If you have acute prostatitis, your symptoms started quickly. You may still feel ill, with fever, chills, and flushing (skin redness). It may hurt a lot when you urinate for the first few days. The fever and pain should begin improving over the first 36 hours.
If you have chronic prostatitis, your symptoms are likely to begin slowly and be less severe. Symptoms will probably improve slowly over many weeks.
Taking Your Antibiotics
It is likely you will have antibiotics to take home. Follow the directions on the bottle carefully. Take the antibiotics at the same time every day.
For acute prostatitis, antibiotics are taken for 2 to 6 weeks. Chronic prostatitis is treated with antibiotics for 4 to 12 weeks or longer.
Finish all the antibiotics, even if you start feeling better. It is harder for antibiotics to get into prostate tissue to treat the infection. Taking all of your antibiotics will reduce the chance of the condition returning.
Antibiotics may cause side effects. These include nausea or vomiting, diarrhea, and other symptoms. Report these to your doctor. DO NOT just stop taking your pills.
Help With Your Symptoms
Nonsteroidal anti-inflammatory medicines (NSAIDs), such as ibuprofen or naproxen, may help with pain or discomfort. Ask your doctor if you can take these.
Warm baths may relieve some of your perineal and lower back pain.
Avoid substances that irritate the bladder, such as alcohol, caffeinated beverages, citrus juices, and hot or spicy foods.
Drink plenty of fluids, 64 or more ounces per day, if your doctor says this is ok. This helps flush bacteria from the bladder. It can also help prevent constipation.
To reduce discomfort with bowel movements, you may also:
Get some exercise every day. Start slowly and build up at least 30 minutes a day.
See your health care provider for an exam after you finish taking antibiotics to make sure that the infection is gone.
If you do not improve or you are having problems with your treatment, talk to your doctor sooner.
When to Call the Doctor
Call your provider if:
You are unable to pass urine at all, or it is very difficult to pass urine.
Fever, chills, or pain do not begin to improve after 36 hours, or they are getting worse.
McGowan CC, Krieger J. Prostatitis, epididymitis, and orchitis. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 112.
Nickel JC. Prostatitis and related conditions, orchitis, and epididymitis. In: Wein AJ, Kavoussi LR, Novick AC, et al., eds. Campbell-Walsh Urology. 10th ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 11.
Jennifer Sobol, DO, urologist at the Michigan Institute of Urology, West Bloomfield, MI. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.