HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

How Should Swelling In The Scrotum Area Of A Child Be Diagnosed And Treated?

Posted on Thu, 10 Mar 2022

Question: Boy (11 yr) having swelling from last three days in his scrotum area. he is taking medicine from last two days mentioned in attachment but no improvement. attaching ultrasound and urine test report. Pls suggest.

Answered by Dr. T Chandrakant (47 minutes later)

Brief Answer:
Please give additional information and post clear photographs and reports

Detailed Answer:

Hi,

Please attach the reports again as they are not visible.
Was there any bite or trauma?
Pain? Tenderness? (pain on touch or pressure)
Redness of skin?
Was there any hernia?
Does the swelling reduce in the morning and increase as the day passes by?
Any other history?

Please attach clear and focused photos too.

Awaiting.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (19 minutes later)

no bite or trauma. yes pain on touch or pressure. yes redness in skin. no swelling remain same.

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
As detailed below.

Detailed Answer:

Hi,

Only Ultrasonography report attached.
If shows maintained flow means least chances of testicular torsion. It is suggestive of left Epididymo-orchitis.
The treatment then is necessarily medical with antibiotics and anti-inflammatory medications.
Also give scrotal support.
Rest as much as possible.
Plenty of oral fluids.
Review blood and urine reports as well as Ultrasonography of abdomen for genito-urinary system, scrotum with color doppler flow also.

I hope this answer helps.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (18 hours later)

he is taking advent 457mg from last three days but no improvement so far. how much time it takes for recover.

Answered by Dr. T Chandrakant (3 hours later)

Brief Answer:
Needs an anti-inflammatory, scrotal support and rest

Detailed Answer:

Hi,

Antibiotic given is fine.
Better to give an anti-inflammatory like Ibuprofen if it suit the patient.
Epididymo-orchitis take more time to settle.
Give scrotal support and full bed rest.
Plenty of oral fluids.
Urine report looks fine.
What about the culture report?
Also get an Ultrasonography of abdomen for genitourinary system.
And review ultrasonography with color doppler for scrotum to know the exact changes after treatment. MRI is a very good investigation for such cases.

I hope this answer helps you.
You may please take an opinion of a Pediatric Surgeon or Urologist.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (23 hours later)

he is taking combiflame as SOS. culture report is also fine. no major improvement seen after four days antibiotics.

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
As detailed below.

Detailed Answer:

Hi,

Please Combiflam three times a day - dosages (quantity) as per advise of your Doctor.
May need to change over another antibiotic as four days have passed, please discuss with your Doctor.
Take second opinion as discussed above.

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar