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.
What Are Clinical Trials And Are They Right For You
Clinical trials are part of clinical research and at the heart of all medical advances. Clinical trials look at new ways to prevent, detect, or treat disease. Researchers also use clinical trials to look at other aspects of care, such as improving the quality of life for people with chronic illnesses. Find out if clinical trials are right for you.
Diagnosing Chronic Bacterial Prostatitis
Your doctor will also perform a digital rectal exam to examine the prostate. During this test, they will insert a lubricated and gloved finger into your rectum to look for signs of infection, such as a soft or enlarged prostate.
Your doctor may also use the following tests and techniques:
Antibiotics are the main course of treatment for this condition. Theyre usually taken for 4 to 12 weeks. For many people, treatment will last for 6 weeks.
First-line treatment is typically a fluoroquinolone antibiotic, such as ciprofloxacin , ofloxacin, or levofloxacin.
However, fluoroquinolones can increase your risk for a ruptured Achilles tendon, which is why they are no longer considered a preferred treatment.
Other commonly prescribed antibiotics include:
- sulfamethoxazole/trimethoprim , another first-line treatment
- tetracycline antibiotics, such as doxycycline or azithromycin
Tetracyclines are commonly used in cases where a doctor identifies or suspects chlamydia or mycoplasma genitalium. Like chlamydia, mycoplasma genitalium is an STI.
The antibiotic that youre prescribed will ultimately depend on which bacterium is causing your prostatitis.
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What Are Prostate Infections And Prostatitis
The prostate gland is a part of a man’s reproductive system, secreting fluids that help transport sperm. The gland lies just below the bladder and surrounds the urethra .
Prostate infections may irritate the prostate and cause inflammation and swelling of the gland. Prostate infections occur most often in men aged 30-50 years but can occur in older men. Unfortunately, many people equate the terms prostate infection and prostatitis, but prostate infections comprise only two of the four major classifications of the term “prostatitis,” and infectious types comprise only a few of the total number of prostatitis diagnosed patients.
The National Institutes of Health consensus panel has designated four types of prostatitis classifications.
The NIH has established extensive criteria for chronic pelvic pain syndrome that excludes infection and other problems and is as follows:
- male, at least age 18
- pain or discomfort in the pelvic area for at least 3 months
This classification system is important to understand because about 90% of men with prostatitis symptoms are diagnosed with chronic pelvic pain syndrome and, by definition, do not have infectious prostatitis.
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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Can Prostate Infection Be Sexually Transmitted
Every day, over a million new cases of sexually transmitted infections are reported among the global population. The most common sexually transmitted infections reported include syphilis, gonorrhea, trichomoniasis, and chlamydia.
Some of these STIs increase the risk of being infected with others. For example, if a person has syphilis, they are more likely to contract HIV in cases where they do not take proper precautionary measures during sexual activity.
Due to the position of the prostate gland, many people have asked whether a prostate infection can be sexually transmitted. There are cases where an infection in the prostate is related to a sexually transmitted infection, but it is also important to note that this is not always the case.
Additionally, it should also be noted that not every case of prostatitis is linked to a bacterial infection. In some cases, a patient develops chronic inflammation in the prostate. This can lead to the development of chronic prostatitis, even in the absence of bacteria.
With this said, men should still be informed about the possibility of a sexually transmitted infection affecting their prostate gland.
It is quite rare for a case of prostatitis to be related to a bacteria transmitted through sexual activity, yet it does happen in some scenarios. In these situations, it is usually the result of a man being infected with chlamydia following sexual activity.
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 .
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How Common Is Prostatitis
Prostatitis is the most common urinary tract problem for men younger than age 50 and the third most common urinary tract problem for men older than age 50.1 Prostatitis accounts for about two million visits to health care providers in the United States each year.2
Chronic prostatitis or chronic pelvic pain syndrome is
- the most common and least understood form of prostatitis.
- can occur in men of any age group.
- affects 10 to 15 percent of the U.S. male population.3
Symptoms Of Chronic Bacterial Prostatitis
Bacterial infections in the prostate can be very painful.
