Prostatitis, or prostate infection, is usually caused by bacteria, but a nonbacterial form of the disease also exists. Prostatitis is the most common genitourinary ailment in men younger than age 50, but the bacterial form occurs most often in men age 70 and older. If left untreated, infection can spread to the testicles and epididymis (tubules in back of the testis) and, in severe cases, destroy the prostate gland.
Signs and Symptoms
- Recurrent urinary tract infections (UTIs)
- Frequent and urgent urination
- Difficult or painful urination
- Urinating at night
- Fever; chills
- Generalized sense of ill health
- Painful ejaculation
- Bloody semen
- Sexual dysfunction
- Pain in the lower back, pelvis, or perineum (lining of the pelvic area)
What Causes It?Risk factors for prostatitis include the following.
- Recent urinary tract infection
- Prior sexually transmitted diseases, such as gonorrhea or chlamydia
- Excess alcohol consumption
What to Expect at Your Provider's OfficeYour health care provider will do a physical examination of the prostate and use laboratory tests, such as urinalysis or blood cultures.
Drug TherapiesSeveral antibiotics and other drugs are used to treat prostatitis. They are usually given orally, except in cases of sudden and severe prostatitis, which may require intravenous administration. The treatments may last 4 to 12 weeks, depending on how severe the infection is. Stool softeners, anti-inflammatory agents (such as ibuprofen), and hot sitz baths may also relieve symptoms.
Surgical ProceduresIf fever and pain persist, you may need surgery.
Complementary and Alternative TherapiesNutrition
- Vitamin C (250 to 500 mg two times a day)
- Zinc (60 mg a day) has been shown to reduce the size of the prostate.
- Selenium (200 mcg a day) is an antioxidant concentrated in the prostate.
- Essential fatty acids (1,000 to 1,500 mg one to two times a day) are anti-inflammatory for optimum prostaglandin concentrations.
- Pumpkin seeds have been used historically for a healthy prostate.
- Avoid simple sugars, alcohol (especially beer), and coffee; drink plenty of water (48 oz. a day).
Herbs may be used as dried extracts (capsules, powders, teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Teas should be made with 1 tsp. herb per 1 cup of hot water. Steep covered 5 to 10 minutes for leaf or flowers, or 10 to 20 minutes for roots.
Studies show saw palmetto (Serenoa repens) may be as effective as Proscar (a common prostate medication). Dose of 160 mg twice a day is difficult to achieve in tea or tincture; extract standardized for 85 to 95 percent of fatty acids and sterols is recommended.
Cernilton, a flower pollen extract (500 to 1,000 mg two to three times a day), has been used extensively in Europe to treat prostatitis caused by inflammation or infection. It also has a contractile effect on the bladder and relaxes the urethra.
- Uva ursi (Arctostaphylos uva ursi): diuretic, urinary antiseptic
- Goldenseal (Hydrastis canadensis): diuretic, antiseptic, antimicrobial
- Coneflower (Echinacea purpurea): improves immune function
- Corn silk (Zea mays): diuretic, soothing demulcent
Some of the most common remedies used for prostatitis are listed below. Usually, the dose is 3 to 5 pellets of a 12X to 30C remedy every one to four hours until your symptoms get better.
- Chimaphila umbellata for retention of urine with an enlarged prostate
- Pulsatilla for pain after urination, especially involuntary urination
- Pareira for painful urination, especially with painful urging
- Lycopodium for painful urination with reddish sediment in the urine, especially with impotence
- Thuja specifically if there is a forked stream of urine
Kegel exercises increase pelvic circulation and improve muscle tone.
Contrast sitz baths: You will need two basins that you can comfortably sit in. Fill one basin with hot water, one with cold water. Sit in hot water for three minutes, then in cold water for one minute. Repeat this three times to complete one set. Do one to two sets a day, three to four days a week.
May improve urinary flow and decrease swelling and inflammation.
May help reduce symptoms. Focus may be on the lower abdominal area, lower back, and around the sacrum.
Following UpBe sure you follow your health care provider's instructions for treatment and keep using the treatment as directed even if you start to feel better. Special Considerations Men should have a yearly prostate examination after age 40, even if they have no symptoms of prostate problems. In recurring cases, you may need ongoing treatment with periodic checkups.
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