Prostatitis, too worried so that it developed into depression.
Question
I have had prostatitis for about 2 months now, but I'm very worried because the symptoms have not resolved, causing insomnia, weight loss, constipation, feeling a need to poop but can’t, so the doctor gave me more imipramine to relieve anxiety, and a tumax capsule with colofac to treat lower trunk pain. But there are side effects: slow and weak urine flow and not as gushing like before. In this case, are there any drug I should stop taking?
Answer
There are only a small percentage of prostatitis (approximately 5%) that are caused by bacterial infection that lead to prostatitis. This group is classified as category I if it is acute and category II if it is chronic, for category III or Chronic Prostatitis / Chronic Pelvic Pain Syndrome (CP / CPPS) is the most commonly found. It also can be called a male pelvic pain of unknown cause.
CP / CPPS cause symptoms that are similar to those caused by Irritable bowel syndrome (IBS) and Chronic fatigue syndrome (CFS), making it sometimes impossible for doctors to distinguish and have to prescribe drugs that cover these groups of diseases.
The side effects that cause slow urine and not as gushing is because all these 3 drugs relax the bladder muscles (anticholinergic) which result in reducing the driving force for the urinary flow. Therefore, if you have been treated for about 2 months, the above three drugs can be stopped because the effect of antibiotics that your doctor has prescribed for the first 2 weeks has already taken effect. The rest of the drugs is taken only to relieve symptoms. But if the drugs does not improve the symptoms, it is better to stop them.
In addition to drug therapy, other methods may be used such as psychotherapy, yoga, acupressure physical therapy, acupuncture, exercise, etc., which must be tried by our own or suggesting the vipassana retreat in the context of comtemplation of feelings to observe and consider the pain.
