What Is Chronic Prostatitis
The prostate is a walnut-sized gland that sits below the bladder in men. This gland makes fluid that mixes with sperm to form semen.
Prostatitis is inflammation or swelling of the prostate gland. When symptoms start gradually and linger for more than a couple of weeks, the condition is called chronic prostatitis.
Three major types of chronic prostatitis are:
Chronic prostatitis is common and affects adult men of all ages and from all backgrounds. About five percent of men experience symptoms of chronic prostatitis at some point in their lives. Chronic prostatitis is the reason for up to 25% of office visits to urologists. Urologists are doctors who specialize in diseases of the urinary tract.
Some men develop a chronic infection in the prostate that does not cause any symptoms. Men with this problem may be diagnosed during an evaluation for other urological conditions, such as enlarged prostate or infertility. Doctors often treat the infection with the same antibiotics used for chronic bacterial prostatitis.
Bacterial infection of the prostate gland also can cause acute prostatitis, which starts suddenly and usually causes fever and more serious symptoms. Acute prostatitis is less common than chronic prostatitis.
How To Cure Prostatitis Without Antibiotics
Peoples inertia thinking is that as long as inflammation is involved, antibiotics will be used to kill bacteria and reduce inflammation, the same to prostatitis. As prostatitis is an inflammation of the prostate, people are used to take antibiotics in the treatment of the prostatitis. Fortunately, antibiotics do have effects in the treatment of acute bacterial prostatitis. However, things become different when it involve into chronic prostatitis.
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Q& A
Eating Diet And Nutrition
Researchers have not found that eating, diet, and nutrition play a role in causing or preventing prostatitis. During treatment of bacterial prostatitis, urologists may recommend increasing intake of liquids and avoiding or reducing intake of substances that irritate the bladder. Men should talk with a health care provider or dietitian about what diet is right for them.
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Levaquin Prostatitis Antibiotic :
Levaquin or Levofloxacin is an Fluoroquinolone Antibiotic generally Prescribed to the Patients Suffering from Prostatitis Conditions Such As Acute Bacterial prostatitis or Chronic Bacterial Prostatitis .
Directions Of Usage Of Levaquin For Prostatitis : Levaquin Comes in 3 Different forms Tablet , Syrup , IV . Tablets are Taken Once a Day Orally can be taken along with the water , Syrup is also should be taken once a day orally , IV Intravenous Infusion can be taken according to the Physicians Directions or under the Supervision of A Physician .
Levaquin Is Prescribed For :ï¬ Pneumonia or Other Respiratory Infectionsï¬ COPD â Chronic Sbstructive Pulmonary Diseaseï¬ Infections Related to Heart Valves / Endocarditisï¬ Tuberculosisï¬ STD â Sexually Transmitted Diseases mostly bacterialï¬ UTI â Urinary Tract Infections mostly bacterialï¬ Kidney Infectionsï¬ Anthrax
You Can Not Take Levaquin If you Are Suffering From : Patients with Previous Signs of Reaction to Levaquin or Levofloxacin or Fluoroquinolone Antibiotics Are Not Allowed To take the Medication , Please consult your Physician Before you start any Antibiotic medication . Self Diagnosis Can Lead to Serious Health Complications even Death .
Does Prostatitis Cause Cancer
Although prostatitis can cause you trouble, it does not cause cancer. There is a blood test some doctors use for prostate cancer called the prostate-specific antigen test . If you have prostatitis, your PSA level might go up. This does not mean you have cancer. Your doctor will treat your prostatitis and may check your PSA level again.
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How Is Acute Prostatitis Treated
Your doctor will likely prescribe antibiotics for four to six weeks to treat acute bacterial prostatitis. Your treatment may last longer if you have recurrent episodes. The specific type of antibiotic will depend on the bacteria causing your condition.
Your doctor may also prescribe alpha-blockers to help relieve symptoms. These drugs relax your bladder muscles. They can help decrease urinary discomfort. Examples include doxazosin, terazosin, and tamsulosin. Your doctor may also recommend over-the-counter pain relievers, such as acetaminophen and ibuprofen.
