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mild scrotum pain

by mildp, May 30, 2008 08:01PM
Is anyone familiar with what mild pain in the lower right scrotum area (small area) where the scrotum connects between the legs? An online doctor told me it was Epididymitis... but it really doesn't hurt much (only slightly when I walk, and there is no swelling, tenderness or redness.
Further question: If it is epididymitis...
How long does it take before symptoms of epidiymitis would occur after contacting the bacteria? (whatever type that might be).
It appears that doctors sometimes recommend Doxycycline 100mg for 7 days as an online doctor did for me. But is this antibiotic really effective? (In my case I'm certain it isn't an STD as I've only been with my wife)...but I'm wondering if I caught something from a silicone rubber sex doll torso that my wife agreed I should use because she's gone for 2 months at a time. I only washed the opening with water, and I'm wondering if it might have cultured some bacteria in there from the last few times I used it (from 10 days ago, until 5 days ago). I started having a mild pain in the lower right scrotum where it connects between the legs, 3 days ago, it got a little more noticeable up til yesterday early afternoon, but it's been the same or even decreased as of now. It only hurts a little when I walk, or move certain ways, and rarely when I'm just stationary.
Member Comments (2)

by Dr Smitha Mathews, May 30, 2008 09:07PM
To: mildp
Hi,

"Epididymitis is a medical condition in which there is inflammation of the epididymis (a curved structure at the back of the testicle in which sperm matures and is stored). This condition may be mildly to very painful, and the scrotum (sac containing the testicles) may become red, warm and swollen. It may be acute (of sudden onset) or rarely chronic.

Epididymitis is the most frequent cause of sudden scrotal pain. In contrast with men who have testicular torsion, the cremaster reflex (elevation of the testicle in respons to stroking the upper inner thigh) is not altered. If the diagnosis is not entirely clear from the patient's history and physical examination, a Doppler ultrasound scan can confirm increased flow of blood to the affected epididymis.

Infection is the most common cause. In sexually active men, Chlamydia trachomatis is the most frequent causative microbe, followed by E. coli and Neisseria gonorrhoeae. In children, it may follow an infection in another part of the body (for example, a viral illness), or there may be an associated urinary tract anomaly. Another cause is sterile reflux of urine through the ejaculatory ducts. Antibiotics may be needed to control a component of infection. Treatment otherwise comprises pain killers or anti-inflammatory drugs and bed rest if necessary, and symptom control by resting the scrotum in a supported position."

en.wikipedia.org/wiki/Epididymitis

Antibiotics are prescribed in epididymitis based on the cause of infection. You will need to consult your physician for a prescription of any antibiotics.

Doxycycline is usually prescribed in combination with another antibiotic or by itself for treatment of epididymitis, but the choice of antibiotics should be left to your treating physician.

Hygiene needs to be maintained during sexual acts to avoid further infection and would require that you clean all sexual appliances after and before each use.

Treatment is indicated if this is an infective epididymitis in view of the risk of infecting your partner.

Do keep us posted with your doubts and progress.
regards

by mildp, May 31, 2008 12:03PM
To: scrotum pain
Thanks for the information, Dr. Mathews. I appreciate your time in doing that.
I have been resting and it seems to be getting a little better, but yesterday I started the Doxycycline 100mg capsules (2 X a day), and will continue for at least 4 days (I hope this is long enough? because I hate taking antibiotics).
It seems to be considerably better already this morning and doesn't hurt when I walk (just occasionally feel it (like if I push from my lower right butt, somehow that agravates it).
Anyway, could you or someone answer my other 3 questions:
How many days it usually takes to feel pain after contracting the bacteria?
And what kind of bacteria could I have contracted from the silicone rubber doll torso that I only cleaned with water?
Even though these aren't STD's bacteria, do they still require antibiotics??
Thanks in advance
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