Prostatitis Combined with Epididymitis, What to Do?
Prostatitis is a common male disease, and patients with it should get treated as early as possible. Prostatitis can easily cause complications in the male urinary system, and epididymitis is one of the complications. Epididymitis is usually induced because the epididymis is infected by microorganisms or other reasons. It is a stubborn disease.

If patients have got prostatitis and epididymitis, they do not need to worry too much.
They should go to the hospital and check the cause of the disease. It is essential to treat the two conditions at the same time with a multi-pronged approach. They should take medicine rationally under the guidance of doctors and get rid of bad habits.
For prostatitis, patients should judge whether bacteria cause it with the help of test indicators. Urinary tract infections cause most cases of prostatitis. When bacteria from the urinary tract travel backward into the prostate, it causes inflammation. Prostatitis usually has no apparent symptoms. If any, they are generally urinary irritation (frequent urination, urgent urination, and painful urination) and chronic pelvic pain. Doctors will typically recommend a digital rectal examination or a prostate liquefaction test.
Clinical antibiotics are commonly used for anti-infection treatment if bacteria are detected, such as Ciprofloxacin, Ofloxacin, Erythromycin, and so on. For non-bacterial prostatitis, alpha-blockers may relax prostate muscles and improve painful or obstructive urination symptoms. Some herbal preparations are also effective in improving symptoms.
For epididymitis, there will generally be epididymis enlargement accompanied by persistent pain, even fever, and other symptoms. It is recommended that patients do a color ultrasound of the scrotum to confirm whether the epididymis is swollen and whether there is a significant mass. Patients can do a blood routine at the same time to see whether the leucocyte is elevated. The primary treatment is the use of antibiotics. If patients have significant pain, lift the scrotum to relieve pain. Also, spermatic cord closure can reduce pain.
In general, prostatitis and epididymitis in men affect each other pathologically. Usually, bacterial prostatitis may cause epididymitis due to a retrograde infection, whereas non-bacterial prostatitis generally does not. The normal process of semen excretion is that the testis produces sperm, and the sperm is stored and matures in the epididymis. It then enters the seminal vesicle through the vas deferens. During ejaculation, the seminal vesicle contracts and enters the ejaculatory duct, prostate, and urethra and exits the body. This is an anterograde process.
A bacterial infection in the prostate will pass through the ejaculatory duct into the seminal vesicle, vas deferens, and epididymis, resulting in retrograde infection of epididymitis. At this time, patients must use antibiotics for treatment. The recommended antibiotics include Quinolones, Levofloxacin, Clonopitor, or Cephalosporin antibiotics. Cefixime, Cefdinir can also work. Take medicine for two weeks. During the treatment, drink more water and urinate frequently. When the prostatitis is cured, the epididymitis naturally disappears.
Antibiotic treatment can quickly relieve symptoms and reduce patients' discomfort and pain for acute prostatitis and epididymitis. However, excessive use of antibiotics can easily lead to overuse of antibiotics. To minimize side effects on the human body, patients can choose traditional Chinese medicine Diuretic and Anti-inflammatory Pill. This medicine has a feature of the broad-spectrum antibacterial property, which can clear heat, detoxify and be diuretic. Thus, it has a good relief effect on male reproductive system inflammation.
In addition, maintaining good habits is also a crucial part of the treatment of both diseases. Patients can do the following things:
1. Have a good diet. Abstain from alcohol, peppers, and other stimulating foods.
2. Avoid sitting for long periods and doing activities like bicycling. These things can aggravate the symptoms of the diseases.
2. Drink more water and urinate frequently. These can help reduce the irritation of the prostate and testicles.
4. Maintain a regular sex life. Prevent overindulgence.
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