Your doctor may advise you to adjust your daily habits to help relieve symptoms. For example, they may encourage you to:
- avoid bicycling or wear padded shorts to decrease pressure on your prostate
- avoid alcohol, caffeine, and foods that are spicy and acidic
- sit on a pillow or donut cushion
- take warm baths
Which Antibiotics Are Most Effective In The Treatment Of Prostatitis
Nitrofurantoin, sulfonamides, vancomycin, penicillins, and cephalosporins do not penetrate well into the prostate.
Antibiotics that penetrate well into the acid milieu of the prostate are nonpolar and lipid-soluble and have a high measure of acid strength, a small molecular radius, and low serum protein binding. Drugs that best fit these criteria are the fluoroquinolones, doxycycline, minocycline , trimethoprim , rifampin, and erythromycin. Of this group, the fluoroquinolones appear to achieve the best tissue levels.
Erythromycin is used as a second-line agent when culture results are available.
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How Do Doctors Diagnose A Prostate Infection
The diagnosis of both acute and chronic prostate infections begins with the history of the symptoms described above, the physical exam, including the digital exam of the prostate and often confirmed by culture and identification of the infecting organism.
Acute bacterial prostatitis diagnosis
- Usually an enlarged, firm, and tender prostate is enough to make a presumptive diagnosis and start treatment .
- Because there is usually a low level of bacteria in urine, the doctor will perform a urinalysis to quantitate and identify infecting bacteria by urine culture.
- If the person has symptoms suggesting the infection has spread outside the prostate , blood cultures and other blood tests are likely to be ordered.
- If a spread of the infection is suspected, a doctor will often perform an ultrasound to help confirm the diagnosis and to rule out an abscess. If this ultrasound is not available, the doctor may perform a CT scan or MRI of the pelvis.
Chronic bacterial prostatitis diagnosis
One of two tests are sometimes performed to help with the diagnosis:
The classic test is a Meares-Stamey 3-glass test. Three separate urine samples are collected and examined during this test. The last sample is taken after prostatic massage.
Premassage and postmassage test
Men with recurrent urinary tract infections should have ultrasound imaging of their upper urinary tract and a plain abdominal X-ray or an intravenous urography to exclude a possible structural problem or a kidney stone.
Avelox Prostatitis Antibiotic :
Avelox is Used to Treat Acute & Chronic Bacterial Prostatitis , This Antibiotic is Generally used as the First Treatment for The Acute & Chronic Prostatittis , In some cases some patients with non bacterial Prostatitis Conditions Have been treated with Avelox as some symptoms are similar to Bacterial and non bacterial Prostatitis .
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Facts You Should Know About Prostate Infections
- Prostate infections comprise only small percentage of all men with prostatitis. This small percentage is comprised of acute and chronic prostatic infections.
- E. coli and other Gram-negative bacteria cause most acute and chronic prostatic infections.
- Prostatic infection symptoms include groin pain, dysuria, pain with ejaculation, reduced urine output and may include fever, malaise, and periodic recurrence of symptoms even after treatment.
- Seek medical care if symptoms develop, emergency care if fever or inability to urinate occurs.
- Diagnosis of prostate infections or prostatitis is made by identifying the agent infecting the prostate.
- Treatment of prostate infections or prostatitis is usually antibiotics chronic infectious prostatitis may require long-term antibiotic treatment, and severe infections may require hospitalization with IV antibiotics.
- Home care is limited to pain reduction. Men with a prostate infection or prostatitis need medical care.
- Follow-up is important to confirm adequate treatment results or to plan additional treatment if the infection reoccurs.
- Some prostate infections cannot be prevented, but reducing the risk of groin trauma or injury, avoiding sexually transmitted diseases, and staying well hydrated are ways to reduce the chance of getting infectious prostatitis.
- The prognosis of acute infectious prostatitis is usually good, but chronic infectious prostatitis is only fair because it is difficult to cure.
When To Seek Medical Care
A person may have urinary symptoms unrelated to prostatitis that are caused by bladder problems, UTIs, or benign prostatic hyperplasia. Symptoms of prostatitis also can signal more serious conditions, including prostate cancer.
Men with symptoms of prostatitis should see a health care provider.
