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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could On And Off Pain In Left Testicle With A Small Lump Indicate?

I ve been having occasional slight pain in my left testicule for around two weeks. I went to a doctor yesterday and he told me to see a urologist and so I have an appointment in about a week. However, today it definitely felt a little worse. I also felt like something move inside my testicle. As if a very small insect was inside it. Obviously I know that s not the case but wasn t sure if the feeling of that meant anything. Also when I went to the doctor yesterday as he was checking my testicule he was rougher with it than I would normally be when I m checking for bumps but I wasn t sure if I m just overly delicate and that s normal for a docter to do or not.
Mon, 29 Jun 2020
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General & Family Physician 's  Response
Hello,

Acute testicle pain is defined as moderate to severe pain that develops over the course of minutes to two days. And the most common causes of acute testicle pain in adults are acute epididymitis and testicular torsion etc. Your doctor should do evaluation of your acute testicle pain include direct history and physical examination.

You may give your doctor more history such as your onset of pain, its location, and the presence of lower urinary tract symptoms eg, frequency, urgency, dysuria, fever or chill. The abdomen, inguinal region, and testicle skin and contents should be carefully examined. Your doctor may need to do urinalysis and urine culture, as well as diagnostic studies for neisseria gonorrhea and chlamydia trachomatis should be obtained if he / she consider lower urinary tract symptoms and epididymis are present.

Your doctor may need to do image studies for other surgical differential diagnosis. I encourage you to go back to your doctor if your pain and lump are concern.

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

Regards,
Dr. Heang Chan Raksmey, General and Family Physician
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What Could On And Off Pain In Left Testicle With A Small Lump Indicate?

Hello, Acute testicle pain is defined as moderate to severe pain that develops over the course of minutes to two days. And the most common causes of acute testicle pain in adults are acute epididymitis and testicular torsion etc. Your doctor should do evaluation of your acute testicle pain include direct history and physical examination. You may give your doctor more history such as your onset of pain, its location, and the presence of lower urinary tract symptoms eg, frequency, urgency, dysuria, fever or chill. The abdomen, inguinal region, and testicle skin and contents should be carefully examined. Your doctor may need to do urinalysis and urine culture, as well as diagnostic studies for neisseria gonorrhea and chlamydia trachomatis should be obtained if he / she consider lower urinary tract symptoms and epididymis are present. Your doctor may need to do image studies for other surgical differential diagnosis. I encourage you to go back to your doctor if your pain and lump are concern. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Heang Chan Raksmey, General and Family Physician