The severity of orchitis is not proportional to the pain in the testicles. Some people have more sensitive nerves and will feel very painful with mild inflammation. Some people are more sluggish and can hardly feel it when it is mild. Some people feel the pain just after having sex, which may be caused by extreme excitement causing congestion in the genitals. Can orchitis be cured? Orchitis is an inflammatory lesion of the testicle caused by various pathogenic factors, which can be divided into nonspecific, viral, fungal, spirochetal, parasitic, and traumatic. The testicles themselves rarely get bacterial infections because they have a rich supply of blood and lymph and are more resistant to bacterial infections. Bacterial testitis is mostly caused by inflammation of the adjacent epididymis, so it is also called epididymal-testicular inflammation. Common pathogens include Staphylococcus, Streptococcus, Escherichia coli, etc. Viruses can directly invade the testicles, the most common of which is the mumps virus, which mainly invades the parotid glands of children. However, this virus can also invade the testicles, so viral orchitis often occurs shortly after the onset of mumps. Typical symptoms: Chills (75%) Lower abdominal pain in men (75%) High fever (72%) Nausea (70%) Fainting (67%) One testicle larger than the other (67%) In the acute phase, there is high fever, chills, testicular pain radiating to the groin, and nausea and vomiting. Orchitis usually occurs 3-4 days after mumps, with high fever up to 40℃, often accompanied by prostration, redness and swelling of the scrotum, enlarged testicles, hydrocele, and obvious tenderness. If it is mumps, parotid swelling may also be found. Orchitis Western Medicine Treatment Treatment 1. Antibacterial and anti-inflammatory; 2. Rest in bed, lift the scrotum, apply local hot compress and physical therapy; 1% lidocaine spermatic cord blocking injection can relieve pain; 3. If an abscess is formed, it should be incised and drained. Medication principles Apply adequate, broad-spectrum antibiotics early. Such as azithromycin. Testing 1. The acute orchitis examination project is mainly based on the examination frame "A"; 2. For patients with chronic or recurrent orchitis, the examination program may include examination boxes "A", "B" or "C". Efficacy evaluation 1. Cured: Symptoms disappear, white blood cells are normal, testicles are not atrophied, and there is no hydrocele. 2. Improvement: Symptoms improve, testicles become slightly larger and tender. 3. Unhealed: Symptoms and signs have not improved, testicular enlargement or atrophy, or testicular abscess and hydrocele have formed. Patients should eat more foods rich in vitamin C and more fruits and vegetables to improve their immunity. Don't smoke or drink, as they are bad for your condition. Don't eat lamb and pig's trotters, as these foods will further aggravate the condition of the inflamed area. You should maintain a regular schedule and it is best to rest in bed. Do not have sex during this period. |
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