Dripping white is the first sign of chronic prostatitis. Due to inflammation of the prostate, the secretion of prostatic fluid increases, and most of it overflows by itself. When I get up in the morning, I often find thin water like secretions dripping from the urethral orifice, or thick milky white mucus can appear. The most obvious thing is that after urination or defecation, one or two drops of white matter are discharged at the urethral orifice, which is called "white turbidity" in Chinese medicine and "white drop" in modern times. If there are no other symptoms, just dripping white does not cause much pain and is often overlooked by patients. However, dripping white is the earliest typical symptom of chronic prostatitis and should be given sufficient attention and treated early to prevent further development.
The symptoms of prostatitis are diverse, and the symptoms are not proportional to the severity of the inflammation. Some patients have no symptoms with a large number of pus cells in prostatic fluid, while some patients have normal or nearly normal prostatic fluid, but the clinical symptoms are very serious. The common symptoms can be summarized into the following five categories:
(1) Discomfort during urination can lead to frequent urination, burning pain in the urethra, and pain can radiate to the head of the penis. In the early morning, there is secretion of mucus, mucus, and pus at the urethral opening, and urine is cloudy or white after urination. In severe cases, terminal hematuria, dysuria or urinary retention may occur.
(2) Local symptoms include discomfort, heavy pressure, or feeling of fullness in the urethra, perineum, and anus, especially when squatting or defecating.
(3) Radiation pain: The prostate or seminal vesicle has abundant sympathetic innervation. When inflammation occurs, the internal tension of the gland increases, which can stimulate the sympathetic nerves and cause metastatic low back pain. The pain can radiate to the penis, testicles, scrotum, groin, perineum, lower abdomen, thighs, buttocks, rectum, and other areas.
(4) Sexual dysfunction can lead to sexual dysfunction in the early stage, but in the later stage, it can cause decreased or disappeared libido, painful ejaculation, bloody ejaculation, premature ejaculation, impotence, enuresis, and infertility.
(5) Other chronic prostatitis can be accompanied by neurosis, manifested as fatigue, dizziness, insomnia, and depression. There are also various special sensations that appear, such as feeling the head walking on the feet, the lower abdomen emitting cold air, the head and face getting hot, etc. Some patients feel indescribable discomfort throughout the body. These abnormal sensations are also the main factors causing misdiagnosis.