Three Common Health Concerns to Discuss with Your Doctor - Internal Medicine

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Three questions to ask the doctor?


Hello, I have been observing my body recently and have three areas I would like to consult a doctor about.
First, I noticed a cord-like structure extending from my scrotum, but my testicles are not evenly positioned in the center.
Is this normal? My testicles also seem to be slightly uneven at times.
Second, this evening, I felt a sudden pain in the bone just below my left heart area, although I am fine now.
I am a bit worried about a possible pneumothorax because I have been experiencing severe allergies and blowing my nose quite forcefully, but my family thinks it might just be muscle soreness.
Third, I would like to ask about the flesh on either side of my buttocks near my thighs.
When I press or run my fingers over it, there seems to be a slight indentation, or is it just the bone or joint structure? Is this abnormal, and should I go to the hospital for an examination? The pain I feel when pressing hard is it because I am pressing on the bone? My family also mentioned that pressing hard will naturally cause pain and advised me not to scare myself.
I apologize for disturbing you at night, and thank you for your response!

Da, 10~19 year old female. Ask Date: 2020/05/29

Dr. Hong Yuanbin reply Internal Medicine


Hello,
1.
It is normal for a healthy individual's testicles to vary in size and position; this is completely normal, so there is no need to worry.

2.
A pneumothorax typically presents with severe chest pain and shortness of breath.
Based on your description, it is unlikely that you have a pneumothorax; it is more probable that you are experiencing a muscle strain.

3.
What you are describing is a normal physiological structure and phenomenon; you are not ill, so please do not worry.
Thank you for your inquiry.

Reply Date: 2020/05/29

More Info


When it comes to health concerns, it's essential to approach them with a balanced mindset and seek professional advice when necessary. Based on your inquiry, let's break down the three specific areas of concern you've mentioned and provide some insights.


1. Testicular Asymmetry
You mentioned observing a line extending from your scrotum and that your testicles appear uneven, with one being higher than the other. It's important to note that testicular asymmetry is quite common and often normal. Most men have one testicle that hangs lower than the other, which can be attributed to anatomical variations. The "line" you see could be the spermatic cord, which is a normal structure that supports the testicles. However, if you notice any significant changes, such as swelling, pain, or lumps, it would be prudent to consult a healthcare provider for a thorough examination. Regular self-examinations can help you become familiar with what is normal for you, making it easier to identify any changes.


2. Chest Pain and Potential Pneumothorax
You expressed concern about experiencing sudden pain below your left chest, fearing it might be a pneumothorax, especially after vigorous nose blowing due to allergies. While it's understandable to worry about such symptoms, it's crucial to consider other factors. Muscle strain from coughing or sneezing can often cause localized pain in the chest area. Pneumothorax typically presents with more severe symptoms, such as sudden shortness of breath and sharp chest pain that worsens with breathing. If the pain persists or worsens, or if you experience difficulty breathing, it is essential to seek medical attention promptly. A healthcare professional can perform the necessary evaluations, including imaging studies, to rule out any serious conditions.


3. Pain in the Hip Area
Regarding the discomfort you feel when pressing on the sides of your buttocks near your thighs, this could be related to several factors, including muscle strain, tendonitis, or even pressure on the sciatic nerve. The sensation of "dents" or "depressions" in this area can be normal anatomical variations, but if pressing on these areas causes pain, it may indicate muscle tightness or inflammation. It's advisable to pay attention to any patterns in your discomfort—such as whether it occurs after specific activities or positions. If the pain continues or interferes with your daily activities, consulting a healthcare provider would be beneficial. They can assess your symptoms and recommend appropriate treatments, which may include physical therapy or exercises to strengthen the area.


General Advice
In summary, while it's natural to have concerns about your health, it's important to differentiate between normal variations and symptoms that may require medical attention. Here are some general tips for managing health concerns:
- Self-Examination: Regularly check your body for any changes and familiarize yourself with what is normal for you.

- Stay Informed: While it's good to seek information, be cautious of over-researching symptoms online, as this can lead to unnecessary anxiety.

- Consult Professionals: If you have persistent concerns or symptoms, don't hesitate to reach out to a healthcare provider for a professional evaluation.

- Mental Health: Consider discussing any anxiety or stress related to health concerns with a mental health professional, as they can provide strategies to cope with these feelings.

Remember, your health is a priority, and addressing concerns with a qualified healthcare provider is the best way to ensure peace of mind and proper care.

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