How Is Prostatitis Treated
Treatment depends on the type of prostatitis.
Chronic prostatitis/chronic pelvic pain syndrome. Treatment for chronic prostatitis/chronic pelvic pain syndrome aims to decrease pain, discomfort, and inflammation. A wide range of symptoms exists and no single treatment works for every man. Although antibiotics will not help treat nonbacterial prostatitis, a urologist may prescribe them, at least initially, until the urologist can rule out a bacterial infection. A urologist may prescribe other medications:
- 5-alpha reductase inhibitors such as finasteride and dutasteride
- nonsteroidal anti-inflammatory drugsalso called NSAIDssuch as aspirin, ibuprofen, and naproxen sodium
- CANS such as chondroitin sulfate
- muscle relaxants such as cyclobenzaprine and clonazepam
- neuromodulators such as amitriptyline, nortriptyline , and pregabalin
Alternative treatments may include
- warm baths, called sitz baths
- local heat therapy with hot water bottles or heating pads
- physical therapy, such as
- Kegel exercisestightening and relaxing the muscles that hold urine in the bladder and hold the bladder in its proper position. Also called pelvic muscle exercises.
- myofascial releasepressing and stretching, sometimes with cooling and warming, of the muscles and soft tissues in the lower back, pelvic region, and upper legs. Also known as myofascial trigger point release.
Prostate Problems Symptoms And Warning Signs
It’s common for men over the age of 50 to have prostate problems. The prostate gland produces semen. Common conditions that affect the gland are enlarged prostate , acute and chronic bacterial prostatitis, chronic non-bacterial prostatitis, and prostate cancer. Talk to your doctor if you think you may have problems urinating or pain with urination.
Treatment For Rectal Discomfort
Since rectal discomfort can be due to a variety of causes, the exact treatment for the condition depends on the nature of the underlying cause. Therefore, treatments for rectal discomfort can vary widely on a case-to-case basis. Treatments may be done through medications, surgery, or just lifestyle changes. The severity of the symptoms of rectal discomfort do not always correlate with the seriousness of the underlying condition.
Mild symptoms may occur due to life-threatening conditions, whereas severe symptoms may not be due to any serious cause. Therefore, it is best to get the cause of rectal discomfort diagnosed by a qualified doctor. Regardless of the underlying cause of rectal discomfort, the following lifestyle measures may help in easing the discomfort:
- Avoid excessive wiping of the anal area when cleaning up after a bowel movement. Using a slightly wet toilet paper may prevent any abrasions during wiping.
- Avoid prolonged sitting in the toilet. Do not read or use mobile devices in the toilet as they are frequent contributors to the habit of sitting in the toilet for a long time.
- Use of sitz baths can provide relief from the symptoms of hemorrhoids.
- The anal area should be cleaned properly during bathing and dried thoroughly afterwards.
- Toilet papers should be soft and of good quality.
These measures do not replace medical treatments for rectal discomfort. Rather, they may help in preventing some cases of rectal discomfort.
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Do Prostatitis And Bph Cause Pain
Prostatitis may cause painful urination, painful ejaculations, and generalized groin/abdominal pain. Prostatitis pain may be more constant and may be due to the inflammation of the prostatic tissue and/or adjacent tissues. Experts point out that often the source of pain from prostatitis is unclear.
When To See Your Gp
See your GP if you have symptoms of prostatitis, such as:
- pelvic pain
- difficulty or pain when peeing
- painful ejaculation
Your GP will ask about the problems you’re having and examine your tummy. You may also have a digital rectal examination . This is where a doctor inserts a gloved finger into your bottom to feel for abnormalities in your prostate gland. You may experience some discomfort if your prostate is swollen or tender.
Your urine will usually be tested for signs of infection, and you may be referred to a specialist for further tests.
See your GP immediately if you develop sudden and severe symptoms of prostatitis. You may have acute prostatitis. It needs to be assessed and treated quickly to prevent serious problems, such as being unable to pass urine.
If you have persistent symptoms , you may be referred to a urologist .
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Is Constipation Due To A Blockage In The Rectum
Constipation is one of the symptoms that may occur in a rectal blockage. However, most cases of constipation are not due to a blockage and often the cause of constipation is unknown. Often constipation is linked to dietary and lifestyle factors such as low fiber intake, insufficient water consumption and a sedentary lifestyle. There are various other conditions where constipation may occur as a symptom and often these conditions are not due to any blockage.
What Are The Complications Of Prostatitis
Men with acute bacterial prostatitis may develop . This widespread inflammation can be life-threatening. It requires immediate medical treatment.
Antibiotics can cause an upset stomach. Men with chronic bacterial prostatitis may need lots of antibiotics to treat recurring infections. Some people develop antibiotic resistance, making treatment ineffective.
Asymptomatic inflammatory prostatitis can lower sperm count, affecting fertility.
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What To Do If You Suspect Prostatitis
Start with a self-examination. Ask yourself about stress in your life and think through ways you can easily decrease your stress.
