What are the typical symptoms of bacterial prostatitis

Typical symptoms of bacterial prostatitis include frequent urination, urgency, dysuria, perineal pain, and fever. Bacterial prostatitis is usually caused by pathogenic infections such as Escherichia coli and Proteus. It may be accompanied by symptoms such as difficulty urinating and blood in semen. It requires timely medical treatment for a clear diagnosis.

1. Frequent urination

Frequent urination is an early manifestation of bacterial prostatitis. The patient's daily urination frequency is significantly higher than the normal range, which may reach more than 10 times, and the urine output is small each time. This is related to the stimulation of the bladder neck by prostate congestion, and symptoms may be aggravated at night. If combined with a urinary tract infection, there may also be a feeling of incomplete urination. It is recommended to avoid holding urine and reduce caffeine intake.

2. Urgency to urinate

Urinary urgency is characterized by a sudden and strong desire to urinate, which is often difficult to control. In severe cases, it may lead to urge urinary incontinence. Prostatic inflammation can irritate the nerves in the trigone area of ​​the bladder, causing detrusor overactivity. Patients should pay attention to keeping the perineum warm. In the acute stage, hot water sitz baths can be used to relieve symptoms.

3. Dysuria

Burning and stinging sensation in the urethra or perineum during urination, especially at the end of urination. Inflammation causes edema in the prostate ducts, causing pain during urination due to muscle contraction. You can use tamsulosin hydrochloride sustained-release capsules, cefixime dispersible tablets and other drugs as directed by your doctor to relieve symptoms, and at the same time increase your daily water intake.

4. Perineal pain

The pain is mostly located in the suprapubic area, scrotum or around the rectum, and presents as persistent swelling or falling pain, which is aggravated by sitting for a long time or defecating. Acute infection may be accompanied by the formation of a prostate abscess, and palpation may reveal enlargement and tenderness of the prostate. Activities that put pressure on the perineum, such as riding a bicycle, need to be avoided. If necessary, use celecoxib capsules for analgesia.

5. Fever

Acute bacterial prostatitis often presents with high fever above 38°C, accompanied by systemic symptoms such as chills and fatigue, indicating the risk of bacteremia. Routine blood tests showed a significant increase in white blood cells. Immediate intravenous injection of antibiotics such as levofloxacin injection is required, as well as bed rest and electrolyte replenishment.

Patients with bacterial prostatitis should maintain a regular schedule and drink more than 2,000 ml of water daily to dilute urine. The diet should be light, avoid spicy foods, and eat pumpkin seeds, tomatoes and other foods rich in zinc and lycopene in moderation. Sexual intercourse is prohibited in the acute phase. Moderate exercise during the recovery phase, such as walking and ani lift training, can help improve local blood circulation. If symptoms persist for more than 1 week or hematuria or low back pain occurs, timely review is required.