Right testicular pain?
Since last night, I've been experiencing a slight dull pain in my right testicle, similar to nerve pain.
It's not very painful, but it's somewhat uncomfortable.
Last Friday night, I had to go to the emergency room for stomach pain.
I have a habit of staying up late and sitting in front of the computer for long periods.
The pain doesn't occur when I'm lying down, but I feel it a bit when sitting and standing.
What could be the cause of this?
A-Zhi, 10~19 year old female. Ask Date: 2009/09/01
Dr. Liu Jianting reply Urology
In addition to testicular pain, is there any swelling? Is there any redness? Is there a fever? Does it hurt when you touch it? If none of these symptoms are present, it is less likely to be testicular inflammation.
However, if the pain persists, please visit a hospital and consult a urologist for a detailed examination.
Reply Date: 2009/09/01
More Info
Right testicular pain can be concerning and may stem from various causes, some of which may require immediate medical attention. Given your description of the pain as a mild, nerve-like discomfort that varies with your position, it is essential to consider several potential factors.
1. Musculoskeletal Issues: One common cause of testicular discomfort is related to musculoskeletal problems. Prolonged sitting, especially in a position that may compress the groin area, can lead to discomfort in the testicles. This could be due to muscle strain or tension in the lower back or pelvic region, which can radiate pain to the testicles.
2. Nerve Irritation: The sensation you describe as "nerve pain" could indicate irritation of the nerves that supply the testicles. Conditions such as a herniated disc in the lumbar spine can lead to nerve compression, resulting in referred pain to the testicular area. This is often accompanied by other symptoms, such as lower back pain or sciatica.
3. Epididymitis: This is an inflammation of the epididymis, the tube that stores and carries sperm. It can cause pain and swelling in the testicle and may be associated with urinary symptoms or a recent infection. Epididymitis can be caused by sexually transmitted infections or other bacterial infections.
4. Testicular Torsion: Although less likely given your description of the pain, testicular torsion is a medical emergency that presents with sudden, severe pain in the testicle. It occurs when the spermatic cord becomes twisted, cutting off blood supply to the testicle. If you experience sudden, severe pain, swelling, or nausea, seek immediate medical attention.
5. Varicocele or Hydrocele: A varicocele is an enlargement of the veins within the scrotum, which can cause a dull ache or discomfort, particularly after prolonged sitting or standing. A hydrocele is a fluid-filled sac around the testicle that can also cause swelling and discomfort.
6. Referred Pain: Sometimes, pain in the testicle can be referred from other areas, such as the abdomen or lower back. Conditions like gastrointestinal issues or kidney stones can manifest as testicular pain.
Given your symptoms and the fact that you have a history of gastrointestinal discomfort, it is advisable to consult a healthcare professional for a thorough evaluation. They may perform a physical examination, and possibly an ultrasound of the testicles, to rule out any serious conditions.
In the meantime, consider adjusting your sitting posture and taking breaks to alleviate any potential musculoskeletal strain. Staying hydrated and avoiding prolonged periods of inactivity can also be beneficial. If the pain worsens or is accompanied by other symptoms such as swelling, redness, or fever, seek medical attention promptly.
In conclusion, while there are several potential causes for your right testicular pain, many of them can be addressed with appropriate medical care. It is essential to monitor your symptoms and consult a healthcare provider to ensure a proper diagnosis and treatment plan.
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