What causes painful urination, muscle pain in lower abdomen and testicles post intercourse?
kindly help me find my illness.
Clinical examination and investigations as suggested
Thanks for your query and an elucidate history.
To recapitulate: Male/26 - very active on unprotected sex - burning while urinating 5 days - testicular muscle pull - muscle pain in lower abdomen - both sides - like someone hits testicles -
The Urine reports looks fine and the pain which you explained looks to be muscular.
The muscle of the abdomen might have gone into spasm, soreness or sprain due to excessive sexual activity. The muscle suspending the testicles, called cremaster muscles is an extension of these lower part of the abdominal muscles, hence gone into spasm and causing the partial testicular rotation causing severe pain.
Another reason can be epididymo-orchitis.
This can be confirmed by the following:
Clinical evaluation and examination.
Ultrasonography and color doppler examination of the scrotum and the abdomen. This helps a lot to have a proper diagnosis. Get this done ASAP.
Till then take bed-rest.
Apply warm compresses over the lower abdominal muscles.
Take an anti-inflammatory medication like Ibuprofen to ease the swelling, inflammation and thus the pain.
Scrotal support if the testicles are hanging.
Plenty of oral fluids to keep urine tract flushed.
Antibiotic cover as per the reports of culture and sensitivity if it comes positive.
I hope this answer helps you, please feel free to give feedback, ask further relevant queries if you feel that there is a gap of communication.
Reports and feedback awaited
Thanks for your feedback.
Pain in abdomen on pressing testicles can be a referred pain.
Seeing Urologist is always the best option.
Waiting for your reports.
The burning urination could have been due to excessive rub on urethra or actual infection. This is called urethritis. Will settle with time.
Please take Ibuprofen three times a day after food.
Sure, I shall be happy to assist you further.
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