Doctor insights on:
Inflammation of one or both of the testicles.
Inflammation of one or both of the testicles.
Can a male manifest signs of epidymis-orchitis or chlamydia or gonorrhea 10 years after the sexual contact?
Yes, however...: The long term sequelae of gonorrhea, chlamydia, and infections of the testicle and epididymis are different from the signs and symptoms of acute infection. Active infection is characterized by urinary pain and urethral discharge. There may also be no symptoms. Long term, there is risk of urethral stricture disease, infertility, and atrophy of the infected epididymis or testicle. ...Read more
Doctor diagnosis orchitis& hydrocele few weeks ago. Got better, but now I have ab/testicular discomfort w/ nausea. Should I head to ER?
Testis pain: At your age, torsion of the testicle has to be ruled. You could be having intermittent torsion. A Doppler scrotal U/S should help make the diagnosis. If you can't be seen by your doctor ASAP, go to the ER. ...Read more
Lack of sensation when mastubrating and ejaculating, since being diagnosed with orchitis in Nov 2012. Blood test, ultrasound are normal though.
See urologist...: You need to collect the onset, degree, & progress of the symptoms with the sequence of events over time, and bring those to Doc for analysis, more Hx, physicals, and possible tests so to deduce possible Dx for proposing possible Rx. The complexity of your concern is beyond 400-letter space can address. Besides, looking into if the Dx of orchitis was correct and based on what will be worthwhile ...Read more
Here are some. ..: In experienced professional mind, awareness, & alert, a detailed history pertaining to the onset, degree, duration, interval, and progress of testicular pain in association with possible voiding Sx plus physicals & timely tests such as urinalysis with/without scrotal US will be reasonably easy to pinpoint their diagnoses. In fact, most times, imaging studies are not practically needed despite its ...Read more
Which course of Cipro (ciprofloxacin) or any quinolone prescription would really help treat infection/ orchitis painful since 1 year, after now3months unresponsive doxycycline?
Levifloxacin: Levofloxacin 500mg po daily. However if urine culture negative and duration >1 year, one needs to ensure there is not a more concerning process. Has a scrotal ultrasound been performed? Have hernias been ruled out? What other things have been tried than antibiotics...Motrin, ice, scrotal support? ...Read more
Antibiotivs or surge: If it is caused by sexually transmitted disease such as gonorrhea, antibiotics and also treat sexual partner /partners. No sex until after treatment. If chronic condition from previous untreated std's and scarring, may require surgical removal. If chronic infections, epidydiectomy and possible orchiectomy may have to be done. ...Read more
Notice 1 testicle isn't anchored to scrotum; may have riped processus vagnalis, causing bell clapper. Should I go to ER? Currently treating orchitis.
See answer: Primary reason to go to ER would be a worsening of your current "orchitis" symptoms. If not yet done, you should make an appt with a urologist for accurate diagnosis. Sometimes an "acute testicular torsion" requiring immediate surgery is misdiagnosed as "orchitis" leading to shrinkage of testicle and loss of function. Bell-clapper anatomy occurs at birth and a "ripped" tunica vaginalis not likely ...Read more
Generally Antibiotic: Orchitis is a painful infection of the testes that may result from infections such as mumps (particularly in adolescents), or sexually transmitted infections like gonorrhea and chlamydia. It may also be caused by viruses. Your doctor can determine the cause of orchitis, and will prescribe an antibiotic, as well as pain control. ...Read more
Can nitrofurantoin cure orchitis over a LONG period? Was told it has "bad tissue penetration" but my urologist gave me 30 days for orchitis? Couldwork?
Again: Nitrofurantoin, as I commented on another doctor's answer to your question, is not a first choice for orchitis because of very poor tissue penetration. It is more used for uncomplicated UTIs or UTI prophylaxis.You previously asked if it is better to take ciprofloxacin. Again, the answer is "yes". ...Read more
Random mostly: Since orchitis is mostly from bacterial infection and is somewhat of arandom occurrence, there isn't much to do in the way of "prevention". If you are diabetic and more prone to infection, I would say that good diabetes control would be important in reducing infection risk in general. ...Read more
For mumps doc suggested signoflam tablet for 10 days, 2 times a day. Now he got orchitis can he continue to take the same tablet till he feels better?
Possibly, not likely: Infections are the most common reasons, especially chlamydia and gonorrhea, which are sexually transmitted diseases (stds). There are very good tests for these. Very rarely recurrent orchitis is caused by a birth defect of the urinary tract - an abnormal connection of your "plumbing" for your urine. This link might be helpful: http://www. Ncbi. Nlm. Nih. Gov/pubmedhealth/pmh0002259/. ...Read more
Ultrasound first: First you have to diagnose the cause of orchitis. I would first order a trsticular ultrasound. If caused by hyrocoele or varicocoele, then can be surgically removed. If it is caused by testicular cancer, that would require removing the testes and radiation with sometimes estrogen hormone treatment. If ultrasound negative, it could be inhumanly hernia requiring surgery. Other cause is groin strain. ...Read more
Depends on cause: Mild cases sometimes resolve on own, but better to get checked and treated rather than prolong duration of painful symptoms. In boys may be due to mumps; in slightly older guys usually due to std that may also involve epididymis; later it can be bacterial std or a viral infection (or trauma). Antibiotics if bacterial; nsaids, support, cool compresses. ...Read more
Testicle discomfort usually comes from inflammation, not infection. Antibiotics are useful, but alone don't always help.
I suspect you have prostatitis as the cause. Prostatitis can refer pain to the testicles, penis, groin and more.
Increase water intake, reduce caffeine, begin nsaids (aleve) with food twice a day for two weeks. Hot soaks in a tub helps. F/u with md if not better in 7-10 days. ...Read more
Here are some. ..: If Dx is correct and antibiotics is effective, you should feel better in 1-2 days and gradually resolve to almost no pain in 5-7 days, but the testicular induration and tenderness may linger for weeks or months with a wide variation among the infected men. But still remember some orchitis is not bacteria-related. More detail? Ask Doc timely. ...Read more
Not common by itself: Mumps orchitis is probably best known form. Now fortunately rare due to childhood vaccinations. Epididymo-orchitis is not unusual and due to either bacteria traveling from the urinary tract, or due to a viral infection. Traumatic orchitis can also result from a blow or injury to the testes. ...Read more
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