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Doctor insights on: Cure For Chronic Epididymitis

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Should I be concerned that my re-occurring epididymitis may never go away? 1 year so far.

Should I be concerned that my re-occurring epididymitis may never go away? 1 year so far.

Here are...: The stated scenario indicated you've been treated for epididymitis; hopefully, indeed, you had or have had it. So, you're advised to collect the features of degree, duration, or interval over time of testicular pain with its detailed sequence of events. &bring those to doc for review, analysis, more hx, physicals, and tests as needed so to deduce a confirmative DX for reasonable rx. Best wish... ...Read more

Epididymitis (Definition)

Inflammation of the tube at the back of the testicle that ...Read more


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Chronic epididymitis not getting cured, pain in right leg and right epididymis for 10 months? Please help, I can't afford anymore hospitals.

Chronic epididymitis not getting cured, pain in right leg and right epididymis for 10 months? Please help, I can't afford anymore hospitals.

See below: Usually in cases of true infectious epididymitis, the pain and swelling will resolve for the most part during or after treatment with antibiotics, although residual soreness may persist for several more days or even weeks. In rare instances, chronic pain may develop. If your pain has persisted for more than 3 months, you need to consult an urologist. ...Read more

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What is chronic epididymitis?

What is chronic epididymitis?

Chronic inflammation: This is a chronic condition usually resulting from infection. This is a structure around the testicle that becomes tender and is usually treated with anti-inflammatory medications such as ibuprofen. This is not life-threatening although it can impact a man's daily activities from discomfort and pressure. ...Read more

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How can I treat chronic epididymitis?

Difficult problem: Chronic epididymitis is difficult to treat as the cause is unknown, and there haven't been enough studies to determine the best treatment. Antibiotics usually don't help and there is varying success with NSAIDS and other medications. Removal of the epididymus has cured the pain in many, but not all, patients. Nevertheless, there is a 60-90% chance it will cure the pain. Get more urological opinions ...Read more

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When I sit down, my spermatic cord turns really dark and painful. I suffer from chronic epididymitis. What is going on?

When I sit down, my spermatic cord turns really dark and painful. I suffer from chronic epididymitis. What is going on?

See a urologist: I don't understand how you could see your spermatic cord or localize the pain to that structure. I'm also not sure what you mean by chronic epididymitis. Maybe you should see a urologist. ...Read more

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What do you do if you have a severe flare up of pain from chronic epididymitis and cannot get ahold of your urologist?

Go to ER: If having a severe flare up of pain, you need to be seen. You can go to your er and also have them contact the doctor on call for your urologist. The pain may or may not be related to your previous complaint -- and there are some very urgent other causes for testicular pain. Be safe. ...Read more

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What is the prevalence of testicular damage/infarction in chronic epididymitis?

What is the prevalence of testicular damage/infarction in chronic epididymitis?

Not: That common, but certainly needs to be discussed with your urologist for a more specific answer related to you not the population in general. ...Read more

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Wanted to know if anyone has had experience with an epididymectomy for chronic epididymitis or for post vasectomy problems?

Wanted to know if anyone has had experience with an epididymectomy for chronic epididymitis or for post vasectomy problems?

Yes, . ..: For intractable pain with identifiable tenderness and induration in epididymis, epididymectomy can be done for pain relief after properly counseled and examined with realistic expectation. For post-vasectomy pain, vasectomy reversal has been proposed to effectively relive its pain for many. More? Contact me at www. HealthTap. Com/dr-Lin with RQPWJC to log in for appointments. Best wish to health... ...Read more

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My testicular length has shrunk from 5 to 3.4 cm. How can I reverse this? I do not use steroids but have chronic epididymitis of unknown etiology.

Testicular size: There is nothing you can do to increase the size of your testicles. My biggest concern is why you have chronic epididymitis at age 21. Have you been exposed to std's? Have you had mumps? I would recommend a urological workup to rule out other possible causes of your problem. ...Read more

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Very high c-reactive protein but very low ESR (4), ordered for chronic epididymitis. How can inflammation markers differ so much? Male, 21 years old.

Different: Different inflammation markers react differently to different things. Consider finding a holistic or integrative medicine physician or nd who will help you get to the bottom of things. ...Read more

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Diagnosed with chronic prostatitis and chronic epididymitis. Prescribed ciprofloxacin, in your opinion, what dosage and how long for should it be taken

Diagnosed with chronic prostatitis and chronic epididymitis. Prescribed ciprofloxacin, in your opinion, what dosage and how long for should it be taken

Chronic prostatitis: Generally, for chronic prostatitis, initial dose of Cipro (ciprofloxacin) is 500 mg twice daily for up to four weeks. ...Read more

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Should masturbation be avoided when being treated for chronic epididymitis and prostatitis? 4 week long course of antibiotics.

Should masturbation be avoided when being treated for chronic epididymitis and prostatitis? 4 week long course of antibiotics.

