Your symptoms are suggestive of;
1) Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and
2) Interstitial cystitis/bladder pain syndrome.
The first step is to treat the enlarged prostate.
The effective herbs for the treatment of prostate enlargement are;
1) South African star grass
2) Rye (Secale cereale)
3) Pumpkin seeds
4) American dwarf palm/saw palmetto.
The prescription medications are;
Dietary fibers and antioxidants found in fruits and vegetables, particularly tomatoes and cruciferous vegetables, and phytoestrogens found in soy protein, prevent prostate disease.
Dairy products and red meat, promote obesity and prostate growth, so should be avoided.
The following possibilities should also be considered for your symptoms;
1) Chronic prostatitis; E. coli and staphylococci are the predominant causative organisms. These are the same organisms that produce acute prostatitis which has also been implicated in causing chronic prostatitis. In addition, there is evidence that non-infective congestion of the prostate may be the initial change in chronic prostatitis, and that the congestion may predispose to subsequent infection.
2) Granulomatous prostatitis; is an inflammation of the prostate gland, which contains granulomatous tissue. There are two varieties: specific and nonspecific. The nonspecific type is more common and is the result of the escape of prostatic contents (secretions, seminal plasma, corpora amylacea, spermatozoa) and bacterial products or urine into the prostatic tissue. Specific granulomatous prostatitis is produced by Mycobacterium tuberculosis, Treponema pallidum, Brucella abortus, schistosomiasis, metazoa, malacoplakia, and various fungi.
Following investigations would provide the diagnosis;
1) Intravenous urogram; x-rays taken after injection of a dye.
2) Transrectal ultrasound (TRUS)
3) Semen culture
4) Urine culture
5) CT scan
One of the important findings is on physical examination. During digital rectal examination (DRE) by your doctor, a prostate tenderness may be elicited. Your physician may do a prostate massage. This expels some drops of fluids from the penis opening. This fluid again can be sent for the culture test. That can give the diagnostic clue. The usual treatment is a course of antibiotics for a prolonged time (3-4 weeks) according to the culture test results which tells about the best effective antibiotic. Prostate congestion may need a recurrent prostate massage at weekly intervals so infection is eliminated. This is done during the antibiotic treatment.
Wishing you a speedy resolution and all the very best in life.
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