Prostatitis is a common men's disease. Patients with prostatitis will have symptoms of frequent urination, urgency and pain during urination. Some patients will have the phenomenon of holding urine, which is very detrimental to the condition and will aggravate prostatitis. It is necessary to treat it as soon as possible and do preventive care in normal times. 1. Medication treatment 1. Acute bacterial prostatitis (1) General treatment: bed rest, drink plenty of water or receive intravenous fluids, and strengthen systemic supportive therapy. (2) Antibiotics: Actively use effective antibiotics. Commonly used quinolones such as ciprofloxacin, ofloxacin, levofloxacin (levofloxacin) 0.2g, intravenous drip, 2-3 times/day; aminoglycosides such as amikacin, netilmicin 0.4g, intravenous drip, once/day. After the acute inflammatory symptoms are controlled, oral administration can be used, and the course of treatment should be maintained for 1 month. (3) Other treatments: Antipyretic and analgesic drugs can be used, such as Suomiton (pain-relieving tablets), acetaminophen (Sanlitong), acetaminophen (Baifuning), etc. Those with dysuria can use α-receptor blocking drugs, such as Natol 25 mg, terazosin 2 mg or tamsulosin (Halor) 0.2 mg, orally, once a day. For those with acute urinary retention, it is not advisable to place a urinary catheter, but suprapubic bladder puncture and fistula should be performed. When complicated with prostate abscess, incision and drainage should be performed. 2. Comprehensive treatment measures should be taken for chronic prostatitis. (1) Lifestyle adjustment: avoid riding or sitting for long periods of time, have regular sex, and avoid drinking alcohol and eating spicy food. (2) Hot water sitz bath and physical therapy: can reduce local inflammation and promote absorption. (3) Prostate massage: once a week to drain inflammatory secretions. (4) Herbal preparations: such as Shenitong, Qianliexin Capsules, Zegui Longshuang Capsules, etc. 2. Preventive Care 1. Drink more water. Drinking more water will lead to more urination. High-concentration urine will stimulate the prostate. Long-term adverse stimulation is harmful to the prostate. Drinking more water can not only dilute the blood, but also effectively dilute the concentration of urine. 2. Don't hold your urine. Once your bladder is full and you feel the urge to urinate, you should urinate. Holding your urine is bad for your bladder and prostate. Before taking a long-distance bus, you should empty your bladder before riding. If you need to urinate urgently, you should tell the driver and get off the bus to urinate. Don't hold your urine. 3. Moderate sex life. To prevent prostate hypertrophy, you need to start paying attention from youth. The key is to have a moderate sex life, neither indulge in sex nor abstain from sex. Frequent sex will cause the prostate to be in a state of congestion for a long time, which will cause prostate enlargement. Therefore, especially in the youth when the sexual desire is relatively strong, you should pay attention to moderate sex life, avoid repeated congestion of the prostate, and give the prostate sufficient time to recover and repair. Of course, excessive abstinence will cause bloating and discomfort, which is also not good for the prostate. 4. Relax more. Stress in life may increase the chance of prostate enlargement. Clinically, when stress in life is reduced, prostate symptoms will be relieved, so you should try to stay relaxed at ordinary times. |
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