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swelling in the testicles and hormonal imbalance - 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 : 37 Questions

Doctor :   hi
Doctor :  
how can i help you
User :   I am a 26 year old male i was diagnosed with a bacterial infection. I also have epididimitus and and hydrocell in my testicle. I went back to the doctor and had a urine test and they said the urine was clear. I still have swelling of the testicl and its tender and pain in right testicle. Also can all this cause a hormone imbalance?
User :   The doctor says the swelling will go down but its still hurting
User :   and theres heavyness in the testicle
User :   should i get second opinion from different doctor
Doctor :  
The sweeling is due to hydrocele
User :   why do i still have pain and tenderness in my right testicle. my doctor said the hydrocell wont cause pain or anything
Doctor :  
the hydrocele is treated by surgery
User :   the urologist said i didnt need surgery
User :   i went like 2 weeks agi
User :   agi
User :   ago
Doctor :   you need to check with a General Surgeon
Doctor :  
to know whether it is a hydrocele or hernia

Doctor :   hi
Doctor :  
how can i help you
Doctor :  
are you back
User :   i had a sonogram and they said it was a gydrocell not hernia
User :   hydrocell
Doctor :   ok

User :   even if the bacterial infection cleared up can i have epidiamitus
User :   still
Doctor :   Epididymitis is inflamamtion of the epididymis

User :   my body dont feel the same sinceits happended its been 2 months just about
User :   could i have a hormone imbalance form the bacterial infection?
User :   from
Doctor :   the bacterial infection donot cause hormonal imbalance
User :   i talked to a pharmasist and he said it could
User :   so thats why i asjed
User :   asked
Doctor :   no
Doctor :  
pharmacist will not know all this
Doctor :  
Epididymitis is mainly due to bacterial infection and you need to take antibiotics to get it cleared
User :   could i have chronic epididmitus
User :   i took cipro for 5 weeks
Doctor :   if the acute is not treated you can get chronic
Doctor :  
do you still have pain in your testicle
User :   yep
Doctor :   ok

Doctor :   is the testicle red and painful on touching
User :   just painful not red anymore and tenderness
Doctor :   ok

Doctor :  
did you completed the course of antibiotics fully
Doctor :  
just give the following details like age, marital status
User :   i have 5 weeks of cipro and 10 days of doxycycline but had to go off that because i had vomiting and flu symptoms. im 26 and single
Doctor :  
you did not complete the full course of antibiotics
User :   doctor told me to go off doxycyline and to go back on cipro but i had to go to the dentist and she put me on cleocyline had 2 bad teeth
Doctor :   are you there

User :   ya
Doctor :  
you should have completed the course of antibiotics
Doctor :  
you should never take the antibiotics irregualry
User :   i did the cipro but doctor told me to stop doxycyline
Doctor :   ok
Doctor :  
did you see the doctor for the persisting pain
User :   yea he said the rest of swelling would go down but told me i didnt need another urine test
Doctor :   ok

Doctor :  
so there is no need for you to worry
User :   i had 2 bad teeth i let go for awhile and dentist gave me clindamycin
User :   ya but i dont feel right
User :   havent for 2 months
Doctor :   ok
User :   what should i do
Doctor :  
what are you feeling?
User :   my bodys been off balance night sweats testicle pain i havent been myself its been weird hard to explain but thats what i been feeling
User :   cant rest
Doctor :  
ok
User :   can a bacterial infection also cause low testosterone levels
Doctor :   bacterial infection will not lower the testosterone levels
User :   should i get second opinion from urologist
Doctor :  
but chronic epidydimitis can causes hypogonadism that is decreased production of male hormones
User :   what is that
Doctor :   due to long lasting inflamamtion it can affect the production of male hormones
Doctor :  
this happens if the infection is long lasting or if the infection is not treated
User :   my nipple area are sore and tender can that be a sign to
Doctor :   no

