How to self-diagnose prostatitis?

For middle-aged and elderly men, they should strengthen the prevention of prostatitis in their daily lives. When some similar symptoms appear, they should go to the hospital for examination in time, such as symptoms of frequent urination, urgency, and pain when urinating, or when they have high fever, nausea and vomiting. In addition, if they often have blood in semen, impotence, pain during sexual intercourse, etc., they may have prostatitis and should go to the hospital for examination and treatment in time.

(1) Systemic symptoms

Fatigue, weakness, anorexia, nausea, vomiting, fever, chills, asthenia or septicemia. In the case of sudden onset, systemic symptoms may mask local symptoms.

(2) Local symptoms

There is a feeling of heaviness in the perineum or suprapubic area, which is aggravated by prolonged sitting or bowel movements and radiates to the waist, lower abdomen, back, and thighs.

(3) Urinary tract symptoms

Burning pain during urination, urgency, frequent urination, dribbling after urination, or purulent urine. Swollen bladder neck can cause difficult urination, thin or interrupted urine flow, and even urinary retention in severe cases.

(4) Rectal symptoms

Distended rectum, urgent or painful bowel movements, and white discharge from the urethra during bowel movements.

(5) Sexual symptoms

Decreased libido, penile pain, impotence, hematospermia, etc.

The “culprit” of chronic prostatitis

1. Infection by pathogenic microorganisms

Various microorganisms such as bacteria, protozoa, fungi, viruses, etc. can become sources of infection for prostatitis, among which bacteria are the most common, such as gonococci and non-gonococci.

2. Urine irritation

Urine contains a variety of acidic and alkaline chemicals. When the patient has local neuroendocrine disorders, causing excessive posterior urethral pressure and damage to the opening of the prostate duct, uric acid and other irritating chemicals will reflux into the prostate and induce chronic prostatitis.

If the above symptoms persist for more than 7 to 10 days in patients with acute prostatitis, the body temperature continues to rise, and the white blood cell count and neutrophil count increase, prostate abscess should be suspected. Abscesses are more common in 20 to 40 years old, with rectal symptoms and urine retention being more common. After the edema of the ejaculatory duct subsides, abscesses in the seminal vesicles can discharge a large amount of purulent blood through the urethra on their own, just like abscesses rupture, and the symptoms can be immediately and significantly relieved.