In addition to the two testicles, a man's scrotum has two epididymides. It grows next to the testis and is divided into three parts: head, body, and tail. The head is connected to the testis and the tail is attached to the vas deferens. The epididymis is the only way the sperm passes and is also the cradle of sperm development and maturation.
Epididymitis is a common disease in young men. When the body's resistance is low, bacteria such as E. coli, staphylococcus, and streptococcus can invade the vas deferens in retrograde motion and cause inflammation in the epididymis. If left untreated, epididymal abscesses may develop. In addition, epididymitis may also cause urethritis, prostatitis, seminal vesiculitis, and other complications.
Then, what are the usual symptoms of epididymitis? Epididymitis can be divided into acute and chronic, according to the course of the disease.
Acute epididymitis generally comes on suddenly, accompanied by a high fever. The scrotum on the affected side has bilge pain, and a sinking feeling, and the lower abdomen and groin ministry have drag pain. The pain will aggravate when patients stand or walk. The epididymis on the affected side is enlarged with marked tenderness.
Chronic epididymitis is more common. It becomes chronic for some patients because the acute phase is not completely cured, but most patients do not have a clear acute phase. Inflammation is secondary to chronic prostatitis or injury. The patients often suffer from cryptic scrotum pain on the affected side, a distension drop feeling, and pain involving the lower abdomen and ipsilateral groin. Besides, there can be combined secondary hydrocele and hard and enlarged epididymis on different levels. And there is mild tenderness, and the ipsilateral vas deferens can be thickened.
Once diagnosed with epididymitis, it needs to be taken seriously so that the disease will not develop into a severe one.
How long can it take to cure epididymitis with antibiotics? For the treatment of epididymitis, generally, it needs to be judged according to the degree of infection. Everyone's situation is different, so the time to cure the disease differs from person to person.
If it is acute epididymis, it is mainly treated with antibiotics. Antibiotics can be intravenous or oral. Patients can choose the antibiotics of quinolone, usually, for example, Levofloxacin or Cephalosporin. Patients can also select medicine like Cefixime dispersible tablets. If an epididymal abscess has developed, in this case, an incision and drainage of the abscess may be required, along with treatment with antibiotics. In general, acute symptoms may subside after a week.
If it is chronic epididymitis, antibiotics can be used for a more extended treatment period. If it is caused by chronic prostatitis, seminal vesiculitis, and other inflammatory diseases, it is necessary to treat the inflammations first. Physical methods, such as topical heat or physiotherapy, can also be used to promote inflammation resolution. For recurrent chronic epididymitis, epididymotomy or vasectomy may be considered. Chronic epididymitis is a stubborn disease for males. The complete cure of it in a short time is difficult. But if patients insist on proper treatment, generally, a month or so is ok.
During the treatment, patients must also pay attention to daily life care. It is suggested to take a light diet and do stay away from spicy foods. Strenuous exercise should be forbidden, and lying low is recommended. If possible, hold the scrotum high to promote local blood circulation. When necessary, spermatic cord closure is needed to protect epididymal function. At the same time, it is essential to eliminate bad habits of smoking, alcohol, and sex during treatment.
In addition to antibiotic treatment, patients can take traditional Chinese medicine Diuretic and Anti-inflammatory Pill. Because of its broad-spectrum antibacterial properties, it can cure male urogenital system diseases caused by various kinds of bacteria and viruses. In clinical practice, this medicine is remarkable in treating acute or chronic prostatitis, seminal vesicle phlogistic, cystitis, orchitis, epididymis, and other phlogistic male infertility diseases.
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