What to do if prostatitis is severe at night

The aggravation of prostatitis symptoms at night can be alleviated by adjusting living habits, taking warm water sitz baths, medication, physical therapy, psychological counseling and other methods. Prostatitis is usually caused by bacterial infection, prolonged sitting, holding in urine, decreased immunity, psychological stress and other factors.

1. Adjust living habits

Avoid drinking alcohol or stimulating drinks such as caffeine at night, and reduce your intake of spicy food. Limit the amount of water you drink 2 hours before going to bed to reduce the symptoms of frequent urination at night. Maintain a regular schedule to avoid staying up late, which may lead to a decline in immunity. Choose a mattress with moderate firmness and softness. Lying on your side can reduce pressure on the prostate.

2. Warm water sitz bath

Take a sitz bath with warm water around 40℃ for 15-20 minutes before going to bed, 1-3 times a day. Warm water can promote blood circulation in the perineum and relieve pelvic floor muscle spasm. After taking a sitz bath, you can combine it with levator exercises to enhance the strength of your pelvic floor muscles. Note that the water temperature should not be too high to avoid scalding the skin or overheating the testicles, which may affect spermatogenesis.

3. Drug treatment

For bacterial prostatitis, antibiotics such as levofloxacin tablets and cefixime dispersible tablets can be used as directed by the doctor. When pain is severe, celecoxib capsules or diclofenac sodium extended-release tablets can be used. If you have difficulty urinating, you can take tamsulosin extended-release capsules. You must complete the prescribed course of medication and avoid adjusting the dosage on your own.

4. Physical therapy

Hospitals can use prostate microwave hyperthermia to improve local microcirculation, 2-3 times a week. Low-frequency pulse electrical stimulation can regulate neuromuscular function and relieve pain symptoms. Perineal iontophoresis therapy can promote drug penetration. Physical therapy must be carried out under the guidance of a professional physician to avoid over-treatment.

5. Psychological counseling

Patients with chronic prostatitis are prone to anxiety and depression, and can relieve psychological stress through mindfulness meditation. Establish a symptom diary to record changes in urination and pain to help doctors and patients communicate. Join patient support groups to share coping experiences. Severe psychological disorders require professional psychological consultation.

Patients with prostatitis should avoid cycling or sitting for long periods of time and get up and move around for 5 minutes every hour. Pay attention to supplementing lycopene and zinc in your diet, and eat pumpkin seeds, oysters and other foods in moderation. Maintain moderate exercise, such as brisk walking, swimming and other aerobic exercise, 3-5 times a week. Strictly follow the doctor's instructions and take medication, and review prostate fluid routine regularly. If symptoms continue to worsen, you need to seek medical treatment in time to rule out other urinary system diseases. When symptoms are obvious at night, you can try to distract yourself and listen to soft music to help you fall asleep.