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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Lower Abdominal Pain

I am a 63 year old male; I have had a quadruple bi-pass ten years ago. I am still very active physically and I am very sexually active, i.e. average 5 times a week or more. Three months ago I had test done, urine, full blood work up and ultrasound to investigate a sharp, short duration reoccurring pain in my lower left abdominal quadrant. All test indicated no abnormalities. Two weeks ago I began to get the same pain, but induced by foreplay when my girl friend would gently massage my penis and testicles. When she stops the pain subsides, once I am fully stimulated and we have intercourse the pain is not present. The pain feels like a knife jab, and will also occur during the day for no apparent reason. The pain will at times occur with pressure to the area but rarely. At first the pain was not associated with sexual stimuli, but now there is a direct correlation. Oh one other thing, I have been having unprotected sex with my girl friend for over four years and have not impregnated her, she is 24 so I assume I am the one that cannot have a child, I don’t know if it is related to the pain or not, but I already have 4 children and one was after the bi-pass surgery. I live in the Philippines where the medical system is archaic and totally profit motivated. I hope I can find an answer, the frequency is increasing and I am concerned about a more serious cause, but I don’t want to slip into the do every test to make money system here, I need to know a direction to have them check. Anyone with an idea would be appreciated.
Thu, 26 Mar 2015
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General & Family Physician 's  Response
Welcome to health care magic.

1.There are two possbilities after going through the history. 1. Inflammation of the testicles 2. Age related strain after the due to the sexual stimulation.
2.I would recommend to get diclfenac tablets twice a day for 5 days.
3.If symptoms still persists - a simple non invasive ultrasound abdomen pelvis including inguinal region and scrotum.
4.That will give the cause for the pain and discomfort any parenchymal changes.
5.There is nothing like you are old to make kids its wrong perception.

Good luck.
Hope i have answered your query,
any thing to ask ? do not hesitate to ask.
http://doctor.healthcaremagic.com/doctors/dr-ganesh/62888
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General Surgeon Dr. T Chandrakant's  Response
Hi.
Thanks for your query.
Read and understood your history of sexually active, heart surgery, active life, pain in the left lower abdomen, started once even with stimulation of the penis, tests done and so on.
The most probable cause can be blockage of the ductal system of the testis or epididymis or recurrent torsion causing referred pain on the left lower abdomen.
I would advise you to have Colonoscopy to rule out colonic problems, and color doppler with ultrasonography of the scrotum.
A consultation with General Surgeon will help you a lot to have clinical evaluation, physical examination and investigations if needed.

I hope this way the cause can be found and treated.
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Suggest Treatment For Lower Abdominal Pain

Welcome to health care magic. 1.There are two possbilities after going through the history. 1. Inflammation of the testicles 2. Age related strain after the due to the sexual stimulation. 2.I would recommend to get diclfenac tablets twice a day for 5 days. 3.If symptoms still persists - a simple non invasive ultrasound abdomen pelvis including inguinal region and scrotum. 4.That will give the cause for the pain and discomfort any parenchymal changes. 5.There is nothing like you are old to make kids its wrong perception. Good luck. Hope i have answered your query, any thing to ask ? do not hesitate to ask. http://doctor.healthcaremagic.com/doctors/dr-ganesh/62888