Doctor insights on:
Medicine For Congestive Epididymal Orchitis
Ithink I've congestive epididymal orchitis as I feelmy right epididymis is bigger and tender when touched. How it can b treated? No vasectomy. Unmarried
Epididymo-orchitis: Most common cause of epididymitis or epididymo-orchitis is due to a bacterial infection. Urine analysis, culture and ultrasound are needed in this case. Less commonly it is due noninfectious from trauma, autoimmune disease, vasculitis or idiopathic. Treatment consists of scrotal elevation, rest from athletic activity and warm baths & nsaids. A urologist should be consulted for persistent symptoms. ...Read more
After epididymal-orchitis infection recovered, what's the shortest amount of time for swelling that can be seen to go away?
I had serious epididymo-orchitis in May end. The medicines were over long back. However, it still pains at the top-back of testis. Ultrsnd showed pus.
Ask your doc...: Asking your treating doc would be best and fastest to get definite answer since the finding of any tests including scrotal US should be correlated with the ongoing clinical progress and evolution so to decide when and how to initiate intervention such as surgery to drain the pus (abscess). To enhance your effort to work with doc, peruse articles in http://www. Formefirst. Com/eNewsletter06.html. ...Read more
For NON-STD or NON-mumps orchitis is cipro (ciprofloxacin) usually the drug of choice? How effective is 2 weeks of cipro (ciprofloxacin)/cipro (ciprofloxacin) in general for that? In "most" cases?
Cipro (ciprofloxacin) for most cases: A 2 week course of cipro for bacterial non-std orchitis should be highly effective. Antibiotics prescribed will depend on the patient age and underlying cause of the bacterial infection. Antibiotics commonly used may include ciprofloxacin (Cipro), ceftriaxone (Rocephin - only IV or IM), doxycycline (Vibramycin, Doryx), or azithromycin (Zithromax). ...Read more
Medicine for bacterial orchitis? (not std, was tested) can't take floroquinones or bactrim (sulfamethoxazole and trimethoprim) (allergy/joint problems) was given nitroforuntin for 1month?
Poor choice: IMO that med is apoor choice to treat a bacterial infection. ...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
Very rarely: There is not much published information on the exact percentage of patients with fertility problems after orchitis, but orchitis of only one testicle should not decrease fertility as long as the other testicle is normal. After orchitis of both testes, some reports say about 10% of men will have decreased fertility, and very rarely will a man become sterile. ...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
Did you have a painful swelling testis which subsided after treatment? Now, you have lingering pain/ache. Or is your diagnosis just based on the in the testis? So, it's important to figure out what is the condition for you by analyzing the feature, degree, and progress of the pain and swelling over time and their sequence of event by expert so to deduce why it is hard to clear up.
Best wish... ...Read more
Yes, depending: On location and severity of injury. But other causes are possible too, so ask your doctor for treatment recommendations. ...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
Uncertain, . ..: Orchitis occurs as STD- or UTI-related epididymitis advances and extends, that is, epididymo-orchitis, or as accompanying infection in mumps, that is, mumps orchitis, usually in young age. Its resolution to "heal" depends on the timing & effectiveness of treatment and the virulence of bacteria + personal immunity, etc. In general, it may take 4-20 weeks to optimize its healing, but clinically, . .. ...Read more
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
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
Orchitis means inflammation or infection of the testes. It true, consider if you got mumps.
In fact, epididymitis (infection or inflammation around the testes_ is more common in young sexually active men like you. Besides, many other reasons may cause pain or ache in the sac. Professionals can help you differentiate what might have happened to you.
Best wish... ...Read more
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
Does swelling come and go with orchitis? Swells when I sit or stand. Was diagnosed a week ago at er.
Orchitis: Are you on antibiotics? I would follow up with a urologist usually after 1 week of antibiotics the organ/area with an infection should be back to baseline so if you have persisting issues at this point you need further evaluation. ...Read more
How long after bacteriala orchitis will a testicle remain very hard? 2-3 weeks after orchitis, testicle is still 'hard"
See previous: Answers given by the great doctors on this site. See a urologist! ...Read more
Is orchitis EASILY identifiables on an US? What does it look like on one? Like how can they tell? Are there colored spots on the testicl? Or what?
Not easy but possibl: I am not sure of your definition of "easy". It takes a technician some training to spot what to look for, & a doctor about 5 yrs of training. The best test is an exam by ur doctor in combo w/ blood tests. The ultrasound will detect somewhere between 70 to 90% of orchitis cases but it depends on the skill & training of whoever is moving the ultrasound probe. It does miss cases, especially when alon ...Read more