Any healthy man can develop prostatitis;no one is immune from it.Even astronauts and athletes with ideal lifestyles are in the "risk zone".Knowing the symptoms will help you detect prostatitis in time and start treatment.
Urinary disorders
Urethra, urethra, through the prostate.One of its functions is to control the flow of urine, opening and closing the outlet from the bladder.Therefore, when the prostate is irritated or inflamed, problems with urination often begin.
Thrust increases or decreases
Symptoms of prostatitis are precisely the increase in the frequency of urges with a decrease in the amount of urine in the part.Only an increase in the frequency of urges with the same proportion and amount can be either the norm (I just started drinking more fluids) or a sign of a disease such as diabetes - diabetes mellitus or non-sugar diabetes.That is, the 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.The portion of urine is large or large.
But when the same amount of urine comes out in a day, but it is distributed during 10-30 trips to the toilet - the size of each part, of course, becomes several times smaller.In women, this is observed with cystitis, in men - with prostatitis or urethritis, with any irritation of the urinary tract, including inflammation.These symptoms can be fairly constant, or they can fluctuate.If the irritant weakens the effect temporarily, for example when the inflammation subsides.In the case of chronic prostatitis, this does not indicate recovery, but an improvement in the condition.This is important in a diagnostic sense
Weakening the flow of urine
Poor urine flow is an important symptom of prostate problems.Usually it is given by two main diseases.Adenoma (hyperplasia) of the prostate gland and prostatitis.It is easy to tell them apart.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, and 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.From ejaculation, sexual intercourse or lack thereof.From walking or sitting for a long time.Instead of breaking the diet or following it.
An unpleasant sensation
Very characteristic is not only an increase in the frequency of urges, but also an unpleasant sensation 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 "imperative" urge to go to the toilet.This brings relief - but for a relatively short time.At night, the desire appears more often and is often more unpleasant.This can disrupt sleep and is often one of the main complaints.
Urine Portion Size
The size of the portion of urine decreases.This is due to both the irritating effects 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 accumulated in the bladder, "half a bucket" - but in fact there is 30-100 ml.
Serving sizes may vary.With more fluids, urinary tract irritation is reduced as the urine becomes more fluid.It turns out to be a paradox - a person drinks more liquid, but goes to the toilet less often, due to the increased portion.
A sharp and urgent insistence
Imperative urges (sharp) - more common during exacerbations, or with age.They can force a man to refuse a trip, or make his own way "from toilet to toilet."In advanced cases, this leads a man to the need to wear diapers.On the one hand, urine flows weaker, and on the other, when you have the urge, you have to go to the toilet.At any cost.
It is almost impossible to "resist" such a desire
Urine dripping
Some urine always remains after urination."No matter how much you shake your penis, the last one will be in your underwear" - popular wisdom.However, a little is 1-2-3 drops of urine, no more.Any visible excess of this norm is quite typical for problems with the urinary tract in a man, 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 additional analysis is required.More often, the discharge does not depend on urination, is thicker than urine, can be light, colored, transparent and cloudy... They require mandatory analysis to identify the cause.It can be a sign of both prostatitis and urethritis, or venereal disease.
ill
Just like a sore throat with a sore throat, the lower abdomen, perineum, groin, lower back or sacrum also hurts with prostatitis.
Where and how exactly does it hurt?
Pain can also "radiate" to the scrotum, legs, sometimes to the abdomen, up to the level of the navel and even higher.What matters to us is the nature of this pain, its relation to other symptoms and to external causes.
When and why does it appear
The connection with lifestyle, sedentary work, ejaculation or abstinence allows you to either practically exclude prostatitis, or suspect it with high probability.Therefore, persistent pain that does not depend on these causes can more often be a manifestation of "neurological" causes, such as CPPS, chronic pelvic pain syndrome.But the pain that appears after ejaculation for several hours or days.or, on the contrary, it disappears after ejaculation for hours and days - most likely associated with prostatitis.
Period
anywhere.The duration may depend on the severity of the severity and other concomitant diseases.For example, depression will give constant pain even with minor prostatitis.A painless form of prostatitis can mask the disease, possibly for years.
That is, one cannot judge the disease and its severity by these symptoms alone.
What makes it better or worse?
This is the main thing that worries doctors.
The location, nature or duration of pain can be very different for the same disease.But the dependence of the condition on ejaculation, on inactive work or walking, on excitement, on cooling or spicy food - quite accurately helps us determine both the diagnosis itself and the direction of treatment and preventive measures that 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 the inflammation can affect the whole body.
The first way of influence is drunkenness.As with any serious inflammation, like the flu, the whole body or most of it can hurt.In the same way, the body can be sick with prostatitis, with exacerbation.
The second mechanism of pain in distant areas (head, heart, hypochondrium, legs) is neurological.Along the course of the nerves and spine, pain can "radiate" to relatively distant areas of the body, and also form a "secondary" focus of inflammation.For example, in the lumbosacral region.And from there, the pain can "radiate", radiating to the thoracic and cervical spine, to the legs, and almost anywhere.
Erectile problems
"Officially" erection cannot be affected by inflammation of the prostate.He has other mechanisms of development that are not directly related to this "second heart" of a man.However, in practice, the erection is affected.At least during exacerbations.There may be several mechanisms - from the direct effect of inflammation of nearby organs on "turning on" the penis - to indirect regulatory mechanisms, similar to weakness, slowness of erection during long-term abstinence in adult men (not in teenagers, of course).
