Hello doctor,
I am a 48 year old. I was never sick, I never go to a doctor. I do not take medications. I have worked out for 30 years five times a week. Nothing real heavy these days (treadmill three times a week - fast walking). Symptoms started about a month ago with intermittent dull stomach pain and mostly on the left side. It progressed to dull testicle pain - again mostly on the left side. It is usually not stomach and testicle at the same time. There are no noticeable lumps in the testicles - both feel the same to me, but the pain is more on the upper top of the testicle from what I can tell. I believe there are some tubes or cords there naturally and to me, it feels like the left side does feel more cordy (for lack of a better word). I have occasional groin tightness.
Symptoms I do not have:Any masses or lumps.No tiredness/fatigue.No bulges anywhere so I do not think it can be a hernia (I do not remember feeling anything).No pain urinating and no blood in urine or feces.No lower back pain but an occasional stab in my mid back (probably referred pain?).
My main symptom these days is the dull testicle pain on the left side upper top. Sometimes, I do not have any symptoms at all and almost never when I am working out. But for a month now, I know it is there and it is annoying and the last two days, I feel like the dull pain is slightly greater at times in the left testicle. Again, I am not one to run to the doctor. Anything, I have ever had has gone away if I gave it time. The pain/discomfort is not that great but it has been at least a month. After doing a tonne of research on the internet, I have seen so many conditions where my symptoms fit but none that pinpoint just a few symptoms I mentioned.
Sorry for the long winded query but what are your initial thoughts? And do you have any follow up questions for me? Thanks.
Hello,
Welcome to icliniq.com.
As per me, there are two possibilities.
This is quite common in people who do regular workout and exercises. I will only suggest you if possible get an ultrasound scrotum done. It will be normal only but just in case to rule out other things like varicocele. Regarding pain, I will not ask you to take any medication at present.
Only thing is you should wear proper scrotal support, that is, you get special support for testis apart from underwear. That should be worn during workout and testis should not hang loose during a workout. Apart from this, I think nothing is to be done. If you go by internet, then there will be many causes listed and it will only confuse you more.
For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist
Thank you doctor,
But you say it is most likely musculoskeletal. so, would I not have felt something happen in my groin area? Because I surely did not. And would the symptoms start with the dull abdominal pain and gravitate to testicles? I have worked out for so many years and never had this. Your reassurance that it is nothing to worry about is good but how long can I expect to feel this dull pain in my testicle(s) and abdomen?
Hello,
Welcome back to icliniq.com.
I mean to say there will be continuous traction on the spermatic cord because of the testis. And these types of vague pain arises from the spermatic cord due to traction. There need not be trauma or anything on your groin region as the spermatic cord goes from the groin into the abdomen which will cause abdominal pain.
If possible, get an ultrasound of the scrotum done. If there is no physical cause (if the ultrasound is normal) then it will usually resolve in four to six week's time. You need to give rest to the testis and spermatic cord.
And yes, there is no relationship between the number of years of workout as it can happen anytime.
For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist
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