Epididymitis - Symptoms, Diagnosis, Stages and Treatment
Although most common in sexually active men between the ages of 18-35, and often caused by one of the bacterial infections such as: chlamydia, gonorrhea, or non-gonococcal urethritis - epididymitis can also affect older men too. However, when this is the case, it is often caused by a viral infection, and less so due to a bacterial one.
What is epididymitis?
When the epididymis, a single, narrow, tightly coiled tube that can be found just behind the testicles, and forms part of the male reproductive process which holds the male sperm becomes infected by either a bacteria or virus, the name given to the condition is epididymitis. The epididymis can grow to a length of some 7-meters, and consists of a head, body, and tail.
And although this condition is not usually seen as being life threatening, if left untreated can become rather uncomfortable to the sufferer, as any individual who has experienced it knows.
Symptoms - may include: a low-grade fever, chills, a heavy sensation in the area of the testicle that becomes sensitive to pressure, scrotal swelling or lumps, a discharge from the tip of the penis (the urethra), a dull pain or discomfort in the lower abdomen, pelvis, or groin area, and pain during sexual intercourse (especially during ejaculation).
Diagnosis - usually includes: a physical examination that may discover a small lump (mass) on the affected side of the scrotum (usually on the left-side, and less commonly found on the right), tenderness in the area where the epididymis is attached to the testicle, enlarged lymph nodes in the area of the groin, and a noticeable discharge coming from the tip of the penis. This may be followed by:
1. A rectal examination that often shows the prostate to be either swollen or tender.
2. Blood tests ([CBC] complete blood count).
3. A Doppler ultrasound test that uses reflected sound waves to evaluate the blood as it flows through the vessels.
4. A testicular scan ([nuclear medicine scan] after a radio-active tracer [radionuclide or radioisotope] has been administered into the body, a special camera [gamma] takes pictures that can show activity and function of the tissues found around the testicles, and of the testicles themselves).
5. Urine tests ([urinalysis] initial, and mid stream).
6. STD (sexually transmitted disease) tests for both chlamydia and gonorrhea.
These tests will also distinguish between epididymitis and testicle torsion which is another condition, and one that usually needs surgery to be treated.
Stages - If epididymitis has been present for longer than 6-weeks, it is usually classified as acute (chronic epididymitis).
Treatment - that is considered for epididymitis caused by a bacterial infection is usually a course of antibiotics, such as: Ceftriaxone 250 mg IM taken in a single dose, and usually accompanied by Doxycycline 100 mg taken orally twice a day for a period of 10 days.
However, when the epididymitis is caused by a viral infection, Levofloxacin 500 mg is usually prescribed to be taken orally once daily for a period of 10 days, or Ofloxacin 300 mg taken orally twice a day for the same period of time.
Sometimes acute epididymitis can be difficult to treat, and when this is the case, alternative medicines such as homeopathy treatments may be a good option.
Article Source: http://www.diureticspill.com/Medical_Use/Chlamydia/20120720/chlamydia-treated.html
Knowing and Understanding Epididymitis Causes - The Best Way to Avoid the Disease
epididymitis is a condition in which the coiled tube is inflamed. This is where the sperm is carried and stored and this is located at the back of the testicle. Men of any age can have this disease but 19 to 35 years old men are more prone to this disease. The symptoms can occur through swelling and pain in the epididymis. Epididymitis causes most often in bacterial infection through STD or what we call sexually transmitted disease like Chlamydia and gonorrhea. In some cases this comes with orchitis which means inflaming of testicles.
The epididymitis causes are numerous. This includes sexually transmitted disease or STD particularly Chlamydia and gonorrhea. This usually happens in young people who are sexually active. STD is the infection which can be transmitted through sexual contact with someone who is infected with bacteria, viruses and parasites. Both men and women can have this STD but in male cases, this could lead through serious condition like epididymitis.
Other Epididymitis causes bacterial infection for homosexual and older men. This is not transmitted through sexual intercourse but this can occur for those who have prostate and urinary tact infection. This bacterium may spread in infected areas and may sometimes cause fungal infections.
In some cases, heart medication of amiodarone is one of Epididymitis causes wherein epididymis is inflamed. Tuberculosis is also one cause of having epididymitis. Other people may have this disease through urine. Instead of urine flowing regularly, the urine flows backward and occurs in straining and heavy lifting.
This disease may also cause complications when tissues that are infected are filled with pus. Untreated epididymitis can lead into acute stage, testicle shrinkage and can also damage your fertility. If the infection spreads to your testicle, this may be inflamed and may be hard to treat.
If epididymitis is caused by STD or by other bacterial infection, antibiotic medication is effective but in some cases, signs and symptoms show up after few days of antibiotic medication so it is very important that your doctor knows what other medications you are taking.
The most effective treatments are resting in bed, elevating your scrotum, wearing a supporter and avoiding sexual intercourse while infection is still present and most especially the assistance of experts and your participation and self willingness to get well. Epididymitis causes can easily be identified and determined. Books, medical magazines and internet sites have much information about the causes of this disease. Although the disease may be treated, it is still best to prevent it by knowing and understanding its causes.
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