In order for a doctor to prescribe this or that treatment for prostatitis, he must first refer the patient for diagnostics, which will reveal both the presence of the disease and its stage. The main indicator is a urine test, which detects white blood cells and the causative agent of the infection in prostatitis. Based on the test results, the doctor prescribes certain pills.
Methods for combating prostate inflammation
Of course, regardless of the causes of prostatitis, complex treatment is most effective when it is carried out in the presence of qualified specialists, but the most important role at the beginning of successful treatment is played by a competent diagnosis.
If a patient experiences symptoms of prostatitis, he is prescribed medications 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 a bacterial culture. If the patient is diagnosed with a severe course of the disease, the medication is administered intravenously. A course of antibiotics almost always lasts one to one and a half months.
However, in some cases, therapy is prolonged to prevent recurrence of the disease.
The medication must be taken strictly according to the doctor's prescription. If the cause of prostatitis is not clear, the attending physician may prescribe other antibacterial drugs or a combination of 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 that occur during urination. Such medications must be taken according to the dosage, but it is best to consult a doctor as alpha blockers have a number of common side effects such as low blood pressure and headaches.
- Patients often resort to painkillers. They often use a propionic acid derivative and acetylsalicylic acid. Taking analgesics naturally helps to cope with painful symptoms, but their abuse can have serious consequences. Therefore, you should consult your doctor about the dosage before taking it.
- To reduce the proliferation of prostate tissue, hormonal drugs are used. They help reduce testosterone levels, which leads to the growth of unwanted tissue. With the help of treatment with these drugs, you can eliminate inflammation and normalize hormonal levels.
- Patients with severe pain and discomfort in the groin area are prescribed muscle relaxants. These medications affect the perineal muscles, particularly the striated muscles. When tension occurs in this area, the patient experiences very unpleasant sensations and cramps. Muscle relaxants are prescribed for both abdominal pain and chronic prostatitis.
- Herbal remedies that contain natural ingredients are also used. Various plant extracts, essential oils and pollen are part of herbal medicine. Depending on the direction of the symptoms, specific therapy is prescribed. Most often, such medications are painkillers or relieve swelling and inflammation.
Treatment of prostatitis of various forms
With such a disease, there is a need for antibacterial therapy, since prostatitis is an infectious disease. This therapy can speed recovery, prevent complications and reduce poisoning.
The treatment process begins only after all required tests have been submitted and reviewed. After five days, the laboratory sends the doctor the result of the patient's smear test. The doctor has the right to prescribe broad-spectrum antibiotics to initiate therapy against the infection.
- Acute bacterial form of prostatitis
The pathogens of the acute form are gram-negative bacteria from the Escherichia coli and Pseudomonas, Proteus, Klebsiella and enterococci groups. Sometimes in the discharge of the disease, anaerobic bacteria, chlamydia, Staphylococcus aureus and Streptococcus faecalis are found.
In this form of prostatitis, treatment with antibiotics is mandatory. In addition to tetracyclines, these drugs also include quinolones and sulfonamides. If treated men are suspected of contracting the disease through sexual contact, they will also be prescribed treatment for a chlamydial infection.
Patients with sepsis are taken to the hospital to receive parenteral antibiotics. In such cases, aminoglycosides and cephalosporins, agents with a broad spectrum of action, are prescribed.
- Chronic bacterial form of prostatitis
Many antibiotics cannot penetrate the epithelium of the prostate during inflammation, 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
In patients with asymptomatic, usually chronic prostatitis, a prostate-specific antigen test is carried out. 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. For this reason, the doctor prescribes a two-week course of antibiotics even if there is no infection at diagnosis.
Some infections tend to adapt to medication. In such cases, alpha-blockers are prescribed, which help eliminate the main cause of nonbacterial prostatitis. This cause is the abnormal flow of urine from the urethra to the prostate. Pain during urination disappears as the urethral muscles relax.
The third option to relieve the patient of the disease is anti-inflammatory pills that suppress the immune system in the prostate tissue, which is the cause of the inflammation. In addition, these drugs have an additional analgesic effect, which has a positive effect on pain in the lower back and perineal area.
The effectiveness of herbal preparations
With chronic prostatitis, doctors recommend additional treatment with herbal remedies. On the basis of extracts of various medicinal herbs, many medicines were produced and are still produced today. Including well-known brands:
- An extract from the fruits of the fan palm is available in tablets that reduce the content 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 while stabilizing the functionality of the cells.
- In addition, a flavonoid (vitamin P) helps reduce the activity of anti-inflammatory substances and relax the muscle tissue of the pelvic floor. When used, swelling and pain are reduced.
- Chinese tablets that stimulate lymphatic drainage and blood flow to the prostate help relieve the symptoms of chronic nonbacterial prostatitis. In general, amino acids, phytosterols, glycosides and various minerals have a positive effect on the body.