Urethral discharge, some lower abdominal discomfort and distension - is it chronic prostatitis?

Patient's question:

Medical history: Masturbation has been approximately five years, now 19 years old, generally once a week. The last two weeks, there were 6 or 7 times. Recently, there has been a strange smell in the urine, and once there was a long white thread-like substance in the urine. What is this? Have I gotten prostatitis? Is it caused by masturbation? Occasionally, there has been urethral discharge, some lower abdominal discomfort, a feeling of dull pain, and sometimes a sense of incomplete urination. What kind of medicine should I take to regulate it? I don't really want to go to the hospital for treatment.
Past treatment and effectiveness: None. Recently, I have been drinking more water and taking some amoxicillin for inflammation.
What help do I need: What is the white thread-like substance? Is it prostatitis? Will it be very serious? Can it get better? What kind of medicine can I take to regulate it? Will it affect

Doctor's answer:

Hello. In this case, the possibility of prostatitis is high. Oral treatment with tamsulosin and can be considered. Daily regulation is key: drink plenty of water, urinate frequently, get adequate rest, engage in moderate exercise, avoid cold exposure, do not sit for long periods, avoid cycling, do not hold back urine, avoid excessive sexual activity and masturbation, and reduce consumption of spicy and irritating foods, as well as smoking and alcohol. Prostatitis generally causes symptoms such as frequent urination, urinary pain, difficulty urinating, pain in the perineum and lower abdomen, and may lead to sexual dysfunction, such as decreased libido, erectile dysfunction, premature ejaculation, and frequent nocturnal emissions. Oral medication like tamsulosin can help relax the urethral muscles, with a treatment duration of about 8 weeks. Third, you can also take sit baths. Avoid consuming spicy and irritating foods.

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