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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Suffering From Severe Testicular Pain, Spasms. Testicles Going Into Abdomen. No Relief With Painkillers. Suggestions?

My 11 yr old son is experiencing severe testiclar pain and spasm where both his testicles go up into his abdomen lasting about 40 to 50secs . He had an exploratory surgery of the scrotum for ? Torsion nil found , since then the spasm has gradually got worse . Occurs every 5 to 10 mins in am and severe pm . He has been on antibiotic for seven days and pain killers and the spasm is getting worse please help.
Fri, 21 Jun 2013
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Pediatrician 's  Response
Hi,

Thank you for your query on Healthcare Magic.

Nothing to worry if the torsion of testes is ruled out by exploratory surgery.

The pain in testes is due to infections like orchitis which is a viral illness.

Continue the antibiotic and painkiller as advised by your doctor.

Supporting the scrotum will give relief from the pain.

Consult again the doctor for reexamination.

Hope I have answered your query.

Regards.
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General & Family Physician Dr. Varnika J.P.'s  Response
hi,
thank you for your query,
the symptoms you are describing seem to point towards pain in a "retractile testis".a retractile testis is one which retraces the path of the testicular descent and lies in groin or the abdomen

Common causes of testicle pain include:
Injury
Infection or inflammation
Testicular torsion

as testicular torsion has been ruled out.the possible causes of pain due to infection include-
Orchitis -- inflammation of one or both testicles, which may be caused by bacteria or a virus like mumps. Orchitis can occur at the same time as epididymitis

Another important cause can be an underlying hernia which has manifested after the surgery.

Also there are chances that there is cremaster muscle spasm causes these contractions.

i would suggest-
Ultrasound of the testicles
Urinalysis and urine cultures
MMR vaccine for the kid

in any case i would suggest you get a check up by an urologist and a surgeon to pinpoint the cause.

thank you for your query,
wishing you good health
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Child Suffering From Severe Testicular Pain, Spasms. Testicles Going Into Abdomen. No Relief With Painkillers. Suggestions?

Hi, Thank you for your query on Healthcare Magic. Nothing to worry if the torsion of testes is ruled out by exploratory surgery. The pain in testes is due to infections like orchitis which is a viral illness. Continue the antibiotic and painkiller as advised by your doctor. Supporting the scrotum will give relief from the pain. Consult again the doctor for reexamination. Hope I have answered your query. Regards.