How long do prostatitis flare ups last?

Chronic bacterial prostatitis is an infection of the prostate that can last for a long time – at least three months. Chronic means that it is long-lasting. It tends to come and go, causing episodes or flare-ups.

prostatecanceruk.org - What is prostatitis? - Chronic pelvic pain syndrome (CPPS)

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Chronic pelvic pain syndrome (CPPS)

CPPS is the most common type of prostatitis – around 19 out of every 20 men (90 to 95 per cent) with prostatitis have it. You might also hear it called chronic non-bacterial prostatitis, chronic abacterial prostatitis or prostate pain syndrome. Chronic means long-lasting. Men with CPPS usually have symptoms for three months or longer. Even after treatment, you may still have prostatitis for a long time. It might come and go, causing occasional episodes of severe pain, sometimes known as flare-ups.

What causes it?

Nobody knows for certain what causes CPPS. Unlike other types of prostatitis it isn’t usually caused by a bacterial infection. There could be a number of causes, which makes it difficult to diagnose and treat.

There are also a number of things that might trigger it, including:

urine getting into the prostate

previous infections in or around the prostate

an infection that doesn’t show up in tests

problems with nerves pathway, so that they send pain signals to the brain even when there’s nothing physically wrong

stress, anxiety or depression

problems with the pelvic floor muscles (the muscles that support your bladder and bowel and help to control urination). Some research shows a link between stress, anxiety and depression and CPPS. But this doesn’t mean that CPPS is all in your head. If you’re feeling stressed or depressed, this may cause physical symptoms that trigger CPPS, or make symptoms worse. There’s some evidence that CPPS may be linked to other conditions such as chronic fatigue syndrome, which causes severe tiredness, and irritable bowel syndrome (IBS), which causes bowel problems. Some men with CPPS have symptoms of these conditions too. There’s also some evidence that in a small number of men, CPPS may be caused by a sexually transmitted infection. But we need more research to know for sure. You can read more about the symptoms of CPPS, the test used to diagnose it, and the treatments available.

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Does prostatitis go away slowly?

It may hurt a lot when you urinate for the first few days. The fever and pain should begin improving over the first 36 hours. If you have chronic prostatitis, your symptoms are likely to begin slowly and be less severe. Symptoms will probably improve slowly over many weeks.

medlineplus.gov - Prostatitis - bacterial - self-care: MedlinePlus Medical Encyclopedia

It is likely you will have antibiotics to take home. Follow the directions on the bottle carefully. Take the antibiotics at the same time every day. For acute prostatitis, antibiotics are taken for 2 to 6 weeks. Chronic prostatitis may be treated with antibiotics for 4 to 8 weeks if an infection is found. Finish all the antibiotics, even if you start feeling better. It is harder for antibiotics to get into prostate tissue to treat the infection. Taking all of your antibiotics will reduce the chance of the condition returning. Antibiotics may cause side effects. These include nausea or vomiting, diarrhea, and other symptoms. Report these to your doctor. Do not just stop taking your pills.

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