User :   how can i get tested for this
Doctor :   any way if you are in doubt it is better to get a hormonal tests done
User :   who can i go to to get this done family doctor dont want to do it
Doctor :  
you need to see a General surgeon for this
Doctor :  
he will be the correct person to deal with this
User :   why a surgeon for that
Doctor :   General surgeon is the one who treats Epydydimitis

User :   and how can i find general surgeon
Doctor :  
Where are you located
User :   pittsburgh pa
Doctor :  
ok
Doctor :  
You can go to any hospital and ask for the General surgeon M.S
User :   how can they treat the male hormones?
User :   and would it cause permement damage if bad
Doctor :   let may be clear to you
Doctor :  
if the acute epidydimtis is not treated it can lead to chronic epidydimits
Doctor :  
and also the epidydimtis can recur frequently
Doctor :   so it would have happened that the infection has recurred
Doctor :  
so it is better you get it exaamined
Doctor :  
by a General surgeon
User :   i know that but the male hormones you mentioned how do thet treat that also my doctor said my bacterial infections cleared up i can still have epididmitus what kind of test do they do to find out still urine test?
Doctor :  
urine test will tell you
Doctor :   and testicular scan will tell you the real problem

User :   i still have a fever
Doctor :   ok

User :   its low at 99
Doctor :  
since when you have fever?
User :   ever since it started
User :   ranged from 99 to 103
Doctor :   ok
User :   103 in beginning
Doctor :   ok

Doctor :  
are you being sexually active
User :   so i go to general surgion to get hormones tested to. nope not sexually active but have a gf of 3 years
Doctor :   ok

Doctor :   General surgeon is the correct person to treat this
User :   well i dont have medical insurance
User :   i applied for med and fedaid
Doctor :  
ok
User :   what about my teeth could this make the epididmitus worse
Doctor :  
no
Doctor :  
it is not of a problem
User :   so just go to emergency room for my issue
Doctor :  
yes
Doctor :  
you may say you have pain in the testicle
Doctor :  
so that they will check you
User :   last time i went they refered me to eurologist
Doctor :   did you had any discharge whie passing urine at that time
User :   nope
Doctor :   who referred you to a urologist

User :   the emergency room doctor
Doctor :  
it is not been dealt by a urologist
Doctor :  
usually the general surgeon will tackle these issues
User :   all the eurologist told me was it was the hydrocell and it would go down didnt even give me anything for pain
Doctor :  
you also need to take some pain killers
Doctor :  
like Tylenol 3 times a day
Doctor :  
it also helps to decrease the inflamamtion
User :   my family doctor gave me vicodin before but eurologist didnt but ran out no refills only thing sthat helped tylenol or anything didnt
Doctor :   ok

Doctor :  
and also check for the hydrocele
Doctor :  
it is usually painless
Doctor :  
but some times if it is very big it may cause pain
User :   i was at the doctor friday and the doctor said there was swelling but would go down and im cleared up
Doctor :  
ok
Doctor :  
that is fine
User :   people give me different opinions confusing
User :   i went to 2 doctors eurologist and hospital
Doctor :   Do not get confused
User :   my doctor also diagnosed me with general anxiety disorder since i been since and worried
Doctor :  
ok
Doctor :  
are you taking any treatment for this
User :   nope
User :   got diagnosed friday
Doctor :  
Just get realxed
Doctor :  
donot get worried for small issues
Doctor :   you take painkilllers
User :   well this is my health its just scarey
Doctor :  
and see a General surgeon
User :   im out of vicodins so not now
Doctor :  
ok
Doctor :  
put some ice packs on the area
User :   i have
Doctor :  
take some warm baths twice a day for relief of pain
User :   well the warm baths make it worse tryed
Doctor :  
ok
Doctor :  
are you using any scrotal support
User :   yeah
User :   helps some
Doctor :  
ok
Doctor :  
continue that
Doctor :  
take bed rest
User :   how did i get this bacterial infection if it aint my teeth
User :   or if im not sexually active
Doctor :  
infection is usually spread from the urethra
User :   will they give me medicines also if i have the male hormone deficincy to treat it
Doctor :   yes
User :   is it medicines or injections
User :   and how long would it take to correct
Doctor :   it is medicines

