Any healthy man can develop prostatitis;No one is immune from it.Astronauts and even athletes with ideal lifestyles are in the "risk zone".Knowing the symptoms will help you detect prostatitis in time and start treatment.
Urinary disorders
The urethra, the urethra, passes through the prostate.One of the functions of which is to control the flow of urine, to open and close the exit from the bladder.Therefore, when the prostate is irritated or inflamed, problems related to urination often begin.
Increased or decreased desire
The symptoms of prostatitis are frequent colds along with a decrease in the amount of urine.An increase in the frequency of need only with the same portion and volume can be the norm (I just started drinking more fluids) or a sign of a disease such as diabetes - diabetes mellitus or diabetes mellitus.That is, the total amount of urine per day increases dramatically, and therefore a person runs to the toilet more often.Usually this happens, for example, when eating watermelon.Urinary tracts are large or large.
But when the same amount of urine comes out per day, but it is distributed in the toilet with 10-30 exits - the size of each part, of course, decreases several times.In women, it is observed with cystitis, in men - with prostatitis or urethritis, with any irritation of the urinary tract, including inflammation.This symptom can be fairly constant, or it can fluctuate.If the irritant temporarily weakens the effect, for example, when the inflammation subsides.In the case of chronic prostatitis, this does not indicate recovery, but improvement of the condition.This is important from a diagnostic point of view
Weakening of the flow of urine
A weak urine stream is an important symptom of a prostate problem.It is usually caused by 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 urine flow on the effect on the gland is specific.From ejaculation, intercourse or lack thereof.from walking or sitting for long periods of time.From breaking the diet or following it.
unpleasant sensations
It is very typical not only to increase the need, but also to have unpleasant sensations during urination.For example, while eating watermelon, you can run to the toilet every 10-15 minutes, but the feeling is quite pleasant and satisfying.But prostatitis will give you a very unpleasant, "imperative" urge to go to the toilet.This brings relief - but for a rather short time.At night, the desire appears more often and is often more unpleasant.This can interfere with sleep and is often one of the main complaints.
The dimensions of the urine portion
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 in case of inflammation.Hypersensitivity - gives the feeling that a lot of urine has already accumulated in the bladder, "half a bucket" - but in fact there is literally 30-100 ml.
Service sizes may vary.With more fluids, urinary tract irritation is reduced because the urine is more diluted.It turns out to be a paradox - a person drinks more liquid, but goes to the toilet less often, due to the increase in portions.
Sharp and urgent calls
Imperative (sharp) needs - more common during exacerbations, or with age.They can force a man to refuse to travel, or to make his own way from "toilet to toilet".In advanced cases, this leads to the need for a man to wear a diaper.On the one hand, the urine becomes weak, on the other hand, when you feel the urge, you have to go to the toilet.at any cost.
It is almost impossible to "move" such a desire.
Urine dripping
A portion of urine always remains after urination."No matter how much you shake your penis, it will end up in your pants" - popular wisdom.Although 1-2-3 drops of urine is a little, no more.Any visible excess of this norm is quite characteristic of the problem of the male urinary tract, but is not always characteristic of prostatitis.
This also includes a completely different symptom - discharge from the urethra.Sometimes they are difficult to distinguish and require additional analysis.More often, the discharge does not depend on urination, it is thicker than urine, it can be light, colored, transparent and cloudy... Mandatory analysis is required to determine the cause.It can be a sign of prostatitis, urethritis, or venereal disease.
pain
Just as a sore throat hurts you with a sore throat, so does pain in the lower abdomen, perineum, groin, lower back or scrotum with prostatitis.
Where and how does it hurt exactly?
Pain can also "radiate" to the scrotum, 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 connection with other symptoms and external causes.
When and why do they appear?
Connection with lifestyle, sedentary work, ejaculation or abstinence allows you to either practically exclude prostatitis, or suspect it with 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 pain that occurs after ejaculation for several hours or days.Or, on the contrary, it disappears hours or days after ejaculation - it is most likely associated with prostatitis.
duration
any.The duration may depend on the severity of the exacerbation and other concomitant diseases.For example, depression causes constant excruciating pain even with minor prostatitis.A painless form of prostatitis can mask the disease, possibly for many years.
That is, only this symptom cannot assess the disease and its severity.
What makes it better or worse?
This is the main thing that worries the doctor.
The location, nature or duration of pain can be very different for the same disease.But the dependence of the condition on ejaculation, sitting work or walking, excessive excitement, cold or spicy food - quite accurately helps us to determine the diagnosis itself, as well as the direction of treatment and preventive measures, which will make it possible to practically recover from chronic prostatitis.
Pain in the heart, back and other organs
The prostate is a small organ in the pelvis.But its inflammation can affect the whole body.
The first way of influence is intoxication.As with any serious inflammation, such as the flu, the whole body or most of it can be affected.Similarly, the body can be damaged by prostatitis, its exacerbation.
The second mechanism of pain in distant places (head, heart, hypochondrium, legs) is neurological.Pain along the nerves and spine can "radiate" to quite distant areas of the body and create "secondary" foci of inflammation.For example, in the lumbosacral region.And from there, the pain can "radiate", spread to the thoracic and cervical spine, to the legs and almost anywhere.
erection problems
"Officially" erection should not be affected by prostatitis.It has other mechanisms of development that are not directly related to this "second heart" of a man.However, in practice, the erection is disturbed.At least during an exacerbation.There may be several mechanisms - from the direct effect of inflammation of the nearby organ on the "turning on" of the penis - to an indirect, regulatory mechanism, such as a weakening, slowing down of erection in adult men during long-term abstinence (not in adolescents, of course).
