Is bed rest necessary for epididymitis?

Written by Wang Shuai
Urology
Updated on September 01, 2024
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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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Written by Wang Shuai
Urology
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Do you need to avoid certain foods if you have epididymitis?

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 Gao Tian
General Surgery
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How many times a day should a hot compress be applied for epididymitis?

It is generally recommended to do this three to five times. Meanwhile, physical therapies like heat application can only alleviate symptoms. The core treatment still involves symptomatic supportive care. It is advised to visit the urology department as soon as possible for comprehensive examinations, such as an ultrasound and tests on prostate fluid or epididymal fluid. Following the results, the next steps can be planned. Regularly rest, pay attention to diet, avoid spicy and irritating foods, adjust your mindset, and maintain a good mood. At the same time, actively pursue anti-inflammatory treatment. With proper control, recovery can often be quick, followed by regular reviews.

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Written by Wang Shuai
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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Written by Wang Shuai
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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What causes epididymitis?

The occurrence of epididymitis is primarily due to the inflammatory reaction caused by pathogenic microbial infections of the epididymis, with common pathogens including Escherichia coli, Staphylococcus, and Pseudomonas aeruginosa. This is mainly due to previous conditions such as urethritis, bacterial prostatitis, and vesiculitis not being timely treated, allowing the pathogenic microbes to gradually spread along the vas deferens to the epididymis, leading to inflammation. Epididymitis may also occur due to prolonged use of urinary catheters or post-prostate resection surgery. After the onset of epididymitis, the epididymis will exhibit symptoms of enlargement and pain. It is necessary to promptly use antibiotics for treatment. During the treatment period, attention should be paid to a light diet; avoid spicy and irritating foods, lie flat as much as possible, and elevate the scrotum. (Please use medications under the guidance of a doctor)