Any healthy man can develop prostatitis;no one is immune to it.Even astronauts and athletes with ideal lifestyles are at risk.Knowing the symptoms will help detect prostatitis in time and start treatment.
Urinary tract disorders
Passes through the urethra, urethra, prostate.One of its functions is to control the flow of urine, opening and closing the outlet from the bladder.Therefore, when the prostate becomes irritated or inflamed, problems with urination often begin.
Rising or falling calling
A symptom of prostatitis is an increase in urges with a decrease in the amount of urine in one part.Just an increase in the frequency of urges of the same portion and volume can be either the norm (I started drinking more liquid now) or it can be a sign of a disease such as diabetes - diabetes mellitus or diabetes insipidus.That is, the total amount of urine per day increases dramatically, and therefore a person runs to the toilet more often.Normally this happens when eating watermelon, for example.Urinary tracts are large or large.
But when the same amount of urine comes out in one day, but is distributed in 10-30 trips to the toilet - the size of each portion is, of course, several times smaller.In women, it is observed with cystitis, in men - with prostatitis or urethritis, any irritation of the urinary tract, including inflammation.This symptom can be quite stable or fluctuating.If it temporarily weakens the effect of the irritant, for example, when inflammation subsides.In the case of chronic prostatitis, this does not indicate a cure, but an improvement in the condition.This is important in a diagnostic sense
Decreased flow of urine
Poor urinary flow is an important symptom of prostate problems.It is usually given with two main diseases.Adenoma (hyperplasia) of the prostate gland and prostatitis.They are easy to distinguish.Adenoma, as a rule, appears in the elderly, and prostatitis more often in young active men.In any case, this is a symptom that requires examination of the prostate, not other organs.Exceptions are rare (stones, urethral stricture).
The dependence of the strength of the flow of urine on the effect on the gland is specific.Ejaculation, intercourse or lack thereof.From walking or sitting for a long time.From breaking the diet or following it.
Unpleasant feelings
Not only the frequency of urges is very characteristic, but also unpleasant sensations during urination.When eating watermelon, for example, you can run to the toilet every 10-15 minutes, but the sensation is quite pleasant and satisfying.But prostatitis will give you a very unpleasant, "important" urge to go to the toilet.It brings comfort - but for a fairly short time.At night, the urge appears more often and is often more unpleasant.This can interfere with sleep and is often a major complaint.
Dimensions of urinary tracts
The size of the urinary tract decreases.This is due to both the irritating effect of prostate inflammation and the increased sensitivity of the urinary tract during inflammation.Excessive sensitivity - gives the feeling that there is already a lot of urine in the bladder, "half a bucket" - but in fact there is 30-100 ml.
Serving sizes may vary.With more fluid, urinary tract irritation is reduced as the urine becomes more diluted.It turns out that there is a paradox - a person drinks more liquid, but due to increased portions, he goes to the toilet less.
Acute and urgent calls
Imperative (acute) urges - more common during exacerbations or with age.They can force a man to refuse trips or make his own way from "toilet to toilet".In advanced cases, this leads to the need for a man to wear diapers.On the one hand, the flow of urine is weaker, and on the other hand, you have to go to the toilet when you feel the urge.At any cost.
It is almost impossible to "resist" such a request
Urine dripping
Some urine always remains after urination."No matter how much you shake your penis, the last one will be in your panties" - popular wisdom.But a little 1-2-3 drops is urine, not more.Any visible excess of this norm is quite characteristic of a problem of the urinary tract in a man, but it is not always characteristic of prostatitis.
It also includes a completely different symptom - discharge from the urethra.Sometimes they are difficult to distinguish and require further analysis.More often, discharge does not depend on urination, it is thicker than urine, it can be clear, colored, transparent and cloudy... They require mandatory analysis to determine the cause.This can be a sign of prostatitis, urethritis, and venereal disease.
