Patient's question:
Why do you often feel prostate pain? Hello expert, I want to understand what prostatitis is. What are the common causes of prostatitis? Can you analyze it for me?Doctor's answer:
Hello, regarding patients with prostatodynia, it is actually not caused by prostatitis but rather by spasmodic pain in the urethral muscles, prostate muscles, or the perineal and pelvic floor muscles, leading to discomfort similar to chronic prostatitis. When performing an anal digital examination on such patients, the prostate feels normal upon palpation, with no tenderness, while the anal sides, such as the levator ani muscles, show more pronounced tenderness. Therefore, clinicians have named this condition prostatodynia.In addition to biological and psychological factors, its etiology is also influenced by lifestyle habits, such as:
1. Excessive alcohol consumption;
2. Eating spicy foods;
3. Prolonged sitting;
4. Lack of hydration;
5. Chronic habitual constipation;
6. Exposure to cold, etc.
For treatment, Western medicine may use antispasmodic and analgesic medications. Traditional Chinese medicine employs blood-activating and stasis-resolving formulas to regulate the liver and smooth qi. It is recommended to follow medical advice for a clear diagnosis, pay attention to lifestyle care, take medications as prescribed, and minimize sitting while using thick, soft cushions to reduce local pressure. Additionally, physical therapy, hot Sitz baths, kegel exercises, and suppositories like indomethacin may be applied.
Wishing you good health!