Any healthy man can develop prostatitis;no one is immune from it.Even astronauts and athletes with an ideal lifestyle are in the "danger 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 whose functions is to control the flow of urine, opening and closing the exit from the bladder.Therefore, when the prostate becomes irritated or inflamed, problems with urination often begin.
Increase or decrease desire
Symptomatic of prostatitis is precisely the increased frequency of urges with a decrease in the amount of urine in one portion.Only an increase in the frequency of urges with the same portion and volume can be either the norm (I just started drinking more liquids) or a sign of a disease such as diabetes - diabetes mellitus or diabetes insipidus.This means, the total amount of urine per day increases significantly, and therefore a person runs to the toilet more often.Normally, this happens, for example, when you eat watermelons.The pieces of urine are large or large.
But when the same amount of urine comes out per day, but is distributed in 10-30 trips to the toilet - the size of each portion, of course, becomes several times smaller.In women, this is observed with cystitis, in men - with prostate 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 a cure, but an improvement in the condition.This is important in a diagnostic sense
Weakening of the flow of urine
A weak urine stream is an important characteristic symptom of a prostate problem.It is usually 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 of 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, intercourse or lack thereof.From walking or sitting for a long time.From breaking the diet or following it.
Unpleasant feelings
Very characteristic is not only an increased frequency of urges, but also unpleasant sensations during urination.When you eat watermelon, for example, 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, "necessary" desire to go to the toilet.This brings relief - but for a fairly 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.
Urine portion sizes
The size of the pieces of urine decreases.This is due to the irritating effect of prostate inflammation and 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.
Serving sizes may vary.With more fluids, urinary tract irritation is reduced as the urine becomes more diluted.It turns out a paradox - a person drinks more liquids, but goes to the toilet less often, due to the increase in portions.
Sharp and urgent urges
Imperative urges (sharp) - more common during irritation, or with age.They can force a man to refuse trips, or make his way "from toilet to toilet".In advanced cases, this leads a man to the need to wear a diaper.On the one hand, the urine flows weaker and on the other hand, when you feel like it, you have to go to the toilet.By all means.
It is almost impossible to "endure" such an urge
Leakage of urine
Some urine always remains after urination."No matter how much you shake your penis, the last one will be in your panties" - popular wisdom.However, a little is 1-2-3 drops of urine, no more.Any visible excess of this rate is quite typical of a problem with the urinary tract in a man, but it 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.Most often, the discharge does not depend on urination, it is thicker than urine, it can be light, colored, transparent and cloudy... They require mandatory analyzes to identify the cause.It can be a sign of prostatitis and urethritis, or a venereal disease.
Pain
Just as the throat hurts with a sore throat, with prostatitis the lower abdomen, perineum, groin, lower back or sacrum hurts.
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 is important for us is the nature of these pains, their connection with other symptoms and with external causes.
When and why they appear
A connection with lifestyle, sedentary work, ejaculation or abstinence allows you to practically exclude prostatitis, or to suspect it with a high probability.Thus, persistent pain that does not depend on these causes may more often be a manifestation of a "neurological" cause, 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 or days - it is most likely associated with prostatitis.
Duration
Any.The duration may depend on the severity of the deterioration and other accompanying diseases.For example, depression will give constant excruciating pain even with a small prostate.A painless form of prostatitis can mask the disease, possibly for many years.
This means, one cannot judge the disease and its severity only from this symptom.
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, on sedentary work or walking, on overexcitement, on cold or spicy food - helps us quite accurately determine both the diagnosis itself, and the direction of treatment and preventive measures that will make practical recovery from chronic prostatitis possible.
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 mode of influence is intoxication.As with any serious inflammation, such as the flu, all or most of the body can be affected.In the same way, the body can harm with prostatitis, with its worsening.
The second mechanism of pain in distant areas (head, heart, hypochondrium, legs) is neurological.Along the course of the nerves and the spine, pain can "radiate" to quite distant areas of the body and even form "secondary" foci 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.
Erection problems
"Officially" an erection should not be affected by inflammation of the prostate.She has other mechanisms of development that are not directly related to this "second heart" of a man.However, in practice, the erection is impaired.At least during a tantrum.There may be several mechanisms - from the direct effect of inflammation of a nearby organ on the "turning on" of the penis - to an indirect regulatory mechanism, similar to a weakening, slowing of erection during long-term abstinence in adult men (not in teenagers, of course).
Fortunately, this erectile dysfunction is very well and safely treated.Unless a psychological factor is added.A man with mild prostatitis experiences a slight decline in erectile function.He begins to worry, to listen to the penis - and the neurosis destroys his erection completely at the root.This is the third, most serious mechanism of the impact of prostatitis on erection.
