Treatment methods for epididymitis

Patient's question:

Infected with urethritis, mycoplasma causes frequent urination, urgency, urinary pain, urethral pain, and discharge. The drop of white fluid leads to acute epididymitis, with a hard knot in the left epididymal line, and the symptoms mentioned above reappear, along with the white discharge. I am truly desperate.

Doctor's answer:

For acute epididymitis, it is recommended that patients rest in bed, elevate the scrotum to alleviate pain. In the initial stage, an ice pack can be applied to the epididymis to prevent swelling. In the later stage, heat application can be used to promote local blood circulation and accelerate the resolution of inflammation. For systemic symptoms such as pain and fever, symptomatic treatment with antipyretic and analgesic drugs should be administered. Additionally, during the acute phase, sexual impulses and heavy physical activity should be avoided to prevent further transmission and worsening of symptoms. For persistent and uncontrolled cases, surgical removal of the epididymis, or even the testicle if necessary, may be considered.
Patients should also pay attention to daily care:
1. Sexually transmitted diseases should be treated promptly in hospitals to avoid improper medication, which may lead to drug resistance or the transmission of complications, resulting in epididymitis.
2. During the acute phase, bed rest and increased fluid intake are recommended. The scrotum should be supported with a cloth band to reduce the sensation of heaviness and swelling.
3. Cold compresses can be applied during the acute phase, while heat application is suitable for the chronic phase.
4. Red bean or mung bean soup has the effects of clearing heat, promoting diuresis, and detoxifying. Regular consumption can aid in recovery from the condition.
5. Sexual activity should be avoided before full recovery to prevent congestion and edema of the epididymis, which may worsen the condition.

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