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Types of PROSTATITIS

information from the National Institutes of Health

•Acute bacterial prostatitis is the least common of the four types and is potentially life-threatening. Fortunately, it is the easiest to diagnose and treat effectively. Men with this disease often have chills; fever; pain in the lower back and genital area; urinary frequency and urgency, often at night; burning or painful urination; body aches; and a demonstrable infection of the urinary tract as evidenced by white blood cells and bacteria in the urine. The treatment is an antimicrobial, a medicine that kills microbes-organisms that can only be seen with a microscope, including bacteria, viruses, and fungi. Antimicrobials include antibiotics and related medicines.

•Chronic bacterial prostatitis, also relatively uncommon, occurs when bacteria find a spot on the prostate where they can survive. Men have urinary tract infections that seem to go away but then come back with the same bacteria. Treatment usually requires the use of antimicrobials for a prolonged period of time. However, antimicrobials do not always cure this condition.

•Chronic prostatitis / chronic pelvic pain syndrome is the most common but least understood form of prostatitis. It may be found in men of any age. Its symptoms go away and then return without warning, and it may be inflammatory or noninflammatory. In the inflammatory form, urine, semen, and prostatic fluid contain the kinds of cells the body usually produces to fight infection, but no bacteria can be found. In the noninflammatory form, not even the infection-fighting cells are present.

•Asymptomatic inflammatory prostatitis is the diagnosis given when the patient does not complain of pain or discomfort but has infection-fighting cells in his prostate fluid and semen. Doctors usually find this form of prostatitis when looking for causes of infertility or testing for prostate cancer.

Treatments for PROSTATITIS

The bacterial forms of prostatitis are treated with antimicrobials. Acute prostatitis may require a short hospital stay so that fluids and antimicrobials can be given through an intravenous, or IV, tube. After the initial therapy, the patient will need to take antimicrobials for 2 to 4 weeks.

Chronic bacterial prostatitis requires a longer course of therapy. The doctor may prescribe a low dose of antimicrobials for 6 months to prevent recurrent infection. If a patient has trouble emptying his bladder, the doctor may recommend medicine or surgery to correct blockage.

Antimicrobials will not help nonbacterial prostatitis. Each patient will have to work with his doctor to find an effective treatment. Changing diet or taking warm baths may help. The doctor may perscribe a medicine called an alpha blocker to relax the muscle tissue in the prostate. No single solution works for everyone with this condition.

No treatment is needed for asymptomatic inflammatory prostatitis.

Guide to DIET and PROSTATITIS

from the National Institutes of Health

Most cases of acute prostatitis clear up completely with medication and slight changes to the diet and behavior.

•Avoid substances that irritate your bladder, such as alcohol, caffeinated food and beverages, citrus juices, and hot or spicy foods.

•Increase fluid intake (64 - 128 ounces per day) to urinate often and help flush bacteria from your bladder.

How to use the DietGrail food database to select foods for Protatitis

This food database provides the caffeine and alcohol contents of approximately 7,000 food items. A food's mineral and vitamin contents are displayed in charts to allow easy evaluation of its nutrition. You can use these vitamin and mineral charts to choose the most nutrient-dense foods and avoid foods with empty calories.
Click on any of the column headers to sort foods. Avoid those with high content of caffeine or alcohol.
In addition, the calorie pie chart shows the contribution of fat, carb and protein to the food's total calorie.
Foods can be searched by name and sorted by nutrient contents to help you find the most appropriate foods.

Usage Note

• Caffeine value is in mg and calculated per 100g of food weight.
• Alcohol value is in grams and calculated per 100g of food weight.
• Click on column header to sort foods by name or by caffeine or alcohol content.
• Pie chart shows relative contributions to total calories from carbohydrate, protein and fat (and alcohol, if exists).
• The mineral and vitamin charts show the relative contents of minerals and vitamins of each food. The higher the bubble, the higher mineral or vitamin content a food has relative to other foods. The larger the bubble, the greater the mineral or vitamin content relative to the Recommended Daily Allowances.

Does Prostatitis Cause Prostate Cancer?

A common problem in almost all men as they grow older is an enlarged prostate. This is called benign prostatic hyperplasia, or BPH. It does not raise your risk of prostate cancer. However, it can increase your PSA blood test results. The PSA blood test is often done to screen men for prostate cancer.

If you have high PSA level or if a rectal exam shows a large prostate or a hard, uneven surface, a prostate biopsy may be recommended. A biopsy is needed to tell if you have prostate cancer. A sample of tissue is removed from the prostate and sent to a lab.

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