Signs & symptoms of an inflamed prostate

Updated November 21, 2016

An inflamed prostate, also called prostatitis, afflicts many men. It may cause no symptoms or it can cause very painful ones that sometimes mimic other urologic and nonurologic diseases. Some symptoms are so severe and painful they can cause you to seek immediate emergency medical care. The prostate gland is a walnut-sized gland that secretes seminal fluid that mixes with sperm to form semen. When it becomes infected, the prostate typically causes painful urination and ejaculation and an inflamed prostate can become a risk factor in more serious diseases. There are four types of prostatitis.

Acute bacterial

This is the least common of the four types and the easiest to diagnose and treat. It is characterised by chills, fever, pain in the lower back and genital area, body aches and painful, burning urination. It also is characterised as an acute urinary tract infection and is usually associated with risk factors including bladder outlet obstruction.

Chronic bacterial

This strain is somewhat uncommon. Symptoms include lower-back pain and testicular pain and can lead to mild pain during urination or the frequent urge to go if it spreads to the bladder. It is characterised by recurrent urinary tract infections, involving a single organism in the prostatic fluid.


This is the most common and least understood form. Symptoms come and go without warning, but it is a painful, chronic condition found in men of all ages. No infecting organism is found in most urine or other fluids, but semen and other fluids from the prostrate contain cells that are produced to fight infections. Typically, this form is diagnosed after a urine culture or prostate secretion culture does not produce a positive result, but there are symptoms present without a bacterial organism that causes them.


Similar to the nonbacterial strain with regard to symptoms and the age of patients. The same infection-fighting white blood cells are found in the urine and fluids. This is also known as chronic pelvic pain syndrome and may require different treatments because prostatic ducts have become plugged and are often the reason for the pain. Treatment options like therapeutic prostatic massage and therapeutic ejaculation may be necessary for this painful condition.

Treatment Options

Typically, antibiotics are required for a minimum of 14 days, in cases of acute bacterial strains. Other varieties may depend on the cause of the infection for treatment options. Acute, chronic and nonbacterial prostatitis are inflammatory and infectious conditions that respond to natural treatments, including supplements and lifestyle changes. Natural treatments include diets and foods high in antioxidants to boost the immune system. Foods that are good for prostate health include: black tea, green tea, red wine, cherries, raspberries, red grapes, citrus fruits, onions and broccoli. Green leafy vegetables are naturally rich in quercetin. Tomatoes, watermelons, red grapefruit, papaya and red berries are great sources of lycopene, which also helps support prostate health.

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