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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Intermittent Throbbing Pain In Testicle, Lower Abdomen And Back?

I have a throbbing type of pain in my right testicle. It comes and goes. Sometimes I also feel it in my right side of lower abdomen and right side of lower back. It seems to get worse when I exercise/cardio or stand for a long time or do strenuous activity. I have had some blood in my urine also, but only right after I run. I know I need to see a doctor but I don t have insurance. What are your thoughts? I am type 2 diabetic but don t take meds. My glucose levels are normal because I regulate them through diet and exercise.
Mon, 20 Apr 2020
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General Surgeon 's  Response
‎Hi,

Noted your history about pain in right testicle, right lower abdomen and back, no insurance hence not met any Doctor.
The commonest reasons I can think are as follows:
Recurrent testicular torsion is known to occur in cases wherein the spermatic cord is longer than normal hence there is a specific word that is clapper in a bell appearance.
In this condition the spermatic chord is long hence the testis can go into torsion that rotation on its own axis and thus there is compromise of venous return to start with and if the torsion increases then can actually cause strangulation meaning the arterial blood supply is also affected.
All these things cause recurrent pain.
This can be diagnosed by a clinical evaluation by a General Surgeon or an Urologist and to be confirmed by Ultrasound and color doppler examination of the scrotum.
Simply fixing the testis in the scrotal sac can solve this problems.
Till then go for scrotal support.
Avoid strenuous activity.
Try to palpate the testis and its position with epididymis.
Re-positioning of the testis will help you if you learn it.
Other causes to be seen for are epididymo-orchitis.
All such things cause pain in the lower abdomen by reflex. as also the back ache.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, ENT and General Surgeon
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What Causes Intermittent Throbbing Pain In Testicle, Lower Abdomen And Back?

‎Hi, Noted your history about pain in right testicle, right lower abdomen and back, no insurance hence not met any Doctor. The commonest reasons I can think are as follows: Recurrent testicular torsion is known to occur in cases wherein the spermatic cord is longer than normal hence there is a specific word that is clapper in a bell appearance. In this condition the spermatic chord is long hence the testis can go into torsion that rotation on its own axis and thus there is compromise of venous return to start with and if the torsion increases then can actually cause strangulation meaning the arterial blood supply is also affected. All these things cause recurrent pain. This can be diagnosed by a clinical evaluation by a General Surgeon or an Urologist and to be confirmed by Ultrasound and color doppler examination of the scrotum. Simply fixing the testis in the scrotal sac can solve this problems. Till then go for scrotal support. Avoid strenuous activity. Try to palpate the testis and its position with epididymis. Re-positioning of the testis will help you if you learn it. Other causes to be seen for are epididymo-orchitis. All such things cause pain in the lower abdomen by reflex. as also the back ache. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, ENT and General Surgeon