Medications for Improving Fibrosis in Chronic Epididymitis

Fibrosis of chronic epididymitis is a common problem of the male reproductive system, and many patients are ashamed to delay treatment, which aggravates the condition. 

Next, we will talk about the commonly used drugs to improve the fibrosis of chronic epididymitis. At the same time, we share the key points of daily maintenance to help you deal with this problem scientifically.

The epididymis is an important part connecting the testis and the vas deferens, which is responsible for the storage and transportation of sperm. When the epididymis is inflamed by bacterial infection, it is easy to develop into a chronic condition if it is not cured in time. Continuous inflammatory stimulation will cause abnormal proliferation of fibrous connective tissue and form a hard fibrosis focus. 

Such changes not only cause obvious discomfort symptoms of scrotal pain and bulging, but also affect the quality of sperm, even causing infertility in serious cases, which must be paid attention to.

To deal with this situation, medication is the core. Its main purpose is to control inflammation, soften fibrous tissue, and relieve pain. The doctor has to judge what medicine to use according to your condition. But let's have a number in mind first, and the common ones are mainly these categories.

Antibiotics 

Fibrosis of chronic epididymitis is mostly caused by delayed bacterial infection; even if the symptoms of the acute stage are alleviated, there may still be latent bacteria. The core role of antibiotics is to eliminate pathogenic microorganisms, reduce the recurrence of inflammation, and avoid further aggravation of fibrosis.

Doctors will choose a more targeted treatment plan according to the type of pathogen and drug sensitivity results.

Cephalosporins: 

Cephalosporins are commonly used drugs for genitourinary system infections, with a wide antibacterial range and high safety. Cefradine and cefuroxime can be taken orally for mild cases; If the inflammation persists, intravenous drugs such as ceftriaxone sodium may be needed. 

It should be noted that people allergic to penicillin should explain to their doctors in advance and strictly prohibit drinking alcohol during medication in order to avoid adverse reactions.

Quinolones: 

Quinolones have a significant killing effect on common pathogenic bacteria in the genitourinary system. Levofloxacin and ciprofloxacin are widely used in clinical practice, which can accurately act on the epididymal infection site. 

However, it is forbidden to use it under the age of 18 so as not to affect bone development, and long-term use can easily lead to drug resistance, so we must strictly follow the medical supervision to complete the course of treatment, and cannot increase or decrease the dosage by ourselves. 

Macrolides: few side effects 

Macrolides are suitable for patients who are allergic to cephalosporins or quinolones, and also for patients with weak liver and kidney function. Erythromycin and azithromycin have mild side effects, little gastrointestinal irritation, and good oral absorption, and azithromycin can be taken once a day, which is convenient and especially suitable for people with a fast-paced life.

Anti-Inflammatory and Analgesic Drugs 

Swelling and pain caused by inflammation are the most common problems for patients. Non-steroidal anti-inflammatory drugs can relieve discomfort quickly and improve daily experience. Common drugs are ibuprofen and diclofenac sodium.

Ibuprofen is easy to buy and has a stable effect on chronic dull pain. It is recommended to take it after meals to reduce the irritation to the gastric mucosa. If the pain is more pronounced, the doctor may prescribe diclofenac sodium enteric-coated tablets or allow patients to use topical suppositories and gels to enhance the effect and reduce side effects in the form of topical administration. 

It should be remembered that such drugs can only alleviate symptoms, cannot replace the cause of treatment, and must be avoided to prevent long-term dependence.

Drugs for Softening Fibrous Tissues 

For the problem of excessive proliferation of fibrous tissue, doctors may use drugs that can soften tissue, such as hyaluronidase and chymotrypsin. These drugs are mostly administered by injection, which can promote the local blood circulation of the epididymis, accelerate the absorption of fibrous tissue, and gradually soften the induration. 

However, such drugs must be operated by professionals after a doctor's evaluation, and can not be tried by themselves.

"Oriental Wisdom" of Treating Both Symptoms and Root Causes: TCM Plan 

Traditional Chinese medicine has obvious advantages in the treatment of chronic epididymitis fibrosis, especially for patients with repeated inflammation and a prolonged course of disease.

TCM believes that the core pathogenesis of this disease is exogenous dampness, qi, and blood stasis, and some patients are accompanied by liver and kidney deficiency, so the treatment should be based on syndrome differentiation and treatment to achieve "both symptoms and root causes."

It is aimed at the main syndromes of exogenous dampness and qi and blood blockage. TCM is based on the principle of clearing heat and detoxifying, eliminating carbuncles and resolving masses, and commonly used for heat-clearing and dampness-promoting medicinal materials such as honeysuckle and forsythia, combined with Angelica and Chuanxiong Rhizome to promote blood circulation and remove blood stasis.

The Chinese patent medicine Diuretic and Anti-inflammatory Pill of Dr. Li's clinic is developed based on this idea. It has the effects of clearing away heat and toxic materials, promoting blood circulation and removing blood stasis, improving urination, and treating stranguria. 

Besides, it can inhibit the growth of pathogenic bacteria, improve the stagnation of blood and blood in the epididymis, and help soften fibrous induration.

Clinically, the scrotal swelling and dull pain were significantly relieved in most patients after taking it. Re-examination showed that the induration was reduced and the recurrence of inflammation was reduced.

For patients with liver and kidney deficiency with a long course of disease and soreness and weakness of the waist and knees, doctors will add tonic medicinal materials such as goji berry and dodder seed to improve the body's disease resistance and reduce recurrence.

TCM treatment pays attention to "syndrome differentiation and medication," and one cannot buy herbs to take by oneself. It is suggested to consult a professional doctor of traditional Chinese medicine and make a plan according to the individual situation.

TCM has a long course of treatment and requires patients to insist on taking medicine. Nowadays, integrated traditional Chinese and Western medicine is mostly used to control acute inflammation quickly, while traditional Chinese medicine regulates constitution, softens tissues, and improves the curative effect together.

Daily Care 

Drug treatment needs to cooperate with scientific nursing in order to recover faster, and daily maintenance should pay attention to the following aspects:

Ensure adequate rest, avoid sitting or standing for a long time, and get up and move for 10 minutes every hour; choose loose and breathable cotton underwear, and clean the scrotum with warm water every day to reduce friction and stimulation; insist on taking a warm sitz bath for 15 minutes every day to promote local blood circulation and help inflammation absorption.

The diet should reduce spicy, stimulating food; eat more fresh fruits and vegetables to supplement vitamins; strictly quit smoking and alcohol; and avoid tobacco and alcohol to aggravate inflammation. 

At the same time, we should maintain a positive attitude, review on time, and communicate with doctors in a timely manner.

Conclusion 

The treatment of chronic epididymitis fibrosis needs to be gradual, and the appropriate program should be selected. Adhering to standardized medication and scientific nursing, most patients can recover well.

If symptoms such as scrotal swelling, pain, or induration occur, they should go to the urology department of the regular hospital in time. 

Doctors will make individualized plans according to each individual's conditions. As long as they cooperate actively, they can get rid of their troubles as soon as possible and protect their reproductive health.