What are the initial symptoms of epididymitis?

Patient's question:

Last night while taking a shower, I noticed my testicles felt a bit swollen. I woke up earlier and thought I might have a fever, and by the afternoon, it became worse. I went to the hospital for a check-up and was told I have orchitis. I'm really very worried. Could you please tell me what are the initial symptoms of epididymitis?

Doctor's answer:

Epididymitis is divided into two types: acute and chronic. Acute epididymitis is mostly caused by bacterial retrograde infection from the urethra, which can manifest as fever, swelling of the epididymis, pain, and in severe cases, epididymo-orchitis, redness, swelling, heat, and pain in the scrotum on the same side, or even inflammation. Active anti-inflammatory treatment is required, generally lasting more than 4 weeks. Chronic epididymitis can result from unresolved acute epididymitis, presenting symptoms such as epididymal swelling, hardness, and chronic pain. Epididymitis can be relieved, but the treatment duration is usually long, and the condition is prone to recurrence after treatment. Therefore, active cooperation with the doctor's treatment, appropriate medication, avoiding prolonged sitting or riding, and maintaining good personal hygiene are essential. It is hoped that male patients can recover quickly.

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