[19M] Experiencing minor testicular discomfort and nausea

Patient Description

A 19-year-old male reports a dull, sustained discomfort in the testicles, more pronounced in the front and exacerbated by movement, persisting for two days. The discomfort is alleviated by a warm bath. Accompanying symptoms include slight nausea, described as a lasting stomach churn following a brief stinging sensation. The left testicle appears higher upon inhalation, but there is no clear swelling or redness. The patient has been sexually active with one partner and has not experienced severe testicular pain, vomiting, fever, or burning during urination, though there is a slightly increased urge to urinate. The patient has been taking lithium for two years and another unspecified medication at 20mg twice daily. There is no history of sexually transmitted infections, allergies, or adverse reactions to medications, and no chronic illnesses or pre-existing conditions have been reported.

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Arora's Assessment

What might be happening

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

  • Epididymitis: This is an inflammation of the epididymis, the tube located at the back of the testicle that stores and carries sperm. This condition is often caused by a bacterial infection, including sexually transmitted bacterial infections such as chlamydia. Symptoms can include testicular pain and tenderness, redness, and swelling.

    • Treatment typically involves antibiotics. If the cause is a sexually transmitted infection, your partner also needs treatment.
  • Testicular Torsion: This is a condition in which the spermatic cord, which provides blood flow to the testicle, rotates and becomes twisted. This can cause severe pain and swelling. However, you mentioned that your pain is minor and increases with movement, which is less typical of torsion.

    • This is a medical emergency and requires immediate surgery to restore blood flow and save the testicle.
  • Inguinal Hernia: This occurs when a portion of the intestine or fat pushes through a weak spot in the abdominal wall and descends into the inguinal canal, which can cause pain or discomfort in the testicle. The pain may be worse with movement or straining.

    • Treatment often involves surgery to repair the hernia.

Please note that this is not an exhaustive list and other conditions may also be causing your symptoms.

What you can do

  1. Schedule an appointment with your healthcare provider as soon as possible to discuss your symptoms. They can perform a physical examination and order tests as necessary to determine the cause of your symptoms.
  2. Try to avoid any strenuous physical activity that may exacerbate your symptoms until you can see a doctor.
  3. Over-the-counter pain relievers may help to alleviate your discomfort. However, you should still seek medical attention to identify the underlying cause of your symptoms.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe or sudden onset testicular pain
  • Abdominal pain
  • Fever
  • Blood in your urine
  • Unusual discharge from your penis

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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9 mo ago


People Also Ask


What are the common causes of testicular discomfort in young males?

Common causes of testicular discomfort in young males include epididymitis, testicular torsion, inguinal hernia, and sometimes trauma or infections. It's important to consult a healthcare provider for an accurate diagnosis.


How can epididymitis be distinguished from testicular torsion?

Epididymitis often presents with gradual onset of pain, swelling, and sometimes fever, while testicular torsion usually causes sudden, severe pain and swelling. Testicular torsion is a medical emergency and requires immediate attention.


What are the typical symptoms of an inguinal hernia?

Typical symptoms of an inguinal hernia include a bulge in the groin area, pain or discomfort in the groin, especially when bending over, coughing, or lifting, and sometimes a heavy or dragging sensation in the groin.


Can medications like lithium affect testicular health or cause discomfort?

Lithium is not commonly associated with testicular discomfort, but it can have various side effects. It's important to discuss any new symptoms with a healthcare provider to rule out medication-related issues.

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