How to treat prostatitis

Prostatitis can be treated through drug therapy, physical therapy, lifestyle adjustment, psychological counseling and traditional Chinese medicine conditioning. Prostatitis may be related to factors such as bacterial infection, immune abnormalities, pelvic congestion, urinary reflux, and psychological stress. It usually presents with symptoms such as frequent urination, urgency, and perineal pain.

1. Drug treatment

Bacterial prostatitis requires the use of antibiotics as directed by the doctor, such as levofloxacin tablets, azithromycin dispersible tablets, cefixime capsules, etc. For non-bacterial prostatitis, non-steroidal anti-inflammatory drugs such as celecoxib capsules can be used to relieve pain, or tamsulosin hydrochloride extended-release capsules can be used to improve urinary symptoms. During medication, adverse reactions, such as dizziness, gastrointestinal discomfort, etc., should be observed and avoid adjusting the dosage on your own.

2. Physical therapy

Local hot compresses can promote blood circulation in the pelvis and relieve pain and swelling. Take a warm sitz bath 1-2 times a day, 15-20 minutes each time. Some patients can try transrectal microwave therapy or prostate massage, but it must be performed by a professional physician to avoid damaging the urethra or rectal mucosa.

3. Lifestyle adjustment

Avoid activities that put pressure on the prostate, such as sitting for long periods of time or riding, and get up and move around every 1-2 hours. Limit alcohol and spicy food intake to reduce urinary tract irritation. Maintaining regular semen ejaculation can help discharge prostatic fluid, but it must be done in moderation. Drink 1500-2000 ml of water every day to dilute the urine concentration.

4. Psychological counseling

Chronic prostatitis may cause anxiety or depression, which can be improved with cognitive behavioral therapy. Family members should avoid paying too much attention to symptoms and reduce the psychological burden on patients. Relaxation training such as music therapy and meditation can help reduce pelvic floor muscle tension and relieve discomfort during urination.

5. Traditional Chinese Medicine conditioning

Qianlieshutong capsules can be used for damp-heat type, and Qianliexin capsules can be used for qi stagnation and blood stasis type. The acupuncture points selected are mainly Guanyuan, Zhongji and Sanyinjiao, 2-3 times a week. Traditional Chinese medicine fumigation and cleansing uses heat-clearing and detoxifying medicinal materials such as Phellodendron cypress and Sophora flavescens, which need to be used under the guidance of a Chinese medicine practitioner based on syndrome differentiation.

Patients with prostatitis should wear loose cotton underwear to avoid catching cold. The diet should be light and include foods rich in zinc such as tomatoes and pumpkin seeds. Do moderate aerobic exercise such as brisk walking and swimming to enhance immunity. If symptoms persist for more than 3 months or symptoms such as hematuria and fever occur, the treatment plan needs to be reviewed and adjusted in time. Regular follow-up can prevent the progression of chronic disease and improve long-term quality of life.