HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Causes Epididymitis Not Responding To Antibiotics?

I’m a 29 year old male. I was diagnosed with epididymitis 2-3 months back, about 3 weeks after I had unprotected sex. I was prescribed doxycycline first. They helped, symptoms went away in 4ish days. I took doxy for 2 weeks nonetheless, 100mg twice a day. A week or two after I quit the meds the symptoms came back. After that I ve been described various antibiotics (Pronaxen, Norfloxacin, Dalacin), none of which eased my symptoms (ache and discomfort in the right epididymis). I have also been tested for STDs and mycoplasma and for bacteria in urine, all negative. All tested multiple times, always negative. I m back on doxycycline now, been a week and the symptoms aren t going away this time. At least not as fast. Ultrasound showed that I have a calcium deposit or something like that now, 4mm (0,15 inches) width in or on my epididymis. My questions are: - After all these antibiotics, how likely is it that I m still infected with something? - Can you think of anything that causes epididymitis and doesn t get healed with that pile of antibiotics I ve been on? My doctor has assured me that it s highly unlikely there s any permanent damage, but I m still nervous about having an internal organ sick for months on. - Could the ache in my right epididymis be caused just by the calcium deposit? If so, how long does it take to go away, and is there anything I can do to help it go away faster? - Could this be caused by something else than bacteria? Like fungus or something?
Mon, 29 Feb 2016
Report Abuse
General Surgeon 's  Response
Hi,Dear,Thanks for your query to HCM.
Dear I read facts of your query and reviewed it in context to your query health issues.
I understood your health concerns and feel Concerned about them.

Based on the facts of your query, you seem to suffer from-
Epididymitis with CBP(Chronic Bacterial Prostatitis)

-Ans to your specific queries - as follows-
After all these antibiotics, how likely is it that I m still infected with something? -Yes there is 100 % chance that you are likely to be infected still, as the ones used by are not having reach to the CBP, which being chronic, needs special care from Urologist Surgeon.

Can you think of anything that causes epididymitis and doesn t get healed with that pile of antibiotics I ve been on?Yes -Epididymitis with CBP after STD from Gonorrhea / Chlamydia.

With Calcium deposits on USG of Epididymis-it indicates chronic infection- causing permanent effects by calcium deposition.
You are right in asuming internal organ being sick for months on.Ache is not from Calcium deposits but the accompanied infection around it with inflammed tissue.
The infection has become chronic and pain in Epididymis is from STD old infection -incompletely treated initially in your case.This is because of neglect done by you and not taking Expert Urologist Surgeon's opinion while treating it initially.
It caused by STD with add-on infection which is the possibility,which needs to be verified and assessed, while treating your case.
Possibility of Fungus with loads of antibiotics needs to be ruled out along with possibility of undetected Diabetes and other accompanied diseases, which may be causing this delayed and prolonged recovery in your case.
All these possibilities need to be verified in your case

Remedy and Do's-
Check with Urologist ,who would reassess the cause of Epididymitis recurrence in your case which is re-infection from accompanied and untreated prostatitis.
He would plan needful treatment which is possible only with meticulous followup from YOU only.

-Other causes need to be verified as the facts may be different what you submitted.

-For this Second opinion from Urologist is needed who would do proper investigation after proper physical assessment to resolve your health issues.

-for early recovery-please follow above do's which would resolve your issues.

Hope this would help you to treat your health issues in the best way possible.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
I find this answer helpful

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
What Causes Epididymitis Not Responding To Antibiotics?

Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from- Epididymitis with CBP(Chronic Bacterial Prostatitis) -Ans to your specific queries - as follows- After all these antibiotics, how likely is it that I m still infected with something? -Yes there is 100 % chance that you are likely to be infected still, as the ones used by are not having reach to the CBP, which being chronic, needs special care from Urologist Surgeon. Can you think of anything that causes epididymitis and doesn t get healed with that pile of antibiotics I ve been on?Yes -Epididymitis with CBP after STD from Gonorrhea / Chlamydia. With Calcium deposits on USG of Epididymis-it indicates chronic infection- causing permanent effects by calcium deposition. You are right in asuming internal organ being sick for months on.Ache is not from Calcium deposits but the accompanied infection around it with inflammed tissue. The infection has become chronic and pain in Epididymis is from STD old infection -incompletely treated initially in your case.This is because of neglect done by you and not taking Expert Urologist Surgeon s opinion while treating it initially. It caused by STD with add-on infection which is the possibility,which needs to be verified and assessed, while treating your case. Possibility of Fungus with loads of antibiotics needs to be ruled out along with possibility of undetected Diabetes and other accompanied diseases, which may be causing this delayed and prolonged recovery in your case. All these possibilities need to be verified in your case Remedy and Do s- Check with Urologist ,who would reassess the cause of Epididymitis recurrence in your case which is re-infection from accompanied and untreated prostatitis. He would plan needful treatment which is possible only with meticulous followup from YOU only. -Other causes need to be verified as the facts may be different what you submitted. -For this Second opinion from Urologist is needed who would do proper investigation after proper physical assessment to resolve your health issues. -for early recovery-please follow above do s which would resolve your issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS