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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Testicular Pain

MY SON HAS BEEN HAVING NAGING PAIN IN HIS LEFT TESTICAL WHICH MOVED TO HIS ABDOMEN JUST BELOW HIS BELT ON THE LEFT SIDE. YESTERDAY HE HAD A SUDDEN ONSET OF DIARRHA AT SCHOOL AND WHEN CLEANING NOTICED BRIGHT RED BLOOD ON THE PAPER. HE WENT TO THE URGENT CARE AND BLOOD TEST REVEALED RBC ABOVE HIGH NORMAL, MCV BELOW NORMAL, MCH BELOW NORMAL AND POSITIVE HEMOCCULT. HIS FATHER HAS A HISTORY OF COLON CANCER DIAGNOSED WHEN HE WAS 39 YEARS OF AGE, WHICH HE IS NOW 55. HIS FATHER HAD SURGERY TO REMOVE 12 OF HIS COLON. MY SON IS 19 YEARS OF AGE 6 2 AND WEIGHS 208 LB. NO RECENT TRAUMA. CAN YOU PLEASE ADVISE ME OF YOUR THOUGHTS REGARDING THIS MATTER. THANK YOU CLOYE
Thu, 28 Jan 2016
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  User's Response
Hi,
Pain in testicles may be due to pathology in testis itself and the pain may be referred from other organs to the testicles. Infection in the large intestines or colon may also give rise to dragging pain in the testis. It is therefore necessary to rule out:
1. Any swelling, infection, cyst in the testis by performing an ultrasound examination of scrotum.
2. Treat the colitis which is associated with episodes of diarrhoea and if the pain is relieved, it may be due to the colitis.
3. See if he has any urinary issue, in such cases pain in the testicles may be present.
4. Since, there is family history of malignancy of colon, it would be better to perform colonoscopy for any polyp, familial polyposis coli etc. Such conditions in the initial stages are harmless but in later life may be life threatening.
Hope for a better diagnosis and management.
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Suggest Treatment For Testicular Pain

Hi, Pain in testicles may be due to pathology in testis itself and the pain may be referred from other organs to the testicles. Infection in the large intestines or colon may also give rise to dragging pain in the testis. It is therefore necessary to rule out: 1. Any swelling, infection, cyst in the testis by performing an ultrasound examination of scrotum. 2. Treat the colitis which is associated with episodes of diarrhoea and if the pain is relieved, it may be due to the colitis. 3. See if he has any urinary issue, in such cases pain in the testicles may be present. 4. Since, there is family history of malignancy of colon, it would be better to perform colonoscopy for any polyp, familial polyposis coli etc. Such conditions in the initial stages are harmless but in later life may be life threatening. Hope for a better diagnosis and management.