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Andrea asked...

Epidymitisis diagnosis

My son has been diagnosed by the GP upon physical examination with epidymitisis. It is not from an STD and he has no signs of a urinary tract infection. He is 17 and started with pain in his groin and swelling. He has been on doxycline for 2 weeks now and the pain has subsided almost but the swelling is still the same. He has been on ibuprofen for 4 days now and is due back at the doctors on Thursday. I am just wanting to know if it is quite normal for the swelling to be there after 2 weeks. The doctor does not seem overly concerned and said he will check him again on Thursday but has prescribed more of the same antibiotic over the phone. He has suggested maybe a scan but we do not have a dedicated urologist over here. I would just like to know if this is quite normal for the swelling to still be there. I do not want to wait for a part time urologist to come to the hospital as we live in the Isle of Man. I would rather see a specialist ASAP. Sorry this is so long, just a worried mum.

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The answer

It’s understandable that you’re worried, however, epididymitis can be quite a common condition and the associated swelling often may last anywhere up to six weeks. As a general rule, in acute epididymitis we expect to see swelling and inflammation lasting up to that time frame, in chronic epididymitis the condition and symptoms will last beyond six weeks.

As your son has been suffering from this for two weeks it’s not therefore too unusual that the swelling is remaining at this stage. I note the Gp has prescribed a further course of antibiotics which also suggests there is still some active infection there and this could also be contributing to the swelling persisting.

Under the circumstances it would seem sensible to allow a little more time to pass and to see if the ongoing antibiotic therapy will help. A scan may well be useful in addition as this can assist ongoing assessment of how the condition is responding to the therapy. Possibly your son may require another or a different type of therapy if the infection continues to remain.

Answered by the Health at Hand nurses  

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