I have heard of testicles. What is epididymis? Men not only have two testicles, but also two epididymis. The epididymis is a necessary route for sperm to travel, and like the testes, it is also the place where sperm develop and mature. Today, the editor will introduce some symptoms of chronic epididymis for your reference.
Symptoms of chronic epididymitis
1. Scrotal pain. Scrotal pain is a typical manifestation of chronic epididymitis, often manifested as long-term or intermittent pain in the affected scrotum, with a mostly dull pain and a feeling of swelling and heaviness.
2. Lower abdominal pain. The pain caused by chronic epididymitis can radiate to the lower abdomen and ipsilateral groin, and patients may experience pain in the thigh base or lower abdomen.
3. Thickening of the vas deferens. Generally manifested as thickening of the ipsilateral vas deferens.
4. Hydrocele. Not all patients have this symptom, it is often secondary.
5. The epididymis enlarges and hardens.
6. There is tenderness in the epididymis.
Diagnosis of chronic epididymitis
Chronic epididymitis often presents with uniform enlargement, hard texture, and tenderness in the epididymis. Diagnosis can be confirmed through the following tests:
1. Laboratory examination: Peripheral blood white blood cells can reach (2-3) × 109/L. Urethral secretions can be examined for staining or non staining.
2. Ultrasonic examination: It can display the extent of swelling and inflammation in the epididymis and testicles.
3. Magnetic resonance imaging: Epididymitis is diffuse or focal, and on T2 weighted imaging, the epididymal signal may be the same as or higher than the testicular signal.
Treatment of chronic epididymitis
Chronic epididymitis often coexists with chronic prostatitis, so the general treatment measures are the same as those for chronic prostatitis. Treating prostatitis can also alleviate the symptoms of chronic epididymitis. The efficacy of medication alone may not be ideal for chronic epididymitis. In addition to the use of effective broad-spectrum antibiotics, physical therapy such as local hot compress is also necessary.
Local application of berberine or neomycin plasma penetration therapy can be used for epididymal treatment. If there is chronic prostatitis, it must be treated simultaneously. Recurrent epididymitis caused by chronic prostatitis can be treated after vasectomy. For authors who have repeatedly experienced epididymectomy, it may also be considered.
Dietary precautions for epididymitis
Epididymitis is a common male reproductive system disease, and patients can combine some dietary therapies to regulate and promote physical recovery while receiving treatment. Patients need to maintain a light diet, ensure adequate nutrition supply, and eat more fresh fruits and vegetables.
Avoid spicy, stimulating, and cold foods, and eat less pig trotters, fish soup, lamb, and other "substances" to prevent increased secretion from inflamed areas, further infiltration and spread of orchitis, and worsening symptoms. Quit smoking and drinking, and avoid excessive consumption of caffeinated beverages.
The above are some symptoms of chronic epididymitis that the editor will analyze for you today, as well as the precautions that patients with chronic epididymitis need to pay attention to in their daily life and dietary habits. We hope this can be helpful to everyone.
