Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Pain In The Testicle And Lower Abdomen With Vomiting?
Question: I'm having serious pain ,started in my testicle and now feels like lower abdomen was vomiting earlier ,but seems to have passed the pain is intense
Brief Answer:
Torsion testis or Acute Infection as the most probable cause.
Detailed Answer:
Hi.
Thanks for your query, albeit short and specific.
To recapitulate: Male/55 - serious pain - started in testicle - lower abdomen - vomiting earlier - tried Ibuprofen ....
Such a severe pain in one testicle with referred pain to abdomen is indicative of torsion of the testicle as the most probable cause.
Another cause can be severe epididymo-orchitis, that is infection and inflammation of the testicle and the epididymis.
The vomiting is usually a reflex one as a response to any severe pain.
I would advise you the following in such a situation:
Urgent Ultrasound and color doppler of the scrotum and the abdomen to know the exact cause of the pains thus getting a chance to get an urgent relief by surgery if torsion is diagnosed and medical management if infection is the cause.
Also needed is the tests of blood: CBC, sugar kidney function as as needed.
Urine: Sample should be sent for routine, microscopy, culture and sensitivity before the first dose of an antibiotic.
This way an earliest possible diagnosis is needed, please go to ER asap.
I hope this answers your query, please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Torsion testis or Acute Infection as the most probable cause.
Detailed Answer:
Hi.
Thanks for your query, albeit short and specific.
To recapitulate: Male/55 - serious pain - started in testicle - lower abdomen - vomiting earlier - tried Ibuprofen ....
Such a severe pain in one testicle with referred pain to abdomen is indicative of torsion of the testicle as the most probable cause.
Another cause can be severe epididymo-orchitis, that is infection and inflammation of the testicle and the epididymis.
The vomiting is usually a reflex one as a response to any severe pain.
I would advise you the following in such a situation:
Urgent Ultrasound and color doppler of the scrotum and the abdomen to know the exact cause of the pains thus getting a chance to get an urgent relief by surgery if torsion is diagnosed and medical management if infection is the cause.
Also needed is the tests of blood: CBC, sugar kidney function as as needed.
Urine: Sample should be sent for routine, microscopy, culture and sensitivity before the first dose of an antibiotic.
This way an earliest possible diagnosis is needed, please go to ER asap.
I hope this answers your query, please feel free to ask for further relevant queries if you feel that there is a gap of communication.
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
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
