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All symptoms and signs of acute and chronic prostatitis in men

All Symptoms And Signs Of Acute And Chronic Prostatitis In Men

This is a dangerous disease that, without treatment, leads to the formation of cysts and stones in the prostate gland, erectile dysfunction (impotence) and infertility. You need to know the symptoms of prostatitis in order to consult a urologist in time and cure the disease without consequences. Inflammation is divided into acute and chronic forms, each of which has distinctive features.

Symptoms and signs common to all types of prostatitis

Moderate pain in the perineum and scrotum

Aching and pulling sensations in the groin are the first sign of prostatitis in men. The symptom is constantly worried. Soreness increases and decreases. A person cannot accurately indicate the localization of discomfort, since pain is often given to the lower back, sacral region.

When a symptom appears, a man tries to sit up or lie down, slightly bent over and pulling his knees up to his stomach.

To treat discomfort, analgesics from the group of non-steroidal anti-inflammatory drugs (NSAIDs) are used: Ibuprofen, Paracetamol, Analgin. The drugs have a good analgesic effect and do not cause serious adverse reactions.

They are not recommended for men with gastritis or stomach ulcers.

Increased urination (pollakiuria)

With prostatitis, a man starts running to the toilet every 1.5-2 hours. If you drink a couple of liters of beer or too much water in the heat, the state becomes completely unbearable: the urge occurs every 20-30 minutes.

After going to the toilet, there is a feeling of incomplete urination.

With pollakiuria, no pills will help. The option "drink less water" also does not work in this case. Desires can occur even with a tiny amount of urine in the bladder.


Weakness and weakness often occur at the very beginning of the disease. Many do not attach much importance to them, attributing everything to overwork.

If a man after 40 suddenly has severe fatigue, incomprehensible aching sensations in the muscles and joints, a decrease in interest in work, this may indicate the development of prostatitis. This symptom alone does not allow diagnosing a pathology, but when combined with 2-3 other symptoms, inflammation of the prostate is very likely.

To improve his well-being, a man needs to rest more, to normalize his daily routine. A good 7-8 hour sleep is very important, and you should fall asleep no later than 11 pm. A good effect will be from vitamins both in natural form and in the form of dietary supplements (use is recommended after an in-person consultation with a specialist).

Sluggish urine stream

Urination with a too weak and short stream, spray in all directions are typical complaints of men who are faced with inflammation of the prostate gland. Seeing such a problem, a person tries to strain and squeeze out a "powerful stream", but nothing comes of it. Prostatitis is characterized by a sluggish stream, not the release of urine in drops, which is more often observed with prostate adenoma in the middle and late stages of its development.

The symptom is primarily associated with edema or dystrophic changes in the tissues of the prostate gland, which blocks the lumen of the urethra. NSAIDs that relieve puffiness can provide some relief in the acute process, but in chronic inflammation they will be ineffective. To remove edema at home, you can use prostate massage, but for this a man must have certain skills.

Mucous discharge from the urethra

Drops of secretion appear on the glans penis during the day. The discharge is due to self-massage of the prostate, which occurs when walking fast, playing sports, running. As a result, part of the inflammatory secretion moves along the urethra and is released outward. Often the mucus is cloudy, has an unpleasant odor, and sometimes the color is poor.

Men who are faced with a symptom need to strictly observe hygiene. The genitals should be washed at least 2-3 times a day, since the secretion accumulated on the head is an excellent medium for the reproduction of pathogenic bacteria. The genitals can be rinsed with an antiseptic solution (chlorhexidine) or chamomile decoction, which helps to destroy harmful microorganisms.

Pain when urinating

A sign of prostatitis are cramps and burning sensations (burning) in the urethra that occur during urination. Discomfort is more pronounced in the morning, since a large amount of inflammatory exudate accumulates in the prostate during the night. Resi worries a man not only during the act, but also for 15-20 minutes after it.

To reduce discomfort, you can use drugs from the group of herbal uroseptics - Canephron, Lespeflan, etc. Medicines have antimicrobial and anti-inflammatory effects, they relieve symptoms and prevent inflammatory diseases of the urethra against the background of prostatitis.

Imperative urges

Men describe this feeling as a sudden and painful urge to urinate. There is a fear of "not reaching," because the sensations are painful and very strong.

Often there is a false urge, when urine flow does not occur, and after a few minutes the pain subsides. Sometimes this symptom is accompanied by urinary incontinence, when a few drops of liquid appear on the laundry.

The only advice from doctors in such a situation is not to try to endure the urge. Frequent visits to the toilet cause psychological discomfort, but when you try to forcefully squeeze the muscles, the pain intensifies.

