How to treat epididymitis?

Written by Wang Shuai
Urology
Updated on September 05, 2024
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For the treatment of epididymitis, antibiotics are mainly used. Epididymitis is mostly caused by bacterial infections, such as Escherichia coli, Pseudomonas aeruginosa, and Staphylococcus aureus. In such cases, it is necessary to use fluoroquinolone antibiotics and cephalosporin antibiotics promptly. If it is caused by a viral infection, antiviral medications are recommended. During treatment, it is important to eat a light diet and avoid spicy and irritating foods. Smoking and alcohol should be avoided. Patients should lie down as much as possible, rest, and elevate the scrotum, which helps the circulation of blood in the scrotum and testicles and aids in the improvement of the condition. Vigorous exercise or prolonged standing during treatment can worsen the condition. (The use of medications should be guided by a professional doctor.)

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Written by Wang Shuai
Urology
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Can you drink alcohol during epididymitis?

Drinking alcohol is prohibited during epididymitis as it can exacerbate the inflammation and hinder the treatment of the disease. Additionally, antibiotics are required during this period, and drinking alcohol can react adversely with these antibiotics. Therefore, alcohol consumption is forbidden during the treatment of epididymitis. Besides abstaining from alcohol, it is also important to maintain a light diet and avoid spicy and irritating foods, such as onions, ginger, garlic, and chili peppers; these should be consumed minimally or not at all. Moreover, it is essential to rest as much as possible, ideally with bed rest, keeping the scrotum elevated to promote local blood circulation. (Medication should be administered under the guidance of a professional doctor.)

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Written by Wang Shuai
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Is epididymitis serious?

Whether epididymitis is severe depends on the patient's condition. If it is an early case of epididymitis, the epididymis may just be enlarged and painful, which is not very serious. Generally, using antibiotics and regular treatment, it can heal in about 1 to 2 weeks. However, if treatment is not administered in time, leading to abscesses in the epididymis and testicle, or even rupture of the abscesses, the situation is relatively severe. It requires immediate surgical intervention to drain the abscess. The prognosis thereafter is relatively poor, and it can easily lead to the possibility of testicular atrophy. Therefore, epididymitis should be treated promptly.

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Written by Wang Shuai
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Does epididymitis require surgery?

Patients with epididymitis generally do not require surgical treatment. In most cases, they are treated with oral medications or intravenous antibiotics, and typically recover within 1 to 2 weeks of treatment. However, if the symptoms of epididymitis are severe and not treated in time, leading to further aggravation of the condition or even formation of an epididymal abscess, surgical intervention may be necessary. Typically, this involves incision and drainage of the abscess to remove pus from the body. It is also important to regularly change dressings and keep the wound area clean and dry until it gradually heals. (Please administer medication under the guidance of a doctor.)

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Written by Wang Shuai
Urology
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epididymitis symptoms

The main clinical manifestations of epididymitis are significant enlargement of the epididymis accompanied by obvious pain. At the same time, the skin of the scrotum will be red and swollen, and the skin temperature will increase. If not treated promptly, the condition may further develop and possibly involve inflammation of the testis, and even lead to the possibility of testicular and epididymal abscesses. If a testicular or epididymal abscess occurs, touching the testis and epididymis will show a distinct fluctuation, and even an abscess rupture may occur, with pus visible on the skin of the scrotum and flowing out from within the scrotum. If these symptoms appear, it is necessary to promptly visit the hospital's urology department and use antibiotics for standard treatment. If an abscess has already formed, an abscess incision and drainage should be performed. (Specific medication use should be carried out under the guidance of a doctor.)

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Written by Wang Shuai
Urology
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How to treat epididymitis?

For the treatment of epididymitis, antibiotics are mainly used. Epididymitis is mostly caused by bacterial infections, such as Escherichia coli, Pseudomonas aeruginosa, and Staphylococcus aureus. In such cases, it is necessary to use fluoroquinolone antibiotics and cephalosporin antibiotics promptly. If it is caused by a viral infection, antiviral medications are recommended. During treatment, it is important to eat a light diet and avoid spicy and irritating foods. Smoking and alcohol should be avoided. Patients should lie down as much as possible, rest, and elevate the scrotum, which helps the circulation of blood in the scrotum and testicles and aids in the improvement of the condition. Vigorous exercise or prolonged standing during treatment can worsen the condition. (The use of medications should be guided by a professional doctor.)