Patient's question:
A few days ago, I experienced sudden pain in my testicles. Later, I went to the hospital and was diagnosed with orchitis. The doctor prescribed penicillin for me, and I have already received two vials. I would like to ask:As a college student, I have never had sexual relations with anyone else, so how could I possibly contract this disease?
Also, after receiving two vials of penicillin, there seems to be no sign of improvement. Is orchitis difficult to cure? (My current symptoms are: no redness or swelling, but there is pain when the testicles are touched, walking is very difficult, and I don't know if the pain has slightly worsened recently because of excessive movement.)
Please advise if additional treatment is needed
Doctor's answer:
Hello: During treatment, it is recommended that patients rest in bed with the scrotum elevated and apply local heat. If the scrotal skin is significantly swollen, use a 50% magnesium sulfate solution for to facilitate the resolution of inflammation. For severe pain that is not effectively relieved by analgesics, consider performing a scrotal with 10 mL of 1% procaine. Systemic medication should include broad-spectrum or gram-negative-sensitive antibiotics, such as penicillin, gentamicin, and various cephalosporins.Traditional Chinese medicine primarily uses herbs to harmonize the body, drain toxins, clear heat, and reduce dampness. Herbal decoctions or prepared medications based on the basic formula of Longdan Xiegan Tang can be used. Apply topical remedies like Jinhuang ointment to clear heat and detoxify the affected area. If a testicular abscess has formed, consider draining the pus by aspiration or incision. If the testicle is completely destroyed by pus, the affected testicle may be removed.