Orchitis usually occurs in mumps, but it can also accompany other viral infections or occur during a sexually transmitted infection that has spread to the epididymis.
The testicle (more rarely both) becomes large and painful. The scrotum is inflamed (hot, painful, and swollen) and general symptoms may appear: fever, nausea, headache, muscle pain, etc. It is also accompanied by inflammation of the epididymis in 85% of cases.
It can leave an atrophic testicle with a decline in fertility and cause, exceptionally, sterility. It is usually healed without sequelae in one to two weeks. Mumps orchitis is exceptional in childhood but it is not uncommon after puberty since it develops in 15 to 30% of cases of mumps. Most of the time (95% of cases), it is unilateral but can sometimes affect both testicles.(1)
What To Eat & Avoid When You Have Orchitis?
Orchitis disease can be treated with proper consultation and an appropriate diet plan. Food that can help treat the disease should be non-inflammatory and can help treat the disease. Watermelon is the food that helps treat the disease. It contains enough vitamins like A, B1, B6, C, potassium, magnesium, etc. Food helps control body weight, so it doesn’t cause any other problems. It also keeps your heart healthy. It also protects the human body from primary harm. There is no food prescribed to treat it, but consulting a doctor and doing proper exercises can help patients recover early.(3)
Foods To Avoid When You Have Orchitis
- Reduce all hydrogenated trans fats, fried foods, butter, fast foods, and artificial sweeteners.
- Reducing sugar, candy, white flour products, and processed foods.
- Avoid smoking, drinking alcohol, caffeine, and soda.
Treatment For Orchitis
Bacterial Infection: In patients with acute bacterial orchitis, the scrotum can be raised to obtain local hot pressure. The scrotal skin is swollen and can be moistened with a 50% solution of magnesium sulfate to help resolve inflammation. If the pain is severe, the pain relievers are ineffective and the affected side can be closed. Systemic drugs should be widespread or susceptible to Gram-negative bacteria, such as penicillin, gentamicin, and various cephalosporins.
Nonspecific Chronic Orchitis: Chronic orchitis is mainly used for treatment reasons. The damaged testicles must be handled first if the infection has affected the testicles. If it is caused by a fungal infection, then antibacterial treatment should be the main treatment.
Mumps Orchitis: Antibiotics are not effective for this disease, and symptomatic treatment should be the main treatment method. Corticosteroids can be used during recovery. 1% of lidocaine has a low rate of spermatic closure, improves blood flow to the testes and protects spermatogenesis. In addition to its good therapeutic effect on acute mumpsitis, interferon also plays an important role in preventing testicular atrophy.
Treatment Of Testicular Pain: Orchitis patients should be treated accidentally based on their reasons. If you do not immediately understand the cause of the infection and you cannot tolerate the pain in the affected area, you can numb the pain and relieve its symptoms.(4)
Diagnosis Of Orchitis
The diagnosis is made on clinical examination and will be easily evoked in the context of mumps, but one can sometimes make a urine strip in search of signs of infection (leukocyturia, nitrites).
More generally, the doctor will look for signs of urinary tract infection and, if necessary, a urine examination (bacteriological examination of the urine with antibiogram).
A testicular Doppler ultrasound is sometimes carried out to confirm the diagnosis but in case of suspected torsion of the testicle, do not waste time.
Symptoms Of Orchitis
In patients with orchitis, as well as pain in the affected area, there are some systemic symptoms. The primary orchitis symptoms are:
- Patients are prone to fever, chills, nausea, and vomiting.
- Pain in the affected area of the testicle, radiation pain in the scrotum, groin and groin area.
- Testicular swelling, pain, and suppuration may also occur, usually scrotum red and scrotum effusion. If it is purulent, the affected area will feel up and down.
- Children with viral orchitis may sometimes experience swelling and pain in the parotid glands.(2)
- Klebanov N, Raghavan A. Tuberculous orchitis following intravesical bacille calmette-guérin (BCG) therapy. Cureus. 2018;10(5).
- Ozcan H, Ceran C. Epididymo-orchitis caused by Behcet’s disease: An unusual cause of acute scrotum. Pediatric Urology Case Reports. 2019;6(3):51-55.
- Ferlin A. of Male Infertility: From Childhood to Adulthood. Male and Sperm Factors that Maximize IVF Success. 2020:211.
- Ip CCK, Tumali K, Hoh IM, Arunasalam A. Acute epididymo-orchitis from brucellosis melitensis in Australia. BMJ Case Reports CP. 2019;12(7):e230007.
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