Brief Answer:
A good support to the testes and further treatment

Detailed Answer:
Hi XXXXXX ! Good morning. I am Dr Shareef answering your query.

Discomfort in the testis could be due ignored repeated trivial trauma, which causes inflammation causing pain/discomfort in the same. Testis being an intra-abdominal organ embryo-logically, brings the nerve supply to it from above, and so the pain in the testis is frequently radiated/felt as a discomfort in the abdomen/pelvis area.

If I were your doctor, after a thorough physical examination I would advise you for the following:
1) Support your testes with properly fitting under garments.
2) Avoid standing for prolonged period, and avoid lifting heavy weight if you do.
3) Advise you for a routine blood tests like a CBC, AEC, HbsAG, HIV test and a urine routine/microscopic examination followed by a culture and sensitivity report if need be.
4) Avoid indulgence in any sexual activity if you are active sexually which would prevent further trivial trauma if any to the testes, apart from precipitating any kind of infection if present.
5) Prescribe a broad spectrum antibiotic along with an anti inflammatory drug, and a proton pump inhibitor. The antibiotic could change after the report of the culture sensitivity test of urine.

If your symptoms and discomfort does not subside with the above measures, then I would not hesitate to advise you for a Doppler ultrasound of your testes and an ultrasound of the abdomen if need be. Further management would depend on a physical examination and related investigations of the situation.

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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