Patient's question:
I am a male, 31 years old. Two years ago, I accidentally discovered a hard lump in my left epididymis, about the size of a peanut, with a shape similar to what is described online—epididymal hardening and varicocele. Because it didn’t hurt or itch, I didn’t know exactly when it appeared. I went to the hospital for an ultrasound examination, and the diagnosis was epididymitis. I took medicine for a few days, but since I didn’t feel any discomfort, I stopped taking it. Recently, I’ve been experiencing some discomfort, especially when bending forward, straightening up, sitting upright, or lying down and getting up. During these movements, I can clearly feel pain in the testicular area. Besides the fact that I dislike sleeping naked, prolonged exposure to air conditioning also causes that kind of pain in my testicles—hard to describe, a pain only men understand, a dull ache but quite painful. What kind of medicine should I take?Doctor's answer:
Orchitis is a common non-specific infectious disease of the male reproductive system. Conservative treatment can involve intravenous antibiotics, pain relief with medications such as ibuprofen sustained-release capsules, and heat therapy. If the condition is severe and an abscess forms, drainage may be necessary through incision. It is important to maintain local hygiene, take daily warm sitz baths, and abstain from sexual activity. A light diet, avoidance of alcohol and smoking, and avoiding spicy or irritating foods are recommended.