Prostatitis Testing & Treatment
To diagnose prostatitis, your doctor will ask you about your symptoms and may examine the prostate gland by inserting a lubricated, gloved finger into the rectum. Urine and prostate fluid may also be collected and evaluated for bacteria.
TreatmentTreatment depends on the type of prostate infection.
- For acute prostatitis, patients take antibiotics for 4 to 6 weeks.
- For chronic bacterial prostatitis, patients take antibiotics for 4 to 12 weeks. About 75 percent of all cases of chronic bacterial prostatitis clear up with this treatment. Sometimes the symptoms recur and antibiotic therapy needed again. For cases that do not respond to this treatment, long-term, low dose antibiotic therapy is recommended to relieve the symptoms.
- Treatment for nonbacterial prostatitis is difficult. The goal is to control symptoms because it is hard to cure this condition. Some doctors prescribed anti-inflammatory drugs, pain medications and muscle relaxants. Therapies used to treat interstitial cystitis or chronic pelvic pain syndrome may also be helpful.
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Avelox Prescribed For :
Avelox Antibiotic is Prescribed by a Physician For The following Conditions Such as :ï¬ Bacterial Infections
ï¬ Sleeping Difficulties
Does Avelox can Cure Prostatitis ?The Avelox is Prescribed to Patients Suffering from Acute Bacterial prostatitis , Chronic Bacterial Prostatitis . May also Prescribed to Patients suffering from other Types of Prostatitis As the Symptoms are Same among Most of the Prostatitis Types .The Medication can Only be able to Destroy the Bacteria and Symptoms may disappear . The medication can not Cure Prostatitis , Can help the patient to Manage the Symptoms .If there is No Relief From the Symptoms after taking the Avelox The patient then prescribed with other Drugs . Patients Prescribed with Avelox are Found Returning to Clinic after The Whole Treatment Complaining Symptoms Recur .
What If My Prostatitis Is Not Caused By Infection
Because we do not understand what causes prostatitis without infection, it can be hard to treat. Your doctor might try an antibiotic to treat a hidden infection. Other treatments are aimed at making you feel better. Nonsteroidal anti-inflammatory medicines, such as ibuprofen or naproxen, and hot soaking baths may help you feel better. Some men get better by taking medicines that help the way the bladder or prostate gland work. These medicines include oxybutynin, doxazosin, prazosin, tamsulosin and terazosin.
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Antibiotics For Prostatitis: Why They Dont Work
I went to my urologist and he prescribed me 4 weeks of ciprofloxacin. I have taken the full course, yet my prostatitis symptoms have not shown any signs of improvement. The urologist is saying its probably non-bacterial prostatitis.
My urologist diagnosed me with prostatitis and prescribed me 2 weeks of doxycycline. My symptoms became much better by the 5th day. But they gradually started coming back again. It has now been a month since the doxy course ended, and my symptoms are back to what they were before taking the antibiotic.
My urologist prescribed levofloxacin for 4 weeks to treat my prostatitis. After 2 weeks of the antibiotic, my symptoms were completely resolved. I thought my prostatitis was cured! However, a few weeks after finishing the levofloxacin, my symptoms started reappearing. 2 months later, I was back to square one.
For my prostatitis, I have had five different antibiotics, some orally and some intravenously. After each course of antibiotics, I would go back to my urologist with little to no improvement, and he would prescribe me a different antibiotic. Today, after all these antibiotics, I am no better than I was when my problem started.
1. The poor vascularity of the prostate gland
2. Poor penetration of antibiotics through the outer membrane of the prostate
3. Evolution of the bacteria to form antibiotic resistance
4. Prostatitis is a Biofilm infection
Pain In Surrounding Areas
Pain in the surrounding areas of the pelvis or with sexual activity is also associated with chronic prostatitis, including:
- Pain in the pelvic area: Some people with chronic prostatitis may develop dull, intermittent or constant pain in the lower abdomen or pelvic area, including in the penis, testicles, or area of skin between the scrotum and the anus. This is especially seen in people with chronic nonbacterial prostatitis.
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General Treatment For Abp
Successful treatment of bacterial prostatitis is based on the selection of the appropriate therapeutic method , which depends on the severity of symptoms, bacterial flora, local antibiotic resistance patterns, and the drug concentration in prostatic fluid .
