When there is an exacerbation of chronic prostatitis

Exacerbation of chronic prostatitis in men: symptoms and treatment

Chronic prostatitis has a cyclic course. Periods of remission are replaced by periods of exacerbation. Symptoms of the disease begin to manifest themselves more clearly in the autumn-spring time, as in many other diseases of a chronic nature. Also, signs often appear in winter, when there are low temperatures and a weakening of the body's immune system.

Exacerbation of Chronic prostatitis has its own causes and manifests itself in the form of various manifestations.

To reduce the likelihood of acute symptoms of the disease, it is necessary to carry out treatment on time and follow the rules for preventing the disease.

Why are there exacerbations?

The causes of exacerbation of chronic prostatitis can be very different. There are several main factors that most often lead to it:

Symptomatics

Symptoms of exacerbation of chronic prostatitis in men are similar to those of an acute form of the disease. They are divided into two large groups: specific and non-specific.

Specific signs that prostatitis has aggravated are as follows:

There are also non-specific symptoms of exacerbation. They are expressed in the deterioration of the general condition of the body of a man. The patient may note the appearance of:

• weaknesses;
• increased fatigue and loss of strength;
• irritability and nervousness;
• insomnia;
• increase in body temperature;
• disorders of the psychological state;
• excessive sweating accompanied by an unpleasant odor;
• Apathy and muscle weakness.

Signs of exacerbation of chronic prostatitis may be different, but there is one that is uniquely associated with the disease. This is pain immediately after ejaculation. After ejaculation, the prostate contracts, and because it is inflamed, this causes pain.

If there is an exacerbation of prostatitis, then how to treat it should be decided by a specialist. He evaluates the clinical picture of the disease and prescribes symptomatic and general therapy.

When an exacerbation of prostatitis occurs, therapy is aimed at eliminating its manifestations, as well as the general improvement of the body. Therefore, in addition to drug treatment, physiotherapy is also mandatory.

Medicines

Sick men often wonder how to remove and how to treat exacerbation of prostatitis. It is categorically unacceptable to prescribe medications on your own, as this can aggravate the situation. This should be done by the attending physician after examining the patient.

First of all, to eliminate inflammation, the use of antibacterial agents is required. They are prescribed only with a confirmed inflammatory process. In this case, the following classes of antibiotics are used:

• fluoroquinolones;
• nitromidazoles;
• macrolides;
• tetracyclines.

If inflammation is caused by fungi or viruses, then it is necessary to supplement antibacterial treatment with appropriate groups of drugs.

With swelling of the tissues, it is important to take antihistamines. It is better to use new generation drugs. Effective impact is Primalan, Ketotifen.

In order to increase microcirculation, a reception is required:

These drugs are prescribed if the exacerbation is not caused by bacteria or inflammation.

The patient may also be prescribed alpha-blockers such as Nicergoline, Prazosin.

If there is an active growth of the prostate gland, then the doctor may prescribe treatment with:

To reduce pain in the pelvis, Diclofenac, Iburofen and other non-steroidal anti-inflammatory drugs are indicated.

In case of violations of potency and negative changes in the genital area, circulatory and erection stimulants can be prescribed. Among them are Viagra and Sealex.

Physiotherapy

What to do with exacerbation of prostatitis other than medication? Of course, remedial therapy is needed. Physiotherapy can be attributed to it.

Physiotherapy is an additional method of dealing with prostatitis. It helps to improve blood circulation in the vessels of the pelvic organs and enhances the effect of antibiotics.

Among the physiotherapeutic methods, the following procedures are most widely used:

• electrophoresis;
• magnetotherapy;
• Microwave currents;
• laser treatment;
• ultrasonic treatment.

Prostate massage is very useful, which can be manual and hardware.

Microclysters with healing solutions are widely used. The solution can be prepared on the basis of:

• mineral water;
• sea buckthorn, peach, castor oils, cocoa butter and rose hips;
• herbal decoctions;
• infusions of herbs.

So that the exacerbation does not reappear, and the disease is steadily in remission, it is necessary to adhere to preventive measures.

What to do to avoid escalation?

Useful video

Exacerbation of prostatitis: symptoms, treatment and prevention

The chronic form of inflammation of the prostate responds well to treatment, but if the diet is not followed, bad habits, the disease goes into the stage of exacerbation of prostatitis. Read about how to identify the first symptoms, how to treat and how to avoid exacerbation.

