Post Date December, 02 2023
Acute bacterial prostatitis is an acute inflammation of the prostaglandins and ducts caused by bacteria or their toxins.
[Clinical manifestations]
Acute onset, common fever, chills, anorexia, fatigue, nausea and vomiting, frequent urination, urgency, pain in urination, and sometimes purulent or turbid fluid discharged from the urethra or terminal hematuria, or difficulty urinating, pain and discomfort in the perineum, and radiation to the waist, thigh, and perineum; "The rectum is swollen, causing pain in the rectum during defecation, with a feeling of urgency and heaviness after defecation. Sometimes the urethral orifice drips white, and sexual function decreases.".
Diagnosis
1. Physical signs
(1) The lower abdomen tenderness is positive, and there is purulent secretion in the urethra.
(2) Digital examination of the rectum revealed significant swelling of the prostaglandins, smooth and regular surfaces, and significant tenderness. If there is a sense of fluctuation, it indicates abscess formation. Sometimes, there is redness, swelling, and tenderness in the perineum.
2. Laboratory inspection
(1) Blood routine: The white blood cell count and neutrophil count increase.
(2) Urinary routine examination: Urinary routine examination can be normal for acute prostatitis caused by hematogenous infection; 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 visual fields of purulent leukocytes.
A clear diagnosis can be made based on 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.
Traditional Chinese MedicineTreatment "src="//img. jianke. com/article/2015506/126729666-20150624190846909. jpg "/>
[Treatment]
Traditional Chinese Medicine Treatment
(1) Damp heat injection: frequent urination, urgency of urination, burning urethra, yellow or even hematuria in urination, underbelly, distension of the perineum, constipation, red and greasy tongue, smooth or stringy pulse.
Treatment: Clearing heat and promoting dampness.
Prescriptions: 10 grams each of Mutong, Cheqianzi (fried), Huangbai, Bianzhu, and Qumai, 6 grams each of gardenia, raw licorice, and rhubarb, 15 grams each of talcum, wild chrysanthemum, and dandelion.
(2) Hyperpyrexia: Persistent high fever, thirst, preference for cold drinks, redness and swelling of the perineum, burning, bloating, and pain, and radiation to both groins or waist, urination, oliguria, or urination, white and turbid urine droplets, or pus and hematuria, constipation, or urgency, redness of the tongue, yellow fur, and slippery pulse count.
Treatment: Eliminate heat and detoxify.
Prescription: 6 grams each of gentian grass, rhubarb, and mirabilite, 10 grams each of scutellaria baicalensis, licorice shoot, plantain seed (fried), and phellodendron amurense, 15 grams each of patrinia villosa, dandelion, and 12 grams each of gardenia.
