Doctor insights on:
Medicine For Orchitis
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
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
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
Testicle Pain: 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
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
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 moreSee 1 more doctor answer
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
I have orchitis; how long do I have to wait until I can resume working out? Can I do light weight light intensity exercise since the pain has lowed?
Here are some ...: As long as you can tolerate the pain & ache, there has been no rigid rule to govern when and how to exercise. But, that if you really have orchitis or STD-related epididymitis - epididymoorchitis or intermittent torsion remains a sticky issue to watch and solve correctly. So, contact urologist to address such pertinent concern timely. ...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
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