Epididymitis: Causes, Symptoms, and Effective Treatments

Q: Epididymitis: Causes, Symptoms, and Effective Treatments

Hello： The treatment for testicular and epididymitis takes a long time, and it may take a while for the swelling to completely subside. <br>As long as there is no pain, no increase in size, and no redness of the skin, it can be considered stable. <br>As for the source of infectio

Inflammation of the testis and epididymis?

Epididymitis and Orchitis: After moving back to my old home, I engaged in masturbation a few times, and shortly after, I noticed blood in my semen.
A few days later, my left testicle became red and swollen.
I visited a doctor and was prescribed antibiotics (Cefixime) for 7 days along with pain relievers.
I then went to National Taiwan University Hospital, where I took Cefixime for 16 days and received anti-inflammatory medication.
I continued with the antibiotics and pain relievers for another 7 days.

My old home had been unoccupied for over a year, and when I lived there a year or two ago, the furniture had yellow mold spots, which I suspect could be Staphylococcus aureus.
The humidity in the house is often between 60-70%.
Is it possible that Staphylococcus aureus on the bedding could have caused my epididymitis, or could it be that my hands, after eating cold noodles and using the restroom, contaminated my urethra with E.
coli?
What would be the effective treatment? Are antibiotics helpful? During the acute swelling and pain, I experienced symptoms similar to fever (though I did not record my temperature) and felt cold, weak, and shivery.
After about a week, the swelling decreased, but even now, a month later, I still experience pain.
The doctor noted some slight swelling upon examination, and occasionally, I also feel pain on the right side (I am still taking medication).
Is there a risk of antibiotic resistance or potential drug interactions with this treatment? Should I stop masturbating, and how many times a week is considered normal?
Is there a possibility of mumps? When I was younger, my right parotid gland was always larger, and I thought it was lymphatic tissue.
A doctor later suggested it was the parotid gland.
Could mumps be related to my current condition (bacterial vs.
viral)? Some doctors have said that antibiotics are ineffective against viral infections, so could this not be a mumps issue? Should I move back to my new home? I sincerely request your professional advice.
Thank you!

asdsa, 30~39 year old female. Ask Date: 2022/11/01

Dr. Du Shixi reply Urology

Hello: The treatment for testicular and epididymitis takes a long time, and it may take a while for the swelling to completely subside.
As long as there is no pain, no increase in size, and no redness of the skin, it can be considered stable.
As for the source of infection, it is difficult to determine.
In the situation you described, if the immune system is normal, it should not occur.
DIY measures such as maintaining cleanliness should not be an issue.
If engaging in sexual activity, it is advisable to use protection to prevent infection.
Wishing you good health.

Reply Date: 2022/11/01

More Info

Epididymitis is an inflammation of the epididymis, a tube located at the back of the testicle that stores and carries sperm. Understanding its causes, symptoms, and effective treatments is crucial for managing this condition.

Causes of Epididymitis
Epididymitis can be caused by various factors, including:
1. Infections: The most common cause of epididymitis is a bacterial infection, often linked to sexually transmitted infections (STIs) such as chlamydia and gonorrhea. However, non-sexually transmitted bacteria can also cause the condition, particularly in older men or those with urinary tract infections (UTIs).

2. Trauma: Physical injury to the groin area can lead to inflammation.

3. Chemical Irritation: Exposure to certain chemicals or irritants can also cause epididymitis.

4. Other Medical Conditions: Conditions such as urinary tract infections, prostate infections, or even certain systemic diseases can contribute to the development of epididymitis.

In your case, the potential exposure to bacteria from a damp environment, such as the presence of mold or bacteria on clothing, could be a contributing factor. Additionally, the possibility of introducing bacteria from your hands to the urethra after handling food or using the restroom cannot be ruled out.

Symptoms of Epididymitis
The symptoms of epididymitis typically include:
- Pain and Swelling: Often localized to one side of the scrotum, the pain can range from mild to severe and may radiate to the lower abdomen or back.

- Redness and Warmth: The affected area may appear red and feel warm to the touch.

- Discharge: There may be a discharge from the penis, particularly if the cause is an STI.

- Fever and Chills: Some individuals may experience systemic symptoms such as fever, chills, and general malaise.

