Final answer:
Acute epididymitis in patients over 35 typically involves the use of antibiotics, with fluoroquinolones commonly prescribed. To reduce symptoms, anti-inflammatory drugs, painkillers, and physical support for the scrotum are recommended. Untreated epididymitis can lead to severe complications, making prompt treatment essential.
Step-by-step explanation:
Treatment for Acute Epididymitis in Patients Over 35 Years Old
The primary treatment for acute epididymitis, which is inflammation of the epididymis, involves the administration of antibiotics. In patients above 35 years of age, where sexually transmitted infections are less commonly the cause, antibiotics such as fluoroquinolones are often prescribed, unless contraindicated. For bacterial infections that may not be sexually transmitted, other antibiotics such as amoxicillin or doxycycline may be effective during the early stages of infection.
To manage the associated symptoms, anti-inflammatory drugs are recommended to reduce inflammation, and painkillers are prescribed to control severe pain. It is important to physically support the scrotum and apply cold compresses to relieve swelling and pain. In cases when symptoms persist or the condition does not respond to initial treatment, a longer course of antibiotics may be necessary, potentially lasting up to six weeks.
If the epididymitis is left untreated, there is a risk of major complications, such as abscess formation, the spread of infection, or even chronic damage leading to infertility. Therefore, timely and appropriate treatment is crucial.