Doctor :  
but is a very rare to occur
User :   but its still a possability if im feeling different
Doctor :  
so no need to worry
User :   so to be on the safe side just get tested?
Doctor :  
yes
User :   will this effect me from having kids one day
Doctor :   very rarely it causes infertility
User :   but if i go to emergency room they will just refer me back to eurologist maybe
User :   thats what they did before
Doctor :   you can request them for the general surgeon

User :   so just go in and say i need to see a general surgeon
Doctor :   that will be better
User :   would a general surgeon bill me for this or pay up front
Doctor :   i really unaware how the health system works there

Doctor :  
we are located in India
Doctor :   Is there any thing else I can help you with?

Doctor :   Please fill the feedback form say done when done.

Please fill the feedback form say done when done.


Doctor :   Have you filled the feedback form? Have you filled the feedback form?
User :   if i get this corrected by general surgion how long will the recovery take. yeah i left feedback
User :   few weeks?
Doctor :   it will take 2-3 weeks
User :   should i get this done right away orr see how i feel in a few days
Doctor :  
it is better to see now itself
Doctor :  
and also take some pain killers
User :   well i have none
User :   the tyelenol does very little for me
Doctor :   you can take Ibuprofen
User :   yeah tryed that didnt help much either
User :   tryed all them
Doctor :   ok
Doctor :  
so better get it tested again
Doctor :  
you may need
User :   urine test?
Doctor :   anothere course of antibiotics and get a urine test with culture and sensitivity
User :   what do ya mean culture and sensativity
Doctor :   culture and sensitivity is done to know which bacteria is grown and which antibiotic is sensitive to kill that bacteria
User :   do i have to get surgery for this to get rid of the epididmitus
User :   if its chronic
Doctor :  
if the medical treatment is not helping
Doctor :  
then surgery is advised
User :   would they take out the hydrocell to
Doctor :   if it is bothering you
Doctor :  
then it may also be taken out
User :   if left untreated all this would i keep getting sicker
Doctor :   yes

User :   this male hormone loss can this have bad effects on your body if i have it
User :   if i go to a GP can they also test this?
Doctor :  
may be
User :   but what effects can this have on my body and do they test this by blood or pee
Doctor :  
they test in blood
User :   are there any effects on my body if this is the case?
Doctor :   let us first confirm by the tests

Doctor :  
later we can think about it
User :   well i ment what kind of effects could it have this
User :   ok
Doctor :  
you mean if the hormones are less
User :   yeah
User :   if i have the male hormone deficiency you said
Doctor :  
ok
Doctor :  
you will have
Doctor :  
A lack of energy
Doctor :   Depression, irritability, fatigue, loss of sex drive, loss of muscle strength
User :   yeah i been experienceing alot of that
Doctor :  
fine
Doctor :   ok

User :   sorry to take up your time just concerned with all this
Doctor :  
get the hormones checked to be assured
User :   so once corrected i will go back to feeling my old self before this all hapopended
User :   i just worry about perment damage
Doctor :  
yes
User :   also i had vitaligo since i was 18 is there any good treatments for that
User :   its not to bad
Doctor :   ok

Doctor :  
the recent treatment is PUVA treatment
User :   well thank you for your time appriciate this
Doctor :   thanks ro suing our website

Doctor :  
if you have any other doubts you can chat with us any time
Doctor :   Is there any thing else I can help you with?

Doctor :   Please fill the feedback form say done when done.


Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   just one more thing for my anxity and depression
User :   are these prescription drugs safe
User :   to take
User :   i worry about that
User :   or would an herbal be better
Doctor :   ya
Doctor :  
prescription drug is better
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries.
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