Severe Abdominal Pain After Masturbation and Testicular Manipulation: Causes and Solutions - Urology

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Severe abdominal pain after masturbation and handling the testicles?


Hello, Doctor.
Since high school, I have experienced severe lower abdominal pain and diarrhea with a certain probability after masturbation.
Sometimes, when I massage my testicles, I also experience testicular pain and abdominal pain.
Just yesterday, after massaging my testicles and masturbating, about six hours later, I began to experience severe lower abdominal pain and diarrhea, to the point where I felt dizzy, cold sweats, and nearly lost consciousness, along with slight palpitations.
Taking stomach pain medication did not help, and I gradually felt better after repeatedly using the restroom.
I did not have a fever, and my testicles did not feel hard, nor did I experience nausea or vomiting.
I had a history of prostatitis and consulted a doctor about it.
I would like to ask the doctor what might be causing these symptoms, if there are any ways to improve them, and if the situation is serious, what kind of tests should I undergo or which department should I consult? Could the autonomic nervous system also be related?

Xiao Dai, 30~39 year old female. Ask Date: 2023/02/08

Dr. Du Shixi reply Urology


Hello: It has been a long time (since high school).
If the frequency is low (such as once every few weeks), it is generally not a major concern.
However, if it occurs frequently, you should seek medical attention.
Visiting a doctor during episodes of pain can help them make a more accurate assessment.
As for whether it is related to nerve function, nerve-related issues typically do not present with severe lower abdominal pain, diarrhea, dizziness, cold sweats, near loss of consciousness, and slight palpitations, especially if gastrointestinal pain relievers are ineffective.
Wishing you good health.

Reply Date: 2023/02/08

More Info


Severe abdominal pain following masturbation and testicular manipulation can be concerning and may stem from various underlying causes. Given your symptoms, including severe abdominal pain, diarrhea, and associated symptoms like dizziness and palpitations, it is essential to approach this issue comprehensively.


Possible Causes
1. Referred Pain: The anatomy of the abdomen and pelvis is complex, and pain from one area can often be felt in another. The testicles and the lower abdomen share nerve pathways, which means that irritation or pain in the testicles can lead to abdominal discomfort. This is known as referred pain.

2. Muscle Strain: Engaging in vigorous activities, including masturbation or manipulating the testicles, can lead to muscle strain in the abdominal wall or pelvic region. This strain can cause significant pain, especially if the muscles are overexerted.

3. Nerve Irritation: The pelvic region is rich in nerves, and activities that involve the testicles can irritate these nerves, leading to pain that radiates to the abdomen.

4. Gastrointestinal Issues: The symptoms of diarrhea and abdominal pain could also suggest an underlying gastrointestinal issue, such as irritable bowel syndrome (IBS) or a gastrointestinal infection. Stress and anxiety related to sexual activity may exacerbate these conditions.

5. Prostatitis: Given your history of prostatitis, it is possible that inflammation of the prostate could be contributing to your symptoms. Prostatitis can cause pelvic pain and discomfort that may radiate to the lower abdomen.

6. Vascular Issues: In rare cases, issues such as testicular torsion or varicocele can lead to severe pain. However, these conditions typically present with more acute symptoms and would likely require immediate medical attention.


Recommendations
1. Medical Evaluation: Given the severity of your symptoms, it is crucial to consult a healthcare professional. You may want to see a urologist for the testicular pain and a gastroenterologist for the abdominal symptoms. A thorough examination, including a physical exam and possibly imaging studies (like an ultrasound), may be warranted to rule out any serious conditions.

2. Symptom Diary: Keeping a diary of your symptoms, including the timing of pain in relation to sexual activity, bowel movements, and any other associated symptoms, can help your physician make a more accurate diagnosis.

3. Avoidance of Triggers: If you notice a consistent pattern where masturbation or testicular manipulation leads to pain, it may be beneficial to reduce or avoid these activities temporarily to see if your symptoms improve.

4. Pain Management: Over-the-counter pain relief medications may help alleviate discomfort, but it is essential to consult with a healthcare provider before taking any medication, especially if you have a history of gastrointestinal issues.

5. Stress Management: Since stress and anxiety can exacerbate gastrointestinal symptoms, consider incorporating stress management techniques such as mindfulness, meditation, or gentle exercise into your routine.

6. Hydration and Diet: Ensure you are well-hydrated and consider a diet that is gentle on your gastrointestinal system, avoiding irritants like caffeine, spicy foods, and alcohol.


Conclusion
Severe abdominal pain after masturbation and testicular manipulation can have multiple causes, ranging from referred pain to gastrointestinal issues. It is essential to seek medical advice to determine the underlying cause and appropriate treatment. Keeping track of your symptoms and avoiding known triggers can also be beneficial. If your symptoms persist or worsen, do not hesitate to seek immediate medical attention.

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