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Patient's Query
Hi doctor,
I am having pain in my right testicle but it is a dull pain and it is hard to pinpoint exactly which side but I would like to say it is my right testicle that gets swollen and also has that fullness feeling in the entire sac. It normally flairs up every single morning for the past four months and I seem to have an increase in sexual dreams since it has been happening. It is not the worst pain in the world but it is discomforting. I really do not want to see a doctor as it is very embarrassing for me. Throughout the day, it will become swollen and sometimes not. Hot baths and masturbation are the only things that help with the pain. I normally have to masturbate every single morning to take the pain away. I do feel like I can feel something down there on my right side behind my testicle that feels like a smooth tube (not sure if this is normal as I also feel it on my left side, but it is not as big on my left side). A few other symptoms I have experienced with this are lower back pain and nausea. But once again, this has been ongoing for four months now. Can you help me? I am currently on Melatonin and Allegra.
Hi,
Welcome to icliniq.com.
I appreciate your detailed description. Testicular pain can be apparent and have a cause or can be idiopathic (unknown) also. Testicular pain can be secondary to the inflammation of testis epididymis or both it can be associated with a hernia which not necessarily appears to you if it is small. It can as well be due to hydrocele (fluid collection around the testis) moreover varicocele (dilated veins around the testis). Testicular tumor can also cause pain testicular hematoma blood collection beside the testis or epididymal cyst, referred pain from lower ureteric stone lastly idiopathic. The accuracy of diagnosis depends on history and examination ultrasound of scrotum and ultrasound KUB (to role out any abnormality in your urinary system). Moreover urine tests to rule out urine infection. From your presentation, I doubt varicocele or hernia but cannot exclude other causes. Regarding your back pain it might be a referred type of pain from testis so I hope treating the testis pain relief it. You will need an ultrasound of your scrotum and urine analysis post ejaculation urine for culture. Then to follow up with results.
At the moment for the pain, you are advised to take Naproxen sodium 500 mg twice daily for 30 days. Do not worry about it. I hope I can find the cause and give you the proper treatment after investigations further. You can follow up with me at your convenience. Scrotal support, wearing fit underwear will reduce your discomfort.
I hope this helps.
Investigations to be done
Treatment plan
Preventive measures
Regarding follow up
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