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Treatment for epididymitis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2481 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   hello, a week ago i was diagnosed with epididymitis
Doctor :  
Ok
User :   i was given ultrasound and was given motrin and cipro to take for 2 weeks
Doctor :  
Ok
Doctor :  
I can see that from your chat history
Doctor :  
How have the symptoms been now?
User :   4 days passed and i saw no sign of recovery and on fourth day the pain increased went back to hospital was given ultrasound again and was given a shot of rocephin and to stop cipro and take doxycycline for 10 days
Doctor :   Ok

User :   tonight will be 3 full days of takin doxy and i have not seen much change at all
Doctor :  
Ok
Doctor :  
Do you mean to say that there is no improvement in either pain and/or swelling?
User :   my right testicle is still very droopy and painful to th touch
Doctor :  
Ok
User :   a bit on pain but my pain hasnt improved in days and my swellin doesnt seem to improve as my right testicle is very low
Doctor :   May I know your location?
User :   staten island,new york
Doctor :  
Ok
Doctor :  
What was the speciality of doctor who prescribed you?
User :   he was a surgeon i believe in the emergency room
Doctor :   Ok
Doctor :  
Now I think that you are just on Doxycycline right
User :   correct
Doctor :  
Ok
Doctor :  
There are a class of antibiotics known as cephalosporins
Doctor :  
which are very effective in treating epididymitis
Doctor :  
one of them is Ceftriaxone which will be given intravenously
Doctor :  
and you can really see improvements with it
User :   i should also tell you that yesterday i tried masturbating twice and i orgasmed but nothing came out
Doctor :   Ok
Doctor :  
There are a lot of physiological changes in that area
Doctor :  
so you cannot expect it to function normally at this time
User :   ok i see
User :   and also
Doctor :  
Yes proceed
User :   i've been having involuntary urination like a squirt of urine almost gets out but im able to hold it
Doctor :   Ok
User :   it feels like urine just wants to squirt out
Doctor :  
Since when are you having this problem?
User :   probably ssince yesterday more today tho
Doctor :  
It can be due to infection of the part
Doctor :  
so secretions might have decreased
Doctor :  
All are to do with the urogenital system only
Doctor :  
So it is better to change to a higher antibiotic and get it resolved
User :   well tomorrow im going to eurologist i have appointment i should tell him about cephalosporing
Doctor :   So I advise you to go for intravenous antibiotics
Doctor :  
like ceftriaxone
Doctor :  
which administered intravenously
Doctor :  
You can go to ER
Doctor :  
and I believe it can be cured easily with IV antibiotics
Doctor :  
Did you follow me?
User :   well i have appoitnment tomorrow for eurologist so i will ask to be given antibiotic through iv
Doctor :  
yes you can in fact do that
User :   is there a reason why im not responding well to these antibiotics?
Doctor :  
If he has few beds ten it is a 5 min injection that can b given there itself
Doctor :  
It takes some time
User :   what about steroid shot? and should i ask for another ultrasound?
Doctor :   No, if required
Doctor :  
for your condition, he will advise you the same
Doctor :  
Is that fine?
User :   ok.. is there anything i can do to stop involuntary squirt of urine?
Doctor :  
No
Doctor :  
voluntary efforts
Doctor :  
might help at this time
Doctor :  
antibiotic intervention will surely help you
Doctor :  
You also need to be postive in that regard
Doctor :  
Is if ok with you?
User :   correct
User :   how long does epididymitis last normally?
User :   and i've heard of chronic epididymitis forgot to mention i have epididymitis-orchitis
Doctor :  
It will be relieved as the antibiotics are started
Doctor :  
gradually
Doctor :  
If it is left untreated
Doctor :  
it can progress to chronic epididymitis
Doctor :  
If treated rightly now
Doctor :   such a possibility is remote
Doctor :  
I want you also to think in the same line
User :   thank you i will
Doctor :  
Is there any thing else I can help you with?
User :   its just very frustrating i take care of myself
Doctor :  
You need not panic
Doctor :  
Higher antibiotics are available and it can be managed well
User :   well thanks for your help sir
Doctor :  
Please fill the feedback form say done when done.

User :   done
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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