How to distinguish between urinary tract infection and prostatitis

Patient's question:

Hello, I would like to consult on how to differentiate between a urinary tract infection and prostatitis? One month ago, a urinalysis revealed increased white blood cells and signs of inflammation. After taking anti-inflammatory medication for a week, a follow-up test showed full recovery. The doctor advised me to stop the medication. At that time, there were no discomforts during urination, except for mild pain in the middle of the penis during the final stages of urination. However, the symptom disappeared after increasing fluid intake! During the following 10 days, there were four sexual encounters. Then, until yesterday, I suddenly experienced urinary pain in the afternoon. Each time, I urinated only a small amount but had a strong urge to urinate, with a clear burning sensation and a feeling of bladder heaviness. After taking anti-inflammatory medication and drinking a lot of water, the symptoms completely disappeared. The image is an ultrasound result from October 2018. Please help me make a preliminary judgment based on your valuable experience! Thank you!

Doctor's answer:

It is essential to systematically transmit the infection, and relief has already been achieved through treatment. Prostatitis, accompanied by severe urinary incontinence, must involve splitting, along with a sense of abdominal distension and pain. Physical examination of prostatic fluid will show abnormal manifestations. Drinking more water and anti-inflammatory treatment will never quickly alleviate prostatitis. Prostatitis brings significant interference to patients. Once symptoms are detected, it is crucial to seek medical attention promptly, while also paying close attention to dietary issues.

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