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What Causes Testicular Pain Radiating Through Abdomen?

Posted on Mon, 12 Oct 2015

Question: My husband has been suffering from testicular pain for over 2 weeks now. I got an ultrasound done for checking kidney stones and hernia - report was clear. I was prescribed combiflam for 1 week. However, combiflam does not help ease the pain. The pain starts from the right testicle and is reflecting to the lower abdomen as well till the tip of the penis. The pain subsided and and resumed again starting yesterday morning.

Would any muscle relaxant like Sirdalud 2 mg help? I also am on international travel starting next weekend. So any advice will be appreciated.

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

Brief Answer:
Could be due to infection of Testis (Orchitis)

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that your husband has pain in Rt testicle since 2 weeks and his ultrasound scanning of abdomen was done which revealed absence of kidney stone and hernia.

I shall be happy if you can post me few more details to help me in making precise comments on your problem
1) Have you done his ultrasound Scanning of Scrotum?
2) Does he have any urinary symptoms like burning ,frequency etc?
3) Does he have swelling of the Testis?

The pain in Testicle is mostly due to infection of the Testis or Epididymis (Epididymo Orchitis)

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
3) Color Doppler study of Scrotum.

In the mean while ask him to take broad spectrum antibiotic like Cefixime along with anti inflammatory drug like Diclofenac and Serropeptidase twice daily .

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

Muscle relaxant Sirdalud will not help to cure his infection .

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 (29 minutes later)

Thanks - responses to the querie:
- No burning sessation while urination
- Attached is the ultra sound report
- No swelling of testiss

Answered by Dr. Dr. P. T. Patil (14 minutes later)

Brief Answer:
Consult Urologist for clinical examination

Detailed Answer:
Hello
Thanks for follow up and uploading Scan Report
There is no inflammation of either testicle or Epididymis reported on Scrotal Scan .

P
His pain in testicle may be due inflammation of the spermatic cord (Funiculitis)

If you have not consulted any Urologist so far please consult qualified Urologist for clinical examination and further treatment .

Please take treatment suggested in my reply earlier It will definitely help him to get relief from pain .
Thanks and Regards.
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (20 minutes later)

Hi
Thanks for your reply, can you please let me know for how many days does he need to take the medicines prescribed above?
Thsnks

Answered by Dr. Dr. P. T. Patil (4 minutes later)

Brief Answer:
He need to take medications minimum for one week

Detailed Answer:
Hello
Thanks for follow up .
He needs to take medications for one week and may need to take for one more week depending upon the response and relief that he gets .Since he is going out of XXXXXXX ,better he carries medicine for one more week with him.
Thanks and Regards.
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (16 minutes later)

I have already visited a urologist - i have attached the visit summary ( as 2 attachments)for your perusal and any further advice.

Answered by Dr. Dr. P. T. Patil (9 minutes later)

Brief Answer:
Prescription does not include antibiotic,

Detailed Answer:
Hello
Thanks for follow up.The prescription that you have uploaded does not include antibiotic and serropeptidase .

I think you need to take antibiotic and Serropeptidase .

Thanks and Regards.
Dr.Patil.

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