How to deal with difficulty urinating and straining urine in prostatitis?

Patient's question:

Prostatitis causes difficulty urinating, and it often takes a long time to urinate just by straining. The lower abdomen and anus always require significant effort. Recently, I suddenly noticed that my anus could no longer relax and felt extremely tight inside. Later, I felt that straining could cause my intestines to be pulled out. A thorough examination revealed mild rectal prolapse, internal hemorrhoids, and colitis. Now, the anus is extremely tight, not just tight but also uncomfortably tight, unable to relax. Is it because I always strain while urinating and press on the anus, or is it due to other reasons... Additionally, how should mild rectal prolapse be treated?

Doctor's answer:

A man's unclean urination is one of the early signs of benign prostatic hyperplasia (BPH). In addition to unclean urination, BPH can also manifest as frequent urination, urgent urination, painful urination, urine splitting, white discharge after urination, difficulty urinating, and increased nighttime urination. It may also cause symptoms such as painful ejaculation, blood in the semen, or systemic symptoms. Additionally, it may lead to pain in the perineum, lumbosacral region, and groin area. Therefore, patients should seek timely symptomatic treatment and pay attention to self-care in daily life, avoiding spicy foods.

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