Bacterial prostatitis yellow tongue coating

Prostatitis caused by bacteria is quite common in our daily life. It is very harmful to the patients and can easily lead to irregular life and mental tension. If you get angry, it may also cause yellow tongue coating. If you have bacterial prostatitis, you must receive regular treatment in time. There are many treatment methods. Let us learn about this aspect.

How to treat bacterial prostatitis

1) General treatment

Quit drinking and spicy food; avoid holding urine and sitting for long periods of time, keep warm, and increase physical exercise.

2) Drug treatment

Commonly used drugs include antibiotics, α-receptor blockers, herbal preparations and non-steroidal anti-inflammatory analgesics. Other drugs are also effective in relieving symptoms.

① Antibiotics: Available antibiotics include fluoroquinolones (such as ciprofloxacin, levofloxacin, lomefloxacin and moxifloxacin, etc.), tetracyclines (such as minocycline, etc.) and sulfonamides (such as co-trimoxazole).

②α-receptor blockers α-receptor blockers can relax the smooth muscles of the prostate and bladder and improve lower urinary tract symptoms, thus becoming a basic drug for the treatment of prostatitis. α-receptor blockers mainly include: doxazosin, naftopidil, tamsulosin and terazosin, etc. The above drugs have different degrees of improvement on patients' urination symptoms, pain and quality of life. During treatment, attention should be paid to adverse reactions such as dizziness and postural hypotension caused by this type of drug. The course of treatment of α-receptor blockers should be more than 12 weeks.

③ Plant preparations mainly refer to pollen preparations and plant extracts, which have a wide range of pharmacological effects, such as non-specific anti-inflammatory, anti-edema, promoting bladder detrusor contraction and urethral smooth muscle relaxation. Plant preparations include: Pusita, Sabah palm and its extracts. Usually the course of treatment is in months. Adverse reactions are relatively small.

④M-receptor blockers: For patients with prostatitis who have symptoms of overactive bladder (OAB), such as urgency, frequency and nocturia, but no urinary tract obstruction, M-receptor blockers (such as tolterodine, etc.) can be used for treatment. ⑤Antidepressants and anti-anxiety drugs: For patients with chronic prostatitis who have depression and anxiety, antidepressants and anti-anxiety drugs can be used for treatment while treating prostatitis. These drugs can not only improve the patient's psychological symptoms, but also relieve physical symptoms such as abnormal urination and pain. The antidepressants and anti-anxiety drugs that can be selected mainly include selective 5-hydroxytryptamine reuptake inhibitors, tricyclic antidepressants and benzodiazepines.

3) Other treatments

①Prostate massage is one of the traditional treatment methods. Appropriate prostate massage can promote the emptying of prostate gland ducts, increase local drug concentration, and relieve the symptoms of chronic prostatitis. Combined with other treatments, it can effectively shorten the course of the disease.

② Biofeedback therapy Biofeedback combined with electrical stimulation therapy can relax the pelvic floor muscles and make them tend to be coordinated, while relaxing the external sphincter, relieving perineal discomfort and urination symptoms of chronic prostatitis.

③ Heat therapy uses the heat effect produced by various physical means to increase blood circulation in prostate tissue, accelerate metabolism, reduce inflammation and eliminate tissue edema, relieve pelvic floor muscle spasms, etc. Heat therapy is performed through the urethra, rectum and perineum using physical means such as microwaves, radio frequency and laser. It is not recommended for unmarried and childless people.

④ There is a lack of evidence-based medical evidence to prove the efficacy and safety of prostate injection therapy/transurethral prostate infusion therapy.

⑤Surgical treatment: Transurethral cystocervical incision, transurethral prostatectomy and other surgeries are difficult to treat chronic prostatitis. They are only chosen when there are concurrent prostate-related diseases and surgical indications.