Epididymitis

Epididymitis is the inflammation of the epididymis, which a coiled tube at the back of the testicles. It is caused due to bacterial infections, which can also be sexually transmitted. The symptoms are swollen and red scrotum, testicular pain and tenderness, blood in semen, painful urination, and abdominal pain.

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When to worry about a hyperechoic mass in the testicular ultrasound?

Query: Hello doctor, I had a testicle ultrasound, and the report shows a hyperechoic mass of size 3 mm. The doctor advised me to repeat the ultrasound three months later. And the report after three months shows a hyperechoic mass of size 2 mm. My doctor told me that it was fine and not to worry about. ...  Read Full »


Dr. Vivek Chail

Answer: Hi, Welcome to icliniq.com. I have seen your reports (attachments removed to protect the patient’s identity). If you have persistent pain in the left scrotum, you might be having an inflammation of the left epididymis. It is a small structure located above the testis. Regarding...  Read Full »

What are the common causes for upper abdominal pain?

Query: Hi doctor,I am a 40-year-old male with a weight of 81 kilograms and a height of five feet eleven inches. I am not taking any medications. I have an on and off upper abdominal pain for five months. Sometimes I have pain in my lower abdomen and pain in the groin and testicles. My overall health remain...  Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. Your upper abdominal pain does not occur due to a kidney stone as your ultrasound does not show any stones in your kidney or any blockages to the kidney. Your liver and gallbladder remain normal. I think that your gastric pain occurs due to gastritis or gastric ulcer. I...  Read Full »

Does HIV cause penile burning sensation?

Query: Hi doctor, I have two issues to ask you and kindly help me. Before four months, I had a high-risk exposure to HIV. I dismissed it and I lived my life normally. After a month, I got a COVID-19 infection. I had loss of taste and smell with oral thrush. At this point, I forgot about HIV due to the pre...  Read Full »


Dr. Yousef Abbas

Answer: Hi, Welcome to icliniq.com. I can feel your anxiety. HIV 1 (human immunodeficiency virus 1) or HIV 2 tests with or without p24 antigen tests are accurate. You have spent more than a couple of months than others in your life for testing. You have done a PCR (polymerase chain reaction) and HIV antib...  Read Full »

Why do I have consistent dull testicular pain with a stomach ache?

Query: Hi doctor, I am a 25-year-old male, and I have had a consistent dull ache in my testicles (most of the time, the left side and less of the right side) for two months from now. From time to time, it will cause stomach ache, which I know is due to the spermatic cord going up into the abdomen. I hav...  Read Full »


Dr. Shahil Khant

Answer: Hi, Welcome to icliniq.com. Relax, and do not worry. You are suffering from testicular orchalgia. First of all, I would like to say both your urologist treated you correctly. If there is a doubt about epididymitis, it should be treated. Now your symptoms are not getting improved means it may not ...  Read Full »

Could epididymitis gets cured by doing surgery?

Query: Hi doctor,Recently, I was diagnosed with epididymitis. I have pain behind my right testicle. I took Doxycycline for ten days and I stopped it. After that, I took Ciprofloxacin for five days. I do not have changes so far and I am worried. Do I need surgery to remove my epididymis?   Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. Epididymoorchitis is an inflammatory condition and it usually settles down by taking antibiotics. The response depends on the causative organism. Usually, culture gives a clear picture of the type of organism and shows the type of antibiotics that works efficiently agai...  Read Full »

Can excessive masturbation cause testicular pain?

Query: Hi doctor, I am 29 years old and I have been suffering from left testicular pain for the past four years. I went to the hospital when it began and an ultrasound was done. It was found normal in terms of size and texture. It does not indicate a hydrocele. Before doing an ultrasound, urine analysis w...  Read Full »


Dr. Alexander Davis

Answer: Hi, Welcome to icliniq.com. I am very sad to learn about your problem. But at the same time, it is good to hear that you have done sonographies already. Masturbation is a common cause. I do not recommend medication and try to change your habit. Please stop doing masturbation. After some weeks, you...  Read Full »

What is the cause and treatment for epididymitis?

Query: Hello doctor, I am a 30-year-old male. I had pain below the belly, which, on the next day, passed to the left scrotum, and was swollen. I visited a urologist, got USG done on the scrotum, blood test, urine test, urine culture, sugar. Left epididymitis with reactive hydrocele was noted. Nothing was ...  Read Full »


Dr. Shahil Khant

Answer: Hello, Welcome to icliniq.com. I have read your query and seen all reports (attachment removed to protect patient identity). Treatment done is right and nothing to worry about. After an acute epididymitis episode, there are high chances that it can turn into chronic epididymitis as in yo...  Read Full »

Why does my testicle hurt after sex?

Query: Hello doctor, I am a 28 year old male. I had unprotected sex last week. It was a three-hour long session and I was a little sore afterward but felt totally fine the next few days. Then, three days ago, I noticed a slight pain in my balls and the discomfort has continued until today. It is most pain...  Read Full »


Dr. Praveen Pushkar

Answer: Hello, Welcome to icliniq.com. Generally, epididymitis or orchitis is the most common possibility in your scenario. It might be a mild infection. That is the reason there are no other symptoms. You could go for an ultrasound with color Doppler of the testis to confirm it. You will requ...  Read Full »

What is the chance of recurrent epididymitis even after antibiotics?

Query: Hello doctor,I was diagnosed and treated for epididymitis. I have taken a full course of antibiotics, and my pain has greatly subsided. However, I feel some discomfort when I lift my scrotum. I am aware that the discomfort can last while the inflammation heals. However, I am curious as to what the d...  Read Full »


Dr. Ankush Jairath

Answer: Hello, Welcome to icliniq.com. Sometimes it takes around three months in total to be back to normal. You may need to take antibiotics and anti-inflammatory for four to six weeks for the infection to heal completely. Scrotal support lessens pain and helps in healing.  Read Full »

Can left testicle pain result from wearing tight pants?

Query: Hello doctor, I am 20 years old. Two to three months ago, I started to have pain on my left testicle whenever I go out as I am usually at home. I speculate that I have varicocele as upon doing a self-examination, I found that the veins were bigger than the other testicle. There were no lumps found,...  Read Full »


Dr. Devendra

Answer: Hello, Welcome to icliniq.com. Testicular pain with no obvious pathology on physical examination is common in young boys. As the testes descend through the lower abdominal wall, they carry spiral muscle which keeps them suspended in a dynamic position. Contraction of these muscles gives rise to pa...  Read Full »

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