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Testicular swelling, suspected Hydrocele testis, diet and tests - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 1357 Questions
Doctor :   Hi
Doctor :  
How can i help you
User :   hello
Doctor :  
Please proceed with your query ?
User :   firstly wanted to check if i am talking to the right doctor in regard to male health problems?
Doctor :   Yes, I am DrXXXXXXX X here
User :   Dr.XXXXXXXX....I am 29 years old
Doctor :  
Specialty - Family medicine
Doctor :   May i know your name
User :   XXXXXXXX
Doctor :  
Ok XXXXXXXX
Doctor :  
Please proceed with your query
User :   my query is related to a urinary problems
Doctor :  
Ok
User :   over the last 6-8 months i experience pain in my testicles
Doctor :   Ok

User :   and i see that there has been a kind of extra growth within
Doctor :   Ok
Doctor :  

I will help you in this ?
User :   and offlately i noticed that one of them are swollen, and has become bigger than usual
Doctor :  
Can i ask few questions ?
User :   yes
Doctor :   Marital status please ?
User :   single
Doctor :  
Since how many days do you have this problem ?
User :   i have noticed it only abt a year back
Doctor :  
do you have any difficulty in passing urine ?
User :   no
Doctor :   do you have pain in the testis ?
Doctor :  
Ok
Doctor :  
or any redness ?
User :   not really redness
User :   but yes its become very sensitive to pain
Doctor :   Ok
Doctor :  
Can i ask few sex related queries ?
User :   yes
Doctor :  
do you masturbate regularly ?
User :   yes
Doctor :  
does the pain worsens after masturbations ?
User :   sometimes
Doctor :  
how many times do you masturbate in a week ?
Doctor :   Ok
User :   maybe abt 3-4 times
Doctor :   Are you sexually active
User :   no
Doctor :   Ok
User :   not recently
Doctor :  
which side of the testis is swollen ?
User :   left side
Doctor :  
Whats your ht and wt ?
Doctor :  
Ok
User :   5'9
User :   65 kilos
Doctor :  
Ok
Doctor :   do you feel bag of worm sensation in the left testis
User :   i didnt understand that
Doctor :   I will explain this to you
Doctor :   when you touch the testicles do you have worm feeling ?
User :   yes
User :   on both sides
Doctor :   Ok
Doctor :  
do you have any swelling in the groin
Doctor :  
or any lump in the groin ?
User :   yes
Doctor :   you mean you also have swelling in the groin ?
User :   Im sorry...i understand groin and testis as the same
Doctor :   No groin region is just above the hip region ?

Doctor :  
Ok
User :   no
User :   i have no swelling on or above my hip region
Doctor :  
Ok
Doctor :  
as per your history
Doctor :   these are the following diagnosis
Doctor :  
1. epididymitis-orchitis.
Doctor :   which suggest there is inflammation of the testis and collection of fluid.
Doctor :  
2. Hydrocele testis
Doctor :  
this condition is accumulation of fluids in the layers of testis, due to some defect in the testis ?
User :   ok
Doctor :   3. or it can be Varicocele

Doctor :   do you have any prominent veins over the testis
Doctor :  
does the swelling increases on standing or coughing
User :   no...just that when i press them, the worm like thing is what i feel
Doctor :   Ok
User :   no, not while standing or coughing
Doctor :  
do you have any problem in erection
User :   problems like?
Doctor :   improper erection of penis ?
User :   no
Doctor :   or ejaculation of sperms ?
Doctor :   Ok
User :   no
Doctor :   so the testicular function is not affected.
Doctor :   so the diagnosis is more towards Hydrocele

