The bladder is a little swollen and painful. I can't pee. I've been holding it for two days. Every time I pee, I feel a little uncomfortable. What's going on here?

Because the clinical symptoms of chronic prostatitis are complex and diverse, it is easy to recur and persist, which brings unimaginable pain and helplessness to patients' physical and mental health. Therefore, we urgently need to know how to face this disease and what problems we should pay attention to in our daily life, which may be helpful for the early recovery of the disease.

First of all, it is necessary to make clear whether the diagnosis of the disease is scientific: many patients have been diagnosed with chronic prostatitis for many years, and it is difficult to obtain satisfactory results after receiving a lot of antibiotic treatment. However, through careful inquiry, we found that a considerable number of patients have not received direct examination of prostate (rectal digital examination and prostatic fluid examination), and the diagnosis is based on the results of urine, semen or prostate B-ultrasound. In fact, the most important basis for the diagnosis of prostatitis is the direct palpation of prostate and the analysis of prostatic fluid. Many diseases can have clinical symptoms similar to chronic prostatitis, and some clinical symptoms of chronic prostatitis are very complicated and special. Therefore, the hasty diagnosis of patients with chronic prostatitis may lead to misdiagnosis or delayed treatment of other diseases, and even patients with chronic prostatitis need to distinguish between different clinical types and whether there are pathogens. Patients diagnosed with chronic prostatitis may wish to ask themselves: Do I really have this disease? This rhetorical question is very beneficial, because there are a large number of medical advertisements and visiting doctors in China, and intentional or unintentional misdiagnosis and mistreatment are inevitable.

Second, we should treat treatment scientifically: patients must realize that chronic prostatitis is a complex and refractory disease, especially for some patients with intractable chronic prostatitis who have not been cured for a long time. Therefore, it is necessary to adhere to the doctor's comprehensive treatment plan and have a certain course of treatment. General treatment and observation need 1 ~ 3 months, and will continue to consolidate for a period of time after the treatment is effective, bearing in mind the attitude of "stopping as soon as possible". Some patients refused treatment because their clinical symptoms were obviously relieved or disappeared, but in fact, patients' subjective feelings were often inconsistent with objective examination. Although the pathogens in the prostate were suppressed at this time, they were not completely eliminated or eliminated. Once the time is ripe, they will reappear, leading to the recurrence of chronic prostatitis. The cure standard of chronic prostatitis also includes that prostate fluid is normal and there is no pathogen in the prostate. In addition, some patients with prostatitis also suffer from diseases caused by abnormal pelvic floor muscles. Only when they learn and persist in removing this chronic persistent tension on pelvic floor muscles can their clinical symptoms be obviously alleviated or completely disappeared. However, it is not easy to learn to completely relax pelvic floor muscles, which requires the close cooperation of doctors.

Third, develop good living habits: pay attention to daily life, keep enough rest and sleep, take part in physical exercise moderately, prevent excessive fatigue, have regular sex life, do not drink too much, eat a lot of irritating food, sit and ride a bike for a short time, live in a cold and humid residence as soon as possible, and prevent infectious diseases such as influenza. These measures are helpful for the rehabilitation of chronic prostatitis, especially for the treatment of accompanying mental symptoms.

Fourth, establish a positive coping style; Many patients with chronic prostatitis often have a serious psychological burden due to long-term treatment of the disease. They may have different degrees of mental symptoms (about 50%), even think that "life is worse than death", and have suicidal tendency (1%~3%), which is extremely unfavorable to the treatment and rehabilitation of diseases. Some patients are caused by serious mental and psychological abnormalities. Many doctors believe that chronic prostatitis is a physical and mental disease. Therefore, eliminating anxiety and reducing mental and psychological burden are very important for the rehabilitation of the disease. At the same time, I hope that patients can learn about prostatitis through various channels as much as possible, realize their own condition and the role of doctors' treatment methods, and actively cooperate with doctors' treatment.