Right Testicular Pain: Causes and Concerns

Right testicular pain?

I would like to ask about waking up in the middle of the night with severe pain from the right testicle to the right abdomen.
At that moment, there is intense pain, followed by a feeling of soreness afterward.
There is no pain in the urethra during urination.
For the past three days, I have woken up in pain two of those nights.
I'm uncertain if this could be due to varicocele.

boching, 30~39 year old female. Ask Date: 2020/04/18

Dr. Sun Hongshun reply Urology

Hello, the symptoms you described could indeed be indicative of varicocele or a related infection.
It is advisable for you to seek further evaluation and treatment from a urologist.

Reply Date: 2020/04/18

More Info

Right testicular pain can be concerning, especially when it disrupts your sleep and is accompanied by severe pain radiating to the right abdomen. There are several potential causes for this type of pain, and understanding them can help you determine the best course of action.

One common cause of testicular pain is epididymitis, which is inflammation of the epididymis, the tube that carries sperm from the testicle. This condition can be caused by infections, including sexually transmitted infections (STIs) or urinary tract infections (UTIs). Symptoms typically include swelling, redness, and tenderness in the affected testicle, along with pain that may radiate to the lower abdomen.

Another possibility is testicular torsion, a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. This condition usually presents with sudden, severe pain and swelling, and it requires immediate medical attention to prevent permanent damage to the testicle.

Varicocele, which is an enlargement of the veins within the scrotum, could also be a factor. While varicoceles are often asymptomatic, they can cause a dull ache or discomfort, especially after prolonged standing or physical activity. The pain may worsen at night or after exertion.

Hernias can also cause pain in the testicular region. An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can lead to pain that may radiate to the testicles, particularly when straining or lifting heavy objects.

Since you mentioned that the pain wakes you up at night and is severe, it is crucial to seek medical attention. A healthcare provider will likely perform a physical examination and may order imaging tests, such as an ultrasound, to assess the blood flow to the testicle and check for any abnormalities.

In the meantime, here are some general recommendations to manage your discomfort:
1. Rest: Avoid strenuous activities that may exacerbate the pain.

2. Ice: Applying a cold pack to the affected area can help reduce swelling and numb the pain.

3. Pain Relief: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate discomfort.

4. Support: Wearing supportive underwear can provide comfort and reduce strain on the testicles.

It is essential to monitor your symptoms closely. If you experience any additional symptoms such as fever, nausea, vomiting, or if the pain worsens, seek immediate medical care. Early diagnosis and treatment are vital to prevent complications, especially in cases of torsion or severe infections.

In conclusion, while there are several potential causes for your right testicular pain, it is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Do not hesitate to reach out for help, as timely intervention can make a significant difference in your health outcomes.

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