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12. Chronic prostatitis
Sometimes it seems to me that the diagnosis of "chronic prostatitis" is given to everyone who is not a woman! Of course, many men have symptoms: something hurts, something presses, etc. Someone has problems with urination, sometimes the pain gives not only to the groin, but also to the lower abdomen. All of them go with us under the brand of Chronic prostatitis. And if there were "misfires" in sexual life, then in general there are no options for a man to remain without this diagnosis!
Strictly speaking, these are really symptoms of prostatitis. But then - attention - urologists divide chronic prostatitis into "bacterial (infectious) prostatitis" and "prostatitis is a symptom of chronic pelvic pain" (as it is officially called).
Chronic pelvic pain syndrome is an analogue of irritable bowel syndrome, bladder pain syndrome; these states are described in the next book. Its cause is unknown, and this is its fundamental difference from bacterial prostatitis, which is an infectious disease. Often this condition is associated with depression, fibromyalgia (painful points throughout the body).
It is necessary to identify the exact nature of prostatitis, because the approach to its treatment is different. If at the same time something is visible on the ultrasound (or not visible, but not everything is clear, or understandable, but doubtful, then doubt is always interpreted in favor of “gluing” the diagnosis) or in urine, blood tests, something somewhere it seemed to someone that the diagnosis of "chronic prostatitis" would be made unambiguously.
We have a division into chronic bacterial prostatitis and prostatitis - pelvic pain syndrome does not occur. By default, only the first option is accepted. But what is the diagnosis of "chronic bacterial prostatitis"? This is a long, tedious, difficult and unsafe treatment with a six-week course of antibiotics.
By and large, bacterial prostatitis is still a rarity, but in fact, in the vast majority of cases, the diagnosis of chronic prostatitis in us is the same "cesspool of ignorance" that smart people call dysbacteriosis. All diagnoses are put into this pit - from pelvic pain syndrome to infections and prostate cancer - and they begin to actively treat them.
Moreover, antibiotics in this course of treatment are not the biggest evil. Massages, immunostimulants, some kind of Wobenzym (don't remember by night), plus linex (where without it, "if you take an antibiotic, otherwise there will be dysbacteriosis"). They will also intimidate that if you do not take it, then your sexual function will be disturbed.
Whatever. I once met a patient coming down from a urologist. In his hands he carried a list of medicines and procedures on an A4 sheet. I counted 16 points in it!
Here, not only will the sexual function be disturbed, but when he is billed for these 16 points, he will also have a heart attack!
Prostatitis is an insidious, very unpleasant disease, the treatment of which requires a lot of time and effort. It began to manifest itself not only in aged men, in young guys.
Therefore, many experts began to pay great attention to the inflammation of the gland. It is worth listening to what Dr. Myasnikov says about prostatitis and prostate adenoma.
Alexander Leonidovich Myasnikov is a doctor who is known all over the world. From generation to generation, members of this family are engaged in medicine. The first specialty of a doctor is a cardiologist.
Later he became a general practitioner, and after a while the highest category
Prostatitis is an inflammation of the prostate, which leads to disruption of its work, as a result, to a sluggish erection or its complete absence. The main reasons for the appearance are stagnation of blood in the pelvic organs (inactive lifestyle), infections, hypothermia.
In the absence of proper treatment, the disease can threaten with consequences - impotence, infertility, cancer. One of the most serious is blood poisoning, which can lead to death.
For treatment, doctors use a large number of methods - from medication, which relieves inflammation of the gland, spasms, pain, to prostate massage or folk remedies. Some resort to non-traditional "medicines". For example, to "Bianshi" bracelets made of black jade.
Adenoma of the gland or a benign tumor - according to Dr. Myasnikov, is a common disease among elderly men.
One of the main symptoms is the constant urge to urinate, but the inability to do so due to squeezing of the urination channels. Adenoma requires professional complex treatment.
If you rely only on traditional medicine, surgery may be required, or the tumor may develop into a malignant one.The doctor advises to pay special attention to the diet, because malnutrition can contribute to the formation of prostate cancer.
It is better for men to refuse products with carcinogens or chemical additives, you need to drink about 2-2.5 liters of water per day.
Now the diagnosis of "chronic prostatitis" is given to everyone who has pain or problems in the sexual sphere. These are, of course, signs of inflammation of the gland, but many urologists divide a chronic disease into a bacterial one and a "symptom of chronic pelvic pain."
The second variety is similar to irritable bowel syndrome or bladder pain, while bacterial prostatitis is an infectious disease.
We do not have such a division - by default we are talking about a chronic disease. However, under this term they collect pelvic pain, infections, cancer. Then the illiterate, in most cases, expensive treatment begins.
Important! If the diagnosis of "chronic inflammation of the prostate" is correct, then you need to quickly begin its treatment. The disease can develop into a calculous form (stones in the prostate or excretory ducts) - the most complex, severe of all types of this disease.
Doctor Myasnikov says about prostatitis that it is a piquant intimate disease, with which the stronger sex often does not even want to go to the urologist. However, it is not worth letting inflammation take its course, because this can lead to serious irreversible consequences.
With timely diagnosis, complex therapy (medication and folk), getting rid of the disease and returning sexual power is not too difficult.
Practicing journalist, checks recipes on himself. Knows everything about men and traditional medicine.
The symptoms and treatment of prostatitis according to Dr. Myasnikov are inextricably linked. The doctor believes that it is impossible to completely get rid of this disease, and if prostatitis has appeared at least once, then he will definitely accompany a man always with provoking factors. The professor says that prostatitis is an infectious disease that occurs in the prostate and provokes a decrease or complete loss of erection. According to statistics, 30% of men over the age of 30 suffer from prostatitis, and in those over 40, the risk of infection increases by another 10%. And the older the person, the greater the risk of developing prostatitis. About 80% of men suffer from the disease at the age of 50+. But lately this disease is getting younger and prostatitis develops already at the age of 25.
