usually requires 10-15 sessions. Improvements in urination and changes in pain levels should be observed during physical therapy.

4. Alpha blockers

Tamsulosin hydrochloride sustained-release capsules can relax the smooth muscles of the bladder neck and prostate, significantly improving the symptoms of urinary obstruction. You should pay attention to the risk of orthostatic hypotension while taking the drug. Doxazosin mesylate tablets can reduce urethral resistance, and the effect is better when combined with antibiotics. Using this type of medicine may cause dizziness or abnormal ejaculation. It is recommended to take it at night and adjust your body position slowly.

5. Botanical preparations

Puxitai Tablets contain pollen extract which can inhibit the release of inflammatory mediators and can reduce tissue edema if taken continuously for 3 months. Saw palmetto fruit extract capsules have anti-androgenic effects and are suitable for chronic non-bacterial prostatitis. Nettle root extract modulates immune function and can improve efficacy when combined with antibiotics. Botanical preparations have a slower onset of action but fewer side effects, and require continued use to show results.

Patients with prostatitis should maintain a moderate sexual frequency on a daily basis. Regular semen ejaculation can help renew prostate fluid. Wear breathable cotton underwear to avoid local high temperatures, and keep your waist and abdomen warm during cold seasons. Excessive mental stress will aggravate pelvic floor muscle tension, which can be adjusted through meditation or abdominal breathing. It is recommended to develop a regular urination habit and limit drinking water 2 hours before going to bed at night. If symptoms persist for more than 1 month or hematospermia, fever, etc. occur, a timely review at the urology department is required. You can add an appropriate amount of foods containing zinc and lycopene such as pumpkin seeds and tomatoes to your diet, and avoid drinking diuretic stimulating drinks such as strong tea or coffee.