In order for a doctor to prescribe this or that treatment for prostatitis, he, first of all, needs to refer 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, in case of prostatitis, white blood cells and the causative agent of infection are detected. Based on the test results, the doctor prescribes certain pills.
Methods to combat prostate inflammation
Regardless of the causes of prostatitis, complex treatment is the most effective, of course, if it is carried out in the presence of qualified specialists, but the most important role in the beginning of successful treatment is played by competent diagnosis.
When a patient encounters some symptoms of prostatitis, he is prescribed drugs that act against the disease:
- When 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, the drugs are administered intravenously. A course of antibiotics almost always lasts from one to one and a half months.
However, in some cases, to avoid the return of the disease, therapy is extended.
The medication must be taken strictly as prescribed by the doctor. If the cause of prostatitis has not been identified, then the treating doctor may prescribe other antibacterial drugs, or combine them.
- In the area where the prostate and bladder connect, it is usually necessary to relax the muscle fibers and the neck of the bladder. Alpha blockers are used for this. Such medications will help relieve spasms that occur when urinating. Such drugs must be taken in accordance with the dosage, but it is best to consult a doctor, since alpha blockers have a number of common side effects, such as low blood pressure and headaches.
- Patients often resort to using painkillers. They often use a propionic acid derivative and acetylsalicylic acid. Taking analgesics naturally helps to cope with painful symptoms, but their abuse can lead to dire consequences, so you should consult your doctor about the dosage before taking them.
- In order to reduce the level of proliferation of prostate tissue, hormonal drugs are used. They help reduce testosterone levels, which causes the growth of unwanted tissue. With the help of treatment with these drugs, you can get rid of inflammation and normalize hormonal levels.
- Patients with severe pain and discomfort in the groin area are prescribed muscle relaxants. These drugs affect the muscles of the perineum, in particular the striated muscles. When tension occurs in this area, the patient experiences very unpleasant sensations and spasms. Muscle relaxants are prescribed for pelvic pain, as well as for chronic prostatitis.
- Herbal remedies that contain natural ingredients are also used. Various plant extracts, essential oils, and pollen are all part of herbal medicine. Depending on the direction of the symptoms, specific therapy is prescribed. Most often, such drugs are painkillers or relieve swelling and inflammation.
Treatment of prostatitis of various forms
With such a disease, there is a need to carry out antibacterial therapy, since prostatitis is an infectious disease. This therapy can speed up recovery, as well as prevent complications and reduce intoxication.
The treatment process starts 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 examination. The doctor has the right to prescribe broad-spectrum antibiotics to begin therapy against the infection.
- Acute bacterial form of prostatitis
The causative agent of the acute form is gram-negative bacteria from the group of Escherichia coli and Pseudomonas, Proteus, Klebsiella, as well as enterococci. Sometimes anaerobic bacteria, Chlamydia, Staphylococcus aureus and Streptococcus faecalis are found in the discharge of the disease.
In this form of prostatitis, treatment with antibiotics is simply necessary. Among such drugs you can find tetracyclines, as well as quinolones or sulfonamides. If men undergoing treatment are suspected of acquiring the disease through sexual contact, they are also prescribed a course of treatment for chlamydia infection.
Patients with sepsis are brought to the hospital to receive parenteral antibiotics. In such cases, aminoglycosides and cephalosporins, agents with a wide spectrum of action, are prescribed.
- Chronic bacterial form of prostatitis
Many antibiotics cannot penetrate the epithelium of the prostate gland when it is inflamed, which is why their action 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 against these infections and must be taken for two weeks.
- Asymptomatic prostatitis
Prostate specific antigen testing is performed for patients with asymptomatic, usually chronic, prostatitis. The examination begins after a two-week course of antibiotics.
- Nonbacterial prostatitis
Numerous studies in the field of this disease have shown that chronic pelvic pain syndrome calms down after a course of antibiotics. It is for this reason that the doctor prescribes two weeks of antibiotic treatment even in cases where there is no infection upon diagnosis.
Some infections tend to adapt to medications. In such cases, alpha-blockers are prescribed, which help eliminate the main cause of non-bacterial prostatitis. This cause is the abnormal flow of urine from the urethra to the prostate gland. Painful urination disappears when the urethral muscles relax.
The third way to rid the patient of the disease is anti-inflammatory pills, which suppress the immune system in the prostate tissue, which is the cause of inflammation. Also, these drugs have an additional analgesic property, which has a beneficial effect on pain in the lower back and perineum.
The effectiveness of herbal preparations
In cases of chronic prostatitis, doctors recommend the use of additional treatment with herbal remedies. It is on the basis of extracts of various medicinal herbs that many medicines have been produced and are still being produced to this day. Including famous brands:
- An extract of the fruits of the fanleaf palm is available in tablets that lower the level of substances (mediators of the inflammatory process) that contribute to chronic prostatitis. 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 functionality of the cells.
- Also, a flavonoid (vitamin P) helps reduce the activity of anti-inflammatory substances and relaxation of the muscle tissue of the pelvic floor. When used, swelling and pain are reduced.
- Chinese tablets that stimulate lymphatic drainage and blood circulation in 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.