What are the early symptoms of prostatitis?

Patient's question:

What are the early symptoms of prostatitis? I am 47 years old, male, and my friend has this disease. I am worried about my health and want to understand the early symptoms of this disease. Could you help me speculate on this?

Doctor's answer:

Prostatitis includes acute prostatitis and chronic prostatitis. Acute prostatitis can present with systemic symptoms such as chills, fever, and fatigue. Local symptoms include a heavy pressure sensation in the perineum or suprapubic region, which worsens with prolonged sitting or defecation and radiates to the waist, lower abdomen, back, and thighs. If a small abscess forms, the pain intensifies and makes defecation impossible. Urinary symptoms include a burning sensation, urgency, and frequency during urination, which may be accompanied by terminal hematuria or purulent urethral discharge. Rectal symptoms include rectal fullness, urgency, and the sensation of needing to defecate, with white secretions possibly dripping from the urethral meatus during bowel movements.

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