Patient's question:
Clinical Description: No clinical symptoms, white blood cell count----------positive (3+), bodies----1, but urine is normal, bacterial culture is negative. The pulse-taking results from Guangdong Traditional Chinese Medicine Hospital are as follows: Generally good condition. Red tongue with white greasy coating, wiry and thready pulse. Treatment history and effectiveness: Azithromycin + Doxycycline for 6 days, with hot water sitz baths continuously. Desired help: If it is lower urinary tract heat type prostatitis, then what does "Generally good condition. Red tongue with white greasy coating, wiry and thready pulse." indicate?Doctor's answer:
Prostatitis is a complex disease involving intricate pathological changes in the prostate caused by multiple complex causes and triggers, involving inflammation, immunity, and neuroendocrine factors. It primarily manifests as a disease with clinical symptoms such as urethral irritation and chronic pelvic pain, mainly characterized by frequent urination accompanied by urgency and dysuria, hematospermia, prostatic secretions containing numerous pus corpuscles, testicular pain, urethral bleeding, prostatic hyperplasia, suprapubic pain, thin or interrupted urine flow, post-micturition dripping, and white mucous-like urine.When using antibiotics for prostatitis, it is advisable to select lipophilic antibiotics that are easily penetrable through the prostate barrier and have a low binding rate with plasma proteins. First-line drugs that can be chosen include quinolones (e.g., ciprofloxacin, levofloxacin, sparfloxacin), sulfonamides (e.g., cotrimoxazole), and tetracyclines (e.g., tetracycline, doxycycline).