Men with the following symptoms should seek immediate medical care:
- complete inability to urinate
- great discomfort or pain in the lower abdomen and urinary tract
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Classic Drug Choice For Complicated Abp
An acutely ill patient with a clinical picture of sepsis or a systemic inflammatory response syndrome must be accepted for hospitalization with parenteral antibiotics that broadly cover fluoroquinolone plus an aminoglycoside or a combination of the above with a penicillin or second/third-generation cephalosporin . Once the clinical condition of the patient is stable without fever and urinary retention, oral antibiotic therapy should replace intravenous medication for 2â4 weeks, based on the results of blood and urine culture and drug sensitivity. It is necessary to plan repeat urine culture during and 1 week after therapy to ensure bacterial eradication.
Sexually active men younger than 35 years old and men older than 35 years old with high-risk sexual behavior suspected of N. gonorrhoeae and C. trachomatis infection should receive a standard treatment with cephalosporins and azithromycin or doxycycline, respectively . The treatment of ABP associated with genitourinary tuberculosis is recommended by the WHO with 2 months of daily isoniazid, rifampicin, and pyrazinamide with or without ethambutol or streptomycin and immediately followed by four months of treatment with isoniazid and rifampicin two or three times a week. For complicated cases of genitourinary tuberculosis with HIV or AIDS, antituberculosis therapy should be extended to 9â12 months . In addition, treatment for HIV patients is based on initiation of highly active antiretroviral therapy to restore immunity .
Cipro Prostatitis Antibiotic :
Cipro is an flouroquinolone Antibiotic usually Prescribed to Patients Suffering with Bacterial Infections of Prostate Glad Such as Acute Prostatitis , Chronic Bacterial Prostatitis .Directions Of Usage of Cipro For Prostatitis : Cipro comes with 3 different Forms Tablets , Syrup , IV Tablets are taken multiple times a Day they have an extended Version of Tablets which are taken Orally once a Day , Cipro Antibiotic Syrup Must be Used According to the Physicians Directions of Usage , Intravenous Infusion of Cipro can be used under the Observation Of a Physician The dosage depends on the Severity Of the Infection And IV Can only be done under the supervision of the Experienced Physician .
Cipro Is Prescribed for :
ï¬ Anxiety
Can Cipro Cure Prostatitis ?Cipro Is prescribed Antibiotic for the Bacterial infected prostate Gland , While the Patient suffering from Acute / Chronic Bacterial Prostatitis the Treatment Is used to Treat Bacterial Infection , 96% Cases Patients Treated with Cipro Have had a Temporary Relief from the Prostatitis with Recurrence in few weeks to few months , as Antibiotics are Not Prescribed to Regularly to the patients who Doesnât Show Results of the Treat the Patients were being Prescribed with Alternative Combinations of antibiotics which no Cure .
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Help With Your Symptoms
Nonsteroidal anti-inflammatory drugs , such as ibuprofen or naproxen, may help with pain or discomfort. Ask your doctor if you can take these.
Warm baths may relieve some of your perineal and lower back pain.
Avoid substances that irritate the bladder, such as alcohol, caffeinated beverages, citrus juices, and acidic or spicy foods.
Drink plenty of fluids, 64 or more ounces per day, if your doctor says this is OK. This helps flush bacteria from the bladder. It can also help prevent constipation.
To reduce discomfort with bowel movements, you may also:
- Get some exercise every day. Start slowly and build up at least 30 minutes a day.
Ruling Out Fungal Infection
Consider this study which appeared in the Central European Journal of Urology. The authors found that most young men presenting with prostatitis, who also had low prostate specific antigen numbers , were suffering from a yeast infection, not bacterial prostatitis, although E. Coli was thought to be the bridge that brought yeast to the prostate region in the first place.
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What Is The Prognosis For People Who Have Prostatitis
Antibiotics can cure acute bacterial prostatitis. These medications also ease chronic bacterial prostatitis symptoms in approximately 30% to 60% of men. Up to 80% of men with chronic pelvic pain syndrome feel better after receiving appropriate treatments for their symptoms using the UPOINT system. Men with asymptomatic inflammatory prostatitis dont need treatment.
What If My Prostatitis Is Not Caused By Infection
Because we do not understand what causes prostatitis without infection, it can be hard to treat. Your doctor might try an antibiotic to treat a hidden infection. Other treatments are aimed at making you feel better. Nonsteroidal anti-inflammatory medicines, such as ibuprofen or naproxen, and hot soaking baths may help you feel better. Some men get better by taking medicines that help the way the bladder or prostate gland work. These medicines include oxybutynin, doxazosin, prazosin, tamsulosin and terazosin.