Figure 1 Treatment algorithm for acute bacterial prostatitis.
How Is Chronic Pelvic Pain Syndrome Managed Or Treated
Prostatitis treatments vary depending on the cause and type. Asymptomatic inflammatory prostatitis doesnt require treatment.
For chronic pelvic pain syndrome , your healthcare provider may use a system called UPOINT to classify symptoms into six categories. Your provider uses multiple treatments at the same time to treat only the symptoms youre experiencing.
Approximately 80% of men with CPPS improve with the UPOINT system. The system focuses on these symptoms and treatments:
- Urinary: Medications, such as tamsulosin and alfuzosin , relax muscles around the prostate and bladder to improve urine flow.
- Psychosocial: Stress management can help. Some men benefit from counseling or medications for anxiety, depression and catastrophizing .
- Organ: Quercetin and bee pollen supplements may relieve a swollen, inflamed prostate gland.
- Infection:Antibiotics kill infection-causing bacteria.
- Neurologic: Prescription pain medicines, such as amitriptyline and gabapentin , relieve neurogenic pain. This pain can include fibromyalgia or pain that extends into the legs, arms or back.
- Tenderness: Pelvic floor physical therapy may include myofascial release . This therapy can reduce or eliminate muscle spasms.
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What Can You Get Following The Proposed Way Of Prostate Treatment
Directions Of Usage Of Doxycycline For Prostatitis:
The Antibiotics are Taken Orally Empty stomach or 1-2 Hours Prior to the Following Meal , Usually physician Prescribes the Patients To take 200mg the First day And 100mg from the Following day , The Duration of the Treatment depends on the Patients Disease Condition and Severity , usually 4-6 Week of Antibiotics are Prescribed to The Patients Suffering From Acute Bacterial / Chronic Bacterial prostattis .
Doxycycline is Prescribed For :
ï¬ Tightness in Chest With Painï¬ Blood in the Urine / Dark Colored Urineï¬ Blurred Visionï¬ Unusual Stools Including Black color / Blood / Clayish Stoolï¬ Pain In the Lower backï¬ Pain in the Legs
Can Doxycycline cure Prostatitis?Generally Doxycycline is Prescribed to the Patients suffering from Bacterial prostatitis that can be Acute or Chronic , The Doxycycline may able to Fight against the Bacterial Infects , Case Study Shows Patients Prescribed with Doxycycline For 4-6 Weeks With First day Of 200mg and Remaining Treatment With 100mg/day are suffering from Severe Side effects , The Side Effects are More severe comparing to the Bacterial Prostatitis Symptoms that the Patients are Suffering From , 90 % Patients Were Back to Hospital With More Symptoms then Before the Treatment with No Actual Results From the Treatment & Causing More Pain to the Patients.
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The Revival Of Fosfomycin
Considering that the evolving changes in resistance rates for fluoroquinolones have a serious impact on treatment, alternative antibiotic therapies are urgently needed. Studies have demonstrated fosfomycin has a strong killing effect in vitro against antimicrobial-resistant E. coli . This new discovery inspires the treatment of refractory bacterial prostatitis . Fosfomycin, an old drug used before for therapy of females uncomplicated cystitis and transrectal prostate biopsy prophylaxis, has been recently rediscovered as a treatment for MDR infections with an effective rate > 90% in lowering UTIs . In addition, fosfomycin-susceptibility rate of ESBL-producing E. coli, ESBL-producing K. pneumoniae, and E. faecalis reported lately by a systemic review was 95%, 83.8%, and 96.8%, respectively . Clinically, a case report of the successful administration of oral fosfomycin on patients with CBP who were infected by a complicated vancomycin-resistant Enterococci demonstrated that fosfomycin is available .
Antibiotics Combinate With Antibiotics
The improvement of eradication rates on bacterial prostatitis through the combination of antibiotics has also been reported by many randomized trials. Magri et al. found that the pathogen eradication under the combination of levofloxacin and azithromycin was 11% increased compared with the cases treated with levofloxacin as a single agent and recommended this as an interesting option in both first-referral and relapsing cases . Owing to a series of distinct PK and pharmacodynamic properties , macrolide antibiotics are emerging as noteworthy options for enhancing the rates of clinical symptom improvement and pathogen eradication on the treatment of CBP . A study of the fluoroquinoloneâmacrolide combination therapy for CBP has shown that fluoroquinolones combined with macrolides can effectively eliminate pathogenic bacteria and reduce CBP symptoms, such as painful dysuria and sexual dysfunction . Khryanin et al. substantiated the superiority of the combination therapy of ornidazole and ofloxacin for CBP, with the background of general decline in sexually transmitted infection incidence .
