What is the reason for pain during urination and overall fatigue?

Patient's question:

Recently, I've experienced pain while urinating, difficulty emptying the bladder, and difficulty defecating. I've also felt extremely weak, similar to having a cold, with symptoms like fever, chills, headache, and body aches. What could be the cause?

Doctor's answer:

Prostatitis refers to acute or chronic inflammation of the prostate caused by specific and non-specific infections, leading to systemic or local symptoms. Excessive sexual activity is the main cause of prostatitis. During acute prostatitis, patients may exhibit symptoms such as frequent urination, urgent urination, and painful urination. They may also experience urinary dripping, terminal hematuria, and a sense of fullness or pain in the perineum, which can radiate to the genital area, lumbar-sacral region, or thighs. Symptoms may also include high fever, chills, headache, generalized pain, fatigue, and poor appetite. Prostatitis tends to recur easily and requires long-term oral medication.

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