Testicular Discomfort: Possible Causes and Home Care Tips - Urology

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Uncertain about what the problem is?


I have been experiencing mild discomfort in my epididymis over the past few days, occasionally alternating sides.
However, last night I noticed that the right side became more painful, although there is no redness, swelling, or warmth on either side of the scrotum.
I only feel a slight engorgement in the blood vessels connecting the testicle and epididymis.
Occasionally, when I bring my legs together or sit and lift my testicles up and then let them down, I feel a slight pain in the area of the epididymis that seems to radiate into my body.
Sometimes, I also feel a dull pain in my right lower abdomen while walking.
Currently, I am abroad and hesitant to visit a doctor due to the pandemic.
What does this situation sound like? Should I just observe and see if my quality of life allows for self-healing? (I am asking this because I was hesitant to go out, and last month I had similar mild symptoms that resolved on their own.
Last month, I did not experience abdominal pain.) Is there a connection to sitting for long periods and staying up late? (Due to the pandemic, I have been confined at home for two months, without going out, mostly sitting, and my sleep schedule has been irregular.)

Nìmíng, 20~29 year old female. Ask Date: 2020/05/02

Dr. Du Shixi reply Urology


Hello: This platform cannot provide a diagnosis, but it may be related to circulation.
If there is inflammation, symptoms may include redness, swelling, heat, and pain.
What can be done is to avoid prolonged sitting or standing, engage in moderate exercise, and avoid spicy foods.
Wishing you good health.

Reply Date: 2020/05/02

More Info


Testicular discomfort can be concerning, and while it’s understandable to want to avoid medical facilities during the pandemic, it’s crucial to pay attention to your symptoms. Based on your description, there are several potential causes for the discomfort you’re experiencing in your epididymis (the structure at the back of the testicle) and the surrounding areas.


Possible Causes of Testicular Discomfort
1. Epididymitis: This is an inflammation of the epididymis, often caused by infections. Symptoms can include pain, swelling, and sometimes fever. The fact that you mentioned a feeling of pressure or pain in the area could suggest this condition, especially if it worsens with movement or certain positions.

2. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms typically include sudden, severe pain and swelling. However, you mentioned that there is no significant swelling or redness, which makes this less likely, but it’s important to be aware of.

3. Hernia: An inguinal hernia can cause discomfort in the groin and lower abdomen, especially when standing or straining. If you feel a bulge in the groin area, this could be a possibility.

4. Varicocele: This is an enlargement of the veins within the scrotum, which can cause a feeling of heaviness or discomfort. The sensation of a "full" feeling in the scrotum could be related to this condition.

5. Muscle Strain: Given your sedentary lifestyle during the pandemic, it’s possible that muscle strain in the groin or lower abdomen could be contributing to your discomfort. Prolonged sitting can lead to muscle tightness and discomfort.


Home Care Tips
While it’s essential to seek medical attention if symptoms worsen or if you develop additional symptoms (such as fever, severe pain, or swelling), here are some home care tips you can consider:
- Rest: Avoid activities that may exacerbate the pain, such as heavy lifting or vigorous exercise.

- Ice Therapy: Applying an ice pack wrapped in a cloth to the affected area for 15-20 minutes can help reduce inflammation and discomfort.

- Supportive Underwear: Wearing supportive underwear can help alleviate discomfort by providing support to the testicles.

- Pain Relief: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and inflammation.

- Hydration and Diet: Ensure you are well-hydrated and maintain a balanced diet to support overall health.


When to Seek Medical Attention
You should seek medical attention if:
- The pain worsens or becomes severe.

- You notice swelling, redness, or warmth in the scrotum.

- You experience fever or chills.

- There are changes in urination or bowel habits.

- You feel a lump or bulge in the groin area.


Conclusion
While it’s possible that your symptoms may resolve on their own, it’s essential to monitor them closely. Given the potential seriousness of some conditions related to testicular discomfort, if symptoms persist or worsen, it’s advisable to consult a healthcare professional, even if it requires visiting a medical facility. Your health is paramount, and addressing these symptoms early can prevent complications. If you are concerned about going to a hospital due to COVID-19, consider telehealth options where you can discuss your symptoms with a healthcare provider remotely.

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