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Is prostatitis for life?

Most cases of acute bacterial prostatitis are cured with treatment. Sometimes prostatitis can come back even after you've been cured. Your health care provider may use more than one treatment at a time. Some men have to manage living with the symptoms until the inflammation goes away.

urologyhealth.org - Prostatitis (Infection of the Prostate): Symptoms, Diagnosis & Treatment

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Your health care provider may start by asking you questions about your pain to find out what’s wrong. A digital rectal exam (DRE) may be done to check the prostate. Your doctor may do a transrectal ultrasound to look at your prostate or do a test called cystoscopy to check your urinary system. You may also be asked to get lab tests to look for bacteria in your urine or prostate fluid. A urine flow study or urodynamics test may be done to look for a block in your urinary system. If your health care provider suspects a problem with your prostate or nearby tissues, he/she may send you to a urologist. A urologist is a doctor who treats problems of the urinary tract and male reproductive systems. Each type of prostatitis calls for a different treatment. Your doctor will want to know exactly what is causing your symptoms. To find the answers, more than one type of test may be used.

Physical Exam

Your health care provider may do a digital rectal exam (DRE). This is done by putting a lubricated, gloved finger into your rectum. Your doctor will press and feel the prostate to see if it is enlarged or tender. Lumps or firmness can suggest prostate cancer. He/she will ask you how much pain you feel during this test. If you have prostatitis, this exam may hurt a bit. But it doesn't cause any harm or lasting pain.

Tests

Ultrasound

To get a closer look at the prostate gland, your health care provider may order a transrectal ultrasound. An ultrasound uses sound waves to show a picture of the prostate. To "see" the prostate, the ultrasound probe is placed in the rectum.

Urine and prostate fluid tests

Your doctor may test your urine and fluid from your prostate gland. When the prostate is massaged during the DRE, a fluid called expressed prostatic excretion (EPS) comes out of the penis. Urine and EPS are checked for signs of inflammation and infection. The test results may tell the doctor if the problem is in your urethra, bladder, or prostate. Your blood and semen may also be tested for bacteria, white blood cells, or other signs of infection. Because it can be hard to get good samples, health care providers can sometimes have trouble telling if prostatitis is caused by bacteria. Also, if you have been treated with antibiotics in the recent past, this can change the results. If you are at risk for cancer, your health care provider may order a blood test to check your prostate specific antigen (PSA) level. But if you have a prostate infection, your PSA can be falsely raised. Because of this, doctors are careful about how they read your PSA test results.

Cystoscopy

Your urologist may look inside your urethra, prostate, and bladder with a cystoscope. A cystoscope is a long, thin telescope with a light at the end. First, your urologist will numb your urethra. Then, he or she will gently guide the cystoscope through your urethra into the bladder.

Urine Flow Studies (Urodynamics)

Your urologist may also order urine flow studies or urodynamics. These help measure the strength of your urine flow. These tests also spot any blockage caused by the prostate, urethra, or pelvic muscles.

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What to eat if you can t sleep?

Good choices include a small bowl of cereal and milk, a few cookies, toast, or a small muffin, says Culebras. Beware of foods containing caffeine, including less obvious choices such as certain sodas and chocolate. Even decaffeinated beverages contain a small amount of caffeine; so do some medications.

webmd.com - Bedtime Snacks Can Help You Sleep - WebMD

Barbara Schneider doesn't allow herself a morsel of food after dinner, believing that eating before bedtime will keep her awake. "Ever since I was young, I've had difficulty falling asleep. And when I do manage to fall asleep, I wake up around 3 a.m.," she says. About 70% of Americans have sleep problems, and about half of them, like Schneider, have insomnia. Although Schneider, 51, a victim services coordinator for the Miami police department, mostly attributes her snooze blues to her high-stress job and erratic work schedule, new research suggests her habit of not eating before bedtime may be a factor. "The connection between what we eat and how we sleep is only just taking shape," says Antonio Culebras, MD, neurology professor at the State University of New York Upstate Medical University in Syracuse. Why Hunger Disrupts Our Sleep This relatively new research focuses on leptin and ghrelin, two metabolic hormones that scientists discovered only during the last decade. When we eat, leptin signals that the body is satisfied, while ghrelin stimulates hunger. Researchers speculate that if we have enough leptin to suppress the secretion of ghrelin, we'll sleep through the night without awakening to eat. "They act in see-saw fashion, counterbalancing each other," says Culebras. "If the balance is thrown out of order, it may result in subtle signs that awaken us."

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