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What Causes Ammonia Smell Coming From Testicles?

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Posted on Wed, 25 Feb 2015
Question: Hello,

I am seeking further information about an issue my husband feels embarrassed to discuss with his doctor.
He is 31, 183cm high, weighs 102kg (large body frame) and non smoker. He works as a builder so on his feet and active. Over the past few years, an incredibly intense / offending ammonia smell is coming from his testicles, even straight after a shower. Changes in diet have not improved this.
He was a binge drinker for many years from the ages 18 to 27 and was diagnosed with a severe fatty liver and insulin resistance at the age 24 with improvements in his late 20's.
Are there any further tests he could do to seek the root of the problem and take the steps to fix this?
doctor
Answered by Dr. Shehzad Topiwala (11 minutes later)
Brief Answer:
Fungal infection

Detailed Answer:
It is possible he has a fungal infection in the area. The medical term for this is tenia cruris.
It can be a stubborn infection to deal with at times.
Occupationally he may be sweating due to the neature of his work. If that is the case, this infection may reoccur despite couple treatment courses.

However, first one needs to confirm the diagnosis. This typically entails examination by a dermatologist and skin scrapings are taken for laboratory testing.

When I see someone like your husband, I also order blood tests such as
CBC
Liver function tests
Kidney function tests
TSH
A1c
Electrolytes
Calcium
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Causes Ammonia Smell Coming From Testicles?

Brief Answer: Fungal infection Detailed Answer: It is possible he has a fungal infection in the area. The medical term for this is tenia cruris. It can be a stubborn infection to deal with at times. Occupationally he may be sweating due to the neature of his work. If that is the case, this infection may reoccur despite couple treatment courses. However, first one needs to confirm the diagnosis. This typically entails examination by a dermatologist and skin scrapings are taken for laboratory testing. When I see someone like your husband, I also order blood tests such as CBC Liver function tests Kidney function tests TSH A1c Electrolytes Calcium