Brief Answer:
Might need some investigations - not to worry.

Detailed Answer:
Hi XXXX! Good afternoon. I am Dr Shareef answering your query.

First of all do not get panicked for this as panicking would not solve your problem.

Torsion of the testis comes as one of the differential diagnosis, but as per the symptoms described by you, this could be one of the more common pathology in the area, i.e: epididymo orchitis with funiculitis. This is an inflammation of the testis caused by unnoticed repeated trivial trauma to the testis, which could commonly be caused by a cycling, while lifting heavy weight, while playing or due to forceful repeeted masturbation in the young, and due to forceful sexual acts in those who are sexually active and this could also be a sign of urinary tract infection (UTI). All these could occur more so in those where the testes are not properly supported by properly fitting under garments.

If If were your doctor, I would advise you for a urine routine/microscopic/culture and sensitivity test, and treat the infection if positive. In addition, I would advise you to go for a properly fitting undergarment for a sound testicular support, an anti inflammatory drug with a proton pump inhibitor, a broad spectrum antibiotic (after excluding a UTI) and to avoid any stressful work including masturbation which might cause repeated trauma to your testes.

However, the treatment described was for a inflammation/infection of the testes. In case the pain increases, or persists, and there is other constitutional symptoms, you would have to show yourself at least to your family physician , who might advise you for a Doppler ultrasound of both the testes to rule out a torsion. The management in this case would defer completely depending on the situation and findings.

I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.

Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.

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Brief Answer:
Most of your apprehension are normal occurrence.

Detailed Answer:
Hi XXXX ! Nice to hear from you so promptly.

Normally the left testis might hang a little lower than the right testis. This is anatomically normal and is not considered abnormal, and you need not worry about it.

Whenever there is a painful reflex to the testis, it will get elevated by its investing cremaster muscle which is an involuntary muscle (you do not have any voluntary control over it) and this is again a normal protective phenomena provided to us by God/Nature. Even in the winter you might experience similar elevation of both testes by the cremaster muscle for maintaining the normal temperature in the scrotum for the testes. So, you need not have to pull it down again and again which might rather cause more inflammation. As I explained you earlier, a good testicular support is very important part of the treatment program in your present condition, and so go for it first and then go for rest of the treatment.

Now I am hopeful that you would recover soon with the treatment, and would also avoid any stressful work till you are ok, and give your testes a good support all the time for future as well.

Thanks and good luck. In case of any other doubt, please feel free to ask. Dr Shareef.

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