Patient's question:
On October 13th, I began 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. Both mycoplasma and lipid droplets 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 for the doctors:
1. How should I treat the current condition?
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 thorough assessment. Thank you!
Doctor's answer:
Acute prostatitis is often caused by urethral or hematogenous infection and occurs suddenly. Clinical diagnosis includes symptoms such as fever, chills, anorexia, suprapubic fullness, difficulty urinating, or even urinary retention. There may be purulent discharge from the urethra. Digital rectal examination reveals a swollen prostate with tenderness. Treatment primarily involves rest, increased fluid intake, and antimicrobial therapy; high fever and dysuria can be treated symptomatically. Sexual activity should be controlled, and warm sitz baths, physical therapy, or prostate massage can promote inflammation absorption and drainage. Medications should be based on anti-infective agents that easily penetrate the prostate barrier, such as erythromycin, cotrimoxazole, doxycycline, and rifampicin.