Testicular Pain: Causes and When to Seek Help

Sitting for a long time can cause a dull ache in the lower region?

One day while sitting in a chair, I suddenly experienced a sharp pain in my testicles.
When I stood up, the pain eased a bit, and upon examination, there were no lumps or foreign objects.
This discomfort persisted for 2 to 3 days without improvement, and now when I sit in a chair, I feel a dull ache.
My family suggested it might be a hernia.
After researching online, I am also concerned it could be kidney stones.
Now, whenever I pull on my left side, I feel a pulling sensation in the area of my bladder, which is extremely uncomfortable.

Andy Zheng, 10~19 year old female. Ask Date: 2016/01/13

Dr. Lin Wenxu reply Urology

Sorry, we cannot determine the cause.
It is necessary to consult a urologist for further evaluation and diagnostic tests in order to obtain a definitive diagnosis.

Reply Date: 2016/01/13

More Info

Testicular pain can be a concerning symptom and may arise from a variety of causes. Understanding the potential reasons for this discomfort is essential for determining when to seek medical help.

One of the most common causes of testicular pain is trauma or injury. This can occur from physical activities, sports, or even sitting in an awkward position for an extended period. If the pain is sudden and severe, it could indicate a more serious condition such as testicular torsion, which is a medical emergency. Testicular torsion occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. This condition requires immediate surgical intervention to prevent permanent damage.

Another potential cause of testicular pain is epididymitis, which is inflammation of the epididymis, the tube that carries sperm from the testicle. This condition is often caused by infections, including sexually transmitted infections (STIs) or urinary tract infections (UTIs). Symptoms may include swelling, redness, and tenderness in the affected area, along with fever or discharge.

Hernias can also cause discomfort in the testicular region. An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. This can lead to pain that may radiate to the testicles, especially when straining or lifting heavy objects. If you suspect a hernia, it is crucial to seek medical advice, as untreated hernias can lead to complications.

Kidney stones are another possible source of referred pain to the testicles. When a stone moves through the urinary tract, it can cause severe pain that radiates to the lower abdomen and groin area, including the testicles. If you experience sharp pain, blood in the urine, or difficulty urinating, it is essential to consult a healthcare provider.

In your case, the pain you described, which worsens with certain movements and is accompanied by a pulling sensation in the bladder area, could be indicative of a few different issues. While it is possible that you may be experiencing a mild case of epididymitis or a hernia, the presence of persistent pain warrants further evaluation.
It is advisable to seek medical attention, especially if the pain persists for more than a few days, worsens, or is accompanied by other symptoms such as swelling, redness, fever, or changes in urination. A healthcare provider will likely perform a physical examination and may recommend imaging studies, such as an ultrasound, to assess the condition of the testicles and surrounding structures.

In summary, testicular pain can stem from various causes, including trauma, infections, hernias, or kidney stones. Given the complexity and potential seriousness of these conditions, it is crucial to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and ensure better outcomes.

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