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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Epididymitis Orchitis Despite Taking Doxycycline And Ciprofloxacin?

Why isn t my epididymitis orchitis getting better? I have had the symptons for 4 weeks. First I was given 100 mg doxycycline for 10 days and nothing. I took hydrcodenne for pain and nothing. I took oxycodonne for pain and nothing. I took ibuprofen and tylenol for pain and nothing. I am on now 500 mg of ciprofloaxin for 14 days and nothing. No Stds and all tests looks good except inflammation in left epidimis. When I ejaculate or get an erection it hurts like hell. What can I do or expect? I am 21 years old. I have a little pain and sorenesss in left groin area as well.
Sat, 29 Jun 2019
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General & Family Physician 's  Response
Hello,

Since you have been taking pain killers & antibiotics & you do not have any relieve you should get physically examined (to detect the presence of fluid around the testis, torsion, testicular infarction or abscess) by a GP.

Epididymitis orchitis in young sexually active men commonly occur due to STD or UTI. Since you have normal STD reports, get Urinalysis (R/E, C/S) done to get a better estimate of the infection causing you discomfort.

Your treatment will depend upon the severity of the infection or surgery(in case of torsion, infarction, abscess, etc) if required.

If you have multiple sexual partners, avoid it. Full STI/HIV screening is recommended. Go for protected sex.

If you have UTI pathogen confirmed epididymitis orchitis (Unilateral), your treating doctor may give you a combination antibiotic course. After completion of the antibiotic course you will require follow up UTI investigations.

You can take Combiflam (combination of paracetamol & Ibuprofen), one sos when required to get relieved from the pain.

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

Regards,
Dr. Nupur K, General & Family Physician
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What Causes Epididymitis Orchitis Despite Taking Doxycycline And Ciprofloxacin?

Hello, Since you have been taking pain killers & antibiotics & you do not have any relieve you should get physically examined (to detect the presence of fluid around the testis, torsion, testicular infarction or abscess) by a GP. Epididymitis orchitis in young sexually active men commonly occur due to STD or UTI. Since you have normal STD reports, get Urinalysis (R/E, C/S) done to get a better estimate of the infection causing you discomfort. Your treatment will depend upon the severity of the infection or surgery(in case of torsion, infarction, abscess, etc) if required. If you have multiple sexual partners, avoid it. Full STI/HIV screening is recommended. Go for protected sex. If you have UTI pathogen confirmed epididymitis orchitis (Unilateral), your treating doctor may give you a combination antibiotic course. After completion of the antibiotic course you will require follow up UTI investigations. You can take Combiflam (combination of paracetamol & Ibuprofen), one sos when required to get relieved from the pain. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician