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khagihara, Doctor
Category: Medical
Satisfied Customers: 6589
Experience:  Trained in the multiple medical fields for many years.
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I have pain in my after i do intercourse or. Its stops after

Customer Question

I have pain in my balls after i do intercourse or masterbate. Its stops after 1 day. I feel burning in balls and heaviness for last two months. I did not had any unprotected sex. There is no discharge. Doctor did ultra sound, urine culter. All are ok. I am 40 years old and dont have diabetics.
Submitted: 6 months ago.
Category: Medical
Expert:  khagihara replied 6 months ago.

You could have noninfectious epididymitis. It is generally a chronic condition. It can be precipitated by trauma, autoimmune disease, or vasculitis. However, no etiology is found in many cases. Idiopathic noninfectious epididymitis is thought to occur due to reflux of urine through the ejaculatory ducts and vas deferens into the epididymis, producing a "chemical" inflammation with resultant swelling, causing ductal obstruction. Idiopathic noninfectious epididymitis can occur, however, even in men who have had a previous vasectomy. Typical inciting factors include prolonged periods of sitting (eg, long plane or car travel, sedentary desk jobs) or vigorous exercise (eg, heavy lifting).

Unlike patients with infectious epididymitis, patients with noninfectious epididymitis have less epididymal inflammation (pain, swelling). The diagnosis is usually made after the exclusion of other etiologies, particularly infectious epididymitis. No further evaluation is necessary for noninfectious epididymitis.

Treatment of noninfectious epididymitis is conservative, including scrotal elevation, rest from athletic activity, warm baths, and NSAIDs.

Customer: replied 6 months ago.
I am a pilot. I sit long in the cockpit seat. So what medicine i should take
Expert:  khagihara replied 6 months ago.

NSAIDs are ibuprofen, naproxen, and so forth.

Customer: replied 6 months ago.
What is NDAIDS & how many ibuprofen, naproxen in a day? How to do scrotal elevation?
Expert:  khagihara replied 6 months ago.

NSAIDS are nonsteroidal anti-inflammatory drugs. ibuprofen (oral: 400 mg every 4 to 6 hours as needed); naproxen (oral: Initial: 500 mg, followed by 500 mg every 12 hours or 250 mg every 6 to 8 hours; maximum daily dose: Day 1: 1,250 mg; subsequent daily doses should not exceed 1,000 mg). Nerve block and microsurgerical denervation of the spermatic cord are additional options. The required amount of elevation is 30 cm above the level of the heart to affect skin microcirculation, and thereby, reduce swelling. Placing a rolled towel or sheet under the scrotum positions it more anteriorly in its proper anatomical position.

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