Prostatitis: Causes, Symptoms, and Lifestyle Changes - Urology

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It is unclear which type of prostatitis it is?


Hello doctor, I am 35 years old.
Yesterday, I went to the hospital where the doctor performed a digital rectal examination, and I felt significant pain when pressing to the left.
The doctor mentioned it could be prostatitis, and I found online that there are many types of inflammation.
I'm not sure if my behaviors caused this; I masturbate quite frequently, stay up late, exercise less, and have a diet that is quite salty.
Could these be the reasons? However, I used to have a similar lifestyle when I was younger, and I didn't experience inflammation back then.
Is it because I'm older now? I would like to ask how I can improve my situation now.

ku, 30~39 year old female. Ask Date: 2016/02/28

Dr. Xu Weikai reply Urology


Hello: Diseases are often the result of accumulation, but they can also be caused by an acute infection.
For example, if you ride a bike every day like Mayor Ko challenges the Twin Towers, no one knows when you might sustain musculoskeletal injuries.
You can't say that it never happened before, and it certainly won't happen now.
Prostatitis has many classifications, and I'm not sure which one you are referring to.
For instance: acute, chronic bacterial, non-bacterial...
Since you are aware that there are issues with your lifestyle, it is important to make improvements as soon as possible; otherwise, your body will have to bear the consequences.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
This response is provided by Dr.
Hsu Wei-kai, Director of the Urology Department, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/28

More Info


Prostatitis, or inflammation of the prostate gland, can indeed be a complex condition with various causes and symptoms. Your experience of pain during a digital rectal exam (DRE) and the possibility of prostatitis is concerning, and it’s important to understand the factors that may contribute to this condition.


Causes of Prostatitis
Prostatitis can be categorized into several types, including:
1. Acute Bacterial Prostatitis: This is a sudden bacterial infection that can cause severe symptoms, including fever, chills, and intense pelvic pain.

2. Chronic Bacterial Prostatitis: This is a less common form that persists over time and is often harder to diagnose.

3. Chronic Pelvic Pain Syndrome (CPPS): This is the most common form of prostatitis and is not caused by a bacterial infection. It can be further divided into inflammatory and non-inflammatory types.

4. Asymptomatic Inflammatory Prostatitis: This type does not cause any noticeable symptoms but may be detected during examinations.


Symptoms
Common symptoms of prostatitis include:
- Pain in the pelvic area, lower back, or genitals
- Painful urination or difficulty urinating
- Frequent urination, especially at night
- Pain during ejaculation
- Flu-like symptoms in cases of acute bacterial prostatitis

Lifestyle Factors
Your lifestyle choices can significantly impact prostate health. Factors such as frequent masturbation, lack of exercise, poor diet, and inadequate sleep can contribute to inflammation. While younger individuals may tolerate these behaviors without immediate consequences, age can affect how the body responds to stressors, leading to conditions like prostatitis.

1. Masturbation: While masturbation is a normal activity, excessive frequency can lead to pelvic tension and discomfort. It’s essential to find a balance that does not cause physical strain.

2. Diet: A diet high in salt and processed foods can lead to inflammation. Incorporating more fruits, vegetables, whole grains, and healthy fats can support overall health.

3. Exercise: Regular physical activity improves circulation and can help reduce inflammation. Aim for at least 150 minutes of moderate exercise each week.

4. Sleep: Quality sleep is crucial for recovery and overall health. Aim for 7-9 hours of restful sleep per night.


Recommendations for Improvement
To manage your symptoms and improve your prostate health, consider the following lifestyle changes:
1. Dietary Adjustments: Reduce salt intake and focus on a balanced diet rich in antioxidants. Foods like tomatoes (rich in lycopene), berries, nuts, and fatty fish can be beneficial.

2. Hydration: Drink plenty of water to help flush out toxins and support urinary health.

3. Regular Exercise: Incorporate aerobic exercises, strength training, and flexibility workouts into your routine. Activities like walking, swimming, or yoga can be particularly helpful.

4. Stress Management: Engage in relaxation techniques such as meditation, deep breathing exercises, or yoga to reduce stress, which can exacerbate symptoms.

5. Limit Alcohol and Caffeine: Both can irritate the bladder and worsen urinary symptoms.

6. Medical Follow-Up: Continue to work with your healthcare provider to monitor your symptoms. If necessary, they may recommend further testing or treatment options, such as medications or physical therapy.


Conclusion
Prostatitis can be a challenging condition, but with the right lifestyle changes and medical support, many individuals find relief from their symptoms. It’s essential to listen to your body and make adjustments that promote overall well-being. If your symptoms persist or worsen, do not hesitate to seek further medical advice. Your health is paramount, and proactive management can lead to significant improvements in your quality of life.

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