Fortunately, this erectile dysfunction is very well and reliably treated.If the psychological factor is not added.A man with mild prostatitis has a slight decrease in erectile function.He begins to worry, listens to the penis - and neurosis fundamentally 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 penis at the end of sexual intercourse.Performed by the muscles of the pelvic floor and prostate gland.More often, the symptom is a weakening of this release, a decrease in the "shooting range" and a decrease in sexual intercourse.Sometimes, or temporarily - there may be a prolongation of sexual intercourse, the man cannot "finish" in any way.
Sperm expulsion power
When a muscle is weakened, its work and action are weakened.The composition of ejaculate and sperm changes and the force of expulsion also changes.
This is important for three reasons.The first is one of the most accurate signs of prostate damage.Almost all other manifestations and symptoms can occur in other diseases.But the weakening of the discharge is pathognomonic, specifically for prostatitis.
the second reason.Decreased output is a factor that worsens the condition of the prostate after sex, which provokes POIS (post-orgasmic weakness syndrome).
During treatment - men with POIS report worsening of their condition after producing weak, ineffective sperm.And vice versa - it is increasingly said that high quality ejaculation does not cause symptoms of POIS.Not 100%, but very likely.Thirdly, this is probably the main factor that prevents a man with prostatitis from being cured without medical procedures.As soon as the power of sperm secretion is normalized, the main mechanism of maintaining male health is activated - "self-cleaning" of the prostate gland.
vague sensations
Instead of a live orgasm, a man feels something like "peeing in boiling water" or "almost nothing."
The intensity of the sensations can vary and also serve as a fairly accurate sign of prostate problems, or a sign that improvement is beginning.
Color, quantity and consistency of ejaculate
One of the important objective parameters related to prostate and prostatitis.Often, sperm analysis is done only to determine the chances of fertility and conception.However, semen analysis provides a lot of information about the state of the prostate.Thus, the color of sperm and ejaculate is usually milky white, cloudy.The consistency is medium thick, there should be "stickiness", the tension of the sperm drop thread.The smell is specific, of rot, pus, etc.without any mixing of odors.
Any change in these parameters requires urgent investigation, if there is no diagnosis and treatment - for example, when a diagnosis of prostatitis is already available.
The color (bright white, yellowish and greenish) indicates the presence of impurities in the semen, often inflammatory, purulent in nature.
Transparency indicates decreased prostate function.And there will almost certainly be a few "lecithin grains" on microscopic analysis, indicating impaired function of that particular organ, though not necessarily inflammation.
The amount can be different, and it can fluctuate normally, depending on the rhythm of sexual life.A steady decrease or increase in the number of sperm causes alarm.Perhaps this is a manifestation of "blocking" of a part of the prostate ducts, or simply a decrease in the production of ejaculate.
Not 100%, but quite a characteristic symptom of chronic prostatitis.
Hemospermia
Let's consider hemospermia separately - mixing of blood with sperm.It is noticeable just by the eye, more often with damage to blood vessels, calliculitis, cancer and finally trauma.Blood can be bright scarlet or old, dark, venous.In any case, it requires urgent analysis of ejaculate and other investigations.
There is also a small amount of blood mixed in the ejaculate - microhemospermia.It often occurs during exacerbation of prostatitis, along with an increase in the number of leukocytes.Sometimes this variant can be completely treated by strengthening the body;Many urologists give a complex vitamin preparation for every case with a good course, often with zinc, selenium, etc.
This is analogous to bleeding gums.Loose, inflamed gums bleed very often.And after the inflammation is eliminated and the gums are strengthened, the mixing of blood, of course, disappears.There is no need to be afraid of this symptom if the reason for the appearance of blood in the semen is known.
Decreased libido
It is a very important symptom.Officially also should not appear with prostatitis.In practice, two mechanisms are usually involved.
The first is intoxication.With any inflammation, from the flu to a sore throat, libido and sex drive can decrease.The body aims at other tasks.
Second, libido may be affected by something similar to the Tarkhanov and Belov phenomena.The symptom is non-specific, it can also occur, for example, with a depressive background, which can be manifested with or without any chronic disease.But with other manifestations, we will consider this reduction as important and significant.including influencing recovery prospects.If this problem is not solved and the man has decreased libido, it is difficult to talk about curing prostatitis.Reduction will lead to irregular sex life, pelvic stagnation and risk of exacerbation.
Other indirect signs
Weakness, lethargy, sweating
More often than not, these are simply symptoms of intoxication.As well as chronic sore throat, bronchitis, etc.As a rule, such symptoms do not bother you, but even in the case of a minor exacerbation, the general condition worsens;There is a fairly clear proportionality between the intensity of inflammation and the degree of sweating, weakness and apathy.As the condition improves, such symptoms disappear.The problem is not at all specific to prostatitis.But it helps to assess the strength of the exacerbation, for example.
Headache and dizziness
Dizziness and migraine may appear immediately after the operation or a day or two later.These are "vegetative" reactions that usually accompany an exacerbation of prostatitis, more often in people prone to vascular reactions.It is a non-specific symptom, of course.Perhaps for dozens, if not hundreds, of other diseases.But we will definitely take it into account.And of course we can remove it during treatment.