Acute prostatitis is an inflammatory disease, often of an infectious nature, accompanied by swelling and the formation of ulcers in the tissues of the organ of the same name. It is generally thought that they mainly affect older men, but studies show that this pathology is significantly "rejuvenated". And now prostatitis appears in middle-aged patients.
In treatment, it is not only allowed to use drugs, but also to use folk remedies with the advice of a specialist.
Cause of illness
Acute prostatitis is diagnosed in 30-50% of men, usually at the healthiest age, that is, between 30 and 50 years of age. This inflammation leads to:
- erectile dysfunction;
- dry;
- Depression.
Pathogens are mainly non-specific infectious agents. These are pathogenic microorganisms such as E. coli, staphylococcus, streptococcus, . . . But sometimes acute prostatitis is caused by other pathogens that are associated with sexually transmitted diseases - chlamydia, ureaplasmosis, gonorrhea, mycoplasmosis. Often the cause is a conditionally pathogenic microorganism - the fungus Candida (Candida).
The main reasons for the development of prostatitis are penetration of the infection, usually through the lens. This occurs through the excretory ducts of the prostate gland. Since they open in the posterior wall of the urethra, the development of prostatitis is influenced by the presence of such a disease as urethritis.
In men, acute cystitis (bacterial cystitis) is rare. But if it is, then in such cases the prostate gland is affected, where pathogenic microorganisms enter. The introduction of bacteria into the organ takes place much faster if there are concomitant pathologies - stones in the urethra, creating increased pressure in the urethra.
It is sometimes possible to develop an inflammatory process due to the penetration of infection into the blood stream, since the prostate gland is supplied with the help of a developed network of arteries and veins. This happens when there are foci of chronic inflammation in the body, but they have nothing to do with the prostate gland. Bloodborne infections with sinusitis, tonsillitis, bronchitis, even tooth decay.
The presence of cholecystitis (gallbladder disease) also provokes the development of acute prostatitis. Sometimes it is also possible to transmit the infection from the intestines (with procti and colitis).
Non-infectious factors in the development of prostatitis - the presence of blockages in the blood vessels of the pelvis, irregular sex life and its violations. Including prostatitis can occur in men who practice coitus intermittently.
The factors that cause the disease are:
- sedentary lifestyle;
- digestive disorders (mainly frequent constipation);
- hypothermia and decreased immunity;
- Phlebeurysm;
- drink too much alcohol.
Basic Forms
There are three forms of the disease:
- catarrhal. The ducts of the prostate gland are mainly inflamed, but there are no changes at the macroscopic level. In the ducts themselves, dystrophic processes of the connective epithelium are observed, in the stroma there is slight swelling, the vessels are multi-membranous.
- Capsule form. It is possible that both the reverse development of the process and its proliferation, when prostatitis turned into a cyst, and the inflammatory process affected the tissues of the prostate gland. The body increases in size, becomes flabby. Focal infiltrates appear around the ducts.
- Parenchyma. The most severe stage of the disease. With it, the inflammatory process affects the entire gland, an abscess is formed. With an unfavorable course of the disease, it can open and pus enters the intestines, bladder and urethra.
Symptom
Common signs are urinary disorders, pain and intoxication - weakness, nausea, vomiting, dizziness and other unpleasant unpleasant phenomena.
The remaining symptoms of acute prostatitis correspond to the stages of the development of the process:
| Stage | Symptom |
|---|---|
| catarrhal | The first sign is a feeling of heaviness and pain in the perineum. There are disturbances of dyspepsia, that is, disturbance of urination, its increase, the appearance of pain or tenderness in the process. Body temperature is usually maintained at a normal range, sometimes slightly increased. Diagnosis at this stage involves studying the secretion of the prostate gland. It may show an increase in the number of white blood cells, the presence of mucous fibers. Urinalysis showed an increase in white blood cells. At this stage, prostate massage is not indicated due to pain. But drug treatment allows you to get rid of the pathology in 7-10 days. |
| Cylinder shape | Symptoms will be more obvious. This stage is accompanied by dull pain localized in the perineum, but may reach the anus, rectum or lower back. Urinating becomes so painful that urinary retention can occur. The act of defecation is difficult, also because of the severe pain. Body temperature rises to 38 degrees, general health worsens. The patient experienced:
|
| Parenchyma | In acute parenchymal prostatitis, the temperature rises to 39 degrees. Have a fever or chills. Urination can be rapid, but often difficult, until it stops completely, as the attempt to empty the bladder is accompanied by intense pain. Flatulence appears, the digestive process is disturbed, and constipation occurs. Feeling pain in the rectum. From aches and pains, they turn into vibrations. A person tries to find a position where he will not feel pain (usually when he is lying with his legs bent). In the acute form of prostatitis, there is an increase and swelling of the prostate gland. There may be a white or yellow-green discharge from the urethra. |
The consequences of acute prostatitis can be sepsis (general blood poisoning), cystitis, or pyelonephritis. If the disease develops with such complications, the patient needs to be hospitalized. But in mild cases, the pathology can be treated at home.
Treatment
Treatment of acute prostatitis should be comprehensive. Treatment consists in eliminating the cause of the disease, that is, the pathogenic microorganisms. In such cases, antibiotics are used, their combination, since one drug rarely gives the desired effect.
With prompt treatment, the symptoms disappear quickly, within a few days. But the doctor prescribes a course of at least 4 weeks to completely clean the body of harmful bacteria, prevent the disease from recurring and the process of transformation into a chronic form.
Antibiotics are prescribed only based on the results of tests that show the causative agent and its resistance to certain drugs. Other factors are also taken into account. For example, drugs from the aminoglycoside and beta-lactam group do not penetrate well into the tissues of the prostate gland.
Antibiotics from the group of fluoroquinolones and macrolides have a higher penetration capacity.
But it is not only the ability to penetrate that is important, but also the strength of the bactericidal effect. Therefore, macrolides and other agents are sometimes prescribed. Forms of the release of such drugs can be different.
Candles are rarely used. In severe cases of the disease, intravenous (and in-hospital) antibiotics are indicated. In mild cases, treatment is carried out on an outpatient basis, with the patient taking medication at home.
To relieve pain, analgesics and non-steroidal anti-inflammatory drugs are used. They lower the temperature, but sometimes additional antipyretics are prescribed. For more severe pain, short-term use of opiates is recommended.
For the treatment of acute prostatitis, an important role is to drink plenty of water, preferably cranberry juice or rosehip broth to clear the urinary tract, reduce intoxication and prevent the development of inflammation. bladder and pyelonephritis. Mild laxatives such as vaseline oil are used.
For urinary problems, antispasmodics and alpha blockers may be prescribed.
If you have muscle spasms, take a muscle relaxant.
Folk remedies
Treatment of diseases with folk remedies is only considered as an additional therapy, helping to enhance the effects of drugs.
A popular folk remedy is pumpkin seeds. It has been proven that they contain a lot of zinc, which has anti-inflammatory effects. To obtain the proper dose of this substance, it is enough to eat only 30 g of raw shelled seeds once a day before a meal.
You can make a mixture based on pumpkin seeds (just not fried) and honey:
- Turn 500 g of cleaned ingredients with a meat grinder or blender.
- Add a glass of honey that is not too liquid.
- Mix thoroughly until it has a consistency so that the mixture can be molded into small walnut-sized balls.
The product is stored in the refrigerator. On the day you need to eat 1-2 of these balls half an hour before meals. The drug must be chewed well and not swallowed immediately.