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Hydrocele and its treatment - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Testicle Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 1706 Questions
User :   Hello?
Doctor :   hi, how can i help u
Doctor :   please proceed with your query
User :   ok
User :   starting approximately 2 months ago, i have been experiencing some slight to moderate pain in my left testicle
Doctor :   ok
User :   the first instance occured after i finished masterbating, but went away within about 20 minutes
User :   the pain has come back off and on since then
Doctor :   ok
User :   i thought i had strained something, so i decreased the frequency of masterbating to once every couple days
Doctor :   ok
User :   it would still come back, usually not bad, but i could tell it was there
User :   last week, i stopped masterbating completely
Doctor :   ok
User :   since then, it has actually gotten a bit worse
User :   and today i have felt the dull pain most of the day
User :   its not very bad pain, but it is definitely there
Doctor :   ok
Doctor :   i will help u in this
Doctor :   can i few Q
User :   yes
Doctor :   wats your age
User :   22
Doctor :   ok
Doctor :   is it a dull pain or severe pain
User :   it is dull
Doctor :   in the testicles
User :   not bad, and when i'm not thinking about it, i dont feel it
User :   yes, in the left testicle
Doctor :   do you have any pain in the penis
User :   no, not at all
Doctor :   do you have any swelling in the testis
User :   i dont think so
Doctor :   or any redness
User :   the left i think has always been slightly larger than the right, and it seems the same as always
Doctor :   ok
Doctor :   do you have difficulty in passing urine
User :   no, not at all
Doctor :   is the erection of penis painful
User :   no
Doctor :   is the ejaculation normal
User :   yes
Doctor :   how many times in a week do you masturbate
User :   well, i would say on average 7, or once per day
User :   since the pain started, less
Doctor :   does the pain worsen after masturbation
User :   but, i will say, when the pain started, it had been a particularly stressful time and i was masterbating more than usual
User :   no, in fact it doesnt usually hurt much, if at all, during masterbation
User :   but i may feel the dull pain a few hours afterwards
Doctor :   ok
Doctor :   how many min do yu masturbate
User :   i would say average maybe 20 minutes or so
User :   not continuous
Doctor :   ok
Doctor :   did yu have fever
User :   i have not checked my temp today
User :   should i?
Doctor :   no do you feel your body temperature is high
Doctor :   or did yu have fever
User :   my temperature usually runs about 97.8 or so
User :   i havent had any fever recently
Doctor :   did you have any swelling in the groin
User :   no
Doctor :   any lymphnode swelling
User :   no, i dont think so
Doctor :   ok
User :   the one thing i am worried about tonight is a testicular torsion
Doctor :   does the pain radiate to other testicles
User :   i have been doing some reading and it seems time is a big factor in these
Doctor :   i will asssure its not torsion of testis
User :   sometimes the right hurts a little
Doctor :   it does not present like that
User :   ok, thats good
Doctor :   torsion of testis will have severe pain in the testis
Doctor :   more swelling
User :   ok
Doctor :   elevation of the testing will aggravate the pain
Doctor :   more redness
Doctor :   nausea or vomiting
User :   ok
Doctor :  
do you lift any wt
User :   no
User :   i have been playing tennis recently
User :   but this doesnt seem to worsen the pain any
User :   and i never notice it while i'm playing
Doctor :   ok
Doctor :   as per your symptoms
Doctor :   following conditions are ruled out
Doctor :  
1. torsion of testis
Doctor :  
2. Infection of testis -orchitis
Doctor :  
3. Infection of the spermatic cord- epidiymitis
Doctor :  
or any tumor
Doctor :   did you get any investigations done like ultrasound scanning
User :   well, thats good news
User :   no
Doctor :   or doppler scan
User :   i have not seen a doctor, the pain has not been bad
User :   it is only the last day or two that it has been constant enough for me to be really worried
Doctor :   do you have any bluish discolration of the skin over the testis
User :   no
Doctor :   is the skin over the testis is shiny
User :   no
Doctor :   ok
Doctor :   even Hyrdrocele is ruled out
Doctor :   the option left is
Doctor :   HERNIA
User :   actually, i did have a physical exam recently, after the pain started but before i was worried enough to mention it to the doctor
Doctor :   ok
User :   i dont know exactly how they test for a hernia
User :   but he pressed on the area above and around the penis
User :   did not touch the penis or testicles
User :   and said i was good
Doctor :   ok
User :   one thing i have been also reading about is a varicocele
User :   it says it feels like a bag of worms
Doctor :   ok
User :   i dont know exactly what a bag of worms feels like, but i can definitely feel a larger vein or something than the one that goes into my right testicle
Doctor :   ok
Doctor :   bag worms is a symptom of Hydrocele
Doctor :   but the swelling will be more in that
Doctor :   dull aching pain
Doctor :   will be there
Doctor :   wats your ht
Doctor :   ??
