Prostatitis, what should I do if I urinate frequently at night?

Frequent urination at night caused by prostatitis can be improved through lifestyle adjustments, physical therapy, drug therapy, psychological counseling, and traditional Chinese medicine conditioning. Prostatitis may be related to bacterial infection, prolonged sitting, spicy diet, decreased immunity, mental stress and other factors.

1. Lifestyle adjustment

Avoid alcohol and spicy food, reduce caffeine intake, and limit drinking water 2 hours before going to bed. Maintain regular urination habits and do not hold urine. It is recommended to urinate once an hour to relieve bladder irritation. Taking a sitz bath with warm water for 15 minutes every day can help promote local blood circulation. You can appropriately supplement foods rich in zinc and lycopene such as pumpkin seeds and tomatoes.

2. Physical therapy

Under the guidance of a doctor, perform pelvic floor muscle training and contract the anal muscles 100 times a day, divided into 3 groups. Apply local heat to the perineum to relieve muscle spasm, 20 minutes each time. Microwave physiotherapy or short wave treatment needs to be completed in the hospital and can improve the congestion of the prostate. Avoid riding or sitting for long periods of time. It is recommended to use a seat cushion with a hollow center.

3. Drug treatment

For bacterial prostatitis, antibiotics such as levofloxacin hydrochloride tablets and azithromycin dispersible tablets can be used as directed by the doctor. Alpha-blockers such as tamsulosin hydrochloride extended-release capsules relax the smooth muscle of the urethra. Non-steroidal anti-inflammatory drugs such as celecoxib capsules can reduce the inflammatory response. Botanical preparations such as Puxitai tablets contain pollen extract, which can improve urinary symptoms. Use diclofenac sodium suppositories short-term in severe pain.

4. Psychological counseling

Anxiety can aggravate the symptoms of frequent urination, and mindfulness meditation can relieve mental stress. Establish a voiding diary to record daily water intake and urination to help objectively assess symptoms. Participate in patient communication groups to reduce loneliness and consult a psychologist if necessary. Ensure 7 hours of sleep and listen to light music to relax your nerves before going to bed.

5. Traditional Chinese Medicine conditioning

Acupuncture is performed on acupuncture points such as Guanyuan and Sanyinjiao three times a week to improve qi stagnation and blood stasis. Taking Chinese patent medicines such as Bazheng Powder or Pixie Fenqing Pills requires syndrome differentiation and treatment. Moxibustion at Shenque point for 20 minutes a day can warm Yang and promote diuresis. When massaging the lumbosacral meridians, the technique should be gentle and avoid violent pressure. Instead of tea, 10 grams each of corn silk and plantain can be boiled in water.

It is recommended to wear loose cotton underwear to avoid moisture in the perineum. Increase water-digesting foods such as winter melon and barley in your diet, and control your daily salt intake to no more than 5 grams. Do moderate aerobic exercise such as brisk walking and swimming, but avoid strenuous exercise that aggravates pelvic congestion. Regularly review the prostate fluid routine and observe the treatment effect. If symptoms such as hematuria and fever occur, seek medical attention immediately. Establish a regular work and rest schedule to avoid staying up late causing endocrine disorders.