Can you exercise with epididymitis?

Written by Wang Shuai
Urology
Updated on September 22, 2024
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Epididymitis refers to the condition where the epididymis becomes enlarged and painful due to infections caused by bacteria, viruses, etc. The testicle may also experience a significant sensation of heaviness and pain. In such cases, it is not advisable to engage in vigorous physical activities. Instead, it is recommended to lie down as flat as possible and elevate the scrotum, which helps in improving local blood circulation. If intense physical activities are performed during the treatment of epididymitis, it can exacerbate the condition, resulting in significant pain. Therefore, it is best to avoid vigorous exercises while suffering from epididymitis. Prompt anti-inflammatory treatment is necessary, and the diet should be as bland as possible, avoiding spicy and irritating foods.

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Written by Wang Shuai
Urology
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What causes epididymitis?

The occurrence of epididymitis is primarily due to the inflammatory reaction caused by pathogenic microbial infections of the epididymis, with common pathogens including Escherichia coli, Staphylococcus, and Pseudomonas aeruginosa. This is mainly due to previous conditions such as urethritis, bacterial prostatitis, and vesiculitis not being timely treated, allowing the pathogenic microbes to gradually spread along the vas deferens to the epididymis, leading to inflammation. Epididymitis may also occur due to prolonged use of urinary catheters or post-prostate resection surgery. After the onset of epididymitis, the epididymis will exhibit symptoms of enlargement and pain. It is necessary to promptly use antibiotics for treatment. During the treatment period, attention should be paid to a light diet; avoid spicy and irritating foods, lie flat as much as possible, and elevate the scrotum. (Please use medications under the guidance of a doctor)

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epididymitis symptoms

The main clinical manifestations of epididymitis are significant enlargement of the epididymis accompanied by obvious pain. At the same time, the skin of the scrotum will be red and swollen, and the skin temperature will increase. If not treated promptly, the condition may further develop and possibly involve inflammation of the testis, and even lead to the possibility of testicular and epididymal abscesses. If a testicular or epididymal abscess occurs, touching the testis and epididymis will show a distinct fluctuation, and even an abscess rupture may occur, with pus visible on the skin of the scrotum and flowing out from within the scrotum. If these symptoms appear, it is necessary to promptly visit the hospital's urology department and use antibiotics for standard treatment. If an abscess has already formed, an abscess incision and drainage should be performed. (Specific medication use should be carried out under the guidance of a doctor.)

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Why is epididymitis getting more painful?

After suffering from epididymitis, the epididymis will show symptoms of enlargement and pain. If not treated promptly, the epididymis will further enlarge, and the pain will gradually become more pronounced, which is a normal phenomenon. However, if the pain continues to worsen despite active treatment, it should be considered that this may be due to a lack of attention to lifestyle care, such as engaging in vigorous exercise during treatment, or situations involving prolonged standing or sitting. Additionally, it is important to be vigilant about the possibility of testicular torsion accompanying epididymitis. Therefore, if the pain continues to worsen during the treatment of epididymitis, it is advisable to promptly re-examine the color Doppler ultrasound to understand the blood flow situation of the testicles and epididymis, and then proceed with targeted treatment.

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Symptoms of epididymitis

The main symptoms of epididymitis include enlargement of the epididymis, accompanied by noticeable pain. The skin of the scrotum will appear red and swollen, and touching the scrotum will reveal an increase in local skin temperature. If not treated in time, an epididymal abscess may develop, causing a palpable fluctuation when touching the epididymis. If not addressed promptly, the abscess may rupture, leading to the leakage of pus from the scrotum. If epididymitis is diagnosed, it is important to seek timely treatment at a hospital's urology department. Diagnosis is typically confirmed via ultrasound and a local physical examination, and prompt treatment with antibiotics is necessary. If an abscess has already formed, surgical incision and drainage may be required. (Specific medications should be used under the guidance of a doctor, and self-medication should be avoided.)

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How can an epididymal nodule be eliminated?

A significant portion of patients with epididymitis will have a hard nodule left at the site of the epididymis after inflammation control. This nodule is difficult to eliminate through medication. If the patient does not experience discomfort later on, local heat application or massage can be used to help dissipate the nodule. If the nodule does not cause any particular symptoms, no special treatment is needed. However, if the nodule is associated with significant pain or causes recurrent epididymitis, surgical removal of the epididymal nodule is recommended. After the surgery, timely anti-inflammatory treatment should be administered, and the wound should be kept clean and dry. Generally, recovery can be expected in about a week.