ExitCare ImageOrchitis is an infection of the testicle of usually sudden onset (happens quickly). It may be viral or bacterial (caused by germs). Usually with this illness there is generalized malaise (not feeling well) and fever. There is also pain. There is usually tenderness and swelling of the scrotum and testicle.


Your caregiver will perform an exam to make sure there is not another reason for the pain in your testicle. A rectal exam may be done to find out if the prostate is swollen and tender. Blood work may be done to see if your white blood cell count is elevated. This can help determine if an infection is viral or bacterial. A urinalysis can also determine what type of infection is present. Most bacterial infections can be treated with antibiotics (medications which kill germs).


  • Allergies.

  • Medications taken including herbs, eye drops, over the counter medications, and creams.

  • Use of steroids (by mouth or creams).

  • Previous problems with anesthetics or novocaine.

  • Previous prostate infections.

  • History of blood clots (thrombophlebitis).

  • History of bleeding or blood problems.

  • Previous surgery.

  • Previous urinary tract infection.

  • Other health problems.


  • Apply cold packs to the scrotal area for twenty minutes, four times per day or as needed.

  • A scrotal support may be helpful. Keep a small pillow or support under your testicles while lying or sitting down.

  • Only take over-the-counter or prescription medicines for pain, discomfort, or fever as directed by your caregiver.

  • Take all medications, including antibiotics, as directed. Take the antibiotics for the full prescribed length of time even if you are feeling better.


  • Your redness, swelling, or pain in the testicle increases or is not getting better.

  • You have a fever.

  • You have pain not relieved with medicines.

  • You have any worsening of any symptoms (problems) that originally brought you in for medical care.