Epididymitis
Doctor, may I ask a question? I previously had epididymitis and saw the doctor twice.
During my second visit, the doctor said I was getting better.
I have finished all my medication, and although there has been significant improvement, there is still a small hard lump under my testicle.
Does this indicate that it hasn't fully healed yet, or will it gradually disappear? Should I consider returning for a follow-up appointment?
Peter, 20~29 year old female. Ask Date: 2016/12/06
Dr. Du Shixi reply Urology
Hello: If there are no symptoms, the lump may take a long time to completely soften.
It is important to be very cautious in daily life, drink plenty of fluids, and avoid alcohol and spicy irritants.
Wear looser-fitting pants.
If the lump persists after about a month, it is advisable to return for a follow-up appointment.
Please note that if precautions are not taken, some individuals may experience a recurrence.
Thank you for your inquiry.
Reply Date: 2016/12/06
More Info
Epididymitis, an inflammation of the epididymis, can be a painful condition that often results from infections, trauma, or other underlying medical issues. Recovery from epididymitis can vary significantly among individuals, and it is essential to monitor your symptoms closely during the healing process.
From your description, it seems that you have seen your doctor twice and have been informed that you are on the path to recovery. The fact that you have completed your medication and noticed significant improvement is a positive sign. However, the presence of a small hard lump beneath the testicle can be concerning and may indicate that the inflammation has not completely resolved.
In many cases, the hard lump you are feeling could be a residual effect of the inflammation. The epididymis may take some time to return to its normal size and consistency after an episode of inflammation. It is not uncommon for some swelling or hardness to persist for a while even after the acute symptoms have improved. This lump may gradually decrease in size and eventually resolve as your body continues to heal.
However, it is crucial to remain vigilant about your symptoms. If the lump persists, grows larger, or if you experience any new symptoms such as increased pain, fever, or changes in urination, it is advisable to revisit your doctor. These could be signs of a complication or a different underlying issue that may require further evaluation.
In terms of recovery signs, you should look for the following:
1. Reduction in Pain: A significant decrease in pain and discomfort in the affected area is a good sign of recovery.
2. Decreased Swelling: As the inflammation subsides, you should notice a reduction in swelling in the scrotal area.
3. Improved Mobility: You should be able to move without significant discomfort, and activities that previously caused pain should become easier.
4. Normal Urination: Any issues with urination, such as pain or difficulty, should improve as you recover.
If you notice that the hard lump is not changing or if you have any concerns about your recovery, it is always best to err on the side of caution and consult your healthcare provider. They may recommend an ultrasound or other imaging studies to assess the lump and ensure that there are no complications, such as an abscess or a testicular torsion, which could require immediate attention.
In summary, while the presence of a small hard lump may not necessarily indicate that your condition has worsened, it is essential to keep an eye on it and consult your doctor if you have any concerns. Regular follow-ups can help ensure that your recovery is on track and that any potential complications are addressed promptly. Always prioritize your health and communicate openly with your healthcare provider about any changes or concerns you may have during your recovery process.
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