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Do Patients with Epididymitis Have a Fever? How to Alleviate It?
Epididymitis is a common disease in nonspecific infections of the male reproductive system. When various reasons lead to a decrease in self-resistance, pathogenic bacteria can take the opportunity to invade the epididymis and cause inflammation. Inflammation of the epididymis can affect sperm maturation and reduce fertilization ability. Inflammation can also cause epididymal duct blockage and affect sperm output. These can cause Clinically sterile.

Epididymitis is clinically divided into acute epididymitis and chronic epididymitis. Acute epididymitis can cause fever because the clinical manifestations of acute epididymitis refer to sudden pain, swelling, and rapid, multiplied enlargement of the testis and epididymis. It is also accompanied by systemic symptoms, chills, high fever, and gastrointestinal symptoms such as nausea and vomiting.
The patient's testicles and epididymis may form abscesses, and the formation of abscesses can further cause fever symptoms or aggravate the fever.
The type of acute epididymitis can cause an increase in body temperature, which can even reach around 39°C to 40°C of body temperature. It can also combine cystitis, urethritis, prostatitis, and other reproductive tract infections. This is mainly because acute epididymitis is a purulent infection. The onset is characterized by acute onset, severe symptoms, severe pain in the scrotum, and rapid enlargement of the scrotum and epididymis. The surface of the scrotum is tender, and the skin is red and swollen. The patient's movement will be restricted.
In addition, when epididymitis is severely infected, bacteria can enter the blood, resulting in bacteremia, which can also cause fever.
Urinary tract infections can also cause fever. Epididymitis is a relatively severe infection of the male genitourinary system. Epididymitis is often combined with urethritis, cystitis, and prostatitis. Mainly when prostatitis occurs, epididymitis infection can cause fever and even chills.
At this time, you must go to the hospital immediately to check the blood routine, urine routine, and scrotal color Doppler ultrasound. Usually, the white blood cells in the blood routine will exceed the value of 20,000, and there are often pus balls in the urine routine. After the diagnosis of color Doppler ultrasound, it is necessary to do active treatment for acute epididymitis.
When a patient with epididymitis has a fever, on the one hand, the patient needs to deal with the high fever actively. They can use some antipyretic drugs, drink more water, and take a bath with warm water. At the same time, patients also require aggressive anti-infective treatment of the inflamed epididymis. Patients can relieve the symptoms of fever by following some methods.
1. Active intravenous infusion treatment is required when acute epididymitis has fever symptoms. Drugs commonly used in intravenous infusion include sensitive antibiotics and antipyretic drugs.
2. If the hyperthermia is greater than 38.5°C, patients must undergo anti-thermal treatment, such as ibuprofen.
3. In addition, after the fever is controlled, the pain symptoms of the patient's epididymis and testis may continue. At this time, it is necessary to cooperate with a local elevation of the scrotum and local hot compresses.
4. Patients must choose sensitive antibiotics for antibacterial and anti-inflammatory treatment, commonly used cephalosporins, azithromycin, roxithromycin, etc.
5. Using anti-inflammatory and pain-relieving traditional Chinese medicines to treat epididymitis, such as Diuretic and Anti-inflammatory Pill.
1. If the patient cannot control the epididymis in the acute stage, a surgical incision can be used to exclude the abscess.
In addition, during treatment, patients should not drink alcohol, eat spicy food and get plenty of rest.
Active treatment of acute epididymitis will effectively control symptoms. If left untreated, acute epididymitis may turn into chronic epididymitis.
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