Sudden Testicular Pain: Causes and Concerns

Q: Sudden Testicular Pain: Causes and Concerns

Hello： You should seek medical attention, as it may be an inflammation. <br>This condition requires medical evaluation. <br>Wishing you good health.

Sudden testicular pain?

After resting while sitting at noon, I got up in the afternoon and noticed a dull pain in my testicles.
At first, I didn't pay much attention to it, but later when I took a shower at home, I realized that the right testicle was larger than the left (it felt swollen).
It was very painful to touch.
The next morning, I woke up feeling a sore throat and a slight fever, which I wasn't sure if it was related to the testicular issue.
I took pain relievers, which helped alleviate the symptoms, but once the medication wore off, it seemed like I wasn't feeling any better.
However, there were no unusual sensations during ejaculation or urination; the pain was only in the testicles.
I would like to know what possible issues these symptoms could indicate.

Niming, 10~19 year old female. Ask Date: 2023/05/17

Dr. Jian Weihong reply Urology

Hello: You should seek medical attention, as it may be an inflammation.
This condition requires medical evaluation.
Wishing you good health.

Reply Date: 2023/05/17

More Info

Sudden testicular pain can be alarming and may indicate a variety of medical conditions, some of which require immediate attention. Based on your description, it seems that you are experiencing swelling and pain in the right testicle, along with some systemic symptoms like throat pain and mild fever. Here are some potential causes and considerations regarding your symptoms:
1. Epididymitis: This is an inflammation of the epididymis, which is the tube that carries sperm from the testicle. It can be caused by infections, including sexually transmitted infections (STIs) or urinary tract infections (UTIs). Symptoms typically include swelling, pain, and sometimes fever. The pain may worsen with movement or pressure.

2. Testicular Torsion: This is a surgical emergency where the spermatic cord becomes twisted, cutting off the blood supply to the testicle. Symptoms include sudden, severe pain, swelling, and sometimes nausea. Testicular torsion requires immediate medical intervention to save the testicle.

3. Inguinal Hernia: This occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. It can cause discomfort and swelling in the groin or scrotum, especially when standing or straining.

4. Orchitis: This is an inflammation of one or both testicles, often caused by viral or bacterial infections. It can lead to swelling, pain, and sometimes fever.

5. Trauma or Injury: If there was any recent trauma to the area, even if not immediately apparent, it could lead to swelling and pain.

6. Tumors: Although less common, testicular tumors can present with swelling and discomfort. These may be benign or malignant, and further evaluation would be necessary.

Given the symptoms you are experiencing, particularly the swelling and pain in the right testicle, along with systemic symptoms like throat pain and fever, it is crucial to seek medical attention promptly. A healthcare provider will likely perform a physical examination and may order imaging studies, such as an ultrasound, to assess the condition of the testicles and surrounding structures. Blood tests may also be conducted to check for signs of infection or inflammation.

It is important not to ignore these symptoms, especially if the pain persists or worsens. Early diagnosis and treatment are essential to prevent complications, especially in cases of testicular torsion or severe infections. If you experience any additional symptoms, such as severe abdominal pain, vomiting, or changes in urination, seek emergency medical care immediately.

In summary, your symptoms could be indicative of several conditions, ranging from infections to more serious issues like testicular torsion. It is advisable to consult a healthcare professional as soon as possible to determine the underlying cause and receive appropriate treatment.

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