Ejaculation disorders
Ejaculation (ejaculation) is the release of sperm from the penis at the end of sexual intercourse.It is performed by the muscles of the pelvic floor and the prostate gland.Most often, the symptom is a weakening of this release, a decrease in the "strike range" and a shortening of sexual relations.Sometimes, or temporarily - there may be a prolongation of sexual intercourse, the man cannot "hope" in any way.
Sperm ejection force
When a muscle weakens, its work and action weaken.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 prostate damage.Almost all other manifestations and symptoms can occur in other diseases.But the weakening of secretions is pathognomonic, specifically for prostatitis.
The second reason.Decreased production is a factor that worsens the state of the prostate after sex, which provokes POIS (post-orgasm abuse syndrome).
During treatment - men with POIS report worsening of their condition after poor and ineffective sperm production.And vice versa - they are increasingly saying that high-quality ejaculation did not give symptoms of POIS.Not 100%, but very likely.Thirdly, this is probably the main factor that prevents a man with prostate from recovering without medical procedures.As soon as the force of sperm release is normalized, the main mechanism for maintaining male health is activated - the "self-cleaning" of the prostate gland.
Unclear feelings
Instead of a vivid orgasm, the man feels something like "he peed in boiling water" or "he almost didn't feel anything."
The strength of sensations can fluctuate, and also serves as a fairly accurate sign of problems in the prostate, or a sign that improvement has begun.
Color, quantity and consistency of ejaculate
One of the important objective parameters related to the prostate and prostatitis.Often, sperm analysis is performed only to determine fertility and chances of conception.However, semen analysis provides a lot of information about the state of the prostate.So the color of sperm and ejaculate is normally milky white, cloudy.The consistency is of medium thickness, there should be "sticking", the stretching of a drop of sperm in the form of a thread.The smell is specific, without any admixture of the smell of decay, pus, etc.
Any change in these parameters requires urgent examination if there is no diagnosis yet, and treatment - for example, when the diagnosis of prostatitis is already available.
The color (bright white, yellow and green) indicates the presence of an impurity in the semen, often of an inflammatory, purulent nature.
Transparency indicates decreased prostate function.And there will almost certainly be a few "lecithin grains" in the microscopic analysis, which indicates a decrease in the function of this particular organ, although not necessarily from inflammation.
The amount can be different, it can also fluctuate normally, depending on the rhythm of sexual life.A steady decrease or increase in the amount of sperm causes alarm.Perhaps this is a manifestation of the "blockage" of a part of the prostate tubes, or simply a decrease in the production of ejaculate.
Not 100%, but a very characteristic symptom of chronic prostatitis.
Hemospermia
Let's consider separately hemospermia - a mixture of blood in sperm.It can be observed simply by eye, more often with damage to blood vessels, with caliculitis, with cancer and finally with trauma.The blood can be either bright red or old, dark, venous.In any case, this requires urgent ejaculate analysis and other examinations.
There is also an admixture of a small amount of blood in the ejaculate - microhemospermia.It often occurs during the exacerbation of prostatitis, along with an increase in the number of leukocytes.Sometimes this option can be perfectly handled by strengthening the body;many urologists, just in case, give a complex preparation of vitamins in a good course, often together with zinc, selenium, etc.
This is similar to bleeding gums.Loose and inflamed gums bleed very often.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, two mechanisms are usually involved.
The first is drunkenness.With any inflammation, from the flu to a sore throat, libido and sex drive can decrease.The body focuses on other tasks.
Second, perhaps the libido is affected by something similar to the phenomena of Tarkhanov and Belov.The symptom is non-specific, it can also appear, for example, with a depressive background, which can appear with any chronic disease and even without it.But in combination with other manifestations, we consider this decrease to be significant and significant.Including to influence the prospects for recovery.If this problem is not solved and the man remains with reduced libido, it is difficult to talk about curing prostatitis.A drop will lead to an irregular sex life, pelvic congestion and an increased risk of irritations.
Other indirect signs
Weakness, lethargy, sweating
More often than not, these are simply manifestations of intoxication.As with chronic sore throats, bronchitis, etc.Usually such symptoms do not bother you, but even with a slight deterioration, a deterioration of 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 go away.The problem is not at all specific to prostatitis.But it helps to assess the strength of the deterioration, for example.
Headache and dizziness
Dizziness and migraines can appear either immediately after the act or after a day or two.They are "vegetative" reactions that usually accompany prostatitis irritation, more often in people prone to vascular reactions.A non-specific symptom, of course.Perhaps for dozens, if not hundreds of other diseases.But we will certainly consider it.And of course, we can remove it during the course of treatment.