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Hi, I have pain in my testicles and lower abdomen.

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Posted on Wed, 27 Feb 2019
Question: Hi, I have pain in my testicles and lower abdomen. I can’t feel any lumps on my testicles.
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Answered by Dr. Michelle Gibson James (2 hours later)
Brief Answer:
different possible causes

Detailed Answer:
HI, thanks for using healthcare magic

There are different possible causes of testicular pain and treatment would vary depending on the likely cause.

If the pain is severe or worsening, then you would need to be assessed despite the fact that no lumps are felt. Severe pain can sometimes be due to torsion of the testes and this is a medical emergency where the person needs to be assessed as soon as possible. In this condition there is usually swelling of the testes and one appears elevated compared to the other.
Because of the severity of the pain, persons may have nausea and vomiting.

Some of the other common causes are:(1) infection- this can occur in different structures- there can be infection of the testes (orchitis), epididymis (epididymitis). Infection of the prostate (prostatitis) can also sometimes be associated with pain

Infection would require the use of antibiotics. Imaging is sometimes necessary , swelling can occur in these types of infections.

(2)trauma

(3)nerve damage (neuropathy)- this can cause pain. Neuropathy can occur in different conditions such as diabetes, vitamin b12 or folate deficiency, liver or kidney disease, trauma, thyroid disease

(4)You indicated that there was no mass, this makes hydrocele or rare causes such as cancer, unlikely

Imaging by ultrasound, would be the best initial test if the pain continues or worsens because it can identify any structural changes to the testes and related areas.
Urine analysis may also be required since it would provide information re possible infection.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16811 Questions

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Hi, I have pain in my testicles and lower abdomen.

Brief Answer: different possible causes Detailed Answer: HI, thanks for using healthcare magic There are different possible causes of testicular pain and treatment would vary depending on the likely cause. If the pain is severe or worsening, then you would need to be assessed despite the fact that no lumps are felt. Severe pain can sometimes be due to torsion of the testes and this is a medical emergency where the person needs to be assessed as soon as possible. In this condition there is usually swelling of the testes and one appears elevated compared to the other. Because of the severity of the pain, persons may have nausea and vomiting. Some of the other common causes are:(1) infection- this can occur in different structures- there can be infection of the testes (orchitis), epididymis (epididymitis). Infection of the prostate (prostatitis) can also sometimes be associated with pain Infection would require the use of antibiotics. Imaging is sometimes necessary , swelling can occur in these types of infections. (2)trauma (3)nerve damage (neuropathy)- this can cause pain. Neuropathy can occur in different conditions such as diabetes, vitamin b12 or folate deficiency, liver or kidney disease, trauma, thyroid disease (4)You indicated that there was no mass, this makes hydrocele or rare causes such as cancer, unlikely Imaging by ultrasound, would be the best initial test if the pain continues or worsens because it can identify any structural changes to the testes and related areas. Urine analysis may also be required since it would provide information re possible infection. I hope this helps, feel free to ask any other questions