Testicular pain in children

Children's health is the most concerned issue for parents. Any physical discomfort will make them worried, especially young children. When testicular pain occurs, parents will be extremely anxious. When receiving treatment, it is necessary to pay attention to whether it is caused by bacterial orchitis, chronic nonspecific orchitis or mumps orchitis. Only in this way can the right medicine be prescribed.

[Treatment policy]

Treatment is directed at the cause. For bacterial orchitis, choose broad-spectrum antibiotics or antibiotics sensitive to Gram-negative bacteria; for mumps orchitis, symptomatic treatment is the main treatment. Symptomatic treatment such as sedation and analgesia. If necessary, spermatic cord procaine blockade treatment should be used.

[Drug treatment]

1. Bacterial orchitis

Rest in bed, support the scrotum, and apply local hot compress. The scrotal skin is obviously swollen, so apply hot compress with 50% magnesium sulfate solution to help reduce the inflammation. When the pain is severe and the painkillers are not effective, the spermatic cord on the affected side can be blocked. Systemic medications should be broad-spectrum antibiotics or antibiotics that are sensitive to Gram-negative bacteria, such as penicillin, gentamicin, and various cephalosporins.

2. Chronic nonspecific orchitis Bilateral chronic orchitis can often cause infertility. Treatment is mainly aimed at the cause of chronic orchitis. 3. Mumps orchitis (1) Antibiotics are ineffective for this disease, and symptomatic treatment is the main treatment.

(2) The use of adrenal cortex hormones has a clear therapeutic effect on patients in the recovery period. (3) 1% lidocaine low spermatic cord blockade can improve testicular blood flow and protect spermatogenesis.

(4) In addition to being effective in treating acute mumps orchitis, interferon is also effective in preventing testicular atrophy.

[Surgical treatment]

If an abscess is formed, incision and drainage may be considered.

[Other treatments]

Symptomatic treatment should be carried out based on the determination of the cause of the disease. If the cause cannot be found at the moment, symptomatic treatment such as sedation and analgesia can be given. If necessary, spermatic cord procaine blockade treatment can be used.

[Prognosis]

If this disease is not treated actively, it can lead to a decline in male sexual function, and even cause dead sperm, azoospermia, and loss of fertility.

[Daily Care]

1. Do not stand or sit for too long, do not have excessive sexual activity, do not masturbate excessively, etc. 2. Pay attention to reproductive health and hygiene, especially pay attention to the local cleanliness of the vulva to prevent the occurrence of orchitis.

3. Scrotal dermatitis and abrasions should be treated promptly. 4. When the mumps virus invades the testicles, it can cause testicular inflammation. Therefore, susceptible children under the age of 1 should be vaccinated on time, and sick children should be isolated in time.

[Dietary adjustment]

1. Pay attention to supplementing meat, fish, eggs, fresh vegetables and fruits to improve your body's resistance.

2. When there is inflammation of the vulva, eat less "irritating foods" such as pig's trotters, fish soup, and mutton, so as to avoid increased secretions in the inflamed area, further infiltration and spread of orchitis, and aggravation of symptoms.

3. Eat less spicy food and quit bad habits such as smoking and drinking.