Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Pain In Lower Abdomen And Testicles When Diagnosed With Epididymitis?
Question: Good morning Doctor,
I am a 48 year old male.
Just over 3 months ago I experienced pain in my lower abdomen & testicles after ejaculation, after a visit to my doctor I was given a course of Amoxicillin for one week. My symptoms continued to get worse, excruciating pain in me testicles, slight fever, pain in my lower abdomen & sometimes into my groin. My urination frequency has not changed and I have no burning or pain during urination.
I was then diagnosed with epididymitis and prescribed ciprofloxacin for 20 days but again my symptoms continued, however the pain in my testicles did slightly ease.
I decided at that point to see a urologist privately and he just examined my testicles and started me on a 6 week course of doxycycline for prostitis. He did not take any blood or urine samples and did not suggest any scans.
I had my full bloods checked with my own doctor 2 weeks ago and everything was normal including my PSA levels.
I have had tenderness in my testicles off & on for years but nothing like this and I also became infertile approximately 14 years ago and have a 16 year old daughter.
For approximately 1 year now I have been feeling generally unwell and quite fatigued most of the time.
I also have Esophageal Lesions which were diagnosed after a scope approx 2 years ago and after a few months of Lansoprazole & Esomeprazole 30mg the symptoms eventually settled.
Unfortunately since the beginning of the week my symptoms have flared up again, even worse than before, my diet has not changed so my doctor has changed my Doxycycline 100mg once a day to Ciprofloxacin 500mg twice a day.
I have been back on Esomeprazole 40mg since Tuesday but my GERD symptoms have not changed.
I still have pain in my testicles and lower abdomen and on top of that now have a badly inflamed Esophagus as well.
I would appreciate your thoughts on this and do you think I should get an ultrasound or possibly see another urologist?
I appreciate your feedback.
Best Regards,
XXXXXXX XXXXXXX
I am a 48 year old male.
Just over 3 months ago I experienced pain in my lower abdomen & testicles after ejaculation, after a visit to my doctor I was given a course of Amoxicillin for one week. My symptoms continued to get worse, excruciating pain in me testicles, slight fever, pain in my lower abdomen & sometimes into my groin. My urination frequency has not changed and I have no burning or pain during urination.
I was then diagnosed with epididymitis and prescribed ciprofloxacin for 20 days but again my symptoms continued, however the pain in my testicles did slightly ease.
I decided at that point to see a urologist privately and he just examined my testicles and started me on a 6 week course of doxycycline for prostitis. He did not take any blood or urine samples and did not suggest any scans.
I had my full bloods checked with my own doctor 2 weeks ago and everything was normal including my PSA levels.
I have had tenderness in my testicles off & on for years but nothing like this and I also became infertile approximately 14 years ago and have a 16 year old daughter.
For approximately 1 year now I have been feeling generally unwell and quite fatigued most of the time.
I also have Esophageal Lesions which were diagnosed after a scope approx 2 years ago and after a few months of Lansoprazole & Esomeprazole 30mg the symptoms eventually settled.
Unfortunately since the beginning of the week my symptoms have flared up again, even worse than before, my diet has not changed so my doctor has changed my Doxycycline 100mg once a day to Ciprofloxacin 500mg twice a day.
I have been back on Esomeprazole 40mg since Tuesday but my GERD symptoms have not changed.
I still have pain in my testicles and lower abdomen and on top of that now have a badly inflamed Esophagus as well.
I would appreciate your thoughts on this and do you think I should get an ultrasound or possibly see another urologist?
I appreciate your feedback.
Best Regards,
XXXXXXX XXXXXXX
Brief Answer:
GERD and chronic epididymitis, need to be treated.
Detailed Answer:
Hello XXXXXXX and welcome to HCM.
As an Urologist, i can fully understand your concern.
Your symptoms are basically of two origins :
1. Esophageal, due to GERD recurrence.
2. chronic epididymitis with testicular and lower abdominal pain.
The GERD symptoms need to be addressed by a gastro-enterologist.
You will require the medicines to be continued,till an endoscopy is done.
For the chronic testicular pain with epididymitis, you'll need to do :
1. Get an Urologist to examine you, with a rectal examination(DRE).
2 .Hb,tc,dc,esr,FBS,creatinine,LFT, and platelets.
3. urine routine and culture.
4. semen culture.
5. ultrasound-KUB.
6. scrotal,doppler ultrasound scan.
According to these reports, the Urologist can give you a proper advice, regarding further treatment.
Drink 10-12 glasses fluids daily.
You can a copy of all the above reports here,for an expert opinion.
Wish you well.
Dr.Matthew J. Mangat.
GERD and chronic epididymitis, need to be treated.
Detailed Answer:
Hello XXXXXXX and welcome to HCM.
As an Urologist, i can fully understand your concern.
Your symptoms are basically of two origins :
1. Esophageal, due to GERD recurrence.
2. chronic epididymitis with testicular and lower abdominal pain.
The GERD symptoms need to be addressed by a gastro-enterologist.
You will require the medicines to be continued,till an endoscopy is done.
For the chronic testicular pain with epididymitis, you'll need to do :
1. Get an Urologist to examine you, with a rectal examination(DRE).
2 .Hb,tc,dc,esr,FBS,creatinine,LFT, and platelets.
3. urine routine and culture.
4. semen culture.
5. ultrasound-KUB.
6. scrotal,doppler ultrasound scan.
According to these reports, the Urologist can give you a proper advice, regarding further treatment.
Drink 10-12 glasses fluids daily.
You can a copy of all the above reports here,for an expert opinion.
Wish you well.
Dr.Matthew J. Mangat.
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
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