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Alternative Traditional Chinese Medicine Treatment For Prostatitis :
Dr.Mingâs Formulated Traditional Chinese Medicine Nanke Pills are Prescribed to the Patients Suffering From Prostatitis , Acute Prostatitis , Acute Bacterial Prostatitis , Chronic Bacterial Prostatitis , CPPS â Chronic Pelvic Pain Syndrome , BPH Benign Prostate Hyperplasia , Prostate calcification .
TCM Directions of Usage for Prostatitis : The Medication comes in A Solid Balls Form with Herbal Odor and small size , Depending on the Severity and the Combination of the Diseases the Medication is Prescribed to the Patients , Usually Treatment may last for 3-6-9 Months Depending on the Severity of the disease .The oral medication Nanke Pills can be taken twice a day may differ between patients due to different health conditions .Please contact Dr.Ming For the Prescription for the Medication .
TCM Proatatitis Medicine Is Prescribed for :ï¬ Prostatitis
You can Not Take Traditional Chinese Medicine For Prostatitis If You are Suffering From :ï¬ Severe Heart Conditionsï¬ Digestive Problemsï¬ Kidney Problems
Please Consult Dr.Ming Before If you are suffering from any conditions in the above mentioned list .
Contact Dr.Ming with your Detailed Disease History Including Your Age , Symptoms , Previous Infections , So that Dr.Ming can diagnose Perfectly and Provide you with the Best Traditional Chinese Medicine Treatment Option .
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What Is The Prostate
The prostate is a walnut-shaped gland that is part of the male reproductive system. The main function of the prostate is to make a fluid that goes into semen. Prostate fluid is essential for a mans fertility. The gland surrounds the urethra at the neck of the bladder. The bladder neck is the area where the urethra joins the bladder. The bladder and urethra are parts of the lower urinary tract. The prostate has two or more lobes, or sections, enclosed by an outer layer of tissue, and it is in front of the rectum, just below the bladder. The urethra is the tube that carries urine from the bladder to the outside of the body. In men, the urethra also carries semen out through the penis.
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Causative Pathogens In Prostatitis
Aerobic gram-negative bacilli are the predominant pathogens in bacterial prostatitis. E. coli cause 50%80% of cases other pathogens include Enterobacteriaceae , Enterococcus species , and nonfermenting gram-negative bacilli . Some debate the role of gram-positive organisms other than enterococci , but most accept Staphylococcus and Streptococcus species as pathogens . The increasing prevalence of gram-positive pathogens may represent changing disease epidemiology or acceptance of their pathogenicity by health care providers. Limited data suggest that obligate anaerobes may rarely cause chronic prostatitis .
Some cases of prostatitis are caused by atypical pathogens . A large prospective study of men with chronic prostatitis found that 74% had an infectious etiology the most common isolates were Chlamydia trachomatis and Trichomonas vaginalis , whereas 5% of patients had infection due to Ureaplasma urealyticum . Classical bacterial uropathogens were found in 20% of patients, and more patients with these pathogens, compared with patients with nonbacterial pathogens, had prostatic specimens with leukocytes . Other possible prostatitis pathogens include Mycoplasma genitalium, Neisseria gonorrhoeae, Mycobacterium tuberculosis, various fungi, and several viruses .
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Prostatitis Testing & Treatment
To diagnose prostatitis, your doctor will ask you about your symptoms and may examine the prostate gland by inserting a lubricated, gloved finger into the rectum. Urine and prostate fluid may also be collected and evaluated for bacteria.
TreatmentTreatment depends on the type of prostate infection.
- For acute prostatitis, patients take antibiotics for 4 to 6 weeks.
- For chronic bacterial prostatitis, patients take antibiotics for 4 to 12 weeks. About 75 percent of all cases of chronic bacterial prostatitis clear up with this treatment. Sometimes the symptoms recur and antibiotic therapy needed again. For cases that do not respond to this treatment, long-term, low dose antibiotic therapy is recommended to relieve the symptoms.
- Treatment for nonbacterial prostatitis is difficult. The goal is to control symptoms because it is hard to cure this condition. Some doctors prescribed anti-inflammatory drugs, pain medications and muscle relaxants. Therapies used to treat interstitial cystitis or chronic pelvic pain syndrome may also be helpful.
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