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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Heaviness In Left Testicle, Tenderness, Burning In Lower Abdomen, Discomfort When Testicles Pulled In, Burning In Tip Of Penis During Urination. Solution?

I am 27; at 17, I had left testicle torsion, that got de-torsioned by itself. (As I remember; my left testicle although swollen was never riding high.) In the course of 10 years, I consulted many urologists but almost everything was ruled out. Tests done (color Doppler, IVP, urine and semen analysis ) all negative. No sign of varicocele , epididymitis or any other infection. As per Dr. __I have transversely placed testicles, also sort of tight scrotum skin.__ My problems are recurring like: pain, tenderness and burning sensation in my left testicle which radiates to groin and lower abdomen. 1. Heaviness is felt on the left testicle. (Aggravates while standing and relieved if lying down.) 2. After ejaculation there a chance of symptoms I mentioned above. Note:- Noticeable pain(takes time to build up 2 hrs - 24 hrs) only after after ejaculation; but there is no guarantee that it will happen every-time I ejaculate. (on avg. happens 1 in 10 ejaculations). 3. Tenderness and burning in lower abdomen if I have restricted bowel movement . (but not always) 4. Minor relief after a bowel movement. (seems like all problems except pain is always there if stomach is bloating.) 5. Winters; more precisely any time when the testicles are pulled in groin causes discomfort but not the aforementioned symptoms. 6. Started recently; mild burning at penis tip during urination. 7. Something new from past 2 months; same issues on the right but with less intensity. Till 6 months back, the symptoms I mentioned where on quarterly basis and would fade away in a day or max. two but recently the frequency has increased to twice in a month and will take minimum 3 days to fade out. If following complete abstinence: only discomfort, some heaviness and mild burning. What do I need to do? -- Anonymous
Mon, 27 May 2013
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General Surgeon,  's  Response
Hi ! Your doctors have excluded almost all the patholgical reasons for the discomfort you have in your testicle. I would advise you to for a good testicular support kind of undergarment. This will relieve your symptoms when you stand. If you are sexually active, then burning sensation once in ten may be considered to be a chance finding without any pathology.
However, because the pain you have in the testis also radiates to the groin and lower abdome, there could be a small calculi, which might not have shown itself in the present ultrasound/IVP. The ultrasound may be repeated to exclude this factor. Sometimes inflammation of prostate gives rise to similar symptoms, and semen analysis may not be conclusive. This might have to be done repeatedly. Also go for a prostate specific antigen test on consultation with your treating doctor.
Your bowel symptoms may not be related to your testicular symptoms. For this, you should avoid eating outside specially if you go for frequent fast foods. Go for high roughage diet with plenty of liquids. Amoebiasis is a very common problem world wide, and get your stool tested for it. Consult your doctor for the treatment.
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Having Heaviness In Left Testicle, Tenderness, Burning In Lower Abdomen, Discomfort When Testicles Pulled In, Burning In Tip Of Penis During Urination. Solution?

Hi ! Your doctors have excluded almost all the patholgical reasons for the discomfort you have in your testicle. I would advise you to for a good testicular support kind of undergarment. This will relieve your symptoms when you stand. If you are sexually active, then burning sensation once in ten may be considered to be a chance finding without any pathology. However, because the pain you have in the testis also radiates to the groin and lower abdome, there could be a small calculi, which might not have shown itself in the present ultrasound/IVP. The ultrasound may be repeated to exclude this factor. Sometimes inflammation of prostate gives rise to similar symptoms, and semen analysis may not be conclusive. This might have to be done repeatedly. Also go for a prostate specific antigen test on consultation with your treating doctor. Your bowel symptoms may not be related to your testicular symptoms. For this, you should avoid eating outside specially if you go for frequent fast foods. Go for high roughage diet with plenty of liquids. Amoebiasis is a very common problem world wide, and get your stool tested for it. Consult your doctor for the treatment.