Patient's question:
On October 13th, I started experiencing acute prostatitis due to mycoplasma infection. By December 24th, I had three negative re-examinations, and my urinalysis was normal. My prostatic fluid was re-examined twice: once with 0-2 white blood cells and once with 3-5 white blood cells. The lipid bodies in my semen were 3+.Previous Treatment and Effects:
- Azithromycin for 15 days
- Qianmao Tongyu for 25 days
- Chinese herbal medicine, which I have been taking continuously.
What kind of help I need:
Currently, I have some lower abdominal and thigh pain, slight rectal fullness, and difficulty sitting for long periods.
Questions:
1. How should I treat this condition now?
2. Will this condition develop into chronic prostatitis?
3. Do I still need to take oral Western medicine and Chinese herbal medicine together?
Please help me make a good assessment. Thank you!
Doctor's answer:
Hello, prostatitis is recommended to be treated with antibiotics for anti-inflammatory purposes. Short-term oral alpha-blockers (e.g., Durect) can also be used.Suggestions: It is recommended to quit smoking and drinking alcohol. Avoid spicy foods. Refrain from masturbation and excessive sexual activity. Prevent local cold stimuli.
At the same time, physical therapy can enhance treatment effectiveness. Methods include sitting in a basin (soak in warm water for about 10 minutes).
There are several treatment methods for prostatitis, but since patients' conditions vary, the treatment approaches differ. Therefore, patients need to undergo timely and thorough examination and diagnosis to receive targeted treatment.