[18M] Experiencing lower abdominal and testicular pain

Patient Description

An 18-year-old male reports having lower abdominal pain, described as sharp and periodical, with a severity rating of 6 or 7 out of 10. The pain is localized to the hypogastric and right ilium regions, radiating to the pelvic area, and has been present for approximately 2 years. The patient also experiences testicular pain with similar characteristics, rated as a 7 out of 10 in severity. Pain relief is achieved by changing position, drinking water, and passing gas. The patient notes that constipation is a result of the pain, and there is a feeling of tightness and cramping in the pelvic region. There are no accompanying symptoms such as fever, chills, or noticeable weight changes. No recent injuries or accidents have been reported, and there is no mention of blood in the urine or changes in urine color or consistency.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain in the abdomen and groin, blood in the urine, and pain during urination. The pain can be sharp and come in waves.

    • Treatment often involves pain relievers and drinking lots of water to help pass the stone. Medical procedures may be needed to remove or break up larger stones.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, bladder, ureters, and urethra. Most UTIs are caused by bacteria, but some are caused by viruses and fungi. UTIs are more common in women, but men can get them too. Symptoms can include pain or a burning sensation during urination, a need to urinate more often than usual, and lower abdominal pain.

    • Treatment typically involves antibiotics to kill the bacteria causing the infection.
  • Prostatitis: This is swelling and inflammation of the prostate gland, a walnut-sized gland situated directly below the bladder in men. Prostatitis often causes painful or difficult urination, and can also cause pain in the groin, pelvic area, or genitals, and sometimes flu-like symptoms.

    • Treatment often involves a course of antibiotics.

What you can do

  1. Drink plenty of water: This can help dilute your urine and help flush out bacteria or small stones.
  2. Avoid coffee, alcohol, and spicy foods: These can irritate your bladder and worsen your symptoms.
  3. Use a heating pad: This can help manage abdominal or pelvic pain.
  4. Over-the-counter pain relievers: Non-prescription pain relievers such as acetaminophen or ibuprofen can help manage pain.

However, it's important to seek medical attention as soon as possible. These conditions can worsen if not treated promptly.

What you should look out for

Seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You see blood in your urine
  • You have difficulty urinating
  • You develop a fever or chills

Please remember that while I strive to provide accurate information, I'm not a doctor. You should consult with a healthcare professional who can examine you and give you a formal diagnosis.

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11 mo ago

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People Also Ask


What are the common symptoms of kidney stones?

Common symptoms of kidney stones include severe pain in the side and back, below the ribs, pain that radiates to the lower abdomen and groin, pain that comes in waves and fluctuates in intensity, pain during urination, pink, red or brown urine, cloudy or foul-smelling urine, nausea and vomiting, and a persistent need to urinate.


How can I differentiate between a urinary tract infection and prostatitis?

A urinary tract infection (UTI) often presents with symptoms such as a burning sensation during urination, frequent urination, and lower abdominal pain. Prostatitis, on the other hand, can cause painful or difficult urination, pain in the groin, pelvic area, or genitals, and sometimes flu-like symptoms. A healthcare professional can perform tests to accurately diagnose the condition.


What lifestyle changes can help alleviate symptoms of lower abdominal pain?

Lifestyle changes that can help alleviate symptoms of lower abdominal pain include drinking plenty of water to stay hydrated, avoiding irritants like coffee, alcohol, and spicy foods, using a heating pad to relieve pain, and taking over-the-counter pain relievers such as acetaminophen or ibuprofen. It's also important to maintain a healthy diet and regular bowel movements to prevent constipation.


When should I seek immediate medical attention for abdominal or testicular pain?

You should seek immediate medical attention if your pain becomes severe or unbearable, if you see blood in your urine, if you have difficulty urinating, or if you develop a fever or chills. These could be signs of a more serious condition that requires prompt medical evaluation.


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