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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for heaviness in the testicles while on treatment for CHF

Answered by
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3525 Questions

Posted on Thu, 10 Sep 2015 in General Health
Question: my husband has chf and put up a gain of 25 lb of water.Now slowly its coming down with medication but his scritom and testicles are so heavy and he needs a proper bag to prevent rubbing skin to skin. He needs a good proper pouch to hold it in and covered
Answered by Dr. Panagiotis Zografakis 42 minutes later
Brief Answer:
elevation and very mild compression, treatment of CHF

Detailed Answer:

unfortunately there are no magical solutions...
When lying down you should elevate the scrotum, for gravity to assist drainage. There are scrotal support elastic fabrics that keep the scrotum in the best position and also apply a mild compression to help the fluid get drained but even an inflated (or filled with water) single use latex glove may do the job sometimes. The compression has to be pretty mild, to avoid blood flow problems.

If you have to walk, then a sling can be used to keep the scrotum in position.

More aggressive treatment of the decompensated CHF is also recommended. You should contact your cardiologist for individualization of your treatment, which would include increasing your furosemide dosage. Sometimes spironolactone helps (particularly patients with very low ejection fraction).

Another point to remember for the future, is that since you have a serious problem with fluid management, you'd better check your weight every day, in order to detect fluid accumulation as soon as possible. Early treatment means less discomfort.

I hope you find my comments helpful!
I'm sorry that I can't provide an easy and fast solution but there is none really.
You can contact me again, if you'd like any clarification or further information.

Kind Regards!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

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