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Doctor insights on: Epididymitis Orchitis

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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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What are epididymitis, orchitis and epididymo-orchitis?

What are epididymitis, orchitis and epididymo-orchitis?

Infection: These are infections of the structures within the scrotum, the testis (orchitis), the tubular structure adjacent to the testis (epididymitis), or both (epididymo-orchitis). In young men these infections are often sexually transmitted, like chlamydia. Older men usually are infected with gram negative bacteria that may also cause urinary tract infections. ...Read more

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Epididymitis orchitis or testicular torsion, how to know?

Epididymitis orchitis or testicular torsion, how to know?

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

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Epididymitis orchitis or testicular torsion, what's the difference?

Some are...: - age: torsion tends to be around puberty vs peididymits/orchitis, in young sexually active adults;std-related. - hx: torsion - acute onset and fast progress vs epididymits - slower progressive course. - voiding sx: none in torsion vs more in epididymits. - ua: normal in torsion vs pyuria in eoididymitis. - timely doppler us: torsion with poor a. Flow vs diffuse increase flow in epididymits. ...Read more

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After I have finished my Doxycycline for Epididymitis-orchitis why do I still hve swelling?

After I have finished my Doxycycline for Epididymitis-orchitis why do I still hve swelling?

Normal: Some degree of swelling and firmness will persist for a couple of months but will be gradually getting less.If pain gets worse go back to the doctor.A scrotal support is a good idea.Best wishes. ...Read more

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What is the best antibiotic for a bacterial infection with epididymitis orchitis?

What is the best antibiotic for a bacterial infection with epididymitis orchitis?

See below: Before culture results:One injection in muscle of 250-500mg ceftrioxone+azithromyci 1gm by mouth(or doxycycline 100mg 2Xdaily for 1-2wks) In men older than 35 with recent instrumentation or UTI and no suspicion of STD:Ciprofloxacin or levofloxacin or trimethoprim-sulfamethoxazole. ...Read more

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Can with holding ejaculations cause epididmytis-orchitis?

No: Charles, Epididymitis and Orchitis have two primary causes: urinary bacteria and sexually transmitted bacteria. If you think you might have either epididymitis or orchitis, see your doctor to get checked out. Hope this helps! ...Read more

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Does epididmitis orchitis cause sexual problems? Erectical dysfunction etc?

Does epididmitis orchitis cause sexual problems? Erectical dysfunction etc?

Low sperm count: Possibly but not likely. Oligospermia (low sperm count). Can be due to previous testis infection or epididymal scarring from previous infection and inflammation, however most men who have had epididymitis or even orchitis do not subsequently find themselves sub fertile or infertile. See a urologist and have a semen analysis. Ed is definitely not related. ...Read more

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Could a very minor hit to the testis cause epidymitis orchitis?

Here are some ...: A very minor hit to testis would not cause inflammation or infection of epididymis / testis; instead, such a hit may help you bring attention to the already existing epididymitis / orchitis by inducing discomfort. Thereby, you glued your focus on such incidentally induced ache... So, see urologist for more history, physicals, and possible tests so to verify possible Dx for proposing reasonable Rx. ...Read more

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How easily would an US pick up on orchitis in the very beginning stages( regular bacterial orchitis. not mumps/epidiymitis) ?

How easily would an US pick up on orchitis in the very beginning stages( regular bacterial orchitis. not mumps/epidiymitis) ?

Orchitis: Orchitis is usually diagnoses with swab testing or urine testing for the infection. An ultrasound is used to rule out other etiologies (such as testicular torsion) that can present in a similar way. All of these methods can be employed to diagnose the condition accurately. ...Read more

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Is ORCHITIS (only orchitis no epidiymitis) easily noticeable on an US? We're talking about a mild case. What does it look like on the US?

Is ORCHITIS (only orchitis no epidiymitis) easily noticeable on an US? We're talking about a mild case. What does it look like on the US?

Here are some ...: Two features of change may appear: some heterogeneous tissue texture, which however can be subtle, nonspecific, and viewer-subjective; increasing blood flow as shown in Doppler US screen. But remember: isolated orchitis is rare and everything we see is always just at a certain moment on the pattern of its full spectrum, ranging from being subtle, almost indiscernible to grossly obvious. ...Read more

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2 months ago i had epidymitis in my right testicle. Only epidymitis. Took 7 weeks cipro (ciprofloxacin). Recent US showed normal epidymis BUT orchitis. Why? Cause?

Too complex...: ...for short answers on a forum. US can give clues to orchitis, but is not a definitive diagnostic study. Maybe you just have residual inflammation from the epididymitis, and maybe no more antibiotic is needed. Orchitis can be caused by viruses and non-infectious disorders. You should be in the care of an expert, e.g urologist or infectious disease specialist, and follow his or her advice. ...Read more

Dr. Michael Pins
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Orchitis (Definition)

Inflammation of one or ...Read more