Chronic Orchitis Diagnosis and Treatment

Patient's question:

Chronic Orchitis Diagnosis and Treatment. Tell me about it! Thank you Chronic Orchitis Diagnosis and Treatment

Doctor's answer:

Disease Analysis: Chronic orchitis is often caused by incomplete treatment of non-specific acute orchitis, but it can also be caused by fungal, spirochete, or parasitic infections, such as orchitis caused by fungi, which is relatively common. Individuals with a history of testicular trauma may develop granulomatous orchitis; local or systemic radioactive phosphorus irradiation of the testicles can also lead to chronic inflammation and damage testicular tissue.
Treatment Suggestions: It is recommended to use antibiotics to control the infection, such as penicillin 400,000 units, administered intramuscularly twice daily; if the symptoms of high fever and toxicity are severe, corticosteroids may be used as appropriate.
② Local treatment: In the acute phase, support the scrotum and apply a wet compress with a 33% magnesium sulfate solution. If it has abscessed, drainage through aspiration or incision may be performed. In the chronic phase, decoct 15 grams of dried tangerine leaves and 10 grams of safflower, let it cool, and sit in the bath three times daily, for 15-20 minutes each time.
③ Single herb formulas: Longdan Xiegan pills, take 6 grams per dose, three times daily, suitable for the acute phase; Zhibai Dihuang pills, take 6 grams per dose, three times daily, suitable for the chronic phase.

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