Acute prostatitis: what does it hurt and how it feels

Acute prostatitis in men has 9 distinctive symptoms, which are mainly observed with a sharp manifestation of inflammation of the prostate gland

Exciting groin pain

Men complain of severe cramps, spasms and unpleasant throbbing in the groin area.

Soreness worries a person constantly, increases with prolonged sitting in a motionless position, with urination. Sometimes the pain is so severe that it is impossible to walk normally.

The symptom occurs suddenly, it may be preceded by hypothermia or unprotected sexual intercourse.

Discomfort must be treated. Pain relievers are used to quickly relieve symptoms of prostatitis in men. NSAIDs are the drug of choice: most often Diclofenac Retard, Ibuprofen are used.

High temperature

An active inflammatory process in the prostate gland is always accompanied by a rise in temperature. In Acute prostatitis, fever reaches values of 39-39.5C. The body temperature rises suddenly, sometimes preceding the onset of pain or other typical symptoms.

The symptom may be accompanied by alternating periods of chills and increased sweating.

Temperatures above 38C should be brought down. Enough standard drugs - Paracetamol, Ibuprofen. Do not use Aspirin to lower the temperature. It has many proven side effects when used improperly, so it's best to stick with safe products.

Cloudy urine

With prostatitis, an inflammatory exudate is secreted from the gland, which appears during urination.

Because of this, the urine becomes cloudy, sometimes individual inclusions of mucus or pus can be seen in it. Inflammation of the prostate gland is characterized by a change in the last portion of urine, while at the beginning of urination, the stream has a familiar appearance. The turbidity is often accompanied by an unpleasant odor.

If such a symptom appears, it is worth using drugs from the uroseptics group. Here, not herbal remedies are better suited, but medicines with an antibacterial effect, which are more effective in this particular case. You can use drugs such as 5-NOK, Nitroxoline, Ekofomural.

Purulent discharge from the urethra

The appearance of a few drops of pus from the mouth of the urethra is a typical sign of bacterial prostatitis.

The symptom may occur during the day, as well as at the end of each urination. If prostate disease is caused by trichomoniasis, gonorrhea, or other sexually transmitted infections, there may be a profuse discharge of foamy, foul-smelling pus.

Symptomatic treatment is carried out by uroseptics. Men are advised to maintain good hygiene and regularly wash the groin area with a solution of chamomile or chlorhexidine to prevent irritation and maceration of the skin of the penis.

At the same time, it is important to start antibiotic therapy as soon as possible in order to prevent complications that are fraught with, at first glance, harmless discharge.

Urinary retention

With a sharp edema of the prostate gland, urination is impossible, since the lumen of the initial urethra is completely blocked. The man has a desire to go to the toilet, there is a bursting feeling in the suprapubic region.

When trying to urinate, the pain intensifies, but there is no result.

Herbal preparations, which contain, for example, sabal fruit extract (Prostamol UNO, Prostaplant), help to fight urinary retention. They facilitate bladder emptying and relieve excruciating suprapubic discomfort.


Symptoms of acute prostatitis include manifestations of intoxication. The inflammatory process in the prostate gland is accompanied by the production of specific biochemical markers that affect the state of the whole organism.

The disease is often accompanied by a high fever, against the background of which a headache of a pressing or constrictive nature also occurs.

Paracetamol, Citramon, Analgin, Ibuprofen tablets are suitable for relieving pain. If the discomfort is mild, you can do without medication.

Painful bowel movements

When emptying the intestines, there is strong pressure on the inflamed gland, so the man feels a sharp pain.Sometimes the pain becomes so intense that the person tries to restrain the urge so as not to feel discomfort.

Occasionally, with prostatitis, tenesmus is observed - "unsuccessful" painful urge to defecate.

Unpleasant sensations cannot be dealt with at home. The pain will disappear only after the acute inflammatory process subsides. Do not hold back the urge to have a bowel movement, as constipation can occur, which will aggravate the situation.

Lumbosacral pain

An unpleasant symptom of prostatitis is caused by the general innervation (supply of nerve endings) of the pelvic organs, due to which the soreness spreads to nearby parts of the body.

Pain can be dull and aching or sharp. Also characteristic are sharp "lumbago" in the lumbar region, which occurs when straining, defecation, urination.

To eliminate the symptom, pain relievers from the NSAID section are suitable. You should not use warm baths or warming the lumbar zone to relieve discomfort, as this can intensify the acute inflammatory and purulent process, accelerating its development.

