Q. I have painful swelling in my right scrotum with slight discomfort. Please help.

Answered by
Dr. Samer S J Altawil
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Sep 05, 2020 and last reviewed on: Sep 09, 2020

Hello doctor,

I am a 30-year-old male. I have swelling in my right scrotum for two days which was painful on the first day but not painful now. But it is causing me discomfort.

#

Hi,

Welcome to icliniq.com.

Pain and swelling of the scrotum have few causes.

1. Epididymo-orchitis (inflammation of cord and testis).

2. Torsion twist of cord on its access.

3. Hernia.

4. Skin and scrotal edema.

Inflammation of testis or epididymis can be due to urinary infection or sexually transmitted infections or other chronic infections like TB. It happens gradually over hours to days. It is painful, but with the intake of antibiotics it gets better.

Torsion is emergency and needs immediate surgical correction as blood supply to testis get untrusted depends on the degree of twist pain happens suddenly and it severe.

Hernia is a protrusion of abdomen content like bowel or fat into scrotum usually is a painless swelling.

Varicocele is dilated veins around the testis with less swelling and usually painless.

Scrotal edema happens in generalized edema of legs usually and affects the scrotum.

For diagnosis, we need an ultrasound of scrotum. Treatment is upon diagnosis as treatment is different. Urine test for analysis and culture to role out infection. No need for urethral swab as no discharge.

I recommend you to start tablet Augmentin (Amoxicillin and Clavulanic acid) 625 mg thrice daily for 10 days, and you can take Brufen 400 mg twice daily for pain with capsule Omeprazole 20 mg once at night and get urine and ultrasound tests. Please follow up after results.


Was this answer helpful?

 | 


Related Questions:
Can hernia cause chest pain and lethargy in a young chap?

 I was diagnosed with sliding hiatus hernia last month ... You seem to be having GERD (Gastroesophageal Reflux Disease) due to hiatus hernia ...   Read full

Why is there pain in scrotum and testis if masturbation or sex is not done?

He has been having pain in his scrotum and testis area for the past 6 to 7 years after every 2 to 3 days whenever he does not masturbate or does not have sexual intercourse ...   Read full

Hiatal Hernia - Symptoms, Causes, Diagnoses and Treatments

What Is a Hiatal Hernia ... When the upper part of the stomach bulges through the diaphragm, which is the large muscle separating the abdomen and chest, it is called hiatal hernia ... Such h...   Read full

 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


I am suffering from epididymo-orchitis. Please tell me whether I am fertile or not.

Query: Hi doctor,I had an attack of orchitis in my right testis. I have undergone a scan due to pain. It showed right epididymo-orchitis, and my sperm count is 59 million and 60% actively motile. Please tell me whether I am fertile enough or not. My affected testis size is small, and I am mentally getting...  Read Full »

I took antibiotics for testicle pain. It has recurred after I finished the course. Please guide me.

Query: Hello doctor, I am a 54 year old man, 5 feet and 8 inches, weighing 146 pounds. About six weeks ago, I started having intermittent pains and discomfort in my right testicle. Sometimes it was a dull ache, sometimes a sharper, stabbing pain. It seemed to radiate from a spermatocele cyst, which I have ...  Read Full »

Why is my scrotum leathery and itchy?

Query: Hi doctor, I am a 36 year old male. I had severe itching on my scrotum for the last one month or so. This issue first began before three years and has been on and off since then. I have tried several combinations of medicines, including Itraconazole, Terbinafine, Levocetirizine, etc., but only wit...  Read Full »

Also Read


Sinusitis - Causes, Symptoms and Treatment
Sinusitis is the infection of the air cavities within the nasal passages. Normally, the healthy sinuses are filled with ...  Read more»
Asthma and Its Rising Incidence
This article explains about asthma and its causes. It also focuses on the benefits of starting early treatment to lead a...  Read more»
Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»

Ask your health query to a doctor online?

Ask an Urologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As content published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.