What causes orchitis?

Patient's question:

This situation has been going on for a while. I always feel like there's fluid accumulation in the testicles, and they are red and swollen. However, because it's that particular area, it's a bit embarrassing to see a doctor. I did some research and think it might be caused by orchitis. Could you please tell me: What causes orchitis?

Doctor's answer:

Orchitis is often caused by bacterial or viral infections. Common pathogens include Staphylococcus, Streptococcus, E. coli, etc. The most common virus is the mumps virus, which is often associated with mumps. In adults, bacterial infections are more common. Treatment can include antibiotics such as azithromycin and levofloxacin hydrochloride. If necessary, bacterial culture can be performed, and sensitive medications can be used based on the results. Traditional Chinese Medicine (TCM) can also be consulted, where treatments such as clearing heat and eliminating dampness are adopted based on syndrome differentiation. Medications like Sanmiao Wan, Huangbai Capsules, and Longdan Xiaoyan Wan can also be used according to syndrome differentiation.

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