What may be the possible cause for pain in testicles?

Question

Hello doctor,

I am 18 years old. About a week ago, as I lifted some heavy plates, both my hands started shaking and I dropped them. When I returned home, I felt some pain in my testicles. But, that was not a constant pain. So, after three days of pain, I went to see a urologist. He did a physical examination of my testicles and said that there was no swelling and everything was normal. The doctor mentioned that it was just a minor injury to the testicle, which would heal by itself. He prescribed me Diclofenac sodium 50 g and Papase tablets. The doctor told me to take Diclofenac whenever I feel pain and the Papase two tablets to be taken thrice a day. I followed his instruction and after two days the pain eased. I was relieved as everything felt normal and there was no pain at all. Yesterday, I had a dream, which woke me up. When I woke up, I got excited and my penis got hard and the pain in the left testicle started again. The testicle got bigger than the usual size. My left testicle is smaller than the right one, but at that time both were of the same size. There was pain and my left testicle started getting big and small like breathing effect. After an hour, the pain disappeared and everything was normal once again. The pain also spread to my leg and when I got on the bed it eased. My testicle looks normal with no enlarged veins or anything. It is normal physically and there is no pain while passing urine as well.

Answer 1

Hi,

Welcome to icliniq.com. Based on your description, it appears that the testicular pain you experienced was likely due to lifting a heavy object. Such incidents may result in minor injuries that often require no specific treatment. However, if you notice recurrent pain or an increase in size on one side, it's essential to undergo an ultrasound scan for further evaluation. Keep in mind that minor size differences in testes can occur even in individuals without any health issues. The "breathing-like" effect, with alternating sizes, may occur naturally, especially during periods of excitement. Without a physical examination of the testes, it's challenging to provide a definitive assessment. Consider getting an ultrasound of the testes. If the results are normal, there's usually no cause for worry, and you can manage any discomfort with painkillers as needed.

From your description, it seems you got pain in testes while lifting a heavy object. Many times it may be a minor injury that requires no treatment. But, if you are getting recurrent pain or increase in size on one side, then you need to have an ultrasound scan done.

The testes will have minor size differences in normal persons also. The breathing like effect (alternating big and small) may happen normally. It happens, especially during excitement.

It is difficult to comment before examination of the testes. You can do an ultrasound of the testes. If it is normal, then you need not worry. You can just take pain killers.