How to confirm whether the epididymis is acute or chronic?

Patient's question:

Pain in the testicles, the doctor said it's epididymitis. How to verify if it's acute or chronic? How to treat it? What to pay attention to daily? How to confirm if the epididymitis is acute or chronic?

Doctor's answer:

The treatment of epididymitis should use antibiotics such as erythromycin, doxycycline, and clindamycin, which can easily diffuse into the male reproductive tract. After the acute symptoms subside, medication should still be used for 4-5 days. In the chronic phase, treatment should be maintained for 2-4 weeks to consolidate the therapeutic effect and support the scrotum. Local cold compresses should be applied. Abstinence from sexual activity is recommended. Avoiding smoking, alcohol, and spicy foods is also an effective measure to prevent exacerbation. Epididymitis tends to recur, requiring long-term medication.

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