Try over-the-counter anti-inflammatories and see if they help. If that doesnt solve the problem, talk to your doctor. Worrying about having a serious condition could worsen your symptoms.
Think you have prostatitis? Talk to your doctor. If you do not have a doctor, find one near you.
Symptoms Associated With Prostate Pain
Studies reveal that in many cases, prostate problem may be silent and that is why pain is not reported always by the patients.
Enlarged prostate and male sexual organs: prostatitis
Some of the most common issues that are reported usually with prostate pain include several urinary problems. Below are few details most common signs associated with indication of the prostate pathology:
- It may include blood in semen.
- One may also notice blood in urine.
- Some conditions report post micturition dribble.
- It can also cause painful ejaculation.
- Sometime patient may face urgency to urinate.
- Few cases report sensations leading to feeling of fullness in bladder or person may feel incomplete urination at times.
- It may also cause straining for urination.
- There are few conditions where people may face frequent urination they may even wake up several times at night.
- Sufferers may find difficulties in urination.
- It leads to pain during urination.
- Burning sensation at the time of urination.
In few severe prostate conditions, person may face troubles like huge weight loss, fever, erectile dysfunction, and swelling in legs or decay in urine. In these typical conditions, one must consult doctors as soon as possible.
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Chronic Or Recurrent Hemorrhoids
Chronic, or recurrent, hemorrhoids are swollen veins in the anus and rectum that never really resolve and may be symptomatic more or less constantly.
Hemorrhoids are caused by anything that puts pressure on the anus from the inside, such as straining during bowel movements constipation pregnancy or anal intercourse.
Most susceptible are pregnant women and older people, though anyone can be affected.
Symptoms include a small amount of bleeding during or after a bowel movement, as well as discomfort, itching, or swelling around the anus.
A medical provider can suggest treatment to ease the symptoms of chronic hemorrhoids, as well as make certain of the diagnosis since other, more serious conditions can have symptoms similar to hemorrhoids.
Diagnosis is made through patient history and physical examination.
Treatment most often involves simple lifestyle changes such as drinking more water adding fiber-rich foods to the diet using fiber supplements and stool softeners not delaying, or straining, to pass a bowel movement and using topical medications. Surgical procedures to remove the hemorrhoid can be used in some cases.
Top Symptoms: rectal bleeding, rectal pain, pain when passing stools, anal itching, painless rectal bleeding
Symptoms that never occur with chronic or recurrent hemorrhoids: unintentional weight loss
Treatments That A Specialist May Suggest
Various treatments have been tried for chronic prostatitis. They may benefit some people but so far there are few research studies to confirm whether they help in most cases. They are not ‘standard’ or routine treatments but a specialist may advise that you try one.
For chronic bacterial prostatitis, possible treatments may include the following:
- A longer course of antibiotics. If the specialist suspects that you have chronic bacterial prostatitis and your symptoms have not cleared after a four-week course of antibiotics, they may suggest a longer course. Sometimes a course of up to three months is used.
- Removal of the prostate may be considered if you have small stones in the prostate. It is not clear how much this may help but it has been suggested that these small stones may be a reason why some people have recurrent infections in chronic bacterial prostatitis. However, this is not commonly carried out and is not suitable in everyone. Your specialist will advise.
For chronic prostatitis/CPPS, possible treatments may include the following:
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Trauma To Anus And Rectum
Trauma or injury to the anus or rectum could occur due to several reasons. Some common causes of trauma include scratching and vigorous wiping or washing of the anal area. These actions can cause injury even in the rectum. Colonoscopy can also cause some irritation in the rectum. This irritation may persist for some time after the procedure. Other potential causes of rectal trauma include rough insertion of anal suppository and anal intercourse.
Can Prostatitis And Bph Be Cured
The prognosis for BPH for most patients that undergo treatment is good to fair, depending upon how well patients respond. BPH that requires surgery may result in complications such as erectile dysfunction. The prognosis for patients with more severe BPH symptoms that require surgery and medication for symptom relief is fair. There is no cure for BPH.
Most men with prostatitis may have significant symptom relief, and most men can be cured with long-term appropriate antibiotic treatments. The prognosis for prostatitis ranges from good to fair because some patients have a tendency to have recurrent bouts of the condition.
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Prostatitis: Inflamed Prostate Can Be A Vexing Health Problem
- By Patrick J. Skerrett, Former Executive Editor, Harvard Health
When it comes to prostate trouble, the lions share of attention goes to prostate cancer and an enlarged prostate. A third condition, prostatitis, flies under the radar even though it affects up to one in six men at some point in their lifetimes. It triggers more than two million visits to doctors and untold agony each year.
Prostatitis, which means inflammation of the prostate gland, is an equal opportunity disorder. Unlike prostate cancer and benign prostatic hyperplasia , which predominantly affect older men, prostatitis affects men of all ages.
