Discomfort in the Left Testicle: Causes and Relief Options - Urology

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Discomfort and a sour sensation in the left testicle?


Hello Doctor: I have been experiencing discomfort in my left testicle for about ten days.
Sometimes it feels sore, making me want to change positions, and occasionally there is a dull pain (which is infrequent and not very intense).
This discomfort mostly occurs after sitting for long periods or just before waking up (after lying down for a long time), especially before getting up from sleep.
In the past two weeks, this discomfort has almost woken me up, and I only felt discomfort while walking once; at other times, even after walking for a long time, there were no issues.
Upon examination, there is no noticeable swelling or redness, and pressing on it does not cause pain.
I also did not find any worm-like structures.
I am currently on a business trip in Europe and will not return until the end of August, which is about a month and a half away.
I happen to have some medication from a previous neck strain, and since there has been no improvement for a long time, I started taking Cataflam (25mg) and a muscle relaxant yesterday, having taken it twice so far.
I am observing the situation, but since I cannot return home in the short term, could you please help me assess the possibilities and suggest any methods for relief? Thank you!

Zhuzi, 30~39 year old female. Ask Date: 2014/07/24

Dr. Xu Weikai reply Urology


Bamboo: Possible causes for your condition include: 1.
Varicocele 2.
Epididymitis 3.
Neuralgia 4.
Local infection.
It is best to seek medical attention for an accurate diagnosis.
If you are unable to see a doctor, you can apply local heat or ice to help alleviate symptoms.
As for medication, I cannot provide recommendations without a diagnosis.
If you have further questions, feel free to ask, and we can discuss and research together.
Please note that online responses should only be used as a reference; it is essential to visit a healthcare facility for proper medical care.
This message is from Dr.
Hsu Wei-Kai, Chief of Urology, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2014/07/24

More Info


Discomfort in the left testicle can be concerning, and it's important to understand the potential causes and relief options available. Based on your description, the discomfort seems to be intermittent and is exacerbated by prolonged sitting or lying down. Here are some possible causes and recommendations for relief.


Possible Causes of Left Testicular Discomfort
1. Muscle Strain: Given that the discomfort occurs after prolonged sitting or lying down, it could be related to muscle strain in the groin or pelvic area. This is especially likely if you've engaged in activities that require sudden movements or heavy lifting.

2. Epididymitis: This is an inflammation of the epididymis, which can cause pain and discomfort in the testicle. It may be associated with infection, which could be bacterial or viral. Symptoms often include swelling, redness, and tenderness.

3. Varicocele: This condition involves enlarged veins within the scrotum, which can lead to a dull ache or discomfort, particularly after long periods of sitting or standing.

4. Testicular Torsion: Although this is less likely given your symptoms, testicular torsion is a medical emergency that involves the twisting of the spermatic cord, cutting off blood supply to the testicle. Symptoms typically include severe pain and swelling, and immediate medical attention is required.

5. Hernia: An inguinal hernia can cause discomfort in the groin and testicular area, especially when straining or lifting.

6. Referred Pain: Sometimes, discomfort in the testicle can be referred pain from other areas, such as the lower back or abdomen.


Relief Options
1. Rest and Position Change: Since you mentioned that the discomfort is often worse after sitting for long periods, try to take breaks to stand or walk around. Adjusting your position while sitting may also help alleviate pressure.

2. Ice Packs: Applying a cold pack to the affected area can help reduce inflammation and numb the discomfort. Make sure to wrap the ice pack in a cloth to avoid direct contact with the skin.

3. Over-the-Counter Pain Relief: You mentioned taking Cataflam (diclofenac), which is a non-steroidal anti-inflammatory drug (NSAID). This can help reduce pain and inflammation. Ensure you follow the recommended dosage and consult a healthcare provider if you have any concerns.

4. Supportive Underwear: Wearing supportive underwear can help reduce discomfort by providing support to the testicles and reducing movement.

5. Hydration and Diet: Staying hydrated and maintaining a balanced diet can help overall health and may reduce discomfort related to muscle strain.


When to Seek Medical Attention
While many cases of testicular discomfort can be managed at home, certain symptoms warrant immediate medical attention:
- Severe or worsening pain
- Swelling or redness of the testicle
- Fever or chills
- Nausea or vomiting
- Any signs of trauma or injury
Given that you are currently in Europe and unable to return home for a while, it may be beneficial to seek medical attention locally if your symptoms persist or worsen. A healthcare provider can perform a physical examination and may recommend imaging studies or lab tests to determine the underlying cause of your discomfort.

In conclusion, while there are several potential causes for your left testicle discomfort, many can be managed with conservative measures. However, it is crucial to monitor your symptoms closely and seek medical advice if there are any concerning changes. Your health and well-being are paramount, and addressing these symptoms early can lead to better outcomes.

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