Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is- Mostly IBS with accompanied inflammed bowels and sigmoid colon is the cause of the pain in left testes after eating spicy food. Chillies are known to increasing vascularity and ciculation with increased BMR.This might be causing increased testosterone levels from increased vascularity after eating chillies. Other causes need to be ruled out .So you have to be careful and need to attend it seriously. Just don t worry and be patient and co-operate with your doctors,till you verify with your attending doctors. Need to Check with your Urologist- if things don t recover. -Other causes need to be verified with your family GP doctor and team of Specialist doctors, as the facts may be different what you submitted. -For this Second opinion from PCP-or Gp doctor and if need be with Urologist-specialist-is needed who would do proper investigation after proper physical assessment to resolve your health issues. -for early recovery-please follow above do s which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS