TreatmentUrgent care Sometimes men taking oral antibiotics for prostatitis do no get better quickly. This may happen if the infection in your prostate is resistnant to the antibiotics you are taking. If you are taking an antibiotic but you have a fever higher than 101, you feel weak, dizzy, lightheaded, or you have severe chills, contact your doctor right away. You may need a different type of antibiotic drug, or you may need to take antibiotics in your vein (IV) to treat a stronger infection. In some men with prostatis, the prostate gland enlarges, threatening to cut off the flow of urine from the bladder and out of the body. If untreated, urinary obstruction can cause your kidneys to fail. If you have prostatis and you are having trouble starting your stream, you have a weak stream, or you cannot urinate at all, call your doctor or go to an emergency room right away. Urgent treatment will almost certainly prevent lasting kidney damage.
Several self-care steps can help to ease the pain and discomfort caused by prostatitis Table 02. Self-care measures can help to keep you comfortable while your treatment takes effect, or if you have nonbacterial prostatitis that will not be respond to antibiotics. Taking aspirin or acetaminophen may help to reduce pain and fever. Drinking plenty of fluids will soften the stools, and thus reduce the discomfort you may feel upon defecation. Medications to soften the stool may also be helpful.
Sitting in a warm bath once or twice a day can soothe pain in the perineal area, increase blood flow, and promote healing. Sitting on inflatable “donuts” may also help to ease discomfort.
Table 2. Elements of Self Care for Prostatitis
Take acetaminophen or non-steroidal antiinflammatory drugs Take sitz baths in warm water once or twice daily Drink plenty of water Take stool-softening medication, if necessary Sit on inflatable ?donuts?
Your doctor is the best source of information on the drug treatment choices available to you.
In a very small number of patients for whom drug treatment fails, and for whom symptoms continue to be a distressing problem, surgery to remove the prostate may be considered. Surgery to remove the prostate is very rarely performed as a means of relieving the symptoms of prostatitis, and is generally considered as an option only if all other attempts at treatment have failed.
The choice of whether to operate depends on several factors, including your age, level of sexual activity, general health, degree of bladder obstruction, and whether or not you are suspected of having prostate cancer.
Prostatectomy—surgery to remove the prostate gland—will cure chronic prostatitis, but can involve complications, including impotence and incontinence. If you have a prostatectomy, the operation will be performed while you are taking antibiotics to guard against the spread of infection during surgery.
Although such methods are entirely unproven, some people use pelvic-floor physical therapy, vitamin and herbal supplements, and special diets to alleviate the symptoms of prostatitis. Some studies have found that pelvic-floor exercises are somewhat effective for treating the symptoms of chronic prostatitis.
Some patients with prostatitis also take vitamin and mineral supplements that are thought to boost the immune system: some examples include antioxidants, beta-carotene, selenium, zinc, and vitamins A, C, and E. Vitamin C, however, can acidify the urine, which may worsen inflammation that may be present in the bladder or urethra.
Other unproven theories maintain that abstaining from caffeine, alcohol, and spicy foods for 12 weeks helps to relieve the symptoms of prostatitis. Another diet recommends drinking the water (4.5 cups) from boiled broccoli (about 9 oz.) every day for 21 days for its anti-inflammatory and immune-boosting properties, during which time consuming spices, coffee, and animal fat be forbidden.
Quercetin, which is a chemical found in red wine, onions, and green tea, has met with some success in alleviating the symptoms of chronic nonbacterial prostatitis when used as a dietary supplement. However, you should not take quercetin if you are also taking quinolone antibiotics.
Acute bacterial prostatitis can usually be cured with antibiotic therapy.
Prolonged antibiotic treatment will cure chronic prostatitis 60% of the time. Certain anatomical factors and infectious organisms, however, can make recovery less likely. Antibiotic treatment of chronic prostatitis may fail if a patient has stones (calculi) in his urinary tract. These calculi, which are salt build-ups, can block the bladder from draining, and may also act as a hiding place for bacteria. Enlargement of the prostate gland can interfere with drainage of the bladder, making the infection more difficult to eradicate. Infection with certain types of bacteria is also extremely difficult to treat with antibiotics.
Most men with acute or chronic prostatis do not need to see their doctor for a follow-up visit. Taking the full course of antibiotic therapy prescribed by your doctor is very important. But some men do not get better following antibiotic therapy. If you have finished your antibiotics, but you still feel pain or discomfort when urinating, or you are urinating more frequently than usual during the day or at night, you should contact your doctor.
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