User :   what do u mean by Varicocele?
Doctor :  
or epididymitis-orchitis
Doctor :   Varicocele is enlarged and tortuous veins
Doctor :   due to stagnation or collection of blood in the testicular veins
User :   ok
Doctor :  
I will suggest you the following investigation
Doctor :  
so that the diagnosis can be confirmed and treatment can be planned according to it
Doctor :  
is that fine ?
User :   please
Doctor :  
Complete blood count
Doctor :  
Urine routine
Doctor :  
Doppler scan or ultrasound scan of the testis
Doctor :  
these 3 investigations will help us the diagnosis
Doctor :   If its just epididymitis-orchitis a course of good antibiotics will clear your problem
Doctor :  
and also you need a examination of the testis by a surgeon.
User :   can i ask u a few questions
Doctor :   Please proceed swar
Doctor :  
I am here to help you
User :   firstly...is this a very serious concern?
Doctor :  
Not to worry, be relaxed
Doctor :  
If epididymitis-orchitis just antibiotics is sufficient
Doctor :  
if its hyrdrocele
Doctor :   Most of them clear with out need for surgery
Doctor :  
if not cleared on its own, then surgery is required
Doctor :  
When small and asymptomatic, hydroceles and varicocele then surgery is not required
Doctor :  
if the size is more and patient is symptomatic then surgical excision is required
Doctor :  
Excellent results are possible with either surgical excision
Doctor :   Are you there ?
User :   yes
User :   please go ahead
Doctor :  
so not to worry be relaxed
Doctor :  
Only the testicular scan or Doppler will guide us for treatment
Doctor :   some time using a syringe the excess water can also be aspirated
Doctor :   I will give you few medical tips to reduce the swelling and pain
Doctor :  
1. Tab Hifenac-D 2 times a day after food, for 3 days
Doctor :  
2. Exclusive fresh fruit diet for seven to ten days
Doctor :   fresh juicy fruits such as apples, pears, grapes, grapefruit, oranges, pineapple, peaches, melon or any other juicy fruit
Doctor :   Do you have constipation problem ?
User :   no...sometimes yes
Doctor :  
or hard stools
User :   but very rare
Doctor :  
Ok
Doctor :  
you need to avoid constipation ?
Doctor :  
by consuming plenty of water
Doctor :  
at least 4-5 lts per day
User :   thats a problem i have
Doctor :  
and taking fiber rich foods
User :   i only drink 1/2 litre a day
Doctor :  
Like green leafy vegetables
Doctor :  
and fresh fruit juices
Doctor :  
Treatment through water is extremely beneficial
Doctor :   Cold hip baths twice daily in the morning and the evening, for 10 minutes each time, are specially valuable.
User :   but after tablets is it necessary to meet a surgeon?
Doctor :   i will also give few more tips
Doctor :  
if the swelling subsides with these measures
Doctor :   then you can relax a bit
Doctor :  
but ideal is to meet a surgeon and plan for the permanent solution
User :   are u from blore?
Doctor :  
Need to wear inner wear thats is slightly tight
Doctor :  
so it will give the scrotal support or testicular support
Doctor :  
Yes
Doctor :  
Yes i am from Banglore
Doctor :  
where are your from ?
User :   my innerwear is quite tight
User :   but very uncomfortable
Doctor :  
not too tight
Doctor :  
nor too loose
Doctor :  
some amount of air circulation need to be there ?
Doctor :  
but a tight one is ideal so that it will give the support and fix the testis to one place
User :   fresh fruit diet u mean to live on fruits for a week to 10 days
User :   ?
Doctor :  
if the jocks are too loose then the testicular movements will cause pain
Doctor :  
Not like that
Doctor :  
need to consume more fruits
User :   ok
Doctor :  
along with normal diet
User :   the tablets u said is morn,afternoon or night
User :   ?
Doctor :  
Not to lift any weights
Doctor :  
tablets is for morning and in nite, for 3 days
Doctor :  
after food
User :   ok
User :   can i start that from today?
Doctor :  
yes you can start that from today
Doctor :  
but the tests that i have mentioned
User :   is this common?
Doctor :   to be done
Doctor :  
yes this condition is common
Doctor :  
not to worry
Doctor :  
Most of the young adults get it frequently
Doctor :  
you are safe as the sexual health is not affected
Doctor :  
i also advise you not to masturbate on regular basis
Doctor :   once in a week or twice is ok
User :   ok]
Doctor :   after the testicular swelling is reduced then you can masturbate
Doctor :  
Is that fine ?
User :   ok
Doctor :  
Now be relaxed
Doctor :  
not to worry
Doctor :  
this problem can be solved
Doctor :   Please fill the feed back form and comment box
Doctor :   Wish you a good health

User :   can i consult u if required?
Doctor :  
Yes i am Dr XXXXXXXX here
Doctor :  
you can come to chat
User :   or can u suggest someone for my tests?
Doctor :  
and discuss your queries
Doctor :  
yes i will do that
Doctor :  
but it better to get a examination by surgeon and then go for the tests
User :   ok...and can u recommend someone?
User :   for the examination
Doctor :   where do you stay
User
Doctor :   Where in bangalore ?
User :  
User :  
Doctor :  
Doctor :  
either you can go to
Doctor :  
both are good
User :   but arnt there any individual clinics or diagnostic centers
User :   ?
Doctor :  
Yes individual clinics are there
Doctor :  
but the surgeon who perform the test should also be good
Doctor :  
and most of the surgeon will not have individual clinics
User :   so would u be able to recommend someone pls
Doctor :   I will send you a mail regarding the doctors name and timings in bothand
User :   do i have to ask for a urologist?
Doctor :   these are the best doctors
Doctor :  
no need of urologist
Doctor :  
Surgeon is a the doctor who handles these cases
Doctor :  
Ok
Doctor :  
i my mail Id i will give the doctors detail and timing
Doctor :  
is that fine
Doctor :  
Thanks for consulting healthcaremagic, take care bye for now.
User :   thanks
Doctor :   Ok take care bye for now
Doctor :  
E mail id please
User :   YYYY@YYYY
Doctor :  
ok
Doctor :  
thanks take care bye for now
User :   Thanks
User :   bye
User :   take care
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