Body aches

The symptom develops as one of the components of the intoxication syndrome in prostatitis. A man complains of discomfort in the joints and muscles: it seems that they are simultaneously twisted, stretched and squeezed.

Feeling sick is like the onset of a cold or flu.

There are no medicines or folk remedies to eliminate discomfort. This symptom mainly occurs against the background of fever, therefore, after the temperature is brought down (in any convenient way), the aches in the body disappears, and the state of health improves.

Diagnosing chronic prostatitis at home based on signs and symptoms

Chronic prostatitis is distinguished by a number of signs, so that it can be diagnosed at home, even before going to the urologist

Painful ejaculation

Unpleasant sensations bother a man when approaching orgasm: pulling pains begin in the scrotum and perineum, which are given to the penis. Discomfort reaches its maximum intensity during ejaculation, when a person may experience sharp spastic pains.

This situation is repeated with each intercourse, but the strength of the painful sensations varies.

To reduce discomfort, urologists recommend a man to have regular sexual intercourse (at least 2 times a week). It helps to eliminate the congestion in the prostate gland. After ejaculation, warm sitz baths are helpful to relieve pulling pains.

Frequent night trips to the toilet

The symptoms of Chronic prostatitis include nocturia - abnormally frequent urination at night. The patient has to wake up 2-3 times or more to go to the toilet.

The urge to urinate is quite painful, the discharge of urine is accompanied by discomfort in the perineum and in the lower abdomen. The symptom may occur regardless of the amount of liquid drunk at night.

There are no symptomatic treatments. To reduce the frequency of nighttime awakenings, you need to limit drinking water and drinks in the evening, try to completely empty your bladder before going to bed.


The prostate gland increases in size and presses on the rectum, so the act of defecation is difficult. Men complain of persistent constipation lasting 3-4 days or more. When you try to strain, pain occurs in the perineum, sacral region. Symptoms bother a person for weeks or even months.

To improve stool, doctors recommend eating more vegetables and fruits, whole grain cereals. These foods are rich in fiber, which increases the volume of feces and makes them softer. Prunes, fresh plums, kefir and other fermented milk products have a natural laxative effect. For prolonged constipation, you can use laxative tablets or suppositories.

Subfebrile temperature

An increase in thermometer readings to 37-37.5C occurs with an exacerbation of chronic prostatitis. In this case, headache, malaise, body aches and other typical symptoms of the disease join.

The use of antipyretics is inappropriate when readings up to 38 degrees on a medical thermometer. Relapse should be treated, due to which, in fact, subfebrile condition arose.

Weakening erection

With chronic prostatitis, sexual problems can occur not only in old age, but also in young men after 30 years.

Patients complain that during arousal the erection is not firm enough. This causes both psychological and physical discomfort. For fear of "failure", the man avoids sexual intercourse, which further exacerbates the problem.

There are many folk remedies than to treat potency problems. Only a few of these: decoctions of thyme and rose hips, tincture of rowan berries, the use of propolis.A man is advised to consume more celery, which has a good effect on erection, to drink ginger tea.

Decreased performance

With chronic prostatitis, a man feels constant weakness, fatigue, irritability and nervousness.

The concentration of attention and memory inevitably decreases, it becomes more difficult to perform the usual work tasks. The symptom also applies to physical labor: even with minor sports training or exertion, muscle aches and severe fatigue occur.

During such a period, it is important to take care of yourself, get plenty of rest and not try to complete all tasks to the maximum of your capabilities. After the treatment of prostatitis (or at least achieving a stable remission), the unpleasant symptoms will go away, then it will be possible to plunge headlong into work.

Inability to conceive a child

With the asymptomatic course of chronic prostatitis, men often go to the doctor with a complaint that they cannot conceive a child.

Patients say that they do not have any pain and frequent urination, and even in sex, everything can be normal. This variant of the development of pathology is considered unfavorable, since it means that a man is already with an advanced form of the disease.

The formation of viable and active sperm is a serious process that is regulated by the sex glands and the brain. No folk recipes and symptomatic remedies will help in this case, it is important to study and solve the problem at the medical level.


For any form of prostatitis, the use of symptomatic therapy alone is not effective enough. NSAIDs or analgesics will temporarily relieve pain and fever, and uroseptics will help reduce microbial inflammation. But at the same time, the pathological process in the prostate gland continues to develop, becomes a chronic form. As a result, echographic changes (tissue sclerosis), erectile dysfunction appear, and the risk of prostate cancer increases.

In order not to bring the disease to sad consequences, complex treatment of prostatitis is required. The therapeutic scheme is prescribed by a doctor (urologist, less often - an andrologist), taking into account the characteristics of the disease and test results.