Acute bacterial prostatitis

Acute bacterial prostatitis

Acute bacterial prostatitis is an acute inflammation of the glands and glands caused by bacteria or their toxins.

[Clinical manifestations]

Acute onset, common fever, chills, anorexia, fatigue, nausea and vomiting, frequent urination, urgency of urination, pain in urination, sometimes purulent fluid or turbid fluid discharged from the urethra or terminal hematuria, or difficulty in urination, pain and discomfort in the perineum, and radiation to the waist, thigh and perineum; The rectum is distended, the rectum is painful during defecation, there is a feeling of urgency and heaviness, sometimes the urethral orifice drips white, and the sexual function is reduced.

[Diagnosis]

1. Physical signs

(1) The lower abdomen tenderness is positive, and the urethra has purulent marks

Secretion.

(2) The digital examination of the rectum showed that the swelling of the prostaglandins was obvious, the surface was smooth and regular, and the tenderness was obvious. If there was a sense of fluctuation, it was abscess formation, and sometimes there was redness and tenderness in the perineum.

2. Laboratory inspection

(1) Blood routine test: white blood cell count and neutrophil count increased.

(1) Urinary routine: the routine urine of acute prostatitis caused by hematogenous infection can be normal; When prostatitis is caused by urinary tract infection, there are inflammatory changes in the urine.

(3) Prostate fluid examination: lecithin decreases or disappears, and there are more than 10 high power fields of purulent leukocytes.

3. The diagnosis can be made clearly according to the medical history, symptoms, physical signs and laboratory results. If the symptoms persist for more than one week, the white blood cell count rapidly increases, the perineum and anus are severely distended and painful, and the lower urinary tract symptoms are aggravated, the abscess formation should be considered when acute urinary retention occurs.

[Treatment]

1. Western medicine treatment

(1) Those with mild symptoms can be given oral drugs, such as compound sulfamethoxazole, quinolones, and minocycline. Compound sulfamethoxazole, one tablet each time, twice a day; Norfloxacin 0.2g, 4 times a day; Menamycin, 100mg per adult, twice daily for 3 weeks.

(2) For patients with severe symptoms, ampicillin 2-6 g/day or gentamicin 16-32 million/day (twice) can be used, diluted with glucose or normal saline and then intravenous drip. Antibiotics generally decrease in body temperature and relieve symptoms after 48-72 hours of medication. They should continue to be used for 2-3 days, and then use oral medicine for maintenance, with a course of treatment of at least one month.

2. TCM treatment

(1) Damp-heat betting: frequent urination, urgency of urination, burning urethra, yellow urine or even hematuria, lack of abdomen, distension of perineum, constipation of stool, red tongue, yellow fur, smooth or stringy pulse.

Treatment: clearing away heat and removing dampness.

Prescription: 10 grams each of Mutong, Cheqianzi (fried), Phellodendron amurense, Bianhu, and Qumai, 6 grams each of gardenia, raw licorice, and rhubarb, 15 grams each of talcum, and 15 grams each of wild chrysanthemum and dandelion.

(2) Hyperpyrexia: persistent high fever, thirst, preference for cold drinks, swelling and swelling of the perineum, burning, swelling and pain, and radiation to both sides of the groin or waist, urination, oliguria or urination, white and turbid urine drops or purulent urine, constipation, or urgency, redness of the tongue, yellow fur, and slippery pulse.

Treatment: diarrhea and detoxification.

Prescription: 6 grams of gentian, rhubarb, mirabilite, 10 grams of scutellaria baicalensis, licorice shoot, plantain seed (fried), and phellodendron amurense, 15 grams of patrinia villosa, 15 grams of dandelion, and 12 grams of gardenia.