Why is there an exacerbation of chronic prostatitis?

All the causes of exacerbation of chronic prostatitis lie in the violation of the regimens prescribed by the doctor:

• Hypothermia, which reduces the body's immune functions. Immunity during hypothermia cannot resist the pathogenic flora, resulting in an exacerbation.
• Chronic prostatitis is exacerbated by non-compliance with diet and alcohol abuse.
• Exacerbation of chronic prostatitis can be caused by poor circulation, which provokes a sedentary lifestyle.
• Infection with a urogenital infection through unprotected intercourse.
• Stress and exacerbation of comorbidities.

Symptoms of exacerbation of prostatitis

The exacerbation most often occurs in spring or autumn, and its manifestations are similar to the symptoms of acute prostatitis:

Non-specific manifestations of exacerbation are expressed in excessive fatigue, weakness, lethargy. Also, with an exacerbation of inflammation of the representative gland, sleep disorders and nervousness are observed. Now consider how the treatment proceeds.

Treatment during an exacerbation

Treatment of exacerbations of prostatitis is aimed at removing and reducing the activity of the pathogenic flora that causes inflammation. For the treatment of acute prostatitis, antibacterial drugs are used, they are also effective:

• Prostate massage for exacerbations of chronic prostatitis.
• Procedures in a physiotherapy room. Massages and procedures will stabilize and improve blood circulation, while at the same time increasing the body's resistance to pathogenic microflora.
• Correction of nutrition and the appointment of a diet that is useful in Exacerbation of chronic prostatitis.
• The use of herbal medicines and traditional medicines.
• In rare cases, surgical intervention is indicated.

Treatment of an aggravated form of prostatitis with antibacterial drugs is carried out for 2 weeks. But already on the 3-4th day the patient feels relief.

What else can be done in case of exacerbation of chronic prostatitis to alleviate the condition?

To improve the condition and accelerate the effect of therapy, it is worth resorting to the following preventive measures:

• Refusing sexual contact. An active sex life is useful for preventing inflammation of the prostate, but for the duration of an exacerbation, exclude contact with foreign microflora.
• Charging. To relieve the symptoms of exacerbation of prostatitis, practice the "bicycle" exercise, squats daily. Charging paired with massage will improve blood flow.
• Stay on the right diet. Eliminate irritating dishes: fatty, smoked, salty, spicy and alcohol. Avoid foods that cause fluid retention in the body.

Be sure to consult a doctor who will conduct an examination and tell you how to treat an exacerbation of the prostate. Treatment is preceded by a smear on the microflora, tests (urine and secretion of the representative gland).

What are the symptoms of exacerbation of prostatitis, and how to treat it?

Exacerbation of chronic prostatitis is an obvious signal from the body that its defenses have weakened. The disease of this form can be asymptomatic for a long time. Under the influence of negative factors, the remission period is replaced by a repeated transition to the acute stage and requires immediate medical attention to get rid of unpleasant symptoms.

Prostatitis is an inflammatory process in the prostate gland. We can talk about the transition to a chronic form if the disease lasts for three months or longer. In this case, obvious pronounced symptoms may be absent or be so weak that the person himself is unaware of the disease.

With low immunity, inflammation progresses rapidly, prostate tissues begin to change. If treatment is not started on time, the process becomes irreversible. According to medical statistics, almost every fifth patient of a urologist suffers from prostatitis in men. At the same time, the disease in most cases is detected by chance during a preventive visit to the doctor.

Symptomatics

The chronic form is characterized by a latent course, but it is very difficult not to notice the symptoms of exacerbation of prostatitis. The prostate gland enlarges several times and puts a noticeable pressure on the bladder, which leads to urinary retention.The walls of the organ are constantly irritated, resulting in false urges to empty. These symptoms worsen at night.

Partially, the prostate gland is adjacent to the walls of the rectum. When it increases, the intestinal lumen narrows. This causes constipation and difficulty in defecation. The process of secondary absorption of urine and feces is disturbed, the development of intoxication begins.

The patient feels the following symptoms of exacerbation of chronic prostatitis:

• problems with the digestive system;
• headache;
• permanent dizziness;
• sleep disorder;
• decreased libido;
• pain in the groin and scrotum;
• erectile disorders;
• pain during urination.