Given your symptoms of blood in the semen, swelling, and pain, it is essential to continue following up with your healthcare provider. The presence of fever and chills suggests that the infection may be more severe and requires careful monitoring.

Treatment Options
The treatment for epididymitis typically involves:
1. Antibiotics: Since your condition is likely bacterial, antibiotics are the primary treatment. It’s crucial to complete the entire course of antibiotics as prescribed to ensure the infection is fully eradicated. If you experience persistent symptoms despite treatment, inform your doctor, as you may need a different antibiotic or further evaluation.

2. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation.

3. Rest and Support: Resting and wearing supportive underwear can help alleviate discomfort.

4. Avoiding Irritants: It may be advisable to avoid activities that could exacerbate the condition, such as heavy lifting or vigorous sexual activity, until symptoms improve.

Concerns About Antibiotic Resistance
Regarding your concerns about antibiotic resistance, it is essential to use antibiotics judiciously. Overuse or misuse of antibiotics can lead to resistant strains of bacteria. Always follow your healthcare provider's instructions regarding medication.

Lifestyle Considerations
As for your question about masturbation, it is generally considered safe unless it exacerbates your symptoms. Moderation is key, and if you notice increased pain or discomfort, it may be wise to reduce frequency until your condition improves.

Other Considerations
You mentioned a history of swollen salivary glands, which could indicate past mumps or other viral infections. While viral infections typically do not respond to antibiotics, they can cause swelling in the testicular area. If you suspect a connection, discuss this with your healthcare provider.

Conclusion
In summary, it is crucial to maintain open communication with your healthcare provider regarding your symptoms and treatment plan. If your symptoms persist or worsen, further evaluation may be necessary to rule out other underlying conditions. Always prioritize your health and seek professional advice when in doubt.

Similar Q&A

Understanding Epididymitis: Symptoms, Diagnosis, and Treatment Concerns

Hello, Dr. Hsu: About two weeks ago, I suddenly noticed a small lump on my left testicle while taking a shower. Initially, there was no pain, but in the past two days, I have experienced some discomfort when touching the lump. I visited a urologist, and the diagnosis was epididym...

Dr. Xu Weikai reply Urology
ChihPing: Hello, epididymitis is quite common and can be transmitted through two possible routes: 1. Via the urinary system: this means it can be transmitted through pathways such as the urethra. 2. Via the bloodstream: this means it can invade from the cardiovascular system. For...

Understanding Chronic Epididymitis: Symptoms, Treatment, and Fertility Concerns

Hello, I developed symptoms in September 2014. After receiving injections and taking antibiotics, I recently had an ultrasound last month, which indicated that I have epididymitis on the left side. Despite receiving intravenous treatment and medication, my condition has not impro...

Dr. Xu Weikai reply Urology
Xiao Liang: Hello, a diagnosis of chronic epididymitis is made when symptoms persist for more than six months without signs of bacterial infection. If epididymitis becomes chronic, it may result in permanent enlargement, but severe pain is uncommon; instead, there may be mild dis...

Chronic Epididymitis: Effective Treatments and Related Urinary Issues

Hello doctor, I would like to ask what methods can effectively treat chronic epididymitis? I have tried both heat therapy and elevating the area, but neither has been very effective. Previous examinations showed no bacterial infection, so I haven't taken antibiotics. It has ...

Dr. Du Shixi reply Urology
Hello: Although you have sought medical attention for your issues, if they persist and occur frequently, it is important to consult a larger hospital for further examination, especially regarding testicular and urinary problems. It seems that lifestyle habits may be contributing ...

Understanding Acute Epididymitis: Symptoms, Treatment, and Self-Care Tips

Hello, Doctor! I haven't had sexual intercourse for almost four months, but recently when I had sex with my girlfriend, I noticed that my sperm had a yellowish color. I researched this on medical websites and learned about some conditions, one of which mentioned that it coul...

Dr. Xu Wencang reply Urology
Antibiotic treatment may need to continue for three weeks, with fever and elevated white blood cell count subsiding first, followed by improvement in pain. The swelling may persist for one to two months. Upon returning to Taiwan, further examinations can be conducted, including u...