Pain
Just as a sore throat hurts with a sore throat, prostatitis also hurts the lower abdomen, perineum, groin, lower back or sacrum.
Where and how exactly does it hurt?
The pain can also "radiate" to the testicles, legs, sometimes to the abdomen, to the level of the navel and even higher.What is important for us is the nature of these pains, their relationship with other symptoms and external causes.
When and why they appear
The relationship with lifestyle, sedentary work, ejaculation or abstinence makes it possible to either practically exclude prostatitis or to suspect it with a high probability.Thus, persistent pain independent of these causes may more often be a manifestation of a "neurological" cause, such as CPPS, chronic pelvic pain syndrome.But the pain that appears after ejaculation within a few hours or days.or vice versa, disappear after hours or days of ejaculation - most likely associated with prostatitis.
Duration
Any.The duration may depend on the severity of the exacerbation and the severity of other accompanying diseases.For example, depression will cause constant excruciating pain even with minor prostatitis.A painless form of prostatitis may mask the disease for many years.
That is, the disease and its severity cannot be judged by this symptom alone.
What makes it better or worse?
This is the main issue that worries the doctor.
The location, nature or duration of pain can be very different for the same disease.However, the state of discharge, sedentary work or walking, excessive excitement, addiction to cold or spicy food - helps to determine both the diagnosis itself and the direction of treatment and preventive measures that will allow you to practically recover from chronic prostatitis.
Pain in heart, back and other organs
The prostate gland is a small organ located in the pelvis.But its inflammation can affect the whole body.
The first route of action is intoxication.As with any serious inflammation like the flu, the whole body or most of it can be affected.In the same way, the body can be harmed by prostatitis, its exacerbation.
The second mechanism of pain in distant regions (head, heart, hypochondrium, legs) is neurological.Pain along the nerves and spine can "radiate" to fairly distant areas of the body and even form "secondary" foci of inflammation.For example, in the lumbosacral region.And from there, the pain can "radiate", spread to the chest and neck of the spine, legs and almost everywhere.
Erection problems
"Officially" erection should not be affected by inflammation of the prostate gland.There are other developmental mechanisms that are not directly related to this "second heart" of a man.But in practice, the erection is broken.At least during the flare-up.There can be several mechanisms - from the direct effect of the inflammation of the nearby organ on the "burning" of the penis, to an indirect, regulatory mechanism similar to the weakening and retardation of erection during long-term abstinence in adult men (of course, not in adolescents).
Fortunately, this erectile dysfunction is very well and safely treated.Unless a psychological factor is added.A man with mild prostatitis experiences a slight decrease in erectile function.He begins to worry, listens to the penis - and the neurosis completely destroys his erection.This is the third, most serious mechanism of the effect of prostatitis on erection.
Ejaculation disorders
Ejaculation (ejaculation) is the release of sperm from the genitals at the end of sexual intercourse.It is performed by the muscles of the pelvic floor and the prostate gland.A more frequent symptom is a weakening of this release, a decrease in "shooting distance" and a shortening of sexual intercourse.Sometimes or temporarily - there can be an extension of sexual intercourse, the man cannot "ejaculate" in any way.
The force of sperm discharge
When a muscle is weakened, its work and movement are weakened.Ejaculation and the composition of sperm changes, and the force of ejaculation also changes.
This is important for three reasons.First, it is one of the most accurate signs of prostate damage.Almost all other manifestations and symptoms can occur in other diseases.However, the weakening of ejaculation is pathognomonic, especially for prostatitis.
The second reason.Decreased output is a factor that worsens the state of the prostate after intercourse, triggering POIS (post-orgasmic dysfunction syndrome).
During Treatment - Men with POIS report worsening after poor, ineffective sperm output.And vice versa - they increasingly say that high-quality ejaculation does not cause POIS symptoms.Not 100%, but probably.Third, this is probably the main factor that prevents a man with prostatitis from recovering without medical procedures.As soon as the power of sperm secretion is normalized, the main mechanism for maintaining male health is activated - "self-cleaning" of the prostate gland.