When the disease worsens, the nervous system suffers due to intoxication. Efficiency falls, concentration is disturbed. Perhaps a violation of appetite, constant insomnia or drowsiness. The person becomes nervous and irritable.

In case of exacerbation, a slight increase in temperature is possible - up to 37-38 degrees.

The most common signs of an exacerbation of chronic prostatitis are a significant decrease in sexual desire. If sexual activity persists, delayed or premature ejaculation occurs. Sexual intercourse itself may be accompanied by pain or pulling sensations.

Pain during exacerbation of Chronic prostatitis has a different character, from dull aching to severe attacks. In the latter case, strong painkillers or even hospitalization may be required. The patient is advised to take sick leave until the main symptoms of the disease subside.

Poor-quality treatment or its complete absence leads to the transition of the disease from the primary acute form to the chronic one. Relapse is caused by a variety of factors, one way or another affecting the state of the body. How to treat a disease can be determined only after identifying the causes of its occurrence.

The following causes of exacerbation are most common:

• severe hypothermia;
• regular stress;
• sedentary lifestyle;
• other chronic diseases;
• bad habits;
• unbalanced diet.

Inflammation can worsen with congestion in the pelvic organs. They lead to an insufficient amount of physical activity and an irregular sex life. Similar phenomena are characteristic of non-bacterial chronic prostatitis.

With reduced immunity, inflammation of a bacterial nature is possible. Fungi, parasites, viruses - staphylococcus aureus, E. coli, candida, enterococcus often become pathogens. The danger is also represented by microorganisms that cause sexually transmitted diseases - mycoplasmas, gonococci, chlamydia, trichomonas.

Possible complications

If the treatment of exacerbation of chronic prostatitis is not started in time, the inflammatory process will spread throughout the body. First of all, organs and systems located near the prostate gland will suffer - this is the rectum and urinary canal. Possible complications depend on the type of disease.

There is a risk of development:

Any of the diseases can lead to more serious complications. For example, pyelonephritis leads to kidney failure.

The long course of prostatitis in men is fraught with the spread of the process to the appendages and ovaries. The scrotum becomes edematous and constantly hurts, during ejaculation there is also acute pain. With an unfavorable outcome, this is fraught with testicular necrosis and physiological infertility.

Required diagnostics

When the first symptoms of exacerbation of prostatitis appear, you should consult a urologist or therapist. To select the optimal therapy, it is necessary to confirm the diagnosis and identify the nature of the inflammation. For this purpose:

• examination of a smear from the urethra;
• Ultrasound of the prostate through the rectum;
• rectal temperature measurement;
• general blood test;
• general urinalysis;
• prostate specific antigen test.

The treatment course depends on the presence or absence of infection.

Drug treatment

After the specialist identifies the causes of exacerbation of prostatitis in men, the necessary medications are selected. Most often, these are broad-spectrum antibiotics. Additionally required:

• laxatives;
• diuretics;
• anti-inflammatory;
• painkillers;
• antibacterial;
• stimulating blood flow.

If a recurrence of prostatitis occurred against the background of an exacerbation of another chronic disease, it also needs treatment.

The dosage and duration of the course is determined individually by the attending physician. The disappearance of signs of exacerbation of prostatitis can occur quite quickly, already in the first days of treatment.Self abandoning the further use of drugs is impossible. Even if the symptoms are already disappeared, it does not speak to stop the inflammatory process.

Amoxiclav

Antibacterial preparation based on amoxicillin and clavulanic acid. Tablets belong to the antibiotics of a wide range of action. Suitable for the treatment of various infectious inflammatory diseases, relieves inflammation and stops negative symptoms.

One tablet is prescribed each tablet every 12 hours during the mild or average-eyed flow, with a severe clinical picture, the reception gap is reduced to eight hours. The duration of using medicines is determined by the attending physician. Usually the course takes from five days to two weeks. After again, you must pass the tests.

The use of amoxiclava can lead to a deterioration in appetite, diarrhea, nausea or headaches. The drug does not suit people suffering from kidney or liver problems, as well as in individual intolerance of components.

Rectal candles to normalize metabolism and resume the correct blood circulation in the passage of the prostate gland. Allows you to remove the aggravation of chronic prostatitis. The basis of the drug is the extract of prostate.

