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Prostatitis and blue balls - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Testicle Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   i am sure i have what they call blue balls. i also have prostatitis from the age of 18. i do relief my self and most of the time the pain goes away but last week it lasted all week to the point were it was sore to walk
Doctor :   hI
Doctor :   I am Dr.
User :   hi
Doctor :   I am reading your query
User :   it has come to the point where i am in pain until i masterbate 3 days in the week and sometimes i get arosed at work by my thought and i am sore all day after that until i masterbate
Doctor :   Can you explian bLue balls means
User :   it is a condition where tempory fluid congestion of the testicles and prostate region caused by prolonged sexual arousalin the human male of accompained by acute testicular pain
Doctor :   Ok
Doctor :   I read that in Wkedia
Doctor :   And from u
Doctor :   And just wanted to cross verify I am understanding right
Doctor :   So how many times you masturbate
Doctor :   or have real intercourse in week
User :   most days
User :   have sex twice in the week but less now as girlfriend pregent
Doctor :   ok
User :   if i get any arousal at all i end up with this pain
Doctor :   Maturabtion and ejaculation will reliwve the pain
Doctor :   Did you attempt that?
Doctor :   it is just congection
Doctor :   it is not infection
Doctor :   it is not an mergency
User :   ya i do but it is getting to the point where i am getting a mass in my groin now which goes and comes which is nearly the same size as my testicle
Doctor :   if you feel pain, athe Ibuprofen pulls ever 6 hrs
User :   are they nothing else i can do but masterbate
Doctor :   Cool compresses whe u have pain
Doctor :   apply ice when u have pain that relieve the congestion
Doctor :   Take rest
Doctor :   it is completely symptomatic management
Doctor :   You need better pain control
User :   what should i take
Doctor :   Usuallu Ibuprofen 600 mg or 800mg when u have sevre pain will relive the pain
User :   i only have 500 mg Ibuprofen can i take two
Doctor :   No
Doctor :   Max dose is 800
Doctor :   u can break it half and take 1 and 1/2
Doctor :   u can take 3 times d ay
User :   ok
Doctor :   DO you have any varicose, hydrocele
User :   varicose, hydrocele
User :   what is this
Doctor :   hydrocele is waters in scrotum
User :   i have cyst in my groin
Doctor :   u can feel like a bag with water
User :   so they tell me
Doctor :   Goin area is defferent
Doctor :   Varicolece is enlarges in veins in the testles
Doctor :   they look like warms in scroum
Doctor :   they also cause swlling
Doctor :   varicoice can cause pain
Doctor :   hydrocele usually not
Doctor :   do u have an of hese two?
Doctor :   *these
User :   i feel pain at the top of the scrotu and i do get alot of swelling at the top but i always thought it was infection
User :   wheni am in pain
Doctor :   xinfection will not persits for long time
Doctor :   Iam concerned abt the swelling
Doctor :   You say two swelling one at the top of scrotum
Doctor :   and one at the graoin
User :   ya
Doctor :   They could be Hernia
User :   one is right next to the testicle
Doctor :   Does it enlarge when cough?
User :   no
User :   i only feel them after arousal
Doctor :   Ok then it is may not be hernia
Doctor :   But it could be Caricolce
Doctor :   Because u have this problem for long time, I recommend you consult a surgery or General Practitioner.
User :   what should i do about this
Doctor :   And get the Genital examination done
Doctor :   I wan to make sure what is the swelling
Doctor :   only after physical examination Ione can tell
Doctor :   IF it is varicolce it cause pain
User :   i am going for a scan on my testicles
Doctor :   You need ultrasound of scrotunm to see the varicocele
Doctor :   Ok That is goood
User :   can they tell from the untra sound on my tescles and what should i say
Doctor :   That will detects the varicolce
Doctor :   and any other masseses
User :   my local doctor say they nothing they can do tho
User :   will the nhs operate if i have varicolce or any other masseses
Doctor :   usually just Scorital Ultrasound will be enough to detect all
User :   i in on the 11 january 2011
Doctor :   If they find the Varicole, the will grade it and treat accordingly
User :   the pain mves from left to right
Doctor :   OK
Doctor :   Instead of assuming it is Blue Ball
Doctor :   Simulatanously we well focus on ultrasound and see if there is any thing abnormal
User :   i used to do alot of sports but i feel i cant because of the pain
Doctor :   Ok
User :   are they advise you can give to help do sport eg karate and running
Doctor :   x exercises for what?
Doctor :   As long as there are no massses u can do any exercise
Doctor :   presence of any mess will make worse after exercise
User :   what if i do have masseses
Doctor :   masses mean varicose and hearnia
Doctor :   Treatment depends on what is the problems
User :   should i take Ibuprofen right after exercises
Doctor :   you can
User :   ok so i will wait and see what the scan brings
User :   so i say about what we think it may be varicose and hearnia
Doctor :   Yes
User :   ok
User :   thankyou for your help
Doctor :   if they are absent u can feel safe and manage the pain conservatively
Doctor :   Tank you for consulting me
Doctor :   Bye
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