What causes chronic prostatitis

Chronic prostatitis is usually caused by bacterial infection, immune abnormalities, neuroendocrine disorders, pelvic muscle dysfunction, mental and psychological factors and other reasons. Chronic prostatitis may be related to factors such as prolonged sitting, holding back urine, dietary stimulation, cold exposure, overexertion, etc. It usually presents with symptoms such as frequent urination, urgency, perineal distension and pain, and sexual dysfunction.

1. Bacterial infection

Bacterial infection is a common cause of chronic prostatitis and may be caused by pathogens such as Escherichia coli and Proteus. Bacteria can ascend through the urethra and infect the prostate, causing an inflammatory reaction in the prostate tissue. Patients may experience symptoms such as burning sensation during urination and increased urethral secretions. For treatment, antibiotics such as levofloxacin tablets, azithromycin dispersible tablets, and cefixime capsules can be used as directed by the doctor. At the same time, the perineum must be kept clean to avoid aggravation of infection.

2. Immune abnormalities

Immune system dysfunction may lead to an autoimmune reaction in prostate tissue, causing sterile inflammation. This condition may be related to genetic susceptibility or environmental factors. The patient has increased leukocytes in the prostatic fluid but negative bacterial culture. You can use anti-inflammatory drugs such as celecoxib capsules and diclofenac sodium sustained-release tablets as directed by your doctor, along with regular work and rest to regulate immune function.

3. Neuroendocrine disorders

Long-term mental stress or abnormal hormone levels may cause excessive excitement of prostate sympathetic nerves, leading to abnormal gland secretion and local blood circulation disorders. Patients often suffer from neurasthenia symptoms such as anxiety and insomnia. For treatment, α-receptor blockers such as tamsulosin sustained-release capsules and doxazosin tablets can be used under the guidance of a doctor, combined with warm water sitz baths to improve local blood circulation.

4. Pelvic muscle dysfunction

Pelvic floor muscle spasm or coordination disorders may lead to chronic pain in the prostate area, which is common in people who sit for long periods of time or who cycle. The patient's perineal swelling becomes worse after defecation or sitting for a long time. You can perform biofeedback treatment or use muscle relaxants such as tizanidine hydrochloride tablets as directed by your doctor, and avoid sitting for long periods of time.

5. Mental and psychological factors

Mood disorders such as anxiety and depression may aggravate prostate symptoms through neuro-endocrine pathways, forming a vicious cycle. The severity of patient symptoms is often related to the patient's psychological state. Treatment needs to be combined with psychological counseling. If necessary, use antidepressants such as paroxetine tablets and sertraline tablets as directed by the doctor to establish a healthy lifestyle to relieve stress.

Patients with chronic prostatitis should avoid spicy foods, limit alcohol intake, and drink 1500-2000 ml of water every day. Do moderate aerobic exercise such as brisk walking and swimming, and avoid riding or sitting for long periods of time. Maintain a regular schedule to avoid overexertion. Pay attention to keeping the perineum warm and take a sitz bath in warm water for 10-15 minutes every day. If symptoms persist or worsen, you should seek medical treatment promptly and receive standardized treatment under the guidance of a doctor. Do not use antibiotics or proprietary Chinese medicines on your own.