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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In The Testicle, Swelling And Back Pain. Cause?

I have been having on and off pain in my right testicle where the epiditimis is located. This had been going on for a few months and i didnt think anything of it because it always went away. for a couple years the epiditimis has been bigger than the other one and would feel a little pain when touched. For the last week I have had lower back pain, hip pain, and pain on the top of the right testicle. I am going to the doctor this week. What do you think could be causing this pain?
Fri, 24 May 2013
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General & Family Physician 's  Response
Hello,
You are suffering from chronic epididymitis. That means that you have infection + inflammation of epididymis. Now it has become bigger in size and painful on touch. Associated with this you have pain in the lower back, hip and at the top of the right testis. Testis gets its blood and Nerve supply from the abdomen via the inguinal region. Associated with this supply a tube like structure called vas deferens is there, which transfer the sperm from the epididymis. Through vas deference the epididymis has a connection with urethra and prostate. So infection can spread in either way.
This may be the reason for the pain in the lower back, hip and at the top of the right testis.
The low back pain may be due to the epididymitis / epididymo orchitis or it may be a different entity.
Urine culture and sensitivity, USG abdomen KUB area and an Echo scan of the affected testis will be helpful to ascertain the amount of involvement of the epididymis and testis.
Treat the cause and keep the scrotum comfortably - you will be alright.
1) Loose cotton inner wear
2) Prevention of both the testes from injury, heat
3) Antibiotic
4) Anti inflammatory drugs may relieve your symptoms
If the treating Doctor feels the lower back ache is a different entity it owns to be investigated and treated
Wishing you a speedy recovery.
Regards and best wishes
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Pain In The Testicle, Swelling And Back Pain. Cause?

Hello, You are suffering from chronic epididymitis. That means that you have infection + inflammation of epididymis. Now it has become bigger in size and painful on touch. Associated with this you have pain in the lower back, hip and at the top of the right testis. Testis gets its blood and Nerve supply from the abdomen via the inguinal region. Associated with this supply a tube like structure called vas deferens is there, which transfer the sperm from the epididymis. Through vas deference the epididymis has a connection with urethra and prostate. So infection can spread in either way. This may be the reason for the pain in the lower back, hip and at the top of the right testis. The low back pain may be due to the epididymitis / epididymo orchitis or it may be a different entity. Urine culture and sensitivity, USG abdomen KUB area and an Echo scan of the affected testis will be helpful to ascertain the amount of involvement of the epididymis and testis. Treat the cause and keep the scrotum comfortably - you will be alright. 1) Loose cotton inner wear 2) Prevention of both the testes from injury, heat 3) Antibiotic 4) Anti inflammatory drugs may relieve your symptoms If the treating Doctor feels the lower back ache is a different entity it owns to be investigated and treated Wishing you a speedy recovery. Regards and best wishes