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What Causes Testicle Pain While Suffering From Chronic Epididymitis?

Posted on Fri, 16 Oct 2015

Question: I have chronic orchialgia/epidyitimitis. And pain came back bad in my left testicle. Could there be another infection? Pain had been gone for 2 months now back.

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Get Ultrasound scanning done to rule out Varicocele

Detailed Answer:
Hello
Thanks for query .
Based on the facts that you have posted You have been diagnosed to have Chronic Epididymitis .

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Have you done Ultrasound Scanning of Scrotum very recently to rule out Varicocele ?

It is known for Chronic Epididymitis to have flare up of infection off and on .

Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of scrotum to rule out Varicocele

You need to take broad spectrum antibiotic like Cefixime along with anti inflammatory drug like Diclofenac twice daily .

Further treatment will depend upon result of these tests and final diagnosis.

Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (17 minutes later)

Yes have had ultrasound no sign of anything. been diagnosed like 4 years ago. Until now it use to be on the right side now on the left side? the urologist put me on doxycycline he said he likes it cause it dosent mess with good bacteria? Maybe the drugs you said are more effective? Urine test to and nothing.

Answered by Dr. Dr. P. T. Patil (50 minutes later)

Brief Answer:
Repeat ultrasound to rule out Varicocele

Detailed Answer:
Hello
Thanks for follow up.
Ultrasound done four years ago can not be relied upon in today's context.

Please repeat it to rule out Varicocele on Left side ..Take medicines suggested in my reply earlier .
Thanks and Regards .
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (13 minutes later)

have had 3 total ultrasounds last one 8 months ago

Answered by Dr. Dr. P. T. Patil (5 hours later)

Brief Answer:
Varicocle is very common on left side .

Detailed Answer:
Hello
Thanks for follow up.

Earlier you had pain on RT side .However Varicocle being common on left side one has to do scanning to rule out pain due to Varicocle .

Take medicine suggested earlier .
Thanks and regards

Dr XXXXXXX

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar