[20M] With lower back, left testicle, and left kidney pain

Patient Description

A 20-year-old male has been experiencing sharp, dull, and throbbing pain in his lower back, left testicle, and left kidney for the past two days. The pain occurs 3-4 times a day, lasting for 10-15 minutes each time, with a severity ranging from 4 to 8 on a scale of 1-10. The patient has no history of injuries to the lower back or testicles. There are no changes in urine, such as blood, cloudiness, or strong odor. The patient has not experienced nausea, vomiting, fever, chills, swelling, or redness in the left testicle, nor any difficulty or changes in urinary habits. The patient was diagnosed with Bell's Palsy 8 days ago and has been taking Deltacortril. He has a history of kidney stones in the left kidney, first diagnosed 5-6 years ago, which resolved with medication and increased water intake. No recent use of alcohol, tobacco, or recreational drugs, and no recent travel. The patient has no known allergies and is not currently taking any other medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Kidney Stones: Given your history of kidney stones, it's possible that you might be experiencing another episode. Kidney stones can cause sharp, throbbing pain in the lower back and can sometimes radiate to the testicles. The pain often comes in waves and can be quite severe. Typical treatments include increased fluid intake, pain management, and sometimes medications to help pass the stone. In some cases, medical procedures may be necessary to remove the stone.

  • Epididymitis: This is an inflammation of the epididymis, a tube at the back of the testicle that carries sperm. It can cause pain in the testicle and lower back. Treatment usually involves antibiotics if an infection is present, along with pain relief measures.

  • Muscle Strain: Lower back pain can sometimes radiate to the testicles, especially if there is a muscle strain or injury. This is less likely given the nature of your pain, but it's still a possibility. Treatment typically involves rest, pain relief, and sometimes physical therapy.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Stay Hydrated: Drink plenty of water to help flush out your kidneys. This is especially important if you suspect kidney stones.
  2. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage the pain. However, consult a healthcare provider before taking any medication.
  3. Rest: Avoid strenuous activities that could exacerbate your symptoms.
  4. Monitor Symptoms: Keep track of your symptoms, including the frequency and severity of the pain. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.
  5. Dietary Changes: Since you mentioned changes in your diet, try to identify if any specific foods might be triggering your symptoms and avoid them.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

  • Severe, unrelenting pain that doesn't improve with over-the-counter pain relievers
  • Blood in your urine
  • Fever or chills, which could indicate an infection
  • Difficulty urinating or changes in urinary habits
  • Swelling or redness in the testicle

Remember, while I can provide information and suggestions, it's crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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4 mo ago


People Also Ask


What are the common symptoms of kidney stones?

Common symptoms of kidney stones include sharp, severe pain in the back or side, pain that radiates to the lower abdomen and groin, pain that comes in waves, nausea, vomiting, and sometimes blood in the urine.


How can epididymitis be distinguished from other causes of testicular pain?

Epididymitis typically presents with gradual onset of pain in the testicle, swelling, and sometimes fever. It can be distinguished from other causes by the presence of these symptoms and often requires a physical examination and possibly an ultrasound for diagnosis.


What are the recommended treatments for muscle strain in the lower back?

Recommended treatments for muscle strain in the lower back include rest, application of ice or heat, over-the-counter pain relievers like ibuprofen or acetaminophen, and physical therapy exercises to strengthen the back muscles.


When should someone with lower back and testicular pain seek medical attention?

Medical attention should be sought if the pain is severe and unrelenting, if there is blood in the urine, if there are signs of infection like fever or chills, or if there are changes in urinary habits or swelling and redness in the testicle.


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