Q: Good afternoon Dr. I am 23years old and have a problem of Chronic Prostatitis and I’ve been going to different Drs for the past 8years but up to now, I’ve never been healed. Is there any cure for it or I should give up already? No Dr has ever answered this question but I hope you will. Thank you in advance.
A: The prostate gland is a small organ located just below the bladder. It produces semen and the urethra which transports urine from the bladder and semen from the prostate, passes through the prostate. This organ grows throughout a male’s life and sometimes grows so big that it blocks the flow of urine from the bladder. This condition is known as Benign Prostatic Enlargement or Benign Prostatic Hypertrophy or Benign Prostatic Hyperplasia. This is more likely to happen as people age and when there is a family history of this.
Prostatitis refers to the painful swelling of the prostate gland which can be acute (in which case severe symptoms develop suddenly and require immediate treatment) or chronic (in which case the symptoms appear and disappear over a long period of time). Acute prostatitis is usually due to bacterial infection but in the more common chronic prostatitis, infections are usually not identified.
Prostatitis can occur in men of all ages and includes the following symptoms:
• Pain in the lower back, genitals and buttocks.
• Feeling like urinating very frequently
• When the person does start urinating, the flow trickles
• Pain when ejaculating
• Flu-like symptoms: high temperature, tiredness, aching joints and muscles, chills etc
Treatment usually involves:
• Medications to reduce the pain and swelling (inflammation). Non-steroidal Anti-Inflammatory Drugs like ibuprofen are helpful here.
• Antibiotics are useful to combat bacterial infections found in acute prostatitis. Sometimes, this is also given in chronic prostatitis to see if condition improves.
• Some medications called alpha blockers may be used in people who have problems urinating as this relaxes muscles at the base of the bladder and muscles of the prostate.
Prostatitis can be painful but usually gets better eventually.
Chronic prostatitis is particularly challenging, as in your case, because no cause is usually identified. But most men recover gradually with treatments noted above, over months and in some cases, years…as yours appears to be.
I hope this helps.
Have a good night, y’all 😀