In order for the doctor to prescribe this or that treatment for prostatitis, he must first send the patient for diagnostics, which will reveal both the presence of the disease and its stage. The main indicator is a urine test, in which white blood cells and the causative agent of the infection are detected in case of prostatitis. Based on the test results, the doctor prescribes certain pills.
Methods of combating prostatitis
Regardless of the causes of prostatitis, complex treatment is most effective, of course, if it is carried out in the presence of qualified specialists, but the most important role in starting successful treatment is played by the competent diagnosis.
When the patient encounters some symptoms of prostatitis, he is prescribed drugs that act against the disease:
- If the disease is caused by a bacterial infection, antibiotics are most often prescribed. First, the type of bacteria is calculated, which is done using bacterial culture. If the patient is diagnosed with a severe course of the disease, drugs are administered intravenously. A course of antibiotics almost always lasts one to one and a half months.
However, in some cases, the therapy is prolonged in order to avoid the recurrence of the disease.
The medicine must be taken strictly as prescribed by the doctor. If the cause of prostatitis has not been identified, the attending physician may prescribe other antibacterial agents or combine them.
- In the area where the prostate and bladder connect, it is usually necessary to relax the muscle fibers and the bladder neck. Alpha blockers are used for this. Such drugs help relieve cramps during urination. Such drugs should be taken as prescribed, but it is best to consult a doctor, as alpha-blockers have many common side effects, such as low blood pressure and headaches.
- Patients often use painkillers. A propionic acid derivative and acetylsalicylic acid are often used. Taking painkillers naturally helps to cope with painful symptoms, but their abuse can have serious consequences, so consult your doctor about the dosage before taking them.
- Hormonal drugs are used to reduce the proliferation of prostate tissue. They help reduce testosterone levels, which cause unwanted tissue growth. With the help of treatment with these drugs, you can get rid of inflammation and normalize hormone levels.
- Patients who have severe pain and discomfort in the groin area are prescribed muscle relaxants. These drugs affect the muscles of the perineum, especially the striated muscles. When there is tension in this area, the patient experiences very uncomfortable sensations and cramps. Muscle relaxants are prescribed for pelvic pain and chronic prostatitis.
- Herbs containing natural ingredients are also used. Various plant extracts, essential oils and pollen are all part of herbs. Depending on the direction of the symptoms, specific therapy is prescribed. Most often, such drugs relieve pain or reduce swelling and inflammation.
Treatment of various forms of prostatitis
In case of such a disease, antibacterial therapy should be carried out, since prostatitis is an infectious disease. This therapy can speed healing, prevent complications, and reduce toxicity.
The treatment process begins only after all necessary tests have been submitted and verified. After five days, the laboratory provides the doctor with the results of the patient's smear test. The doctor has the right to prescribe broad-spectrum antibiotics to start therapy against the infection.
Acute bacterial form of prostatitis The causative agent of the acute form is Escherichia coli and gram-negative bacteria belonging to the group of Pseudomonas, Proteus, Klebsiella, and enterococci. Sometimes anaerobic bacteria, Chlamydia, Staphylococcus aureus and Streptococcus faecalis are found in the exudate of the disease.
In this form of prostatitis, treatment with antibiotics is simply necessary. Such drugs include tetracyclines and quinolones or sulfonamides. If there is a suspicion that the men under treatment acquired the disease through sexual contact, they are also prescribed to treat chlamydia infection.
Patients with sepsis are taken to the hospital to receive parenteral antibiotics. In such cases, aminoglycosides and cephalosporins, drugs with a broad spectrum of action, are prescribed.
Chronic bacterial form of prostatitis Many antibiotics cannot penetrate the epithelium of the prostate gland when it is inflamed, so their effect is not always as effective as we would like. Most often, the disease occurs due to the appearance of gram-negative microorganisms, which include Ureaplasma urealyticum, Mycoplasma hominis and Chlamydia trachomatis. Macrolides and tetracyclines are prescribed for these infections and must be taken for two weeks.
Asymptomatic prostatitis The prostate-specific antigen test is performed in asymptomatic patients, usually with chronic prostatitis. The examination begins after a two-week course of antibiotics.
Non-bacterial prostatitis Several studies on the disease have shown that chronic pelvic pain syndrome subsides after a course of antibiotics. For this reason, the doctor prescribes a two-week antibiotic treatment even in cases where there is no infection after the diagnosis.
Some infections tend to respond to medications. In such cases, alpha-blockers are prescribed, which help eliminate the main cause of non-bacterial prostatitis. This is due to the abnormal flow of urine from the urethra to the prostate gland. Painful urination stops when the muscles in the urethra relax.
The third way to get rid of the disease is anti-inflammatory pills, which suppress the immune system in the prostate tissue, which causes inflammation. In addition, these drugs have additional pain-relieving properties that have a beneficial effect on pain in the lower back and perineum.
Efficacy of herbal preparations
In case of chronic prostatitis, doctors recommend additional treatment with herbs. Many medicines have been produced and are still being produced on the basis of extracts of various medicinal plants. Including famous brands:
- An extract made from the fruit of the fan palm is available in the form of tablets, which reduce the level of substances that contribute to chronic prostatitis (mediators of the inflammatory process). This drug improves the condition of the prostate by normalizing blood flow.
- The drug contains African plum, which reduces swelling and inflammatory processes in the prostate gland and at the same time stabilizes the functioning of cells.
- In addition, a flavonoid (vitamin P) helps reduce the activity of anti-inflammatory substances and relaxes the muscle tissue of the pelvic floor. When used, swelling and pain are reduced.
- Chinese pills that stimulate the lymphatic drainage and blood circulation of the prostate help relieve the symptoms of chronic, non-bacterial prostatitis. In general, amino acids, phytosterols, glycosides and various minerals have a positive effect on the body.