Fortunately, erectile dysfunction is well and reliably treated.Unless psychological factors are added.A man with mild prostatitis has a slight decrease in erectile function.He began to worry, listening to the penis - and neurosis destroyed his erection completely at the root.This is the third, most serious mechanism of the influence of prostatitis on erection.
Ejaculatory disorders
Ejaculation (ejaculation) is the release of sperm, ejected from the penis at the end of sexual intercourse.Performed by the pelvic floor muscles and the prostate gland.More often, the symptoms are the weakness of this discharge, a decrease in the "range of strokes" and the shortening of sexual intercourse.Sometimes, or temporarily - there may be a prolongation of sexual intercourse, the man cannot "cum" in any way.
Sperm production capacity
When the muscles are weak, their work and actions become weak.The composition of ejaculate and sperm changes, and the force of ejection also changes.
This is important for three reasons.The first is one of the most accurate signs of damage to the prostate.Almost all other manifestations and symptoms can occur in other diseases.But the weakness of discharge is pathognomonic, specific for prostatitis.
The second reason.Decreased production is a factor that worsens the condition of the prostate after sex, which gives rise to POIS (post orgasm malaise syndrome).
During treatment - men with POIS report worsening of their condition due to poor and ineffective sperm production.And vice versa - they increasingly say that high-quality ejaculation does not give symptoms of POIS.Not 100%, but most likely.Third, this may be the main factor that prevents men with prostatitis from being cured without medical procedures.As soon as the strength of sperm release is normalized, the main mechanism for maintaining male health is activated - "self-cleaning" of the prostate gland.
Blurred sensation
Instead of a clear orgasm, the man felt something like "piss in boiling water" or "almost nothing."
The strength of the sensation can vary, and also serves as a fairly accurate sign of problems in the prostate, or a sign that an increase is beginning.
Color, quantity and consistency of ejaculation
One of the important objective parameters related to the prostate and prostatitis.Often, sperm analysis is done only to determine fertility and chances of pregnancy.However, semen analysis provides a lot of information about the condition of the prostate.So, the color of sperm and ejaculate is usually milky white, cloudy.The consistency is medium thick, there must be "stickiness", the stretchability of a drop of sperm in the form of a thread.The smell is specific, without any admixture of stench, pus, etc.
Any changes in these parameters require immediate examination if there is no further diagnosis, and treatment - for example, when the diagnosis of prostatitis is already available.
Color (bright white, yellowish, and greenish) indicates the presence of impurities in the sperm, often inflammatory, purulent.
Transparency indicates decreased prostate function.And there are almost certainly a few "lecithin grains" in the microscopic analysis, which indicate a decrease in the function of this particular organ, although not necessarily from inflammation.
The quantity can be different, it can also fluctuate normally, depending on the rhythm of sexual life.A stable decrease or increase in sperm count is cause for concern.Perhaps this is a manifestation of "blockage" of part of the prostate tubules, or simply a decrease in the production of ejaculate.
Not 100%, but enough characteristic symptoms for chronic prostatitis.
Hemospermia
Let's consider separately hemospermia - the mixture of blood in the sperm.It can be seen only with the eyes, more often with damage to blood vessels, with calliculitis, with cancer, and finally with trauma.Blood can be either bright red or dark, dark, venous.In any case, this requires immediate analysis of ejaculation and other examinations.
There is also a mixture of a small amount of blood in the ejaculation - microhemospermia.Often occurs during exacerbation of prostatitis, along with an increase in the number of leukocytes.Sometimes this option can be treated perfectly by strengthening the body;many urologists, just in case, give a complex vitamin preparation in a good course, often together with zinc, selenium, etc.
This is similar to bleeding gums.Loose and inflamed gums often bleed.And after the inflammation is eliminated and the gums are strengthened, the blood mixture, 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
A very important symptom.Officially, it should also not appear with prostatitis.In practice, there are usually two mechanisms involved.
The first is drunkenness.With any inflammation, from a cold to a sore throat, libido and desire for sex may decrease.The body sets its sights on other tasks.
Second, maybe the libido is affected by something similar to the Tarkhanov and Belov phenomenon.These symptoms are not specific, they can also occur, for example, against the background of depression, which can appear with any chronic disease and even without it.But in combination with other manifestations, we consider this decrease as significant and important.Including to influence the prospects of recovery.If this problem is not solved and the man is left with a reduced libido, it is difficult to talk about curing prostatitis.A decrease will lead to an irregular sex life, stagnation in the pelvis and an increased risk of exacerbation.
Other indirect signs
Weakness, lethargy, sweating
More often than not, this is just a manifestation of intoxication.Same as chronic sore throat, bronchitis and so on.Usually such symptoms do not bother you, but even with a slight aggravation, a deterioration in 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 not at all specific to prostatitis.But it helps to assess the strength of the aggravation, for example.
Headache and dizziness
Dizziness and migraines can appear either immediately after the action or after a day or two.They are "vegetative" reactions that usually accompany an exacerbation of prostatitis, more often in people with a tendency to vascular reactions.Non-specific symptoms, of course.Probably 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.