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

Acute Epididymitis

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 could be an infection.
After this sexual encounter, I did not engage in any other sexual activities for nearly a week, and then my right testicle suddenly became swollen and painful.
Since I am working in Southeast Asia, the medical facilities here are not as convenient as in Taiwan, so I looked up related symptoms online.
I personally believe it resembles the symptoms of "acute epididymitis" because of the pain.
I went to a hospital that serves Taiwanese businesses, but the doctor did not perform a physical examination or visual inspection; he just listened to my description and immediately administered an anti-inflammatory medication via intravenous injection and prescribed anti-inflammatory drugs and antibiotics.
While I did feel some relief, the swollen area has not significantly decreased, which makes me very anxious.
I currently cannot return to Taiwan for medical treatment.
Could you please advise me on how to observe my symptoms and any simple treatments I can undertake? I understand this may go against medical protocols, but I really cannot return to Taiwan immediately.
Additionally, I found two medications on some medical websites that can be used to treat acute epididymitis: 1.
Augmentin 2.
Zinnat.
I would like to ask if both of these are antibiotics and if I can use them.
According to the medical website's explanation, it suggests starting with Augmentin for treatment for about three days to a week, after which the symptoms may improve, and then switching to Zinnat for about three to five days, which might help reduce the swelling.
Could you please confirm if this approach is appropriate for emergency treatment? Thank you.

Mr. Chen, 30~39 year old female. Ask Date: 2016/03/12

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 ultrasound.

Reply Date: 2016/03/12

More Info

Acute epididymitis is an inflammation of the epididymis, often caused by bacterial infections, including sexually transmitted infections (STIs) such as chlamydia and gonorrhea. The symptoms you described, including swelling and pain in the right testicle, are indeed consistent with acute epididymitis. The yellowish discoloration of your semen could also indicate an infection, as it may be associated with pus or inflammatory cells.

Given that you have already sought medical attention and received intravenous anti-inflammatory medication and antibiotics, it is important to continue monitoring your symptoms closely. Here are some self-care tips and observations you can consider while you are unable to return to Taiwan for further medical evaluation:
1. Rest and Elevation: Resting and elevating the affected testicle can help reduce swelling and discomfort. You can use a supportive undergarment to provide comfort and support.

2. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation. However, consult with a healthcare provider before taking any medication, especially if you are already on antibiotics.

3. Hydration: Staying well-hydrated is important for your overall health and can help your body fight off infections.

4. Monitor Symptoms: Keep a close eye on your symptoms. If you experience increased swelling, severe pain, fever, or any other concerning symptoms, it is crucial to seek medical attention immediately, even if it means visiting a different healthcare facility.

5. Avoid Sexual Activity: Until you have fully recovered and received a clear diagnosis, it is advisable to avoid sexual activity to prevent further irritation or potential spread of infection.

Regarding the antibiotics you mentioned, Augmentin (amoxicillin and clavulanate) and Zinnat (cefuroxime axetil) are both effective against a range of bacterial infections. Augmentin is often used as a first-line treatment for epididymitis, particularly when a sexually transmitted infection is suspected. Zinnat can be used if there is no improvement with Augmentin or if a different bacterial infection is suspected.

However, it is essential to follow the guidance of a healthcare professional regarding the use of these medications. Self-medicating or changing prescribed treatments without medical advice can lead to complications or ineffective treatment. If you have already started Augmentin, it is generally recommended to complete the full course as prescribed, which is typically around 7 to 14 days, depending on the severity of the infection.

If you do not see improvement after a few days of treatment, or if your symptoms worsen, it is crucial to seek further medical evaluation. In some cases, imaging studies such as an ultrasound may be necessary to rule out other conditions, such as testicular torsion or abscess formation.

In summary, while you can manage some symptoms at home, it is vital to remain vigilant and seek medical care if your condition does not improve or worsens. Communication with healthcare providers, even remotely, can help ensure you receive appropriate care while you are away from your usual medical facilities.

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