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What Causes Intermittent Testicular Torsion And Change In Orientation Of Testis?

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Posted on Thu, 3 Dec 2015
Question: hi my name is XXXXXXX i want to ask a question about my scrotum,it's been moving slowy up and down almost 1 month,i don't know why this happen,my scrotum move anytime at anyplace..i can feel when it's moving..i felt very weird when i saw it moving..just worried if it be sign of something..
doctor
Answered by Dr. Vivek Chail (1 hour later)
Brief Answer:
Usually not a problem but requires proper evaluation

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. The scrotum is an important part in males and contains the testis and epididymis from which arises the spermatic duct. It also has arteries and veins which supply blood to the testis.

2. The testis is held in position in most people. A testis might change its orientation and this is not a problem if you do not have any pain. In this situation, the scrotum gets normally pulled upwards by a reflex mechanism when the inner thigh is touched and this is the cremasteric reflex.

3. In most people there is nothing to worry. It is important to know that some people might have a tendency to testicular torsion following change in orientation from vertical to horizontal.

4. If in doubt about the movement in your scrotum, please consult the urologist and get yourself clinically examined. If required, an ultrasound scan of the scrotum might be recommended.

5. Other conditions which might cause a sensation of movement in scrotum includes fluid collection and dilated veins. However if there is no change in size of scrotum then fluid collection is less likely.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vivek Chail (29 minutes later)
ok i have read your observation doc,my scrotum size was not changing,only the movement..sometime it also come with muscle twitching,maybe it have someting related?or my anxiety?can u please brief me more doc..
doctor
Answered by Dr. Vivek Chail (3 hours later)
Brief Answer:
Anxiety and muscle contraction can cause symptoms which you are having

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

1. If there is twitching then it is likely to be a reflex contraction of muscles. It is unlikely to be a scrotum abnormality. Anxiety can cause many symptoms including what you are having. Please try to be stress free and do mental relaxation.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (5 hours later)
is there any meds or supplement for muscle relaxant?my gp said my calcium low maybe the one to do with this,but after i take calcium mgnesium supplement,my stomach is very upset and acidic for hour..what can i take to overcome this situation?
doctor
Answered by Dr. Vivek Chail (4 hours later)
Brief Answer:
Get muscle relaxants from pharmacy

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

1. Muscle relaxants are available over the counter. Some of the effective ones are Dantrium, Myobloc, XXXXXXX They work by restoring calcium in the muscles.

2. If you are unable to have calcium supplements then have high calcium foods like green vegetables, low fat milk and yoghurt, cheese, salmon fish, green beans and many others.

3. Take small foods regularly instead of large meals to avoid acidity.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (1 hour later)
ok thank u very much for your time and advice doc..
doctor
Answered by Dr. Vivek Chail (1 hour later)
Brief Answer:
Thanks for sending in your query

Detailed Answer:
Hi XXXX,
Welcome and thanks for sending in your query.

Wishing you good health

Regards,
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6874 Questions

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What Causes Intermittent Testicular Torsion And Change In Orientation Of Testis?

Brief Answer: Usually not a problem but requires proper evaluation Detailed Answer: Hi XXXX, Thanks for writing in to us. I have read through your query in detail. Please find my observations below. 1. The scrotum is an important part in males and contains the testis and epididymis from which arises the spermatic duct. It also has arteries and veins which supply blood to the testis. 2. The testis is held in position in most people. A testis might change its orientation and this is not a problem if you do not have any pain. In this situation, the scrotum gets normally pulled upwards by a reflex mechanism when the inner thigh is touched and this is the cremasteric reflex. 3. In most people there is nothing to worry. It is important to know that some people might have a tendency to testicular torsion following change in orientation from vertical to horizontal. 4. If in doubt about the movement in your scrotum, please consult the urologist and get yourself clinically examined. If required, an ultrasound scan of the scrotum might be recommended. 5. Other conditions which might cause a sensation of movement in scrotum includes fluid collection and dilated veins. However if there is no change in size of scrotum then fluid collection is less likely. Hope your query is answered. Please do write back if you have any doubts. Regards,