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Suggest Treatment For Severe Pain In Testicles
Question: Yes, My friend in Nigeria has no access to a urologist. he is in terrible pain, reporting what he calls severe pain in his left testes, pain is a 5 on a scale of 1 to 10. he is 25 and male, obviously. He wouldn't contact me in the USA if he could access a doctor locally or on his phone. I told him all the things it could be and that he needs to see a doctor, but he can you narrow it down?Please understand, he does NOT have access to the western medical facilities, we all take for granted.
Brief Answer:
He needs laboratory tests
Detailed Answer:
good day and thank you for being with healthcare magic!
Testicular pain could be illness in the testis or referred pain. Intrinsic illnesses in the testis that may cause pain would be infection such as orchitis, epididymitis, varicocoele, testicular torsion and testicular tumors. Intrinsic illnesses in the testis would have swelling in the scrotum and physical changes in the area (new lump etc.)
Referred pain is inflammation in some part of the body but is felt in the testis or groin area. This is commonly caused by stones in the kidney. This is associated with flank or back pain and changes in urination (strangury, tea colored urine).
The first step is to do urinalysis, testicular ultrasound with doppler and kidney bladder ultrasound. This would determine what illness he has and would point us to the proper management plan.
regards, Manuel See IV
He needs laboratory tests
Detailed Answer:
good day and thank you for being with healthcare magic!
Testicular pain could be illness in the testis or referred pain. Intrinsic illnesses in the testis that may cause pain would be infection such as orchitis, epididymitis, varicocoele, testicular torsion and testicular tumors. Intrinsic illnesses in the testis would have swelling in the scrotum and physical changes in the area (new lump etc.)
Referred pain is inflammation in some part of the body but is felt in the testis or groin area. This is commonly caused by stones in the kidney. This is associated with flank or back pain and changes in urination (strangury, tea colored urine).
The first step is to do urinalysis, testicular ultrasound with doppler and kidney bladder ultrasound. This would determine what illness he has and would point us to the proper management plan.
regards, Manuel See IV
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I got more info from Pascal, the patient. He says he began noticing pain in his left testes while walking about a week ago that has been getting progressively worse. it hurts most when he is walking and if that area slaps against his leg or if he touches it. I asked him if there was swelling or if it was hot to the touch and he said no. He is a circumcised male, if that matters. he is sexually active as a heterosexual.
Brief Answer:
NSAIDs and rest for one week.
Detailed Answer:
Thank you for your followup question and for providing more information.
It is good that there is no visible swelling on the area and that rules out emergency cases such as torsion and inguinal hernia.
It may be a referred paln from the kidney or varicocoele which are dilated spermatic veins. The pain in varicocoele is aggravated by straining and walking too much.
Let him take any NSAIDS like mefenamic acid etc. and let him rest for one week. Plenty of water would help alot too.
NSAIDs and rest for one week.
Detailed Answer:
Thank you for your followup question and for providing more information.
It is good that there is no visible swelling on the area and that rules out emergency cases such as torsion and inguinal hernia.
It may be a referred paln from the kidney or varicocoele which are dilated spermatic veins. The pain in varicocoele is aggravated by straining and walking too much.
Let him take any NSAIDS like mefenamic acid etc. and let him rest for one week. Plenty of water would help alot too.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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