Patient's question:
I am a male, 28 years old, and have no bad habits. However, I was recently diagnosed with acute epididymitis. Now, I feel constant pain in my testicles, and sometimes I have high fever. I am really struggling with this. Could you please tell me: What is the best treatment for epididymitis?Doctor's answer:
The patient may not fully understand epididymitis. Testicular swelling is a common symptom of epididymitis. Acute epididymitis is characterized by sudden high fever, leukopenia, swelling and pain in the affected scrotum, a heavy sensation, and referred pain in the lower abdomen and inguinal region, which intensifies during standing or walking. The affected epididymis becomes enlarged and tender to touch. When the inflammation is extensive, both the epididymis and testis may swell, making it difficult to distinguish between them, which is referred to as epididymitis. Severe acute epididymitis can progress to chronic epididymitis, the irreversible end stage. At this stage, the symptoms are often milder than those of acute epididymitis. Chronic epididymitis, due to fibrosis, causes the entire epididymis to harden, with scars being particularly prominent under the microscope. Obstruction of the epididymal ducts and infiltration of lymphocytes and plasma cells in the tissue are commonly observed. Epididymitis greatly affects men.