Discomfort in Left Testicle and Lower Abdomen: Possible Causes and Advice

Q: Discomfort in Left Testicle and Lower Abdomen: Possible Causes and Advice

E： Hello, it is difficult to determine the cause of the symptoms. <br>It may just be neuropathic pain. <br>I recommend trying local heat therapy. <br>Additionally, it is possible that increased abdominal pressure due to prolonged strain could be a precursor to a hernia. <br>If th

Discomfort in the left testicle and left abdomen?

Hello Doctor: I started feeling discomfort in my lower left abdomen (about two fingerbreadths below the navel) since yesterday.
While taking a shower today, I noticed that if I touch my left testicle, the left abdomen becomes uncomfortable, while the right testicle does not cause any discomfort.
Pressing a bit harder intensifies the sensation.
Currently, there is no pain, just a feeling of something pressing inside, but it is very close to pain (directly pressing on the abdomen causes slight pain).
The more troublesome part is that I am currently not in Taiwan and won't be able to return until the summer vacation.
I wonder if you have any suggestions for me? If a consultation is necessary, please let me know the possible medical conditions in English so I can inquire further.
Thank you.

E, 20~29 year old female. Ask Date: 2012/03/20

Dr. Xu Weikai reply Urology

E: Hello, it is difficult to determine the cause of the symptoms.
It may just be neuropathic pain.
I recommend trying local heat therapy.
Additionally, it is possible that increased abdominal pressure due to prolonged strain could be a precursor to a hernia.
If there are any unclear points, feel free to ask again for further discussion and research.
Responses on the internet should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This response is provided by Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2012/03/20

More Info

Discomfort in the left testicle and lower abdomen can be concerning, and it’s important to consider various potential causes. Given your symptoms, which include discomfort in the left lower abdomen and sensitivity in the left testicle, there are several possible conditions to consider.

1. Epididymitis: This is an inflammation of the epididymis, which is the tube that carries sperm from the testicle. It can cause pain and discomfort in the testicle and may be associated with swelling. Epididymitis can be caused by infections, including sexually transmitted infections (STIs) or urinary tract infections (UTIs).

2. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms typically include sudden, severe pain in the testicle, swelling, and nausea. Although you mentioned that you are not experiencing pain yet, it is crucial to be aware of this condition, as it requires immediate medical attention.

3. Inguinal Hernia: An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can cause discomfort in the lower abdomen and may be felt in the groin or testicle area. Symptoms may include a noticeable bulge and discomfort that worsens with activity or straining.

4. Varicocele: This is an enlargement of the veins within the scrotum, which can cause a dull ache or discomfort in the testicle. It is often described as feeling like a "bag of worms" and may be more noticeable when standing or during physical activity.

5. Referred Pain: Sometimes, discomfort in the testicle can be referred pain from other areas, such as the lower abdomen or even the kidneys. Conditions like kidney stones or infections can cause pain that radiates to the testicular area.

Given that you are currently away from Taiwan and may not be able to see a doctor immediately, here are some recommendations:
- Monitor Symptoms: Keep track of any changes in your symptoms. If the discomfort worsens, or if you develop severe pain, swelling, fever, or nausea, seek medical attention promptly.

- Avoid Strain: Try to avoid heavy lifting or strenuous activities that may exacerbate your discomfort.

- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate discomfort, but consult a healthcare provider before taking any medication, especially if you have underlying health conditions.

- Seek Medical Attention: If your symptoms persist or worsen, it is essential to see a healthcare provider. When you do seek care, you can mention the potential conditions listed above, such as epididymitis, testicular torsion, inguinal hernia, varicocele, or referred pain.

In summary, while your symptoms may not indicate an immediate emergency, they warrant careful monitoring and possibly a medical evaluation. If you experience any significant changes or worsening symptoms, do not hesitate to seek medical attention, as some conditions can escalate quickly and require urgent care.

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