Testicular, Lower Abdominal, and Lower Back Pain

Q: Testicular, Lower Abdominal, and Lower Back Pain

Hello： Avoid wearing tight clothing, refrain from sitting or standing for prolonged periods, engage in moderate exercise, and you might want to give it a try. <br>Wishing you good health.

Pain in the testicles, lower abdomen, and lower back?

Hello doctor, due to the pandemic, I have been working from home for about two months, usually wearing shorts.
Last week, I had the opportunity to go out and wore a pair of jeans that I had previously worn.
I was out for about six hours, and on the way home, I experienced pain in my testicles, lower abdomen, and lower back.
When I got home and changed back into shorts, the pain persisted, but it immediately went away when I lay down (it returns when I stand up).
The next day, I woke up and the symptoms had disappeared.
However, a few days later, I went out again, and the same situation occurred.
I would like to ask the doctor if you could provide some insights and possible reasons for this.
Thank you for your help.
(Some related information: there is no pain when using the restroom, and there is no blood in my urine.)

Juan, 30~39 year old female. Ask Date: 2020/05/30

Dr. Du Shixi reply Urology

Hello: Avoid wearing tight clothing, refrain from sitting or standing for prolonged periods, engage in moderate exercise, and you might want to give it a try.
Wishing you good health.

Reply Date: 2020/05/30

More Info

Understanding the causes of testicular, lower abdominal, and lower back pain can be quite complex, as these areas are interconnected through various anatomical structures and systems. Based on your description, it seems that the pain you are experiencing is likely related to prolonged sitting or the fit of your clothing, particularly after wearing jeans for an extended period.
When you wear tight clothing, such as jeans, it can create pressure on the lower abdomen and pelvic area, which may lead to discomfort in the testicles and lower back. This discomfort can be exacerbated by prolonged sitting, especially if the position does not support your lower back properly. The fact that the pain subsides when you lie down suggests that the pain may be related to muscle strain or nerve compression rather than an underlying medical condition.

The pain you describe in the testicular area could also be related to a condition known as "testicular torsion," which is a medical emergency, but given that your symptoms resolve when you change positions and do not involve other alarming symptoms (such as swelling, severe pain, or changes in urination), it is less likely to be the case. Other potential causes of testicular pain include epididymitis (inflammation of the epididymis), inguinal hernia, or referred pain from the lower back or abdomen.

Lower abdominal pain can arise from various sources, including gastrointestinal issues, urinary tract problems, or even gynecological conditions in females. However, since you mentioned that you are male, the focus would be more on potential gastrointestinal or musculoskeletal issues. The fact that you do not experience pain during urination and have no blood in your urine is reassuring and suggests that a urinary tract infection or similar issue is less likely.

Lower back pain, particularly after sitting for long periods, is a common complaint and can be attributed to muscle strain, poor posture, or even disc issues in the lumbar spine. When you sit for extended periods, especially in a position that does not provide adequate support, the muscles in your lower back can become fatigued and strained, leading to discomfort.
In summary, the combination of testicular, lower abdominal, and lower back pain that you are experiencing is likely due to a combination of factors related to posture, clothing fit, and prolonged sitting. Here are some recommendations to alleviate your symptoms:
1. Posture Awareness: Pay attention to your posture while sitting. Ensure that your back is supported, and consider using a cushion or lumbar roll to maintain the natural curve of your spine.

2. Clothing Choices: Opt for looser-fitting clothing, especially if you will be sitting for long periods. This can help reduce pressure on the pelvic area.

3. Frequent Breaks: Take regular breaks to stand up, stretch, and walk around. This can help relieve muscle tension and improve circulation.

4. Exercise: Incorporate exercises that strengthen your core and lower back muscles. This can provide better support for your spine and reduce discomfort.

5. Heat Therapy: Applying a warm compress or heating pad to the lower back may help alleviate muscle tension and pain.

6. Consult a Healthcare Provider: If the pain persists or worsens, it is advisable to consult a healthcare provider for a thorough evaluation. They may recommend imaging studies or other diagnostic tests to rule out any underlying conditions.

In conclusion, while your symptoms may be related to lifestyle factors such as clothing and posture, it is always important to monitor your body and seek medical advice if you notice any changes or if the pain becomes severe or persistent.

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