User :   height?
User :   6'2"
Doctor :   ok
Doctor :   usually present with induviduals who are more than 6
Doctor :   did you have any trauma of testis before
User :   no, nothing in years
User :   may have been hit with a tennis ball or two maybe 5-7 years ago
Doctor :   ok
Doctor :   as per your symptoms
Doctor :   its more likely to be a condition called Hydrocele
User :   wikipedia says this is usually painless?
Doctor :   dull aching pain can be there
Doctor :   A hydrocele is a fluid-filled sac surrounding a testicle that results in swelling of the scrotum, the loose bag of skin underneath the penis.
User :   i dont experience anything more than slight swelling
Doctor :   ok
Doctor :   ideal for you is get examined by a surgeon once
Doctor :   need to do following tests
User :   is time essential, or can i make an appointment, in the next week or so?
Doctor :   yes
Doctor :   its not at all emergency
Doctor :   you can take your time
User :   ok
Doctor :   even after 10 days its fine
Doctor :   tests to rule out inguinal hernia
Doctor :   transillumination test
Doctor :   if both are abnormal then go for a ultrasound scanning
User :   ok
Doctor :   if ultrasound is normal no need for further investigation
User :   will masterbation and/or sex make this worse?
Doctor :   if abnormal go for Doppler scan
Doctor :   i will explain this to you
Doctor :   sorry
Doctor :   masturbation has no side effects on sexual life
Doctor :   nor the general health
Doctor :   its normal procedure for every men
Doctor :   to ease the stress and tension
Doctor :   it also helps in premature ejaculation
User :   i know, but i am just wondering if i should wait until i get tests before resuming
User :   is there any chance that it will make whatever condition i have worse?
Doctor :   but masturbation should not be addiction
Doctor :   Alaraming symptoms
Doctor :   sever pain in the testis
Doctor :   huge swelling
Doctor :   redness of the testis
Doctor :   painful erection
Doctor :   these are the alaraming symptoms which need to be taken care
User :   ok
Doctor :   not to worry in your case i not expecting any thing serious
Doctor :   and i am sure you wont face these kind of problems
User :   ok, thank you
Doctor :   be relaxed
Doctor :   avoid heavy work
User :   tennis ok?
Doctor :   need to reduce the frequency of masturbation for few days until the pain subsides
Doctor :   tennis is fine but make sure no additional injury to testis happens
User :   that is the problem, i have stopped completely for a week and the pain has, if anything, gotten worse
Doctor :   ok
Doctor :   you will get well soon
Doctor :   are you on any medications
Doctor :   for dull aching pain ???
User :   no
User :   have not taken anything for this pain
Doctor :   Take Tylenol if the more is moderate in severity
User :   ok
Doctor :   let the under wears be little loose
User :   i wear boxers
Doctor :   avoid tight underwears
Doctor :   thats fine
User :   i was actually worried that some of the pain was being caused by too little support by the boxers
Doctor :   can go for underwears thet give scrotal support
User :   yes
Doctor :   but not too tight ones
User :   ok
Doctor :   friction needs to be minimized
Doctor :   need air ciruclation also
Doctor :   Is there any thing else i can help you with ?
User :   i do not think so
User :   i thank you for your help
Doctor :   Not to worry
User :   i will go in to see my family doctor soon to clear this up
Doctor :   you will get well soon
Doctor :   Please fill the feed back form
User :   ok
User :   once again, thank you
User :   best i've spent in awhile
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   bye
Doctor :   bye for now
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