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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for pain in epididymis

Hi I am a 22 year old male, with pain and swelling in my epididymis. I was diagnosed with epididymitis about a year and a half ago and went through multiple trials of antibiotics and anti inflammatory medicine. Some trials came with a little relief but pain and swelling would return after about a month. I also had an ultrasound which showed nothing abnormal. After about 6 months of dealing with epididymitis doctors diagnosed me with chronic prostatitis. After I was diagnosed, I decided to enroll myself in yoga and found myself a knowledgeable physical therapist to help with all my pelvic pain. After about 2 months of working with the PT my pelvic pain was alleviated. It's been about 3 or 4 months since I've been back and my pelvic pain is still minimal, however I still have great pain and swelling in both of my epididymis. I can feel that the coils are very swollen and the actual epididymis is swollen and hard. I have yet to find relief to the swelling and pain of the epidiymis although I've found relief in all my other forms of pelvic pain. Any help or suggestions are appreciated. Thank you.
Thu, 28 Jun 2018
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I have gone through your history and symptoms and in my opinion you are suffering from varicocele rather then epidymitis. Varicocele is the swelling of small testicular veins which gives an appearance like swollen multiple torturous (a bag of worm). If you would have came to me I would have suggested you to get your scrotal color Doppler ultrasound of both testis which would look closely at your testicular blood vessels and would be able to give you better diagnosis, varicocele also leads to chronic testicular pain.

Hope I have answered your query. Let me know if I can assist you further.
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