Do you need to avoid certain foods if you have epididymitis?

Written by Wang Shuai
Urology
Updated on September 19, 2024
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After being diagnosed with epididymitis, there are dietary restrictions to consider. Here are a few things to keep in mind regarding your diet:

First, it's important to eat lightly. Avoid spicy and irritating foods such as onions, ginger, garlic, and chili peppers. Try to eat these sparingly or not at all. Also, avoid drinking strong tea, coffee, and other stimulating beverages. It's necessary to quit smoking and drinking alcohol, and instead, increase your intake of fresh vegetables and fruits to boost your vitamin intake.

Beyond diet, there are also lifestyle considerations to keep in mind. Try to lie flat as much as possible and keep your scrotum elevated. This can promote local blood circulation, which is beneficial for the treatment of the condition. Avoid vigorous exercise and prolonged sitting or standing.

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Written by Wang Shuai
Urology
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Epididymitis and orchitis, what is the difference?

The epididymis and testicles are both part of the male reproductive organs. The epididymis is an accessory gland of the testicle and is located adjacent to it. If epididymitis or orchitis occurs, it is difficult to distinguish between them based on symptoms alone, as both conditions can cause noticeable enlargement and pain of the scrotum, but further examination is required for a definitive diagnosis. During a physical examination, it can be observed that patients with epididymitis have a noticeably enlarged epididymis, while the enlargement of the testicle is not as prominent. Conversely, with orchitis, the testicle is significantly enlarged, while the enlargement of the epididymis is less noticeable. Since these two organs are adjacent, epididymitis often occurs with orchitis, and vice versa. Clarification typically requires examinations such as ultrasonography. However, there are no significant differences in the treatment of these two conditions, so they are often collectively referred to as epididymo-orchitis.

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Urology
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Symptoms of epididymitis

The main symptoms of epididymitis include enlargement of the epididymis, accompanied by noticeable pain. The skin of the scrotum will appear red and swollen, and touching the scrotum will reveal an increase in local skin temperature. If not treated in time, an epididymal abscess may develop, causing a palpable fluctuation when touching the epididymis. If not addressed promptly, the abscess may rupture, leading to the leakage of pus from the scrotum. If epididymitis is diagnosed, it is important to seek timely treatment at a hospital's urology department. Diagnosis is typically confirmed via ultrasound and a local physical examination, and prompt treatment with antibiotics is necessary. If an abscess has already formed, surgical incision and drainage may be required. (Specific medications should be used under the guidance of a doctor, and self-medication should be avoided.)

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Written by Wang Shuai
Urology
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Why is epididymitis getting more painful?

After suffering from epididymitis, the epididymis will show symptoms of enlargement and pain. If not treated promptly, the epididymis will further enlarge, and the pain will gradually become more pronounced, which is a normal phenomenon. However, if the pain continues to worsen despite active treatment, it should be considered that this may be due to a lack of attention to lifestyle care, such as engaging in vigorous exercise during treatment, or situations involving prolonged standing or sitting. Additionally, it is important to be vigilant about the possibility of testicular torsion accompanying epididymitis. Therefore, if the pain continues to worsen during the treatment of epididymitis, it is advisable to promptly re-examine the color Doppler ultrasound to understand the blood flow situation of the testicles and epididymis, and then proceed with targeted treatment.

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Urology
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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
Urology
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How is epididymitis caused?

Epididymitis refers to the inflammation of the epididymis, characterized by enlargement and pain, caused by infections from pathogens such as bacteria. The main cause of epididymitis is usually a preceding infection such as urethritis, bacterial prostatitis, or vesiculitis that was not timely treated. Bacteria spread along the vas deferens to the epididymis, leading to epididymitis. Additionally, trauma to the epididymis can also cause epididymitis. Another common scenario is related to certain medical procedures, such as prolonged catheterization or after undergoing plasma electrocautery surgery of the prostate, which can easily lead to epididymitis. Once epididymitis occurs, it is crucial to promptly treat it with antibiotics. During treatment, it is advisable to consume a light diet, avoid spicy and stimulating food, rest as much as possible in bed, and keep the scrotum elevated. (Specific medication usage should be conducted under the guidance of a doctor.)