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Suggest Treatment For Pain In The Testicles
Question: I am a 40 year old male. For approx. 1 month I have has testicular pain running back and forth from one testicle to the other, mainly the right testicle. Generally it is more painful when I sit down. I have been in the ER 4 times. I had a cat scan and it showed no infection, tumors, twisted testicle etc. I have regardless, been put on several rounds of antibiotics and pain killers. What seems to work the best is tylenol. I am on medications for OCD and Aspergers= clonazepam and prozac plus diciclomene for irritable bowel. The last round in the ER the doctor seemed to feel that this is more of a nerve problem,...sciatica a possibility. I do not have a bladder infection. I am slender, but do not get much exercise. The nerve problem makes the most sense to me. Your thoughts? XXXXXXX
Brief Answer:
Physical Examination by Urologist / color dopper
Detailed Answer:
Hi.
Have a good day.
Thanks for your query and an elucidate history.
I can get the following points from your history related to the testicular pains as described by you.
You have already been seen in ER, CT done, blood and urine tests and taken rounds of antibiotics and painkillers, best help is by Tylenol- OCD and Aspergers under medications. - most suspected is a nerve problem.
I do agree with your and your Doctors' views.
Since your investigations are normal, I would advise you the following::
It seems you have to take an opinion of a Urologist, who can examine you physically / clinically. This physical examination can give some diagnosis that no other tests can easily give for example varicocele or so; local nerve entrapment, creamaster muscle dysfunction or so. All these differential diagnosis can be ruled out; and your Urologist may advise you to have altered dosages of the medications you are taking.
Ultrasonography and color doppler examination.
MRI of the spine if advised by your Urologist.
Till then I would advise::
Scrotal support to lift the scrotum.
No straining like if you have constipation or coughing problem, get treated.
Smoking relieving the pain indicated towards Varicocele.
I hope this answer helps you to get a proper line of investigations and diagnosis and hence the treatment.
Awaiting for your feedback.
Physical Examination by Urologist / color dopper
Detailed Answer:
Hi.
Have a good day.
Thanks for your query and an elucidate history.
I can get the following points from your history related to the testicular pains as described by you.
You have already been seen in ER, CT done, blood and urine tests and taken rounds of antibiotics and painkillers, best help is by Tylenol- OCD and Aspergers under medications. - most suspected is a nerve problem.
I do agree with your and your Doctors' views.
Since your investigations are normal, I would advise you the following::
It seems you have to take an opinion of a Urologist, who can examine you physically / clinically. This physical examination can give some diagnosis that no other tests can easily give for example varicocele or so; local nerve entrapment, creamaster muscle dysfunction or so. All these differential diagnosis can be ruled out; and your Urologist may advise you to have altered dosages of the medications you are taking.
Ultrasonography and color doppler examination.
MRI of the spine if advised by your Urologist.
Till then I would advise::
Scrotal support to lift the scrotum.
No straining like if you have constipation or coughing problem, get treated.
Smoking relieving the pain indicated towards Varicocele.
I hope this answer helps you to get a proper line of investigations and diagnosis and hence the treatment.
Awaiting for your feedback.
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Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Answered by
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