Patient's question:
I am eighteen years old this year. It seems like there is a cluster of blood vessels inside my left testicle. It has been there for a long time. Recently, I feel that my left testicle is hanging very low, but there is no pain. After taking a shower, I feel that my left testicle is warm when touched, warmer than the right one. Is this a disease?Doctor's answer:
Analysis of the condition: Orchitis is usually caused by bacteria and viruses. The testicles themselves rarely suffer from bacterial infections due to their rich blood and lymphatic supply, which provides strong resistance to bacterial infections. Most bacterial orchitis is caused by inflammation of the adjacent epididymis, so it is also known as epididymo-orchitis...Traditional Chinese Medicine (TCM) treatment for acute orchitis generally employs a syndrome differentiation approach. According to urological experts, TCM syndrome differentiation typically classifies acute orchitis into three types:
1. Acute orchitis with damp-heat accumulation in the lower burner: Symptoms include fever with chills, swelling and pain in the testicles, hard texture, dark and (dysfunctional) urination, dry stools, red tongue with yellow greasy coating, and wiry, slippery, rapid pulse. Treatment focuses on clearing damp-heat and detoxifying to resolve abscesses.
2. Acute orchitis with qi stagnation and blood stasis: Symptoms include gradual testicular enlargement, hardness upon palpation, mild pain, dark tongue with petechiae, thin white coating, and wiry, slippery pulse. Treatment focuses on promoting qi circulation and resolving blood stasis.
3. Acute orchitis with blood stasis obstruction: Symptoms include testicular swelling and pain after trauma, or redness and heat, with dark tongue edges showing petechiae and a stinging pulse. Treatment focuses on promoting blood circulation to resolve stasis and alleviate pain.
Recommendations: The treatment of acute orchitis is not very difficult. As long as patients seek medical attention promptly, the efficacy of both Western and TCM treatments is excellent. Therefore, urological experts advise patients to identify the condition early and seek timely treatment. Additionally, patients should choose the most appropriate treatment method based on their individual circumstances while respecting their doctor's recommendations.