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What Causes Severe Pain, Burning Sensation And Swelling In Right Testicle?

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Posted on Fri, 18 Mar 2016
Question: Pain in Right Testicle...Struggling since 5 years.......what can i do for this ....no efffect of the medicine ..on pain. Pain in Right Testicle Upper Part (i think it is epididymis). When pain comes like low to severe.
For example: if pain comes on monday with low pain and ends with severe pain lasts after 7-8 days. After that no pain. Then again pain happens after some days. i exactly tell 2 weeks pain and 2 wks no pain in every month. i observed after Masturbation / ejaculation this pain comes like burning sensation. This pain comes only in evening not morning. Evening starts with burning pain and ends in sleep.

Nothing has come in utrasound of whole scrotum. Docotor told me nothing. My prblm has been for 8 years. Can suggest me any medication or test so that I may get rid of my prblm. I get random swelling and pain in my right testicle. It only occurs on the right side. There is pain with it but after a few hours it goes away and can come back at any time.

My Symptoms
1. Right testicle Red (in upper part only) and warm scrotum.
2. Pain or burning sensation after Masturbation (i.e after one day)
3. Righ testicle Swelling when pain happens.
4 .Right Testicle Irritation
5. When pain happen Right scrotum Red and warm and swollen

Current medications:
1. Dolo 650 2. Levofloxacin LEVOMAC-500 3. Multivitamin capsules- EIDO

My right testicle upper part is pain and looking like redness when pain happens. After masterbation in my right testicle starts with pain like burning sensation. I want to ask two questions sir please clarify.

1. My pennis bend to left when errection. Is it ok for sexual intercourse. (Photos are uploaded please see)

2. Next year i'm going to paln marriage. But this pain will depressed me. my doubt is can i do sex with this pain.

I'm fear about testacular torsion. Is it my problem. Please tell me sir. I have only pain no vomtings.

i have a doubt on testicle epididymitis. What i have to go for tests to confirm this. Beacuse pain will occur in top of my testicle.
doctor
Answered by Dr. Matthew J. Mangat (1 hour later)
Brief Answer:
very relevant questions.

Detailed Answer:
Hello XXXXXXX and welcome to HCM.
As an Urologist, i can fully understand and share your concern.
After going through all your reports, you don't really don't need to have so much anxiety.
I shall answer your questions, one by one.

1. Penis always shifts to any one side normally, and it never causes any difficulty in having intercourse.

2. You should have no problem in having intercourse, due to your present symptoms. There's no need to worry about it marital planning. Go ahead confidently. This is noted with many people, having similar symptoms.

3. Testicular torsion is an acute condition, which requires urgent surgery to correct it. This is very easily diagnosed and very different from your symptoms. The doppler scan can detect it very easily.

4. Epididymitis is another acute condition, which's very different from your symptoms. The doppler ultrasound scan can easily diagnose it.

Complete the course of Levofloxacin, you've started.
Hope all your doubts are cleared.
You're welcome to clear any other doubts you may have.
Wish you good health.

Dr.Matthew J. Mangat.



Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Matthew J. Mangat (45 minutes later)
Thank you very much sir for your answers what i'm asked.

But why this pain comes. What is my problem for above said symptoms.

Your said my symptoms are different from Testicular torsion and Epididymitis. So one of my doubt is clear.

In my right testicle some problem is there. What is it. Why this pain comes regularly. i'm having this pain since 5 years. Please sir what's my problem.

For what tests i have to go for know my problem.

Is Doppler ultrasound scan different from normal ultrasound scan. Please clarify sir.



doctor
Answered by Dr. Matthew J. Mangat (48 minutes later)
Brief Answer:
Doppler scan is different from routine scan.

Detailed Answer:
Hi XXXXXXX

Yes, for scrotal ultrasound, a doppler scan is needed, to detect blood flow into and out of both the testis.
This will, give vital information regarding the following :

1. Varicocele.
2. Epididymitis.
3. Scrotal congestion of whatever condition.
4. orchitis.
5. torsion testis.
6. testicular infarct.
7. Testicular vascular supply, and many other conditions.

If doppler scan of scrotum has not been done in your case, kindly get it done, as it may give an idea of the cause for your pain.
If possible, report as quickly as possible, to a surgeon or Urologist, once the testicular pain starts.

Hope to see your doppler scan reports.
Wish you good health.

Dr.Matthew J. Mangat.
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. Raju A.T
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Answered by
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Dr. Matthew J. Mangat

Urologist

Practicing since :1981

Answered : 1898 Questions

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What Causes Severe Pain, Burning Sensation And Swelling In Right Testicle?

Brief Answer: very relevant questions. Detailed Answer: Hello XXXXXXX and welcome to HCM. As an Urologist, i can fully understand and share your concern. After going through all your reports, you don't really don't need to have so much anxiety. I shall answer your questions, one by one. 1. Penis always shifts to any one side normally, and it never causes any difficulty in having intercourse. 2. You should have no problem in having intercourse, due to your present symptoms. There's no need to worry about it marital planning. Go ahead confidently. This is noted with many people, having similar symptoms. 3. Testicular torsion is an acute condition, which requires urgent surgery to correct it. This is very easily diagnosed and very different from your symptoms. The doppler scan can detect it very easily. 4. Epididymitis is another acute condition, which's very different from your symptoms. The doppler ultrasound scan can easily diagnose it. Complete the course of Levofloxacin, you've started. Hope all your doubts are cleared. You're welcome to clear any other doubts you may have. Wish you good health. Dr.Matthew J. Mangat.