Prostatitis, Causes, symptoms and treatment.

Prostatitis, Causes, symptoms and treatment.

what is prostatitis ??

Prostatitis is a condition characterized by inflammation of the prostate gland. It can cause a variety of symptoms, including urinary problems, pelvic pain, and sometimes flu-like symptoms. Here is a detailed overview of prostatitis.

Types of Prostatitis

1. Acute Bacterial Prostatitis:
   • Cause: Bacterial infection.
   • Symptoms: Sudden onset of fever, chills, lower back or pelvic pain, urinary urgency and frequency, painful urination, and sometimes blood in the urine.
   • Treatment: Antibiotics and pain relievers. Hospitalization may be required in severe cases.
2. Chronic Bacterial Prostatitis:
   • Cause: Persistent bacterial infection.
   • Symptoms: Recurrent urinary tract infections, pain in the lower back or pelvic area, painful ejaculation, and urinary problems.
   • Treatment: Long-term antibiotics, anti-inflammatory medications, and lifestyle changes.
3. Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS):
   • Cause: Unknown, but may involve inflammation, infection, or other factors.
   • Symptoms: Chronic pelvic pain, discomfort during urination or ejaculation, and other urinary symptoms without a detectable infection.
   • Treatment: A combination of medications, physical therapy, stress management, and lifestyle changes. Alpha-blockers and anti-inflammatory drugs are commonly used.
4. Asymptomatic Inflammatory Prostatitis:
   • Cause: Inflammation of the prostate without symptoms.
   • Symptoms: Often discovered during examinations for other conditions.
   • Treatment: Typically not needed unless associated with other conditions.

Causes and Risk Factors

• Bacterial Infections: Acute and chronic bacterial prostatitis are caused by bacterial infections, often from bacteria that cause urinary tract infections.
• Urinary Tract Issues: Obstructions or other abnormalities in the urinary tract can increase the risk.
• Catheter Use: Use of urinary catheters can introduce bacteria into the prostate.
• Sexual Activity: Certain sexual behaviors can increase the risk of prostatitis.
• Stress: Stress and anxiety can exacerbate symptoms of CP/CPPS.

 Basically bacterial infection of prostate are common reason of prostitis. 

pathogens are

• Mainly Eschetichia coli

Other agents are

• Klebsiella spp
• Pseudomonas SPP
• Enterococci
• Staphylococcus  etc

Symptoms

• Urinary tract infections (UTI)
• Dysuria
• Urinary frequency
• Urgency
• Pain of panil lower back or or perennial origin
• Pyrexia, regors , malaise & myalgia may occur due to systemic infection

Examination and investigation

• History of recurrent of  relapsing UTIs
• Microscope and culture of lower  tract urinary secretion ( Urine & Prostetic ) Between  symptomatic period
• Urine  dipstick and culture reveal  the presence of pathogens and leukocyte
• Black culture diagnose concomitant bacteria

Diagnosis

• Medical History and Physical Exam: Including a digital rectal exam (DRE) to check the prostate.
• Urine Tests: To check for infection.
• Blood Tests: To look for signs of infection or inflammation.
• Prostate-Specific Antigen (PSA) Test: Elevated levels can indicate inflammation or other prostate issues.
• Imaging Tests: Such as ultrasound or MRI if necessary.

 

Treatment

• Antibiotics: For bacterial infections.
• Alpha-Blockers: To relax muscle fibers in the prostate and bladder neck.
• Anti-Inflammatory Medications: To reduce inflammation and pain.
• Pain Relievers: Over-the-counter or prescription medications.
• Physical Therapy: For chronic prostatitis/CPPS to alleviate muscle tension and pain.
• Lifestyle Changes: Such as avoiding spicy foods, caffeine, and alcohol, increasing fluid intake, and practicing stress reduction techniques.

Prevention

• Hydration: Drink plenty of fluids to help flush bacteria from the urinary tract.
• Safe Sex Practices: Use protection to reduce the risk of sexually transmitted infections.
• Avoiding Prolonged Sitting: Especially on hard surfaces, to reduce pressure on the prostate.
• Regular Exercise: To improve overall health and reduce stress.

When to See a Doctor

If you experience symptoms like severe pelvic pain, difficulty urinating, painful urination, or any other concerning symptoms, it’s important to seek medical attention promptly. Early diagnosis and treatment can prevent complications and improve outcomes.

Prostatitis can significantly impact quality of life, but with appropriate treatment and management strategies, many individuals can achieve relief from their symptoms.

Required medication therapy

Medications 1

It is best to use medicine of fluoroquinolones eg. Ciprofloxacin or moxifloxacin.

More healthful co-administration with Alpha adrenergic receptor antagonist eg. Tamsulosin

Medications 1

1.1 . Ciprofloxacin

Dose: 500 mg twice daily for 2-4 weeks

Or

1.1. Moxifloxacin

Dose:  tablet 400 mg once daily for 2-4 weeks.

1.2. Tamsulosin

Dose: tablet 0.4 mg Once daily.

1.3.  Tab. Ketorolac

Dose: 10 mg two times daily 3 to 6 days

Medications 2

2.1. 3rd Generation cephalosporin eg. Cefixime 

Dose:  tablet 400 mg twice daily for 2-4 weeks.

Note:  Oral administration are less effective . Try to select IV or IM formulation. 

1.2. Tamsulosin

Dose: capsul 0.4 mg Once daily.

1.3.  Tab. Ketorolac

Dose: 10 mg two times daily 3 to 6 days.

Here we are introducing some direct prescription that you may use according to your physical condition.

Prescription no 1:

Contraindication of who can’t use prescription no 1: who are-

• Hypersensitivity to quinolone groups of medicine.
• Pregnant or lactation patient

Otherwise it has no significant contraindication.

You may also take prescription no 2 instead of prescription no 1:

 

Contraindication of who can’t use prescription no 1: who are-

• Hypersensitivity to penicillin groups of medicine.
• Chronic kidney disease

Otherwise it has no significant contraindication.

Beside the medication you may also visit to a  urologist. You may suffering erectile dysfunction (ED) from this prostatitis then you should first treatment of prostatitis then take required treatment for erectile dysfunction (ED).

If anyone want to more information please send to me your question through the given email address.

Email address: mallicktarun@rocketmail.com For getting treatment base suggestion please contact or request an appointment.