Dr. Myasnikov says that prostatitis can be bacterial, or inflammation of the prostate can be observed, which has nothing to do with the multiplication of bacteria and a malfunction of the prostate, which is considered a pelvic pain syndrome. Only an experienced doctor can distinguish these conditions, and their treatment should be different. The causes of bacterial prostatitis are simple - hypothermia, untreated disease, bad habits.
The doctor also says that very often doctors confuse chronic prostatitis with pelvic pain syndrome. In fact, this disease occurs in only 4% of people. But Myasnikov does not deny that acute prostatitis occurs very often in men. It is very difficult to identify such diseases, and therefore some doctors prescribe antibiotics for treatment to patients in order to understand whether they are effective. If it is wrong to determine the diagnosis, it is unlikely to avoid prostate adenoma.
Pelvic pain syndrome can occur not only in men, but also in women, but many doctors confuse it with chronic prostatitis. If you want to learn more about this disease from Myasnikov's point of view, it is recommended to watch the program "About the most important thing", where the doctor not only talks about various diseases, but also considers diagnoses on specific people, helping them in their further treatment.
As practice shows, inflammation of the prostate can be asymptomatic for a long time, which makes it difficult to diagnose the disease. Dr. Myasnikov recommends that all men over 45 have regular check-ups with a urologist. The initial symptoms are similar to a simple malaise and many men write them off as a simple flu. And, as a rule, with such a disease, rarely anyone turns to the doctor. The distinctive symptoms of acute prostatitis include the following features:
Already after the appearance of such symptoms, it is necessary to consult a doctor and take tests. If inflammation of the prostate is confirmed, then bacteria can be detected in the tests.
Also at this stage of the disease, the patient may want to urinate frequently.In general, any signs indicating a violation of urination should alert the patient, as they are the first harbingers of prostatitis. If the disease is chronic, then it can only be suspected during periods of exacerbations. Symptoms of this form include the following:
Problems with erection; pain in the perineum, scrotum; decreased sexual sensations; blood in the urine; the duration of sexual intercourse (it can be reduced and increased). Also, if such symptoms appear, you should consult a surgeon, since all these signs of the disease may indicate a hernia. As a rule, during an exacerbation of chronic prostatitis, the patient experiences severe pain in the perineum, which can radiate to the lower back, abdomen, testicles and other organs of a man.
If the patient has a pelvic pain syndrome, then the symptoms of this condition will be similar, but bacteria will not be detected during testing. However, the duration of the persistence of symptoms in this case cannot be less than 3 months. It is much easier to treat such a disease, since it does not differ in bacterial nature. But it is worth noting that this kind of disease was discovered not so long ago, and therefore many experts do not diagnose it.
According to the professor, the main causes of inflammation of the prostate include the following:
Sedentary lifestyle; hypothermia; prolonged sexual stagnation; infections; frequent stress; decreased immunity; bad habits; complications after illness; diseases of the internal organs. The doctor spoke on this topic more than once in the program "About the most important thing", touching upon the symptoms of the disease and the main principles of treatment. The main cause of this disease is congestion in the pelvis, and therefore the treatment should be to prevent this cause. To do this, you must follow a healthy diet, exercise and eliminate bad habits.
Alexander Myasnikov argues that it is necessary to treat prostatitis in a complex way, otherwise health therapy will be ineffective. The doctor also insists that self-medication is not worth it, it is necessary after the first symptoms of the disease to contact a doctor who will prescribe an examination and prescribe a comprehensive treatment.
For the treatment of prostatitis, the doctor recommends using not only drugs, but also alternative treatment. For example, monastic tea is one of the remedies that is effective in fighting the disease. The doctor says that for the treatment of prostatitis, you need to use as few pills as possible, which can negatively affect the liver, which cannot be said about other methods of treatment.
Myasnikov says that most drugs to get rid of prostatitis do not have the desired effect, and doctors are extracting money from patients for treatment. But if we are talking about a protracted form of the disease, then antibiotic therapy is a necessary measure.
Even if drugs stop the symptoms of the disease, you should not rejoice too early, since drugs can only reduce painful symptoms without affecting the root causes.
It is worth noting that the doctor does not deny more than a single method of treating prostatitis and believes that the disease should be treated only after identifying its pathogens. But many urologists today determine the diagnosis on their own, without sending the patient for examination, which often leads to the fact that the patient is treated for the wrong disease, destroying his body. If the doctor has not prescribed an examination for you, you need to insist on it.
The doctor recommends following a proper lifestyle, exercising, giving up bad habits and using physiotherapy, which is practically harmless to humans. Before using this or that method of treatment, it is necessary to consult a doctor. Butchers insists that the use of various antibiotics in the treatment of prostatitis will be ineffective and can provoke side effects and irritation of the mucosa. Therapy for treatment must be correct. It is recommended to be treated with antidepressants and anticonvulsants.
In conclusion, I would like to say that Dr. Myasnikov considers many urologists incompetent when prescribing treatment for prostatitis. He believes that experts diagnose chronic prostatitis, which is actually extremely rare. In fact, in men, the pelvic pain syndrome multiplies, and to this day, it has not been revealed whether the prostate has an effect on these symptoms and whether changes are observed in it. Also, the doctor, unlike many doctors, believes that it is not worth taking medications uncontrollably, so you can’t achieve a cure for prostatitis. At first glance, the doctor's point of view regarding the treatment of prostatitis may seem strange, but, nevertheless, it is justified.