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What causes severe pain in right testicle?

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Posted on Wed, 20 May 2015
Question: Hi thx my right testicle is huting bad I have been to er and they said i' m ok ? please help

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Answered by Dr. Shoaib Khan (10 minutes later)
Brief Answer:
Need antibiotics, pain management medication, and STD-panel

Detailed Answer:
Hello sir and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. Let me start by listing the most likely causes for the pain, based on a clear CAT scan which you mentioned in your history:

+Fluid accumulation: Spermatoele requires drainage in some cases, and if this were the cause then the medical staff at the ER would have suggested it to you
+Inguinal hernia: Can also cause swelling and pain in the testicle
+Epididymitis: Is the inflammation of the epididymis which stores the semen, and usually occurs due to an infection

If the ER found and confirmed an infection to be the cause, then they should have also initiate immediate antibiotic coverage which you most probably will need sir. Initiating the antibiotics i.v. would have been most wise as this would have helped reduce the pain earlier, but I wonder why they medical staff at the ER did not do so.

Can you feel a swelling of the affected testicle sir?

Treatment includes the following:

+Antibiotic coverage: Amoxicillin, metronidazole, etc.
+Elaborate STD-panel to rule them out or find the exact cause for the presentation
+Pain management using NSAIDs (non-steroidal anti-inflammatory drugs)

Please do re-visit the ER as they clearly did a horrible job at resolving your case, or visit a doctor who would better know how to handle your case sir. You will undoubtedly need medical attention, and cannot go about doing anything to help yourself at home. Please also do not hesitate to write back to me for any further clarifications, I am always here to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Shoaib Khan (22 minutes later)
I have two hernias the oldest is the one with the problem at the er the results came back that the newest hernia had the infection but it is the old hernia that I'm having problems with . Answer to you question no my testicle is not swolen or enlarged it is not red I fell pain in the muscle from from testicle to to the inguanal canal I have a new doc but my appointment is until May 14th should I go to urgent care or er ? The last er visit was 11,000 dollars for the visit ???
doctor
Answered by Dr. Shoaib Khan (7 hours later)
Brief Answer:
The ER sounds like a preposterous idea right now

Detailed Answer:
Hello once again sir.

11,000 $? That is a preposterous amount, how can they charge you so much when they have hardly even done anything to help you.

I wouldn't want to send you there again, but you will need antibiotic coverage and pain management, can you get your hands on any medications? I ask because it is difficult to get medications without a prescription in your country right?

If you can, then try to get 14 tablets of amoxicillin 500 mg, 14 tablets of metronidazole, and 14-28 tablets of ibuprofen or tylenol.

The inguinal hernia is quite clearly the cause sir, and your appointment with your personal doctor some time in May would be the best way to diagnose it. I really don't want you spending that kind of money on the ER, who in my opinion are cheats and clearly incompetent. You need medication, and so please try to get the above mentioned ones.

I am always here to help, so please feel free to write to me anytime sir.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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What causes severe pain in right testicle?

Brief Answer: Need antibiotics, pain management medication, and STD-panel Detailed Answer: Hello sir and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. Let me start by listing the most likely causes for the pain, based on a clear CAT scan which you mentioned in your history: +Fluid accumulation: Spermatoele requires drainage in some cases, and if this were the cause then the medical staff at the ER would have suggested it to you +Inguinal hernia: Can also cause swelling and pain in the testicle +Epididymitis: Is the inflammation of the epididymis which stores the semen, and usually occurs due to an infection If the ER found and confirmed an infection to be the cause, then they should have also initiate immediate antibiotic coverage which you most probably will need sir. Initiating the antibiotics i.v. would have been most wise as this would have helped reduce the pain earlier, but I wonder why they medical staff at the ER did not do so. Can you feel a swelling of the affected testicle sir? Treatment includes the following: +Antibiotic coverage: Amoxicillin, metronidazole, etc. +Elaborate STD-panel to rule them out or find the exact cause for the presentation +Pain management using NSAIDs (non-steroidal anti-inflammatory drugs) Please do re-visit the ER as they clearly did a horrible job at resolving your case, or visit a doctor who would better know how to handle your case sir. You will undoubtedly need medical attention, and cannot go about doing anything to help yourself at home. Please also do not hesitate to write back to me for any further clarifications, I am always here to help. Best wishes.