Prostatitis refers to a loose assemblage of syndromes characterized by urinary problems such as burning or painful urination, the urgent need to urinate, trouble voiding, difficult or painful ejaculation, and pain in the area between the scrotum and rectum or lower back. Although it causes some of the same symptoms as BPH and can occur at the same time, prostatitis is a separate condition.
Some types of prostatitis are caused by bacterial infection. These cases are often accompanied by the classic symptoms of infection, such as fever, chills, and muscle pain along with urinary problems. As a result, they are relatively easy to diagnose and treat, and they usually respond well to antibiotics. Unfortunately, such straightforward forms of prostatitis are the minority.
Are Prostatitis And Bph The Same Prostate Gland Problem
The answer to this question is yes and no, because both may have some similar health symptoms , but each prostate problem have different causes. Yes, BPH is by definition an enlarged prostate, and no, because the cause is not an infection/inflammation like prostatitis. However, not all enlarged prostates are due to BPH. An enlarged prostate may be caused by BPH, prostatitis, and prostate cancer.
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What Are The Symptoms Of An Enlarged Prostate
Most men with prostatitis will have a persistent form of the disease, where symptoms come and go for at least three months.
Possible symptoms of chronic prostatitis are:
- pain in the pelvis, genitals, lower back and buttocks
- pain when urinating
- difficulty urinating, such as problems starting or stop-start urination
- pain when ejaculating, which may contribute to erectile dysfunction
- discomfort in the perineal area
The symptoms may vary from day to day: some days they may be particularly troublesome, on other days they may be mild or almost non-existent.
Sometimes you may also experience tiredness, joint pain, muscle pain and a high temperature.
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Who Is More Likely To Develop Prostatitis
The factors that affect a mans chances of developing prostatitis differ depending on the type.
Chronic prostatitis/chronic pelvic pain syndrome. Men with nerve damage in the lower urinary tract due to surgery or trauma may be more likely to develop chronic prostatitis/chronic pelvic pain syndrome. Psychological stress may also increase a mans chances of developing the condition.
Acute and chronic bacterial prostatitis. Men with lower UTIs may be more likely to develop bacterial prostatitis. UTIs that recur or are difficult to treat may lead to chronic bacterial prostatitis.
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Minor Injury Or Other Trauma
In many cases, trauma or injury to the rectum or anus results from anal play during sex or masturbation. It can also result from a particularly hard fall or injury during other physical activity.
People who have significant constipation with hard stools may experience tears in the anal mucosa, also known as anal fissures. These can be quite painful.
In addition to rectal pain, minor injury can cause:
- difficult bowel movements
Enlarged Prostate Cause Hemorrhoids
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Can Prostatitis Come Back
Men who have had prostatitis once are more likely to get it again. Antibiotics may not get into the prostate gland well. Small amounts of bacteria might hide in the prostate and not be killed by the antibiotic. Once you stop taking the antibiotic, the infection can get bad again. If this happens, you might have to take antibiotics for a long time to prevent another infection. Prostatitis that is not caused by infection is often chronic. If you have this kind of prostatitis, you might have to take medicine for a long time.
How Are Bacterial Forms Of Prostatitis Managed Or Treated
Antibiotics can kill bacteria that cause bacterial types of prostatitis. Men with acute bacterial prostatitis may need 14 to 30 days of antibiotics, starting with IV antibiotics in the hospital. Rarely, men need surgery to drain an abscess on the prostate.
Treating chronic bacterial prostatitis is challenging. You may need up to three months of antibiotics to sterilize the prostate. If the prostate cant be sterilized, low-dose antibiotics can be used long term to prevent recurrences. Some men need surgery to remove prostate stones or scar tissue in the urethra. Rarely, surgeons remove part or all of the prostate gland .
Blood In The Stool Or Urine Can Range From Benign To Serious
When you cut or scrape yourself and see blood, you likely know the source of that blood. However, if you see blood in the toilet after using the restroom, the cause may not be so clear. Here are some possible reasons you might see blood in your stool or urine.
Blood in the Stool
A bloody stool is generally a sign of a problem in the digestive tract. This area of your body includes all the organs from the mouth to the anus, and bleeding can occur anywhere in the tract.
Hemorrhoids are swollen veins in the lower part of the rectum or anus. Hemorrhoids can be very painful and are often the reason behind a bloody stool. They are especially common during pregnancy and after childbirth. Almost half of adults will have them by about age 50 because the tissues that support the veins in the rectum and anus often stretch and become weaker with age.
Hemorrhoids have a variety of causes, including straining while defecating, sitting for long periods of time on the toilet, chronic diarrhea or constipation, obesity, pregnancy, anal intercourse and a low-fiber diet.
Even though some causes of bloody stool are minor, others can be serious and potentially life-threatening. Fortunately, many of these causes can be treated successfully if dealt with soon enough. Such causes of bloody stool may include:
If you notice blood or any changes in the color of your stool, you should call a doctor immediately.
Blood in the Urine