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Treatment of epididymitis and orchitis, management and regimens

Here is an approach to management and treatment of epididymo-orchitis , a serious medical case .

What is epididymitis ?

Epididymitis is an infection or inflammation of the epididymis ( which is a bundle of  small tubes found next to each testicle  ) usually due to bacterial infection  , epididymitis occurs in males at any age but more frequently at 20-39 years old .

Treatment of epididymitis and orchitisWhat is Orchitis ?

Orchitis is an infection or inflammation of the testis itslef .
- Usually, Epididymo-orchitis is caused by spread of urinary tract infection or sexually transmitted diseases ( STDs) .Mumps virus can alson cause orchitis .
- Epididymo-orchitis may follow a trauma to or near the lower urinary tract .

What are the signs and symptoms of epididymo-orchitis?

-Epididymo-orchitis usually manifests as pain (severe) in the area of testis or groin , swelling and redness of the scrotum .
- Penile discharge and blood in urine may occur .
Treatment of epididymo-orchitis

How to manage and treat epididymo-orchitis ?

- Testicular torsion should be excluded first ( consultation of urologist ) .
-  Anti-bacterian therapy should be started immediately without waitiong for laboratory results .
- In case of STDs , sexual partners should recieve treatment .

A. Supportive therapy
1. Bed rest Or at lest reduction of physical activity .
2. Sitz baths .
3. Ice packs, which decreases swelling and pain  .
4. Scrotal support and elevation .
B.Medical treatment
1. Antibiotics
 The recommended regimen is as follows :
- Ceftriaxone 250 mg Intra-muscular single dose .
- Doxycycline 100 mg tab. / Two tablets daily for 10 days .
* In cases of Epididymitis caused by enteric organisms

- Levofloxacin 500 mg orally once daily for 10 days .
OR
- Ofloxacin 300 mg orally twice a day for 10 days .

2. Anti-inflammatory medications as Alphintern tablets .

If the patient doesn't respond to treatment in the first 48 hours , Re-evaluation is recommended .
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  1. Natural Treatment for Epididymitis read about the Symptoms, Causes and Diagnosis. Natural Herbal Treatment for Epididymitis with Herbal Product Epidmeton Natural Supplement for inflammation of the Epididymis. Natural way helpful adjunct treatment and reduce the Symptoms of Epididymitis.

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