What to do if you have lower abdominal pain due to prostatitis

Lower abdominal pain caused by prostatitis can be relieved by adjusting lifestyle, physical therapy, drug therapy, traditional Chinese medicine conditioning, and surgical treatment. Lower abdominal pain due to prostatitis may be related to bacterial infection, prolonged sitting, decreased immunity, urinary reflux, psychological stress and other factors.

1. Adjust your lifestyle

Avoid sitting for long periods of time and get up and move every once in a while to promote local blood circulation. Maintaining a regular schedule and avoiding staying up late can help enhance immunity. Avoid spicy and spicy foods, reduce alcohol and caffeine intake, and drink more water to help dilute urine and reduce irritation to the prostate. Moderate exercise such as walking, swimming and other aerobic exercise can improve pelvic blood circulation.

2. Physical therapy

Warm water sitz bath can relieve pelvic muscle spasm and reduce pain symptoms. The water temperature should be controlled at about 40 degrees for 15 minutes each time. Prostate massage needs to be performed by a professional doctor to help drain accumulated prostate fluid. Applying local heat to the lower abdomen can relax muscles and improve blood circulation. Avoid activities that put pressure on the perineum, such as riding a bicycle, to reduce stimulation of the prostate.

3. Drug treatment

For bacterial prostatitis, antibiotics such as levofloxacin tablets and azithromycin dispersible tablets can be used as directed by the doctor. NSAIDs such as celecoxib capsules can relieve pain and inflammation. Alpha-blockers such as tamsulosin extended-release capsules can relax the prostate and bladder neck muscles and improve urinary symptoms. Plant preparations such as Pusitai tablets have certain effects on chronic prostatitis. Severe pain can be relieved by short-term use of acetaminophen tablets.

4. Traditional Chinese Medicine conditioning

Traditional Chinese medicine believes that prostatitis is mostly related to dampness and heat, qi stagnation and blood stasis. Chinese patent medicines such as Qianlieshutong capsules and Longqing tablets can be used. Acupuncture points are mostly selected from Guanyuan, Zhongji, Sanyinjiao and other points, which can regulate the flow of qi and blood. Moxibustion on acupuncture points such as Shenque and Qihai has the effect of warming the meridians and dispersing cold. Traditional Chinese medicine fumigation and cleansing can use honeysuckle, dandelion and other heat-clearing and detoxifying herbs. Massaging the lumbosacral area can dredge the meridians and improve local circulation.

5. Surgical treatment

For recurrent chronic bacterial prostatitis, transurethral resection of the prostate may be considered. Prostatic abscess requires puncture drainage or incision and drainage. Transurethral bladder neck incision may be an option for patients with bladder neck obstruction. Rare and refractory cases may require total prostatectomy. The surgical method needs to be determined by the doctor based on the specific condition, and antibiotic treatment is required after surgery.

Patients with prostatitis should pay attention to keeping the perineum clean and dry every day and avoid catching cold. Regular sexual life helps to discharge prostatic fluid, but excessive use should be avoided. Maintaining a good attitude and reducing psychological stress are important for improving symptoms. The diet should be light, and you can eat pumpkin seeds, tomatoes and other foods rich in zinc and lycopene in moderation. Check regularly and adjust the treatment plan as directed by the doctor to avoid discontinuation of medication on your own, which may lead to recurrence of the condition. If symptoms worsen or if fever, hematuria, etc. occur, seek medical attention promptly.