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Hypothetical Heterogeneous Clinical Phenotypes In Chronic Prostatitis Syndromes
Patients with acute bacterial prostatitis are similar in both presentation of symptoms and response to therapy. In contrast, a single treatment fitting all patients diagnosed with CP does not succeed in clinical practice. It has become increasingly clear that patients with CBP and CPPS are not a homogeneous group with identical etiologic mechanisms, but rather are a heterogeneous group of individual patients with widely differing clinical symptoms including genitourinary pain, voiding symptoms, or psychosexual problems. Therefore, a single panacea to this challenging clinical entity will likely not be found soon. Rather, the challenge is to identify which subgroup of patients will respond best to a particular therapy. A clinically practical phenotyping classification system for patients diagnosed with urologic chronic pelvic pain syndromes has recently been proposed . UPOINT is a six-point clinical classification system that categorizes the phenotype of patients with UCPPS into one or more of six clinically identifiable domains as follows: urinary, psychosocial, organ-specific, infection, neurologic/systemic, and tenderness . A physician can easily and quickly categorize patients into one or more UPOINT domains and propose an individually designed therapeutic plan that specifically addresses the clinical phenotypes identified. Most patients will be categorized with more than one UPOINT domain and will require multimodal therapy. This concept is outlined in .
Bactrim Prostatitis Antibiotic :
The Antibiotic is a Combination of Other Drugs which is Prescribed to Patients suffering from Acute Bacterial Prostatitis , Chronic Bacterial Prostatitis .Directions of Usage of Bactrim For Prostatitis : The Antibiotic is Available In 2 Different Forms Liquid and Tablet The Tablet Form Usually taken Twice a Day which Contains 800mg sulfamethoxazole and 160 mg trimethoprim Itâs a Double Formula Medication .The Liquid form Contains 200 mg sulfamethoxazole and 40 mg trimethoprim per 5 mL and The usage depends on the Directions Prescribed by the Physician .Bactrim Prescribed For : The Bactrim is Prescribed By Physician for the Following Infections Which include :ï¬ Ear Infection
ï¬ Mouth Sores
Does Bactrim Can Cure Prostatitis?Bactrim is Prescribed for the Patients Suffering from Bacterial Infections , which can ease the pain of the patients and may give relief from the symptoms .The Bactrim is Usually Prescribed for 4-6 Weeks , If patients doesnât Recover from the Symptoms or Bacterial Infection other set of antibiotics are prescribed accordingly . 96% Patients returns to the Clinic Complaining the Symptoms Recur or infection recur .
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What Questions Should I Ask My Doctor
You may want to ask your healthcare provider:
- What type of prostatitis do I have?
- What is the best treatment for this type of prostatitis?
- What are the treatment risks and side effects?
- How can I avoid getting prostatitis again?
- What type of follow-up care do I need after treatment?
- Should I look out for signs of complications?
A note from Cleveland Clinic
Prostatitis is a common problem that affects many men. Unfortunately, theres a lot of confusion about the disease. People use the word prostatitis to describe four different conditions. There isnt a one-size-fits-all treatment for prostatitis, which is why an accurate diagnosis is so important.
Treatments For Symptom Relief
The preferred treatment regimen for chronic bacterial prostatitis is a combination of antibiotics and anti-inflammatory medications, such as nonsteroidal anti-inflammatory drugs .
Although NSAIDs can provide relief from the pain of prostatitis, theyre primarily used to reduce inflammation.
Other medications you may receive are:
- stool softeners to avoid constipation
- alpha-blocker medications, such as tamsulosin , to help treat urinary retention
Certain home remedies may be able to ease your symptoms too. Home remedies include:
- warm baths
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What Are The Symptoms
Symptoms of long-term prostatitis are often mild and start slowly over weeks or months. They may include:
- An urge to urinate often. But you may pass only small amounts of urine.
- A burning pain when you urinate.
- A problem starting the urine stream, urinating in waves rather than in a steady stream, urine flow that is weaker than normal, and dribbling after urinating.