Prostatitis and sex: Yes. Part of the treatment regimen is to reduce the activity of the prostate. And ejaculation requires prostate participation. So sexual activity best be reduced during the treatment period. ...Read more

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Weird moldy white stuff grows on scrotum only after shower and comes off when I touch it. Are my nuts rotting? I suffer chronic epididymitis pain

Weird moldy white stuff grows on scrotum only after shower and comes off when I touch it. Are my nuts rotting? I suffer chronic epididymitis pain

Check for STD: You need to consult your doctor or an urologist. Your nuts are not rotting, it is the shell that is troublesome. ...Read more

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Severe heat in the body at moments (particularly the back). I suffer from chronic epididymitis. Could the heat be from androgen deficiency? Male, 21.

Severe heat in the body at moments (particularly the back). I suffer from chronic epididymitis. Could the heat be from androgen deficiency? Male, 21.

Not likely: By severe heat do you mean a fever? Or do you mean hot flashes? Extremely low testosterone levels cause sensations of hot flashes especially in older patients on treatment for prostate cancer. The likelihood of you having such extremely low testosterone levels is very low at your age. Your doctor can do blood tests to check this as indicated. ...Read more

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Is applying menthol to scrotum for pain relief dangerous or safe? I have been doing it for 2 months since chronic epididymitis diagnosis.

It's safe: If you can stand it. My own hope is that you get your scrotal pain treated effectively -- if you've not gotten a good response after two months on the heavy-duty antibiotics you're taking, you should get with a competent urologist and perhaps seek another explanation, or a nerve block. ...Read more

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Random chills up my spine, up to 5 a day normal? I suffer from chronic epididymitis. Urine test and ultrasound normal. Chills last a couple second.

Random chills up my spine, up to 5 a day normal? I suffer from chronic epididymitis. Urine test and ultrasound normal. Chills last a couple second.

Unclear: Your chills up the spine are likely not related to your chronic epididymitis. Random, recurring 'chills up the spine' an unusual symptom, possibly suggestive of some overstimulation of the autonomic nervous system. ...Read more

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Question for urologists: How many epididymectomies have you performed? Have you seen high success rates for chronic epididymitis from past chlamydia?

Question for urologists: How many epididymectomies have you performed? Have you seen high success rates for chronic epididymitis from past chlamydia?

Success not likely: Epididymectomy may be considered for suspicious/possibly malignant masses but if this is the case then concurrent removal of the testicle may be needed. However, for chronic pain, often surgical removal is not effective for symptoms as they can return or never resolve at all even after surgery. Consultation with pain management may be needed if pain is debilitating. ...Read more

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Is it possible that an isolated infection causing chronic epididymitis, like chlamydia and gonorrhoea, will not show up in a urine test?

Is it possible that an isolated infection causing chronic epididymitis, like chlamydia and gonorrhoea, will not show up in a urine test?

Urethritis: A concomminant urethritis can be suggested in urine, but the caveat is that the specimen should be the first voided sampling (to contain the "washout" from the urethra (as opposed to the "midstream" clean catch specimen). ...Read more

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I am chronic epididymitis patient and wanted to know about my fertility. My family doctor refused semen analysis, saying its not necessary! What to do?

See below: You are probably not infertile, but one of the indications to check a semen analysis is if the patient suspects he might be infertile. If you want a semen analysis, just ask you primary care doc for an order for one. Your insurance company may not pay for it, but I don't see why you shouldn't be able to have one done if you want. If abnormal, then involve a urologist. Good luck! ...Read more

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I am 63. Male. I have chronic epididymitis. Since April 2017. Caused by heavy lifting. No infection. Seeing urologist in. NJ. Multiple antibiotics. Multiple ultrasounds, all negative. Taking alfusozin. Anti-inf no help. Need specialist will travel?

I am 63. Male. I have chronic epididymitis. Since April 2017. Caused by heavy lifting. No infection. Seeing urologist in. NJ. Multiple antibiotics. Multiple ultrasounds, all negative. Taking alfusozin. Anti-inf no help. Need specialist will travel?

Chronc pelvic pain?: It seems all that can be done has been tried. "Heavy lifting" doesn't cause epididymitis, an old wive's tale disproved decades ago. If testes normal by US, probably not epididymitis, and trying alfuzosin suggests your doctor thinks your testicular pain originates from prostate. Read up on chronic pelvic pain syndrome (CPPS); Wikipedia article is very good. Fortunately harmless; just live with it. ...Read more

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Can Chlamydia cause permanent damage in men's urethra and chronic epididymitis? Had chlamydia, STDs are negative now, still in pain, been 5 months now

Can Chlamydia cause permanent damage in men's urethra and chronic epididymitis? Had chlamydia, STDs are negative now, still in pain, been 5 months now

Chronic pelvic pain?: Chlamydia is not known to cause chronic epididymitis or permanent urethral damage. The cause of your symptoms depends on details not provided: Nature of the pain? Exact location (s)? Swelling of testicles or tenderness to touch? Prostate exam? Maybe prostatitis (not an STD) or chronic pelvic pain syndrome; see Wikipedia article for more info. (Uncomfortable but not harmful.) Keep working w/ doc. ...Read more

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Causes for numb testicles? No diabetes, have had chronic epididymitis (doc says not infection related). The testicles were painful before, but now numb

Causes for numb testicles? No diabetes, have had chronic epididymitis (doc says not infection related). The testicles were painful before, but now numb

Overall health: The testicles are sensitive to a man's overall health. If you have had some serious illness recently, like gangrene as mentioned in your profile, then your testicle can certainly be affected. A scrotal us would provide some information. ...Read more