Candles should be administered after emptying or a special cleansing enema. Just one suppository for the night. The course of treatment is 10-14 days. If prostatitis has a property to sharpen regularly, the vitaprost is used for prevention - on one candle for a week.

The only possible contraindication is the intolerance to the components. Light allergic reactions that pass independently after the abolition of medicinal candles is possible.

Indomethacin

Rectal candles that have antipyretic, analgesic and anti-inflammatory effects. The pronounced result appears by the end of the first week of therapy. The tool is absorbed within two hours, excreted with feces and urine.

Dosage medication depends on the severity of the inflammatory process. The maximum daily dose is 200 mg of active substance. In most cases, at initial stages, 25 mg is needed three times a day, gradually the amount decreases. After entering the candle, the patient must remain in the lying position of 15-20 minutes.

Refuse to use indomethacin will have to violate the functions of the kidneys or liver, impaired blood formation or heart problems.

Prostanorm

Preparation based on components of plant origin. The composition includes St. Solodki, Canadian Golden Root, Purple Echinacea Roots, as well as vegetable oil, talc and beeswax. Fights with bacteria, eliminates pain syndrome and relieves inflammation, and also normalizes urethra functions.

The exact scheme, how to remove the aggravation of the prostatitis prostanorm, is determined depending on the severity of the clinical picture. It is recommended to 1-2 tablets up to three times a day, half an hour before or 40 minutes after meals. The course is quite long and takes up to seven weeks. It is forbidden to use with acute glomerulonephritis.

Ceftriaxone

Wide spectrum antibiotic. Produced in the form of a powder, which is used to prepare injections. It is appointed to combat gram-positive and negative bacteria, as well as to eliminate anaerobic and aerobic pathogenic microorganisms.

The treatment of prostatitis exacerbation is carried out according to an individual scheme. Usually the solution is introduced subcutaneously or intramuscularly once a day. Maximum daily dose - 4 gr. substances. Side effects are possible - manifestations of disorders from the digestive system, the aggravation of the candidiasis. In the injection site often appear pain and redness.

Physiotherapy

In addition to traditional drug intervention, with the exacerbation of the prostatitis, restoring physilation is recommended. With her help, it is possible to improve the blood circulation of the vascular of the small pelvis, which will have a positive effect on the efficiency of medicines.

• ultrasound;
• electrophoresis;
• Laser;
• microwave current;
• Magnetotherapy.

You also need a manual or hardware massage of prostate.

Microclizms are appointed additionally, the basis of which is organic solutions on herbs, natural oils (rosehip, cocoa, sea buckthorn, caster, peach), braziers, infusion and mineral water. Decide how much such treatment lasts, only watching doctor can.

Folk remedies

In the treatment of prostatitis at home in a complex with the main therapy with antibiotics, the recipes of traditional medicine are allowed. Natural honey is often used - efficient natural anti-inflammatory. It is suitable for people who have no allergies on beekeeping products or diabetes mellitus.

So, it is recommended to replace ordinary sugar with honey and eat it as an addition to tea, 100-200 gr each. per day. This will help relieve pain and ease the unpleasant symptoms of the disease. You can also make a healing solution, which includes:

• 50 gr. natural liquid honey;
• 100 gr. dry herb celandine;
• 700 ml. boiling water.

Dry grass is poured with water and boiled over low heat for about 20-25 minutes. The cooled broth is filtered, honey is added, everything is thoroughly mixed. The solution is stored in a glass container in the refrigerator. You need to drink one tablespoon before meals, no more than three times a day.

Also, during the medical treatment of chronic prostatitis in the acute stage, a decoction of oats is used as an adjuvant. A glass of washed grains is poured with a liter of clean drinking water and infused for 12 hours. After the liquid is brought to a boil and languishes under the lid for 30 minutes. Another 10-12 hours will be required to infuse the remedy. Drink it in 150 ml. three times a day.

Pumpkin seed is considered an effective remedy against acute inflammation. To ensure a positive effect, it is enough to eat 30-40 seeds every day. It is best to do this before meals. natural honey. Everything is mixed and divided into small portions.

For convenience, balls are made from the mixture, resembling a walnut in size. They are stored in the refrigerator. You should eat a ball 30-40 minutes before meals, 1-3 times a day.