Final answer:
Epididymitis in individuals over 35 is most commonly caused by urinary tract infections or sexually transmitted bacteria. Chronic epididymitis may develop with or without an infection being diagnosed and is associated with lower back pain. Treatment is essential to prevent complications such as permanent damage and infertility.
Step-by-step explanation:
Causes of Epididymitis in Individuals Over 35
Epididymitis is the inflammation of the epididymis, which can be categorized as either acute or chronic. In individuals over the age of 35, the causes of acute epididymitis typically include urinary tract infections (UTIs), which can cause bacteria to back-flow from the urethra to the epididymis. Additionally, in sexually active adults, sexually transmitted bacteria are a common cause. Chronic epididymitis may persist for months or years and could develop with or without a bacterial infection being identified. It may also be associated with lower back pain after activities that stress the back. It's crucial to seek treatment for both acute and chronic epididymitis to prevent the spread of infection, potential permanent damage, and infertility risks.
The symptoms of epididymitis are often pain and swelling in the scrotum, testicles, and groin, accompanied by redness and warmth in these areas. If left untreated, acute epididymitis can lead to abscess formation or spread to other organs, while untreated chronic epididymitis might result in permanent damage and infertility. Treatments for epididymitis include antibiotics, anti-inflammatory drugs, and painkillers to manage symptoms and resolve the infection.