Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Pain And Hardness In The Testicle?
Brief Answer:
Orchitis is the commonest cause due to UTI whether sexually active or not
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Male/21 - sexually inactive - both testicles being harder than usual - intermittent pain - no other symptoms - wants to know the causes and treatment suggestions:
With the history you have provided, the most probable causes are:
- Bilateral orchitis of mild variety not sufficient to cause discharge, fever or back pain.
I would advise him the following in such a case:
- First of all to send the urine sample for tests: routine, microscopy, culture and sensitivity before the antibiotic is started, this is the only chance to get a positive results.
- Tests of blood for CBC, Sugar, urea, creatinine and whichever though necessary on clinical evaluation.
- Another important investigations is Ultrasonography and color doppler of the scrotum and abdomen, particularly for genito-urinary system.
- Clinical evaluation, examination of abdomen and scrotum and per-rectal digital (finger) examination for palpation of prostate is very important as the information thus got can not be shown by any of the available tests.
This way the most probable diagnosis can be done to have a plan for proper treatment.
Till then:
Scrotal support.
Plenty of oral fluids to have clear urine.
I hope this answer helps, please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Orchitis is the commonest cause due to UTI whether sexually active or not
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Male/21 - sexually inactive - both testicles being harder than usual - intermittent pain - no other symptoms - wants to know the causes and treatment suggestions:
With the history you have provided, the most probable causes are:
- Bilateral orchitis of mild variety not sufficient to cause discharge, fever or back pain.
I would advise him the following in such a case:
- First of all to send the urine sample for tests: routine, microscopy, culture and sensitivity before the antibiotic is started, this is the only chance to get a positive results.
- Tests of blood for CBC, Sugar, urea, creatinine and whichever though necessary on clinical evaluation.
- Another important investigations is Ultrasonography and color doppler of the scrotum and abdomen, particularly for genito-urinary system.
- Clinical evaluation, examination of abdomen and scrotum and per-rectal digital (finger) examination for palpation of prostate is very important as the information thus got can not be shown by any of the available tests.
This way the most probable diagnosis can be done to have a plan for proper treatment.
Till then:
Scrotal support.
Plenty of oral fluids to have clear urine.
I hope this answer helps, please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