The symptoms begin slowly and last 3 months or longer. Seek medical attention if you have any of the following symptoms:
Serious complications can arise if an infection isnt properly treated. Complications include:
- urinary retention, which is an inability to urinate
- , which occurs when bacteria spread into the bloodstream
- a prostate abscess, which is a collection of pus that causes inflammation
A bacterial infection causes chronic bacterial prostatitis. Even when the primary symptoms of infection have been treated, bacteria may continue to thrive in the prostate.
Causes of infection include:
- sexually transmitted infections , such as chlamydia and gonorrhea
- E. coli after having an infection of the testicles, urethritis , or a UTI
Certain factors put people at risk for developing this condition, such as:
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The Role Of Leaky Gut
In addition to the retention of urine, the prostate can become infected due to a break down in the intestinal lining, sometimes called leaky gut.
Leaky gut is characterized by bacteria, toxins, and even undigested food, which are all meant to stay within the digestive system, leaking out into the blood stream where these invaders have the potential to cause autoimmune like reactions in some people.11
For example, men who give up gluten sometimes find that their prostate issues go away.
Presumably, this happens because gluten increases the production of zonulin, a protein that is responsible for breaking down the intracellular tight junctions that form the gut wall. 12 Removing gluten reduces levels of zonulin, which allows the gut to heal, stopping the release of irritants that had previously reached the blood stream where they can cause autoimmune reactions.
As a practical matter, this will overlap with the anti-fungal protocol above, but stop eating gluten for a month and see if the condition improves. There are multiple anecdotal stories online about men healing prostate issues by cutting out gluten.
The point here is that a low-grade infection of the prostate can come from places you may not expect, including the gut.
How Will Your Doctor Diagnose A Prostate Infection
A prostate infection diagnosis is based on your medical history, a physical exam, and medical tests. Your doctor can also rule out other serious conditions such as prostate cancer during the exam. During a physical exam, your doctor will conduct a digital rectal exam to test your prostate and will look for:
- enlarged or tender lymph nodes in the groin
- swollen or tender scrotum
Your doctor may also ask about your symptoms, recent UTIs, and medications or supplements youre taking. Other medical tests that can help your diagnosis and treatment plan include:
- urinalysis or semen analysis, to look for infections
- a prostate biopsy or a blood test for prostate-specific antigen
- urodynamic tests, to see how your bladder and urethra store urine
- cystoscopy, to look inside the urethra and bladder for blockage
Your doctor may also order an ultrasound to get a closer look. The cause will help determine the correct course of treatment.
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The Basics: How An Erection Occurs
At its most basic level, an erection is a matter of hydraulics. Blood fills the penis, causing it to swell and become firm. But getting to that stage requires extraordinary orchestration of body mechanisms. Blood vessels, nerves, hormones, and, of course, the psyche must work together. Problems with any one of these elements can diminish the quality of an erection or prevent it from happening altogether.
Nerves talk to each other by releasing nitric oxide and other chemical messengers. These messengers boost the production of other important chemicals, including cyclic guanosine monophosphate, prostaglandins, and vasoactive intestinal polypeptide. These chemicals initiate the erection by relaxing the smooth muscle cells lining the tiny arteries that lead to the corpora cavernosa, a pair of flexible cylinders that run the length of the penis .
Figure 1: Anatomy of the penis
The penis is made up of three cylindrical bodies, the corpus spongiosum which contains the urethra and includes the glans of the penisand two corpora cavernosa , that extend from within the body out to the end of the penis to support erection. Blood enters the corpora cavernosa through the central arteries.
Natural Ways To Relieve Prostatitis Symptoms
1. Take Quercetin
Quercetin is a type of flavonoid antioxidant that helps to reduce inflammation and pain associated with nonbacterial prostatitis. Research suggests that quercetin can be helpful for men with bladder or prostate symptoms and pelvic floor pain or spasms.
