Battling the Bug: Treatment Options for Acute Epididymitis
Published: Sep 29, 2024
Acute epididymitis can be painful, but effective treatments are available. What are the options, and how do they work?
Contents
Antibiotics: The First Line of Defense
Antibiotics are the cornerstone of treatment for acute epididymitis. The choice of antibiotic depends on the likely cause of the infection. For sexually active men, doctors usually prescribe a combination of antibiotics to cover both chlamydia and gonorrhea. This might include a single injection of ceftriaxone plus a 10-day course of doxycycline pills. For men who aren't sexually active, antibiotics that target common urinary tract bacteria are used, such as levofloxacin or trimethoprim-sulfamethoxazole.
Pain Relief and Supportive Care
While antibiotics fight the infection, other measures help manage symptoms. Over-the-counter pain relievers like ibuprofen can reduce pain and inflammation. Applying ice packs to the scrotum can also help with swelling and discomfort. Wearing supportive underwear and elevating the scrotum when lying down can provide relief. It's important to rest and avoid strenuous activities until symptoms improve.
When Hospital Care is Needed
Most cases of epididymitis can be treated at home, but sometimes hospital care is necessary. This might be needed if you have severe pain, high fever, or signs of a more serious infection. In the hospital, you might receive intravenous antibiotics and fluids. If an abscess (a pocket of pus) forms, it may need to be drained surgically.
Frequently Asked Questions
Antibiotics are usually prescribed for 10-14 days.
It's best to avoid sexual activity until treatment is complete.
Surgery is rarely needed, except for complications like abscesses.
Yes, it can recur, especially if the underlying cause isn't addressed.
Key Takeaways
With proper treatment, most men recover fully from acute epididymitis without long-term problems.
If you're concerned about epididymitis or its treatment, don't hesitate to consult with Doctronic for personalized advice.Related Articles
References
Workowski KA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep 2021; 70:1.
Trojian TH, et al. Epididymitis and orchitis: an overview. Am Fam Physician 2009; 79:583.
Always discuss health information with your healthcare provider.