- Waking up at night to urinate often.
- A feeling of not completely emptying your bladder.
- Pain in your lower back, in the area between the testicles and anus, in the lower belly or upper thighs, or above the pubic area. Pain may be worse during a bowel movement.
- Some pain during or after ejaculation.
- Pain in the tip of your penis.
Symptoms of acute prostatitis are the same, but they start suddenly and are severe. They may also include a fever and chills.
Some men may have no symptoms.
Alternative Traditional Chinese Medicine Treatment For Prostatitis :
Dr.Mingâs Formulated Traditional Chinese Medicine Nanke Pills are Prescribed to the Patients Suffering From Prostatitis , Acute Prostatitis , Acute Bacterial Prostatitis , Chronic Bacterial Prostatitis , CPPS â Chronic Pelvic Pain Syndrome , BPH Benign Prostate Hyperplasia , Prostate calcification .
TCM Directions of Usage for Prostatitis : The Medication comes in A Solid Balls Form with Herbal Odor and small size , Depending on the Severity and the Combination of the Diseases the Medication is Prescribed to the Patients , Usually Treatment may last for 3-6-9 Months Depending on the Severity of the disease .The oral medication Nanke Pills can be taken twice a day may differ between patients due to different health conditions .Please contact Dr.Ming For the Prescription for the Medication .
TCM Proatatitis Medicine Is Prescribed for :ï¬ Prostatitis
You can Not Take Traditional Chinese Medicine For Prostatitis If You are Suffering From :ï¬ Severe Heart Conditionsï¬ Digestive Problemsï¬ Kidney Problems
Please Consult Dr.Ming Before If you are suffering from any conditions in the above mentioned list .
Contact Dr.Ming with your Detailed Disease History Including Your Age , Symptoms , Previous Infections , So that Dr.Ming can diagnose Perfectly and Provide you with the Best Traditional Chinese Medicine Treatment Option .
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Treating Prostatitis Not Caused By Infection
Chronic non-bacterial prostatitis, also known as chronic pelvic pain syndrome , is inflammation of the prostate without any detectable infection. The cause is unknown, making it difficult to treat.
Even though no bacteria are implicated in this kind of prostatitis, a physician will sometimes prescribe antibiotics in case there is a hidden infection. Most often, however, therapy involves treating the symptoms. Options include:
- Over-the-counter pain medications like ibuprofen or naproxen
- Soaking in a hot bath
- Medications such as phenazopyridine , oxybutynin, or tolterodine to help with frequent, urgent, or painful urination
- Psychological counseling to help with the ongoing pain
Can Complementary Therapies Help
Many men find complementary therapies help them deal with their symptoms and the day-to-day impact of their prostatitis, helping them feel more in control. Some men find they feel more relaxed and better about themselves and their treatment.
Complementary therapies are usually used alongside medical treatments, rather than instead of them. Some complementary therapies have side effects and some may interfere with your prostatitis treatment. So tell your doctor or nurse about any complementary therapies youre using or thinking of trying.
You should also tell your complementary therapist about your prostatitis and any treatments youre having, as this can affect what therapies are safe and suitable for you.
Some GPs and hospitals offer complementary therapies. But if you want to find a therapist yourself, make sure they are properly qualified and belong to a professional body. The Complementary and Natural Healthcare Council have advice about finding a therapist.
The following are examples of complementary therapies that some men use.
Be very careful when buying herbal remedies over the internet. Many are made outside the UK and may not be high-quality. Many companies make claims that arent based on proper research. There may be no real evidence that their products work, and some may even be harmful. Remember that even if a product is natural, this doesnt mean it is safe. For more information about using herbal remedies safely visit the MHRA website.
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When To Get Medical Advice
See a GP if you have symptoms of prostatitis, such as pelvic pain, difficulty or pain when peeing, or painful ejaculation.
They’ll ask about the problems you’re having and examine your tummy.
You may also have a rectal examination. This is where a doctor inserts a gloved finger into your bottom to feel for anything unusual. You may have some discomfort during this examination 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 to rule out other conditions.
See a GP straight away if you get sudden and severe symptoms of prostatitis.
You may have acute prostatitis, which needs to be assessed and treated quickly because it can cause serious problems, such as suddenly being unable to pee.
If you have persistent symptoms , you may be referred to a doctor who specialises in urinary problems .