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05-Jan-02
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Prostatitis has been an epidemic in
the U.S. for two centuries. The urologist, Thomas
Stamey, reports that five percent of all men will
show symptoms of prostatitis during their lifetimes.
According to the National Center for
Health Statistics, the visits of men to the doctor
for urogenital problems proved to be prostatitis.
The pathologist, John E. McNeal, found that 40 out
of 91 men in random autopsies were found to have prostatitis.
Prostatitis afflicts men mainly in their twenties
to thirties, but is found in all ages. It is estimated
that 35% of men over 50 years old may have chronic
prostatitis. It is the most common of the three prostate
diseases - the other two being benign prostatic hyperthrophy,
and cancer. Both prostatitis and cancer occur in the
same location in the prostate gland, with prostatitis
perhaps triggering cancer. Yet prostatitis is the
most curable, with prostate cancer killing about 35,000
men a year [though at a later age].
Causes of prostatitis are many and
often involve some disease organism, inflammation,
or hormonal imbalance. Bacterial cysts may also be
located in the ejaculatory ducts, urinary tract, or
bladder, rather than the prostate gland.
There may be several strains of bacteria.
It may be necessary to experiment with antibiotics
to see what will work on the second infection. Don't
believe the 'non-bacterial' diagnosis until you have
tried antibiotics for anaerobic bacteria, virus, yeast,
and fungus. Dr. Attila Toth, a New York obstetrician
and fertility expert, and Dr. J.L. Durer, a Canadian
physician, both believe that anaerobic bacteria are
often the cause of prostate infection.
If it is caused by an immune disorder,
it's not likely that it can be fixed.
Your partner could be the source of
infection. Common vaginal anaerobic bacteria rarely
cause women problems but can be a severe problem in
the prostate. Oriental/Asian doctors often look at
the partner first, while American doctors believe
that you don't need to treat the partner.
When men reach 40 they become susceptible
to prostate problems, when the body starts producing
testosterone in a different form, called dihydrotestosterone.
It makes a mildly symptomatic prostate very symptomatic.
This may be why Saw Palmetto brings relief, because
it blocks the production of the hormone. If this happens,
you are lucky because usually other issues need to
be dealt with, i.e.: poor nutrition, alcohol, depression,
stress, caffeine, obesity, smoking, and infections.
Other causes can be a disordered immune
system, a uric acid disorder, prostate stones, a urethral
stricture, a rare tumor, prostate cancer, or a non-cancerous
growth of the prostate. Bacterial cysts may also be
located in the ejaculatory ducts, urinary tract, or
bladder, rather than the prostate gland.
Acute prostatitis often begins with
chills and fever along with abdominal discomfort or
perineal pain. Burning urination and prostate swelling
may be present as well as a diminished urine stream
or difficulty urinating. Prostatitis is found in approximately
two out of 10,000 outpatient visits. Increased risk
is associated with men 20-35 years old who have multiple
sex partners. Practicing safer sex can prevent infections
associated with sexually transmitted diseases.
Some preventive measures can be taken
and may also prevent reoccurrence of infection - cleanliness
being foremost, [Escherichia coli is one of the more
common types and this E. coli is typically found in
the colon]; increasing fluid intake to eight to ten
glasses per day; avoiding fluids that irritate the
bladder, such as alcohol, citrus juices, hot or spicy
foods, and caffeine in any form. from chocolate to
over-the-counter medications. Acute prostatitis is
easier to cure than chronic prostatitis.
Get a culture done for anaerobic bacteria
and get treatment for it with anaerobic killer antibiotics
before you succumb to "non-bacterial" diagnosis.
Be sure that your doctor understands the difference
between a normal culture and that used for anaerobes.
Some bacteria die instantly on contact with air. Usually
it takes three hours for the culture to enter the
incubator before the collected bacteria die. If you
get a negative culture for anaerobes, try an anaerobe
killer to see if your symptoms improve. Clindamycin
is an excellent anaerobe killer. See: http://www.rxlist.com/cgi/generic2/cindam.htm.
Clindemycin is very dangerous with
a potential to cause fatal colitis. You MUST use acidophilus
tablets with each meal, snack, and beverage and restrict
your diet to rice, applesauce bananas, mint tea [no
caffeine] and saltine crackers. Start the acidophilus
and diet a few days in advance. You can take double
or triple the recommmended doses of acidophilus. Take
a dose every two or three hours, day and night and
midway between doses of Clindamycin. Don't use anti-
diarrhea medicine when on Clindamycin.
If, while on antibiotics, you have
a severe case of anti- biotic-induced diarrhea, you
may need to alter your diet and take acidophilus tablets
every two or three hours, 24-hours a day. It's best
to take acidophilus simultanously with the antibiotics
to avoid digestive problems and for about 14 days
after you end the antibiotic treatment. Antibiotic
treatments vary from two weeks to 90 days. Generally
at least 14 days is required for all the symptoms
to disappear.
Herbal remedies and vitamin supplements
should be considered, where they don't conflict with
the antibiotic.
A natural bioflavinoid called 'Quercetin'
has been shown to help some prostatitis patients because
it contains anti- inflammatory properties, but cannot
be combined with Quinolone antibiotics such as Trovan,
Cipro, Levaquin, Noraxin, or Floxin.
Saw Palmetto will shut down the prostate
[and your libido] and often relieve pain and frequency
of urination in a few days. This usually treats the
symptoms. For long term use zinc with copper, vitamin
E, C, and selenium, because they are good for prostate
health. Echinacea and Goldenseal will stimulate the
immune system, but temporarily.
Men who have not been helped by regular
treatment for prostatitis may find that their problem
lies elsewhere. The pain can be caused by a neuromuscular
disorder of the muscles and not a problem of the prostate
gland. The Urology Times, April 2001, describes a
new non-drug treatment used in the pelvic pain clinic
of the Urology Department at Stanford University Medical
Center. See http://prostatitis.org/stanfordstudy.html
A second article reports the results of a new study
of the biopsyed tissue from 97 men diagnosed with
chronic prostatitis. This study shows that there is
simply no inflammation in the prostates of 66% of
the men in the study. All but four per cent had inflammation
so mild as to be insignificant.
Diane Hetrick at the University of
Washington said "Men with [chronic pelvic pain
syndrome] had more abnormal pelvic floor and abdominal
muscular pathological findings than those without
pelvic pain." There are people who specialize
in teaching relaxation techniques, or muscle strengthening,
to ease or repair the problem, but no sure fix for
everyone.
Clinical depression is present in
over 50% of chronic prostate problems. It is one of
the leading killers of adult males and requires professional
help. Chronic depression should not be self-treated.
If prolonged treatment for prostatitis
is not effective, the possibility of a prostatic abscess
should be considered and a computed tomography [CT
scan], and magnetic resonance imaging [MRI scan] should
be done.
You are going to have to be the one
who is well informed and able to question your doctor
and demand enough to get your doctor to actively strive
for a solution to your prostate problem.
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Resources: Diane Hetric, University
of Washington http://www.prostatitis.org/tensiondisorder.html
The Prostatitis Foundation, 2000
Urology Times, Vol. 29, No. 4, Apr.
2001, pgs 14 & 45
http://www.agum.org.uk/CEG/546_prostatitis_html
http://www.uwgi.org/cme/cmeCourseCD/ch_04/CHo4TXT.HTM
http://www.prostatitis.org
By Margot B
E-mail:margotb@margotbwritersforum.com
About the Author Margot
B
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