In one study, 500 milligrams of quercetin was administered twice a day for four weeks. Patients with chronic prostatitis showed significant improvement and reduced inflammation over the placebo group.
2. Try Bee Pollen
Studies show that bee pollen may be effective in prostatic conditions because of its anti-inflammatory, analgesic and anti-androgen effects. In fact, the efficacy of bee pollen has been compared to anti-inflammatory drugs like naproxen and indomethacin. According to research published in Evidence-Based Complementary and Alternative Medicine, clinicians confirm that, in nonbacterial prostate inflammations, pollen improves the condition of patients by effectively removing the pain.
The most common way to use bee pollen is to mix ground pollen with foods, like cottage cheese, yogurt, juices or smoothies. To reduce inflammation and boost your prostate health, I suggest taking 1 teaspoon of ground pollen three times a day.
3. Take Saw Palmetto
You can find saw palmetto capsules in most health food stores. Make sure the product label indicates that the contents are standardized and contain 85 to 95 percent fatty acids and sterols.
4. Avoid Inflammatory Foods
5. Eat Healing Foods
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Treatment Of Bacterial Prostatitis
The approach to treating bacterial infection of the prostate largely centers on appropriately selected antibiotic therapy. The best approach to treating nonbacterial prostatitis is less clear.
Overview of antibiotic therapy. Treatment of bacterial prostatitis is hampered by the lack of an active antibiotic transport mechanism and the relatively poor penetration of most antibiotics into infected prostate tissue and fluids. Most antibiotics are either weak acids or bases that ionize in biological fluids, which inhibits their crossing prostatic epithelium . Only free, non-protein-bound antibiotic molecules enter tissues. Ordinarily, substances with molecular weights of < 1000 pass through openings between capillary endothelial cells, but prostate capillaries are nonporous. Passage of a drug through prostatic capillary endothelium and prostatic epithelium is enhanced by a high concentration gradient, high lipid solubility, low degree of ionization, high dissociation constant , low protein binding, and small molecular size . A pH gradient allows electrically neutral molecules to pass through membranes, become ionized, and be trapped. Although ion trapping may increase prostatic drug concentration, the charged fraction has an unclear antimicrobial role. Fluoroquinolones are zwitterions that have a different pKa in an acidic versus an alkaline milieu, allowing concentrations in the prostate to be 10%50% of concentrations in serum .
Make Some Lifestyle Changes
There are a number of things you can try that other men have found helpful. You might want to plan your day more, to allow for things like toilet trips. Trying different things can help you feel more in control, and that you are actively doing something to improve your health. If one thing doesnt work, try something else. Here are some suggestions.
- Watch what you drink. Drink plenty of fluids about six to eight glasses of water a day. And cut down on fizzy drinks, artificial sweeteners, alcohol and drinks that contain caffeine as these can irritate the bladder and make some urinary problems worse.
- Watch what you eat. Some foods may make your symptoms worse. Try to work out what these are so you can avoid them. Theres some evidence that spicy foods can make the symptoms of CPPS worse.
- Avoid cycling. Its a good idea to avoid activities that put pressure on the area between your back passage and testicles , such as cycling. They can make symptoms worse. If you want to keep cycling, you could try using a different saddle, such as one made from gel.
- Keep a diary. This can help you spot things that make your symptoms worse, and can be a useful way of showing your doctor what youre experiencing. Record things like food, drink, exercise, how stressed you feel and your symptoms.
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What Is The Prognosis For A Prostate Infection
The prognosis for acute bacterial prostatic infections is usually good if treated appropriately with effective antibiotics. The prognosis for chronic bacterial prostatic infections is less or only fair because the recurrent disease is difficult to cure, and the cure rate is less than the acute type.
- No evidence suggests that any prostate infections increase the risk of urinalysis.
- Only a few men with acute bacterial prostatitis develop chronic bacterial prostatitis. After patients recover, their doctor should evaluate their upper urinary tract.
- Only half of the men with chronic bacterial prostatitis will be cured . Relapses are common and may lead to psychological problems, especially depression.
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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