Symptoms of epididymitis

Written by Wang Shuai
Urology
Updated on September 15, 2024
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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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Is bed rest necessary for epididymitis?

After the occurrence of epididymitis, the epididymis will enlarge to various extents, accompanied by pain, and the weight of the epididymis will significantly increase. In such cases, if the patient stands or sits for extended periods, the pain becomes more noticeable and is not conducive to treating the condition. Frequent prolonged sitting or standing, or even intense physical activity, could potentially lead to the risk of testicular torsion. Therefore, after being diagnosed with epididymitis, doctors usually advise patients to lie flat as much as possible. It is best to elevate the scrotum while lying flat, as this helps with local blood circulation and positively affects the treatment of the condition. If there is a need for special circumstances requiring some activity, it is best to use a scrotal support to lift the scrotum.

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Urology
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How can an epididymal nodule be eliminated?

A significant portion of patients with epididymitis will have a hard nodule left at the site of the epididymis after inflammation control. This nodule is difficult to eliminate through medication. If the patient does not experience discomfort later on, local heat application or massage can be used to help dissipate the nodule. If the nodule does not cause any particular symptoms, no special treatment is needed. However, if the nodule is associated with significant pain or causes recurrent epididymitis, surgical removal of the epididymal nodule is recommended. After the surgery, timely anti-inflammatory treatment should be administered, and the wound should be kept clean and dry. Generally, recovery can be expected in about a week.

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Urology
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Epididymitis Symptoms and Treatment Methods

Epididymitis refers to the enlargement of the epididymis caused by infections such as bacteria and viruses, accompanied by pain. Some patients may notice swelling of the scrotal skin and even an increase in skin temperature. For this condition, it is necessary to use antibiotics in a timely manner. If the epididymitis is caused by bacterial infection, quinolone antibiotics or cephalosporin antibiotics can be used for treatment, generally requiring medication for one to two weeks. If the symptoms are severe, it is advisable to administer antibiotics intravenously for better results. If it is caused by a viral infection, antiviral medications are needed. During treatment, it is important to rest in bed as much as possible and to keep the scrotum elevated to facilitate local blood circulation. Dietary considerations should include eating lighter foods and avoiding spicy and irritating foods. (The use of medication should be under the guidance of a doctor.)

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Urology
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What foods should not be eaten with epididymitis?

Patients with epididymitis need to pay attention to their diet by eating light and avoiding overly greasy foods. They should consume more fresh vegetables and fruits. Additionally, they should avoid spicy and irritating foods such as onions, ginger, garlic, and chili peppers, and limit or completely avoid these items. It is necessary to quit smoking and drinking alcohol, and also avoid drinking strong tea, coffee, and other stimulating beverages. Besides dietary considerations, it is important to avoid sitting for long periods and refrain from vigorous exercise. Patients should try to lie down as much as possible and elevate the scrotum to help promote local blood circulation, which is beneficial for the treatment of the condition.

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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.)