Blurred feelings
Instead of a bright orgasm, a man feels something like "peeing in hot water" or "feeling almost nothing."
The strength of sensations can fluctuate, and also serves as a fairly accurate sign of problems in the prostate gland or a sign that the improvement has begun.
The color, quantity and consistency of the ejaculate
One of the important objective parameters related to prostate and prostatitis.Often, sperm analysis is performed only to determine fertility and the chance of conception.However, sperm analysis provides a lot of information about the state of the prostate.Thus, the color of sperm and ejaculate is normally milky white, cloudy.The consistency is of medium thickness, it should be "sticky", a drop of sperm stretches in the form of a thread.The smell is specific, rotten, pus, etc.There is no smell.
Any change in these parameters requires urgent examination and treatment if there is no diagnosis yet - for example, if the diagnosis of prostatitis already exists.
The color (bright white, yellowish and greenish) often indicates an inflammatory, purulent pus in the semen.
Transparency indicates reduced prostate function.On microscopic analysis, there will almost certainly be several "lecithin grains", which, although not due to inflammation, indicates a decrease in the function of this particular organ.
The amount can be different, depending on the rhythm of sexual life, it can also change normally.A constant decrease or increase in the amount of sperm causes excitement.Perhaps this is a manifestation of the "clogging" of part of the prostate ducts or simply a decrease in the production of ejaculate.
Not 100%, it is a very characteristic symptom of chronic prostatitis.
Hemospermia
Consider separately hemospermia, which is a mixture of blood in the sperm.It can be noticed just by the eye, more often with damage to blood vessels, calliculitis, cancer and finally trauma.Blood can be either bright red or old, dark, venous.In any case, this requires an urgent analysis of ejaculation and other examinations.
There is also a small amount of blood in the ejaculate - microhemospermia.It often occurs during exacerbation of prostatitis with an increase in the number of leukocytes.Sometimes this option can be perfectly cured by strengthening the body;many urologists, in any case, give a complex vitamin preparation in a good course, often zinc, selenium, etc.
This is similar to bleeding gums.Loose, inflamed gums bleed very often.And after the inflammation is removed and the gums are strengthened, the blood mixture naturally disappears.If the reason for the appearance of blood in the semen is known, there is no need to be afraid of this symptom.
Decreased libido
A very important symptom.Officially, it should not appear with prostatitis.In practice, two mechanisms are usually involved.
The first is intoxication.Any inflammation, from the flu to a sore throat, can reduce libido and sex drive.The body focuses on other things.
Secondly, perhaps the libido is affected by something similar to the phenomena of Tarkhanov and Belov.The symptom is non-specific, for example, it can occur against the background of depression, which can appear with or without any chronic disease.But together with other manifestations, we consider this decrease to be important and significant.Including affecting recovery prospects.If this problem is not solved and the man's libido decreases, it is difficult to talk about the treatment of prostatitis.Decreasing will lead to an irregular sex life, pelvic stasis and an increased risk of flare-ups.
Other indirect signs
Weakness, lethargy, sweating
Often these are just manifestations of intoxication.Similarly, chronic sore throat, bronchitis, etc.Usually such symptoms do not bother you, but even with a slight exacerbation, the deterioration of the general condition appears;there is a fairly clear proportion between the strength of the inflammation and the degree of sweating, weakness, and apathy.As the condition improves, such symptoms disappear.The problem is generally not characteristic of prostatitis.But, for example, it helps to assess the strength of the flare-up.
Headache and dizziness
Dizziness and migraines can appear either immediately after the movement or after a day or two.These are usually "vegetative" reactions accompanied by exacerbation of prostatitis, more so in people prone to vascular reactions.Of course, a non-specific symptom.Maybe for dozens, hundreds of other diseases.But we will definitely take it into account.And, of course, we can eliminate it during treatment.