Can cephalexin treat prostatitis?

Prostatitis is a physical disease that many men encounter in daily life, especially young and middle-aged people have a higher incidence rate. Suffering from prostatitis will not only affect normal life, but also easily lead to symptoms such as urinary pain, incomplete urination, and frequent urination. There are many ways to treat prostatitis. You can take medication for treatment. Cephalosporin is an anti-inflammatory drug and can be taken for treatment.

1. Prostatitis is one of the common diseases in men, which brings a lot of troubles to men in life, such as incomplete urination, frequent urination, urgent urination, and even sexual dysfunction. Prostatitis is divided into bacterial and non-bacterial. If it is bacterial prostatitis, you can take cephalosporin.

2. When taking the commonly used drugs for treating prostatitis, you should pay attention to getting more rest, not staying up late, pay attention to personal hygiene, wear loose underwear, change it every day, avoid excessive sex, and do not smoke or drink.

3. Patients with prostatitis should go to bed early and get up early, maintain an optimistic attitude, and eat a light diet. Do not eat spicy foods, such as chili peppers, pepper, onions, garlic, etc. Do not eat seafood that is prone to prostatitis, especially fish, shrimp, and crabs. Eat more vegetables and fruits, especially grapes, kiwis, winter melon, etc.

Note: Prostate patients should keep warm and avoid cold. They should drink plenty of water, at least 2000 ml of water a day to help diuresis. Do not drink coffee or strong tea. They can do appropriate exercise, such as running, swimming, etc.

Clinical manifestations

Type I prostatitis often develops suddenly, with symptoms such as chills, fever, fatigue, and other systemic symptoms, accompanied by pain in the perineum and pubic area, frequent urination, urgency, rectal irritation, and even acute urinary retention.

The clinical symptoms of type II and type III prostatitis are similar, mostly with pain and abnormal urination. Regardless of the type of chronic prostatitis, similar clinical symptoms can be manifested, collectively referred to as prostatitis syndrome, including pelvic and sacral pain, abnormal urination and sexual dysfunction. Pelvic and sacral pain is extremely complex. The pain is generally located above the pubic bone, lumbosacral region and perineum. Radiating pain can manifest as pain in the urethra, spermatic cord, testicles, groin, and inner side of the abdomen. It radiates to the abdomen and resembles acute abdominal pain. It radiates along the urinary tract and resembles renal colic, which often leads to misdiagnosis. Abnormal urination is manifested as frequent urination, urgent urination, painful urination, sluggish urination, bifurcated urine stream, dripping after urination, increased frequency of nocturia, and milky white secretions from the urethra after urination or during defecation. Occasionally, sexual dysfunction may occur, including decreased libido, premature ejaculation, painful ejaculation, weak erections, and impotence.

Type IV prostatitis has no clinical symptoms and evidence of inflammation is only found during prostate examinations.

1. Rectal examination

In type I prostatitis, rectal examination can reveal enlarged prostate, obvious tenderness, and increased local temperature. It should be noted that prostate massage should be avoided in acute prostatitis to prevent the spread of infection.

For type II and type III prostatitis, digital rectal examination can reveal the size, texture, presence of nodules, tenderness and its range and degree of the prostate, the tightness of the pelvic floor muscles, and tenderness of the pelvic wall. Prostate massage can obtain prostatic fluid for laboratory testing.

2. Routine examination of prostatic fluid (EPS)

Routine examination of EPS usually adopts wet image method and blood cell counting plate microscopy, the latter has better accuracy. The content of white blood cells in normal prostatic fluid sediment should be less than 10 per field of view under a high-power microscope. If the number of white blood cells in the prostatic fluid is >10/field of view, prostatitis is highly suspected, especially when fat-containing macrophages are found in the prostatic fluid, prostatitis can be basically confirmed. However, the number of white blood cells in the prostatic fluid of some patients with chronic bacterial prostatic fluid may be less than 10/field of view; some normal men have more than 10 white blood cells in their prostatic fluid/field of view. Therefore, the examination of white blood cells in prostatic fluid is only an auxiliary method for bacteriological examination of prostatic fluid.

Routine urine analysis and urine sediment examination can be used to determine whether there is a urinary tract infection and is an auxiliary method for diagnosing prostatitis.

4. Bacteriological examination

The two-cup method or the four-cup method is commonly used. These methods are particularly suitable before antibiotic treatment. Specific methods: Before collecting urine, tell the patient to drink more water, and if the foreskin is too long, the foreskin should be turned up. After cleaning the glans penis and urethral opening, the patient urinates and collects 10ml of urine; after continuing to urinate about 200ml, 10ml of midstream urine is collected; then stop urinating, do prostate massage and collect prostate fluid; finally collect 10ml of urine again. Each specimen is examined microscopically and cultured separately. By comparing the number of bacterial colonies in the above specimens, it can be identified whether there is prostatitis or urethritis.