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Old 11-16-2010, 03:38 PM
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Default Bacterial Prostatitis (alternative answers)

Alternative Answers for Bacterial Prostatitis

Acute bacterial prostatitis is characterized by a very tender, warm, swollen,
firm gland. When acute bacterial prostatitis is suspected, prostate massage
should be avoided because of the risk of causing the presence of bacteria in the
blood (bacteremia).

Chronic bacterial prostatitis is the occurrence of relapsing urinary tract
infections. They often involve the same bacterial pathogen. Chronic bacterial
prostatitis is often differentiated between:

Nonbacterial prostatitis: refers to a condition that affects patients who
present with symptoms of prostatitis without a positive result after urine
culture or expressed prostate secretion (EPS) culture.

Chronic pelvic pain syndrome (CPPS): also referred to as Prostatodynia, is
unexplained pelvic pain in men. This pain is associated with painful urination
symptoms and/or pain located in the groin, genitals or perineum, with no signs
of pus cells (pyuria) or bacteria (bacteriuria) seen on microscopic analysis of
the urine. There does tend to be excess WBCs or bacteria seen on gram stain and
culture of expressed prostatic secretions (EPS). Cytokines, which are special
signaling molecules, are produced by white blood cells (WBC), among other cells,
may play a role in CPPS syndrome. While certain cytokines stimulate an
inflammatory reaction, others inhibit inflammation. The same cytokine may act as
either an antagonist influence or an inhibiting influence in different areas
under varying conditions.

Chronic bacterial prostatitis is relapsing urinary tract infections, often
interspersed with asymptomatic periods, and are common in men with chronic
bacterial prostatitis. Although some men are diagnosed because of asymptomatic
bacteriuria, most have varying degrees of painrful urination (dysuria),
frequency, and urgency. Some men report feelings of vague discomfort in the
pelvis and perineum. Chronic bacterial prostatitis may be associated with
symptoms of perineal, scrotal, and low back discomfort. Sometimes blood in the
sperm (hematospermia) or clear urethral discharge may occur. For a more precise
diagnosis, prostatic fluid, semen culture and postmassage urine cultures should
be taken. There maybe vague discomfort in pelvis, perineum, lower abdomen, back
and testicles. Physical findings on palpation (digital rectal exam) are often
unremarkable. An elevated prostate-specific antigen (PSA) level may typically
indicated prostatitis including bacterial prostatitis.

A urine culture with greater than 100,000 colony-forming units (CFU) of
Escherichia coli (E coli), the most common pathogen in acute and chronic
prostatitis.
-The other members of the Enterobacteriaceae family -Klebsiella species
-Enterobacter species
-Proteus enterococci species
-Pseudomonas species
-Staphylococcus species
are also known pathogens. Chlamydia trachomatis has been implicated as a cause
of chronic bacterial prostatitis. This organism is unlikely to play a major role
in the etiology of chronic bacterial prostatitis.

E coli infection accounts for 80% of cases of chronic bacterial prostatitis.

prostatic calculi are associated with a higher risk of chronic bacterial
prostatitis. They are rarely (felt) palpable on a prostate examination.
Prostatic calculi, although an unspecific finding, often develop in men with
chronic bacterial prostatitis; prostatic calculi may serve as a nidus for
recurrent infection. A newly described entity termed nanobacteria is thought to
play a significant role in urologic stone disease, including prostatic calculi.2
Nanobacteria may play a role in the chronic nature of this condition. Studies
are currently underway to further delineate the role of these organisms in
chronic bacterial prostatitis.

The actual routes of prostatic infection are unknown in most cases. Various
etiologies may be found as a cause including ascending urethral infection,
previous gonococcal prostatitis, as well as the finding of identical organisms
in prostatic fluid and Intraprostatic urinary reflux (urine backing up).

Western Medical Approach for Bacterial Prostatitis

Treatment should be decided based on urinary culture results. Antimicrobial
agents that most effectively penetrate into the prostatic fluid, such as
fluoroquinolones and TMP-SMZ, are the treatment choices for chronic bacterial
prostatitis.

An initial course of therapy, typically about 4 weeks, should prompt longer
courses of treatment as best results have been observed with a 12 week course of
therapy. High bactericidal activity has been demonstrated against the
Enterobacteriaceae group of bacteria and P aeruginosa using fluoroquinolones, a
class of antimicrobial agents that inhibits bacterial DNA replication and
protein synthesis.

Penicillins are ineffective, with the exception of carbenicillin indanyl sodium
at 500 mg/d. Carbenicillin may be effective for Enterobacteriaceae or
Pseudomonas infections. Large-scale studies are not available.

Eastern Approach for Bacterial Prostatitis

Following the guide for urinary tract infections (aka candidiasis) is a crucial
form of treatment for Bacterial Prostatitis.

Zinc supplements have been suggested as part of a holistic therapy, A
zinc-containing polypeptide called prostatic antibacterial factor (PAF) may be
an important antimicrobial factor within the prostate. Although the body may be


deficient, only a very little zinc is needed and safe.

Magnesium, calcium, and lysozyme have been found in prostate fluid, also rich in
spermine, which has activity against gram-positive bacteria.

