Suggest Treatment For A Swollen And Painful Testicle
A few days ago my left testicle was swollen and causing me pain. Today I noticed my semen has a brown color.
What might this be?
Brown Semen / Under Evaluation
Detailed Answer:
Brief Ans-Brown Semen / Under Evaluation
Hi,Dear !! Thanks for your query to HCM.
Read and reviewed your query,but would need more details from you.
Primary Impression-
Based on the given facts,for your age-You seem to suffer from-Orchitis with ? epididymitis.There are many causes which need to be ruled out,after getting more details as asked below.
Possibility of UTI with or without STD contacts need to be ruled out.
More details please-as follows-
How did the testes swelling start and progress?
Was it with chills and fever?
Was it with frequency and burning urine?
When did you have testes swelling?
Was any treatment taken for that swelling?
Are you having sex contacts ? how frequently prior to testes swelling?
How much fluids you take daily?
And other details related to your progress in last few days?
What made the semen to be discharged,or was it a morning dew -with a brown semen observation?
Whether sexual acts in last few days after testes swelling in recovery phase?
Dear,I would await your earlier reports on medical illnesses you had in the past , if any.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
How did the testes swelling start and progress?
Was it with chills and fever? No chills or fever
Was it with frequency and burning urine? no burning or painful urination
When did you have testes swelling? started 3 days ago
Was any treatment taken for that swelling?
No
Are you having sex contacts ?
Yes
how frequently prior to testes swelling?
A few times a week with different people
How much fluids you take daily? not enough for sure
And other details related to your progress in last few days? Urine is yellow and normal looking
What made the semen to be discharged,or was it a morning dew -with a brown semen observation?
Masturbation showed brown semen last night but normal this morning. Now later in the day I am beginning to have small involuntary excretions of brown/green
Whether sexual acts in last few days after testes swelling in recovery phase? Left testes still swollen
Dear,I would await your earlier reports on medical illnesses you had in the past , if any.
I am sexually active (unprotected with multiple partners) and am thinking this is the beginning stages of Ghonnerhea which I have had before, but have never had a swolen testicle.
Would like to remain anonymous and keep this off my insurance if it is STD related.
Wondering if I should:
1) Go to an anonymous STD testing center and run the panel then go to a Doc for scripts, or
2) Go straight to a Doc in a box and let them run the panel and go from there
If I don't have an STD I will go to my regular Doc and let insurance cover it is why I am considering #1
Brown Semen / Under Evaluation
Detailed Answer:
Read and reviewed your query,and feel concerned about your health issues.
Primary Impression-
Based on the given facts,for your age-You seem to suffer from-Orchitis with ? epididymitis. It could be accompanied with prostatitis ,which needs to be ruled out to prevent future lingering STD.
PCR tests on semen and prostatic massage fluid need to be done to confirm Gonorrhea/ or Chlamydial infections.
Dear,in view of the unprotected sex with multiple partners, exposes you to very high risk of STD in your case.
It seems that you seem to have contracted STD through last weeks sexual contact.
Do's Suggested -
Consult with Urologist and test for Prosatitis accompanied with Testicular swelling for last 3 day.
You would need to take Antibiotics x 1-2 weeks(in view of multiple unknown partners)with script from Urologist-ONLY after giving blood and semen for testing STD by LCR tests.
Anti-inflammatory and painkillers to take care of pain and testicular swelling.
Multivitamins/ plenty of fluids/ Good balanced diet would help fast recovery.
Dear be XXXXXXX and fearless, and get it investigated with STD centre and consult Urologist, to avoid future chronic prostatitis, which is bad outcome, which needs to be prevented in your case.
Next Appointment-
Any time for emergency and or/ after 2 weeks by direct update query to ME,for reviewing further plan of treatment, to avoid chronic prostatitis -which is very bad complication feared in such cases.
Welcome for any further query in this regard.
Hope this would help you to plan further of this complex illness of yours.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS