Judge Whether You are Infected with Epididymitis from the Following Points
Date:2022-06-09 click:0
Epididymitis is a common infectious disease in urology. It is mostly caused by the spread of infection in adjacent organs, such as the prostate, the urethra, the anus, etc.
Epididymitis may lead to testicular atrophy, which is negative to sperm production and development, finally affecting fertility. Meanwhile, protracted epididymitis may lead to varicocele, prostatitis, endocrine diseases and so on. The most disturbing thing for male patients is that if the epididymis continues to grow larger, it will cause testicular inflammation, which will also affect their sexual ability. Their sexual ability will not become stronger, but will weaken or even lose.
Epididymitis is so harmful that you must pay attention to it. So how to judge whether it is epididymitis? Let's take a look at the details!
Clinically, to judge whether it is epididymitis, the following points should be considered:
1.The patient has scrotal pain and the scrotums become larger, and the pain can radiate to the groin and even the waist.
2. The patient has elevated body temperature and chills. Sometimes, there are mucinous secretions in the urethra and bladder irritation.
3. Scrotums become swelling, epididymis gets swelling and hardening, with pain when being pressed. Spermatic cord edema and thickening can form abscesses.
4. A blood routine examination, the number of white blood cells increases, and white blood cells or pus cells can be seen in urine routine examination.
5. Scrotal ultrasound shows that the blood flow of testicular artery was significantly enhanced.
From the above diagnosis, we can preliminarily tell whether it is epididymitis. Epididymitis is divided into acute epididymitis and chronic epididymitis, and further judgment is needed.
Diagnosis of acute epididymitis
1. Blood routine, urine routine: blood routine shows an abnormal increase in white blood cells, and urine culture shows pathogenic bacteria growth.
2. Ultrasound examination: The epididymis is diffusely enlarged, and the internal echo is uneven.
Generally speaking, patients with acute epididymitis will suddenly have a high fever, swelling and pain in the scrotum, swelling of the epididymis, a feeling of sinking, and obvious pressure pain. When the inflammation spreads widely, the epididymis and testis become swollen and indistinct, and the affected spermatic cord becomes thicker and softer.
Under normal circumstances, acute symptoms require general treatment, requiring patients to stay in bed and raise the scrotum. Ice compress should be used for early patients; hot compress or hot sitz bath is needed for late-stage patients. For patients with obvious pain, they can take painkillers orally.
You can also choose drugs sensitive to bacteria to do intravenous administration. After one to two weeks, you can use oral sensitive antibiotics for two to four weeks to prevent acute epididymitis from turning into chronic epididymitis. Commonly used drugs include cephalosporins, quinolones, macrolides, tetracyclines, etc.
Diagnosis of chronic epididymitis
1. Laboratory examination: abnormal increase in the number of white blood cells and lecithin corpuscle decrease
2. Ultrasonic examination: it can show the swelling and inflammation range of epididymis and testis.
3. Magnetic resonance examination: epididymitis is diffuse or focal.
The symptoms of chronic epididymitis are various. The local swelling and pain of the scrotum, testis and epididymis are often mild, but the duration may be longer. Thickened epididymal nodules can be felt. When you touch it, slight pain occurs.
The treatment of chronic epididymitis is difficult and takes more time. Chronic epididymitis can be cured, and the treatment of chronic epididymitis should eliminate the inducement. The targeted use of Diuretic and Anti-inflammatory Pill, a herbal medicine, can achieve a better curative effect when it is properly used according to the actual situations of patients.
Through the above introduction, you can tell whether the epididymitis is acute or chronic. For epididymitis, you must treat it in time. Of course, you also need to pay attention to daily prevention, change bad habits, work and rest regularly, and strengthen your body through proper exercise!
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