Acute Right Testicular Inflammation: Symptoms and Treatment Options

Q: Acute Right Testicular Inflammation: Symptoms and Treatment Options

Hello： I recommend that you go to the hospital for further examination to confirm whether additional medication treatment is necessary. <br>This is a response from Dr. <br>Lai Rong-Hao, Director of the Urology Department at Hsinchu Hospital, Ministry of Health and Welfare.

Regarding right-sided orchitis?

Hello, Doctor! I previously experienced pain and swelling in my testicle, so I went to see a doctor.
The doctor diagnosed me with acute right-sided epididymitis, and after taking medication, the symptoms subsided.
The doctor mentioned that it would take some time to fully recover, but I stopped taking the medication afterward.
However, I feel that my right testicle looks different; it appears to be positioned slightly higher and closer to the penis compared to the left one, which seems normal.
The right testicle also feels a bit larger, as if there is some intestinal-like tissue attached to it.
I'm wondering if this is due to not taking the medication, as it has been quite a while since then, and I have already discarded the medication.
I would like to ask the doctor how I can improve this condition.
If I need to continue taking medication, where can I obtain it? Thank you.

A Hu, 20~29 year old female. Ask Date: 2005/06/27

Dr. Lai Ronghao reply Urology

Hello: I recommend that you go to the hospital for further examination to confirm whether additional medication treatment is necessary.
This is a response from Dr.
Lai Rong-Hao, Director of the Urology Department at Hsinchu Hospital, Ministry of Health and Welfare.

Reply Date: 2005/06/27

More Info

Acute testicular inflammation, commonly referred to as acute orchitis, can be a concerning condition that requires careful evaluation and management. The symptoms you described, including pain, swelling, and changes in the position of the testicle, are indeed indicative of this condition. It is essential to understand the potential causes, symptoms, and treatment options available to manage your situation effectively.

Symptoms of Acute Testicular Inflammation
The primary symptoms of acute testicular inflammation include:
1. Pain and Swelling: Sudden onset of pain in one testicle, often accompanied by swelling. The affected testicle may feel warm to the touch.

2. Changes in Position: The testicle may appear higher or displaced compared to the other side, as you noted.

3. Redness and Tenderness: The skin over the affected testicle may appear red, and there may be tenderness upon palpation.

4. Systemic Symptoms: In some cases, fever, nausea, or vomiting may accompany the localized symptoms, indicating a more systemic infection.

Potential Causes
Acute testicular inflammation can result from various causes, including:
- Infections: Bacterial infections (such as those caused by sexually transmitted infections like chlamydia or gonorrhea) and viral infections (such as mumps) can lead to orchitis.

- Trauma: Injury to the testicle can also result in inflammation.

- Torsion: Testicular torsion, where the spermatic cord twists and cuts off blood supply, can present similarly and is a surgical emergency.

Treatment Options
1. Antibiotics: If the inflammation is due to a bacterial infection, antibiotics are typically prescribed. Common choices include doxycycline or cefixime, depending on the suspected organism.

2. Pain Management: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help alleviate pain and reduce inflammation.

3. Rest and Support: Elevating the scrotum and wearing supportive underwear can provide comfort.

4. Follow-Up Care: It is crucial to have follow-up evaluations, especially if symptoms persist or worsen. An ultrasound may be necessary to rule out complications such as abscess formation or torsion.

Importance of Continuing Treatment
Since you mentioned that you stopped taking the prescribed medication, it is possible that the inflammation has not fully resolved. Incomplete treatment can lead to chronic issues or complications. If you are experiencing persistent symptoms, it is advisable to seek medical attention promptly. You may need to visit a healthcare provider or a urologist for a thorough examination and possibly a repeat ultrasound to assess the condition of your testicle.

Where to Obtain Medication
If you need to resume treatment, you should consult a healthcare provider who can evaluate your current symptoms and prescribe the appropriate medications. If you are in a location where access to healthcare is limited, consider reaching out to local clinics or telemedicine services that can provide guidance and prescriptions.

Conclusion
In summary, acute testicular inflammation is a condition that requires careful monitoring and appropriate treatment. Given your symptoms and the changes you have observed, it is crucial to seek medical attention to ensure that you receive the necessary care. Continuing with antibiotics and pain management, along with follow-up evaluations, will be essential in your recovery. Do not hesitate to reach out to a healthcare professional to discuss your concerns and get back on track with your treatment.

Similar Q&A

Understanding Testicular Pain: Symptoms, Causes, and Treatment Options

Hello Dr. Hsu, I have been experiencing pain in my testicle for almost two weeks now. The pain occurs daily and is localized to the right testicle, which is noticeably larger than the left. Sometimes the pain occurs suddenly, and after walking a short distance, it also intensifie...

Dr. Xu Weikai reply Urology
Mr. Lin: Hello, you likely have inflammation of the testicles and epididymis. This condition requires continuous antibiotic treatment for 6 to 12 weeks. During the acute phase, some supportive treatments are necessary, such as local ice application, a diet that minimizes irritati...

Understanding Right Testicular Pain: Causes and When to Seek Help

I apologize, but I would like to ask you about the sharp pain in my right testicle that started last night. I can feel it clearly when sitting, but it doesn't bother me much when standing. Please advise.

Dr. Fu Shizhang reply Urology
There are many possibilities, including torsion, orchitis, hernia, varicocele, and even post-ejaculation discomfort. If you continue to feel unwell, it is advisable to consult a urologist. Online consultations cannot replace an in-person examination and physical assessment by a p...

Understanding Testicular and Prostate Inflammation: Causes and Concerns

Hello doctor, I would like to explain from the beginning. Starting from July 12, when I went to work, I suddenly experienced discomfort and pain in my right testicle. Later, I visited a urology clinic in San Chong, New Taipei City, where the doctor performed an ultrasound and dia...

Dr. Li Xinyi reply Urology
Excessive exercise leading to excessive sweating and reduced urine output should be avoided, especially in your case. Additionally, prolonged activities such as cycling, DIY projects, or sexual intercourse, along with high stress levels, insufficient sleep, and poorly managed chr...

Understanding Right Groin, Testicular, and Lower Back Pain: A Urology Perspective

Hello doctor, I recently experienced pain and discomfort in my right testicle, accompanied by soreness in my right flank. I visited a urologist, initially suspecting it might be due to a varicocele. However, after an ultrasound of the scrotum, the doctor assessed that the degree ...

Dr. Du Shixi reply Urology
A physician must not administer treatment, prescribe medication, or provide a diagnosis without a personal examination. Hello: Epididymitis can lead to swelling of the testicles, but this is not always the case. Prostatitis is difficult to diagnose; urinalysis may be one method, ...