Nonsteroidal anti-inflammatories and hot sitz baths are often used clinically
for symptomatic relief.

Frequent prostate massage is advocated by some in the treatment of difficult
cases with persistent positive cultures.

Preliminary findings suggest that anti-nanobacterial therapy improves symptoms
and decreases or eliminates prostatic calculi in patients with chronic bacterial
prostatitis

Exercise advice suggests patients to avoid bicycling or other activities that
may put pressure on the perineal region.


Nutritional Advise

There has been a direct correlation between obesity, diabetes and high glucose
levels, which contribute to prostatitis and BHP.

One of the single most preventatives is a proper diet. Because diet strongly
influences sex hormone production, including testosterone, it is important to
cut back on excess meat consumption (which triples the risk), full fat, dairy
products (which doubles the risk) and a lack of vegetables and fruits in the
diet (which quadruple the risk).

Include legumes in your diet such as beans and peas. Eat healthy helpings of
antioxidant fruits and vegetables such as blueberries, cranberries,
blackberries, raspberries, strawberries, apples, cherries, black plums, avocados
and pears.

Cooked tomatoes and tomato sauce are known to have the phytonutrient, lycopene,
which has shown to fight off prostate cancer by 35 to 45 percent in those who
eat it ten times or more a week. Proper absorption is key and that includes
lycopene with some good fat, which tomato sauce has. Ten tablespoons of
spaghetti sauce will do the trick as opposed to 164 raw tomatoes per week.

Diet specific information for inflammatory problems include avioding spicy and
caffeine-containing foods, sugar and carbohydrates high on the glycemic index.
For any type of prostate troubles, consider juice therapy including all fruit
juices in season and a blend of carrot, asparagus, lettuce and spinach as a
drink, twice a day.

A recent study in rats found that garlic was superior to placebo in terms of
anti-inflammatory and antimicrobial effect. This study also demonstrated a
statistically significant synergistic effect of ciprofloxacin plus garlic
compared with ciprofloxacin alone. Studies in humans are needed to determine if
these effects would translate into a clinical setting.


Supplements
With your lycopene, take 200 micrograms of Selenium a day to decrease your risk
of prostate (and other cancers) by 50%. Selenium is a mineral found in
vegetables such as garlic, which absorb selenium from the soil.

Consider Vitamin E, especially mixed tocopherols, which appears to work in
synergy with lycopene to help reduce the risk of prostate cancer. Take 400 IU
daily.

Vitamin C works in synergy with Vitamin E and helps increase its function. Take
600-1000 mg, twice a day.

A diet that includes Flaxseed, flaxseed oil and fish oils contain omega-3
polyunsaturated fatty acids appear to help protect against prostate cancer. Take
3 grams daily.

Folate (800 mg daily), a B complex and Zinc (15 mg daily) have shown to increase
fertility and improve sperm motility.

Saw Palmetto has been clinically proven to inhibit the enzyme involved in
converting testosterone into dihydrotestosterone. These powerful berries from
the saw palmetto palm tree, improve urine flow and decrease inflammation of the
prostate gland. Take 160 mg, twice daily.

L-arginine (2 grams daily), an amino acid found in pumpkin seeds and
L-citrulline (500 mg twice daily) may possibly increase nitric oxide production,
which in turn increases blood flow and therefore can prevent erectile
dysfunction and increase sperm count. Foods high in both these amino acids
include pumpkin seeds, almonds, cocoa and real (dark) chocolate, garbanzo beans,
peanuts, salmon, soy and walnuts.

Zinc supplements have been suggested as part of a holistic therapy, A
zinc-containing polypeptide called prostatic antibacterial factor (PAF) may be
an important antimicrobial factor within the prostate. Although the body may be
deficient, only a very little zinc is needed and safe.

Magnesium, calcium, and lysozyme have been found in prostate fluid, also rich in
spermine, which has activity against gram-positive bacteria.

Consider the Full Spectrum Diet, which includes: phytochemicals (5-7 servings of
fruits and vegetables daily), 30 grams of fiber, flavinoids (found in red and
purple grapes, red wine and black tea).


Traditional Chinese Medicine

Traditional Chinese Medicine (TCM) is the oldest, continually practiced, and
professionally administered health care system in the world. It is a documented
medical system spanning over 2,500 years based on comprehensive philosophies,
rational theories, clinically tested and empirically verified by over 100
generations of highly educated practitioners. Chinese Medicine is a total system
of internal medicine which is comprised of a diagnostic procedure based on
signs, symptoms and treatment styles including acupuncture, herbal medicine,
exercise, diet and meditation. It's foundation is based on the principles of
balance; the interdependent relationship of Yin and Yang. Through this balance,
health is achieved and maintained.

Herbs are the "medicinals" in holistic healing. Chinese herbs are specifically
used to create a decoction or "tea" and is a very powerful part of healing
dis-ease. Herbal decoctions may also be given in "tea pills", tinctures,
granules or as an external patch, compress, or bath.

Acupuncture for treating prostatitis helps with decreasing inflammation, helps
the body fight ascending urethral infection, gonococcal prostatitis, as well as
decreasing organisms in prostatic fluid and Intraprostatic urinary reflux (urine
backing up).

http://www.peacefulmind.com/prostate.htm
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