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Scrotal swelling with abdominal pain - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2481 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   Good Evening
Doctor :  
Good evening
User :   A patient 35 years male suffering from 8 days 102 fever on and off associated with lt.scrotal swelling and left lower abdominal pain
Doctor :   Ok

User :   Since today he is admiteed and on I/V cefotaxim ,Inj.Gara-80 mg,I/V metrogyl
Doctor :   Ok
Doctor :  
They are very good antibiotics
Doctor :  
and are advisable in such conditions
User :   Prevoisly diagnosed as chronic Amobesis and full treatment was given 1 years back
User :   Driver by occupation
Doctor :  
Ok
Doctor :   Did he have pain in the scrotal area?
User :   Abdomen soft chest clear
Doctor :  
Ok
User :   Yes pain and tendernesss and diffuse swelling around cord
Doctor :  
Right
User :   slightly feeling better but cause of fever and fever is yet not controlled
Doctor :  
Ok
Doctor :  
Did he have hernia previously?
User :   No mfernia or any surgical procedurf
User :   No such type of history in past
Doctor :   Ok

User :   Plan of treatment and investigation not done
Doctor :  
Ok
Doctor :  
Now what do you want to know?
User :   What will be the line of treatment and investigation other than basic Hematological investigation
Doctor :  
Firstly a diagnosis has to be made
Doctor :  
Has the swelling decreased/disappeared in size?
User :   what will be the diagnosis
Doctor :   I will help you in that

User :   Decreasing trends and pain is less
Doctor :  
Once the diagnosis is made, lines of treatment could be thought of
Doctor :  
Ok
Doctor :  
If it is decreasing/disappearing then it is a sign of hernia
User :   o.k.
Doctor :  
Which can be precipated by an intestinal infection
User :   o.k
Doctor :  
Next comes the Epididymitis
Doctor :  
which is a male reproductive organ
User :   o.k
Doctor :  
And that infection can cause that
User :   o.k.
Doctor :  
Again for Epdidymitis Examination by the Urologist is the key for Diagnosis, rather than any investigations
Doctor :  
And the next possibility can be Hydrocele
User :   since no urologist or surgeon in this hilly terrian,till than how to manage
Doctor :  
Ok
Doctor :  
One more thing I want to ask is was there any injury to the area?
User :   the roads are also blocked due to land slide
User :   No such Injury noted
Doctor :   Oh, very difficult situation

Doctor :  
Ok
Doctor :  
Since he is in hospital right now
Doctor :  
I suggest you to talk to the doctor of the things I have mentioned
Doctor :  
Like hernia, hydrocele, Epididymitis
Doctor :  
Try to get an abdominal ultrasound donw
Doctor :  
That should guide you in the Right Direction
Doctor :  
Fever and pain has to be controlled
Doctor :  
Since you have mentioned that abdomen is soft, it is fine to an extent
Doctor :  
Are you following?
Doctor :  
Are you there?
User :   Yes
Doctor :   Ok

Doctor :  
So are you following the things I mentioned?
User :   Giving diclofenac with serropetidase and rabiprazole
Doctor :  
Ok
Doctor :  
That is for Pain
Doctor :  
And prevents Gastritits
User :   ok
Doctor :  
Is he in hospital now?
User :   Till than any change in Antibiotics or its doses
Doctor :  
Not required
User :   Yes he is in Dispensary as Indoor patient
Doctor :  
They are good enough and covers all types of bacteria
Doctor :  
Ok
Doctor :  
Talk to the local doctor about these
Doctor :  
and discuss with him
User :   May i wait for 48 Hours /till Road is Cleared
Doctor :  
Yes
Doctor :  
But discuss these things with the local doc
User :   Thanks for Advice
Doctor :  
Is there any thing else I can help you with?
User :   Thanks Doctor
Doctor :   Please fill the feedback form say done when done.
Doctor :   Have you filled the feedback form?
User :   Yes and sent
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   OK
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