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Doctor insights on: Non Bacterial Epididymitis

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Dr. James Lin Dr. Lin
Urology
47 years in practice
Kaohsiung Medical University
1

1
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...

Bacteria (Definition)

Are omnipresent single celled organisms which are the both the simplest form of life and the original form of life on earth. The are ...Read more


Dr. James Lin Dr. Lin
Urology
47 years in practice
Kaohsiung Medical University
3

3
I have testicular pain ongoing for 1year. Associated epididymitis. L and r side. Definitely bacterial, list of all bacterial possibilities?

I have testicular pain ongoing for 1year. Associated epididymitis. L and r side. Definitely bacterial, list of all bacterial possibilities?

Instead, ...: Instead of digging on what bacteria cab be accountable for epididymitis, it would be more worthwhile to figure out why you got testicular pain x 1 yr. To do so, go on to collect the onset, degree, duration, ; interval of the pain with its sequence of event, and bring those to see doc for analysis, physicals, ; tests as needed so to deduce possible DX for proposing reasonable rx.

Dr. Mahaveer Mukkamalla Dr. Mukkamalla
Family Medicine
years in practice
4

4
Epididymitis (bacteria) not sti. On doxycycline 100mg q 12 x7days. Shouldn't it be for 10 days?

Epididymitis (bacteria) not sti. On doxycycline 100mg q 12 x7days. Shouldn't it be for 10 days?

7-10 days: 7 days is as good as ten days, most of the times, provided you don't have severe pain and fever.

Dr. H. Hunter Handsfield Dr. Handsfield
Internal Medicine - Infectious Disease
49 years in practice
Columbia University College of Physicians and Surgeons
5
Dr. Robert Bennett Dr. Bennett
Urology
26 years in practice
George Washington University Medical School
6

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E.Coli found in urine culture. Does this means that this bacteria sseeded into my bladder? Does e.Coli in bladder causes prostatits and epididymitis

E.Coli found in urine culture. Does this means that this bacteria sseeded into my bladder? Does e.Coli in bladder causes prostatits and epididymitis

ECOLI: This is one of the most common causes of urinary and genital tract infections. It is found in many forms in the GI tract. The drug sensitivity will tell which antibiotic is best for treatment.

Dr. Michael Michaels Dr. Michaels
Urology
49 years in practice
University of Alexandria Faculty of Medicine
7

7
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.

Dr. Nestor Del rosario Dr. Del rosario
Addiction Medicine
30 years in practice
Eastern Virginia Medical School
8

8
How am I gonna treat non bacterial epididimytis?

How am I gonna treat non bacterial epididimytis?

Urology: Nonbacterial means it can be from other causes. We do give anti inflammatory but it should really be discussed with your doctor and be referred to urology if needed for proper treatment.

Dr. David Toturgul Dr. Toturgul
Sports Medicine
11 years in practice
St. George's University School of Medicine
9

9
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.

Dr. Victor Nwanguma Dr. Nwanguma
Internal Medicine - Infectious Disease
16 years in practice
University of Bologna Faculty of Medicine and Surgery
10

10
Generally speaking, do gram positive or gram-negative bacteria cause prostatits/epidymitis infections. Generally speaking based off your experience.

Generally speaking, do gram positive or gram-negative bacteria cause prostatits/epidymitis infections. Generally speaking based off your experience.

Both: Both Gram positive and Gram-negative bacteria can cause prostatits/epidymitis. But most often they are caused by gram negatives.

Dr. Cornelius O'leary jr Dr. O'leary jr
Urgent Care
15 years in practice
Georgetown University School of Medicine
11

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Assuming the bacteria is unknown. What antibiotic is best for epidymitis/ prostatitis? Levaquin or cipro, (ciprofloxacin) and why? Generally speaking overall.

Assuming the bacteria is unknown. What antibiotic is best for epidymitis/ prostatitis? Levaquin or cipro, (ciprofloxacin) and why? Generally speaking overall.

CDC guidelines: CDC creates guidelines for treatment of acute and chronic epididymitis. Chronicity is defined as greater than 6 weeks of symptoms. The most common treatment is to treat for both N. Gonorrhoeae and C. Trachomatis (Chlamydia and Gonorrhoeae). The treatment is Ceftriaxone 250mg IM (shot) and 10 days of Doxycycline 100mg po x2 Anal sex different* http://www. Cdc. Gov/std/tg2015/epididymitis. Htm

Dr. Lawrence Yeung Dr. Yeung
Urology
13 years in practice
Florida International University College of Medicine
12

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Is the epididymitis curable?

Yes: Yes, epididymitis is curable with the correct antibiotic. Typically, this requires an antibiotic such as Ciprofloxacin to penetrate into the epididymis. You'll need to see a doctor for a urine culture as well as an exam to determine this.

Dr. Gregory Carter Dr. Carter
Urology
35 years in practice
Indiana University School of Medicine
13

13
Could Flagyl treat epididymitis?

Could Flagyl treat epididymitis?

Not usually used: Flagyl is not typically used to treat epididymitis because the organisms which cause it are not usually sensitive to Flagyl. The best antibiotics for epididymitis are Levaquin (levofloxacin) or Doxycycline.

Dr. Shahid Rafique Dr. Rafique
Internal Medicine
40 years in practice
University of Karachi, Dow Medical College
14

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Is a epididymitis cyst cancerous?

No: Simple retention cyst of epididymis is benign and of no significance if it is asymptomatic. Of course it needs to be established that it is a simple cyst and not sold mass or complex cyst.

Dr. Lee Hickok Dr. Hickok
Fertility Medicine
33 years in practice
University of Washington School of Medicine
15
Dr. Gregory Lewis Dr. Lewis
Urology
40 years in practice
Loyola University Chicago Stritch School of Medicine
16

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Can you masterbate with epididymitis?

Yes: Depending on the cause and severity of the epididymitis, ejaculation either via masturbation or sexual intercourse may be associated with some increased discomfort.

Dr. James Lin Dr. Lin
Urology
47 years in practice
Kaohsiung Medical University
17

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Does acute epididymitis make you sterile?

Dr. James Lin Dr. Lin
1 doctor agreed:

Here are some. ..: Epididymis is the transitional "staging site" for spermaturation, located right out of but attached to upper back part of testis, and consisted of a >10-feet long tubules. Inflammation of it (epididymitis) either by STD-related or bacterial infections may result in the blockage of its tubules to prevent sperm transportation through there. But earlier / more effective Rx for it, the better to. ..

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Dr. George Klauber Dr. Klauber
Pediatrics - Urology
years in practice
University of London, Royal Free Hospital School of Medicine
18
Dr. James Krick Dr. Krick
Urology
32 years in practice
Ohio University College of Osteopathic Medicine
19
Dr. Johnny Roy Dr. Roy
Urology
55 years in practice
University of Baghdad College of Medicine
20

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What are your treatment options for epididymitis?

See comment: Epididymitis, inflammation of the "coils" of small tubes transporting sperm when inflammed cause swelling and varying degree of pain. 1) Treatment with antibiotic 2) Elevate the scrotum 3)Use of anti-inflammatory drugs such as Ibuprofen 3 x a day 4) When feasible stay off your feet for few days All these should be under direction of a urologist, or at least any doctor

Epididymitis (Definition)

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