What are the symptoms of chronic bacterial prostatitis?

Symptoms of chronic bacterial prostatitis blood in the urine or semen. foul-smelling urine. pain or burning with urination. pain with ejaculation. pain with bowel movements. pain in the following locations: lower back. between the genitals and anus. pubic bone. testicles. lower abdomen.

healthline.com - Chronic Bacterial Prostatitis: Symptoms, Causes & Diagnosis

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The term prostatitis is used to describe conditions that cause inflammation or infection in the prostate, a small gland located directly below the bladder in men. Prostatitis may have either a bacterial or nonbacterial cause. The types of prostatitis are: chronic bacterial prostatitis

acute bacterial prostatitis

chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) with inflammatory CPPS

chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) with noninflammatory CPPS

asymptomatic inflammatory prostatitis Asymptomatic inflammatory prostatitis doesn’t cause any symptoms, but the inflammation is revealed during exams such as a biopsy. However, the other types of prostatitis may result in swelling and frequent urinary tract infections (UTIs). Before a doctor diagnoses someone with chronic bacterial prostatitis, they will first have to rule out the other types of prostatitis. Even if chronic bacterial prostatitis is treated, bacteria may still survive in the prostate, and symptoms often return. Prolonged use of antibiotics is often necessary to effectively treat this condition. Treatments for chronic bacterial prostatitis Antibiotics are the main course of treatment for this condition. They’re usually taken for 4 to 12 weeks. For many people, treatment will last for 6 weeks. First-line treatment is typically a fluoroquinolone antibiotic, such as ciprofloxacin (Cipro), ofloxacin, or levofloxacin. However, fluoroquinolones can increase your risk for a ruptured Achilles tendon, which is why they are no longer considered a preferred treatment. Other commonly prescribed antibiotics include: sulfamethoxazole/trimethoprim (Bactrim), another first-line treatment tetracycline antibiotics, such as doxycycline or azithromycin (Zithromax) Tetracyclines are commonly used in cases where a doctor identifies or suspects chlamydia or mycoplasma genitalium. Like chlamydia, mycoplasma genitalium is an STI. The antibiotic that you’re prescribed will ultimately depend on which bacterium is causing your prostatitis. Your doctor will schedule a follow-up exam once you’ve finished treatment to ensure that the infection is completely gone. It may take 6 months to 1 year for symptoms to go away completely. Treatments for symptom relief The preferred treatment regimen for chronic bacterial prostatitis is a combination of antibiotics and anti-inflammatory medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs). Although NSAIDs can provide relief from the pain of prostatitis, they’re primarily used to reduce inflammation. Other medications you may receive are: stool softeners to avoid constipation alpha-blocker medications, such as tamsulosin (Flomax), to help treat urinary retention Certain home remedies may be able to ease your symptoms too. Home remedies include: warm baths

drinking 64 to 128 ounces of water per day

per day avoiding alcohol, caffeine, citrus juices, and hot and spicy food Rare treatments You may need additional treatment in the following rare cases: If you’re unable to urinate, a healthcare professional will insert a Foley catheter into your bladder to help empty it.

If you have an abscess, your doctor will drain it.

If you develop sepsis, you’ll get intensive antibiotic therapy, and you’ll need to stay in the hospital for treatment. If you have stones, or mineral deposits, in your prostate, your doctor may need to remove your prostate. This is very rare.

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Can you smell fishy and not have an infection?

Bacterial vaginosis Bacterial vaginosis (BV) is one of the main culprits behind a fishy vaginal odor. People who are at a fertile age sometimes experience it after intercourse, although it's not a sexually transmitted infection (STI).

flo.health - 8 Causes of Fishy Vaginal Odor and What to Do About It - Flo Health

Although BV is relatively common, you should have it treated as soon as possible because it increases the likelihood of other genital infections and STIs. Research shows that BV during pregnancy increases the chances of preterm premature rupture of membranes, preterm delivery, and postpartum infections (e.g., chorioamnionitis and endometritis). Your health care provider will prescribe antibiotics to clear up BV and may suggest a topical solution to alleviate associated symptoms.

2. Trichomoniasis or other STIs

A fishy vaginal odor could potentially arise if you’ve contracted an STI like trichomoniasis. According to the Centers for Disease Control and Protection, it affects 3.7 million people across the United States. Also known as “trich,” it occurs when a protozoan parasite called Trichomonas vaginalis is transmitted during intercourse. Anyone can get it, and it presents symptoms such as genital itching and painful urination and intercourse. If you have trichomoniasis, you may detect a fishy vaginal odor, frothy yellow-green discharge, and vaginal soreness and swelling. However, only 30 percent of people with trichomoniasis display any symptoms. That’s why it’s crucial to get regular STI screenings if you’re having sex with different partners. Please do not attempt to diagnose or treat trichomoniasis at home. If ignored, it can create serious complications like pelvic inflammatory disease (PID) or preterm birth if you’re pregnant.

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