Q. Why do I have mild pain in the left groin area and testicle from last night?

Answered by
Dr. Samer Sameer Juma Ali Altawil
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Aug 12, 2020 and last reviewed on: May 10, 2021

Hi doctor,

I am a 20-year-old male. I started to have mild pain in the left groin area last night. It got increased while moving. I also started to have mild pain in the left testicle. But it was not continuous. It happened sharply while changing body postures or during deep breathing. I do not have nausea or vomiting.



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Left groin pain radiating to the left testicle can occur due to left ureteric stone or left epididymo-orchitis or left small inguinal hernia. Left ureteric stone often occurs with groin pain. Sometimes, if the stone lies in the left lower ureter, then the pain occurs in the groin and it gets radiated to the testis. It also causes urinary symptoms affecting frequency or urgency. It can occur in association with vomiting or fever. Pain can be colicky in nature. If it is due to epididymo-orchitis, then you start to have pain from the spermatic cord or testicle, and then it gets radiated to the groin upwards. Pain occurs severely in the testis in association with swelling. Left inguinal hernia can occur as a small bulge in the groin area causing pain. But it is uncommon to have at this age. You need to do urine analysis and urine culture with ultrasound KUB (kidney, ureter, and urinary bladder), ultrasound scrotum, blood test for creatinine. You can take Diclofenac sodium 50 mg thrice daily with Omeprazole to control pain.

Thank you doctor,

I am afraid of testicular torsion. Can I have it due to gas issues?



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Testicular torsion is painful. It originates from the testis. Sudden pain can even make you wake up from sleep. Scrotal pain occurs along with it and you are unable to touch it. Doing ultrasound helps in diagnosing it and reaching an emergency immediately helps a lot. You can have pain due to constipation or gas. But it does not get radiated to the testis. Colicky pain indicates on and off pain in the tummy rather than the groin.

Thank you doctor,

What is the next step? Should I be concerned about pain? I am obese. Does it cause this issue?



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You need to do investigations such as urine analysis, urine culture, ultrasound KUB and scrotum, blood test for creatinine. Do it as soon as possible. You need to do a CT (computed tomography) scan if your ultrasound shows a blocked left kidney. Have a follow-up with your results and so I can advise you further management.

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