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What Causes Lower Abdominal Pain, Back Pain And Tenderness In Testicles?

Posted on Mon, 2 Feb 2015

Question: Hey doc the last 3 days my lower abdomen along with back pain and testical tenderness no diareaha no vomiting regular bowl movements really it feels like someone kicked me in the groin seems worse AFTER bowl movement but no problem having one

Answered by Dr. Muhammed Aslam (1 hour later)

Brief Answer:
kindly give few more details.

Detailed Answer:
Hi XXXX, welcome to HCM forum.
Thanks for posting to us.

It will be fine if you can give few more details.

Is the abdominal and back pain central, or more towards one side?which side you have testicular discomfort?

What about the time testicular discomfort-is it painful its own ? does the pain increase during palpation or pressing (tenderness)?

Does the pain changes with position or movement,or coughing?

Do you have any other symptoms like fever/nausea/increased frequency of urination/pain or burning sensation on urination?

Any significant past history like renal stones/ureteric colic?

Kindly get back with details.
Thank you.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Muhammed Aslam (46 minutes later)

Both testiculs are just tender no diiferent if I press around them or my lower stomic no fever no nausea no problem with cough or sneezing on and off sharp pain more on the right side with the continued pain in the lower abdomen no past history renal or colic I do have a hiatus hernia and acid reflux if you were ever kicked or hit in the groin that's with it feels like with lower abdomen constant pain feel better when I lay on right or left side with pillow between legs really good when I lay on my back but I snore back pain more on the right no problem with urinating no burning or anything even looked for blood and cant see any discoloration

Answered by Dr. Muhammed Aslam (2 hours later)

Brief Answer:
Can be UTI or ureteric colic.

Detailed Answer:
Hi dear,
Thanks for the information given.

From your description, this can either be due to an urinary tract infection(including prostatitis) or ureteric colic. Both these conditions can cause referred pain (that is why the pain is indifferent to palpation/pressing) to lower abdomen/back/inguinal area/testicles depending on the site and extent of infection/obstruction.

A careful physical examination followed by a urine routine test will guide us further. So kindly see your doctor for evaluation and further management. Depending on the situation, you may also be asked for an USG (ultrasound) scanning.

Meanwhile, you drink plenty of oral fluids and take simple analgesics like acetaminophen or ibuprofen if needed.

Hope this answer will help.
Be free to ask if you need further clarification.
Wishing for a faster cure.
Thank you.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Muhammed Aslam (6 hours later)

Will do thanks

Answered by Dr. Muhammed Aslam (4 hours later)

Brief Answer:
fine.

Detailed Answer:
Hi dear,
That's fine.

Try drinking enough oral fluids.
Wishing you a faster recovery.

Thank you.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Raju A.T