Patient's question:
1. After acute orchitis, most patients do not have prodromal symptoms. Some may experience fatigue, chills, poor appetite, low fever, and headache. Subsequently, one or both parotid glands become swollen, reaching a peak within 2-3 days. The face may deform due to swelling on one or both sides, accompanied by local pain, tenderness, and pain during opening and chewing. Pain intensifies when eating acidic foods, and it may also affect the submandibular gland, sublingual gland, and cervical lymph nodes.2. Early symptoms of acute orchitis and epididymitis include testicular swelling and pain, fever, and sometimes chills. Vascular congestion caused by excitement may lead to pain in the inflamed testis due to pressure, rotation, or elevation of the testis.
3. Parotid gland enlargement can last for about 5 days, gradually subsiding thereafter. The entire course of the disease lasts for about 7-12 days. White blood cell count may sometimes decrease slightly, with a relative increase in lymphocytes. Teenage male patients may sometimes develop orchitis, with an average incidence of 20%. Orchitis often occurs 4-5 days after the onset of mumps, starting with testicular pain, followed by swelling and tenderness. Some patients have mild symptoms, but most experience severe systemic reactions, including high fever, chills, headache, and back pain. Acute symptoms persist for 3-4 days and subside after about 10 days.
4. Symptoms of acute epididymitis include general malaise, high fever, and an elevated white blood cell count. It typically occurs on one side, with bilateral cases being rare. The scrotum feels heavy and swollen, with severe pain, redness, and swelling of the scrotal skin. In the early stages, the boundary between the testis and epididymis is clear, and the epididymis becomes edematous and thickened.
5. Patients often have systemic symptoms such as high fever, chills, nausea, and vomiting. Locally, the testis is painful, sometimes intensely so, radiating to the groin. The scrotal skin is red and swollen, and the testis is significantly enlarged and tender.
6. The disease primarily affects one testis, with bilateral orchitis occurring in 16-30% of cases. One-third to one-half of patients develop varying degrees of testicular atrophy within 1 week or several months after onset. Orchitis associated with mumps can lead to some degree of infertility, with an incidence rate of about 1/10.
Doctor's answer:
Symptoms of urinary tract infection include dysuria and urinary urgency. In severe cases, fever may occur. Drinking more water is key to preventing recurrence. Rest and avoid spicy foods. Oral ciprofloxacin and metronidazole can be taken for treatment, which can help recovery. If ineffective, intravenous fluids may be used for treatment. It is essential to receive proper treatment to avoid chronic inflammation. Wish you a speedy recovery.