[23M] Experiencing testicular, back, and chest pain with shortness of breath

Patient Description

A 23-year-old male has been experiencing a dull, intermittent pain in the left testicle that worsens with walking, and has been present for 5 days. Additionally, the patient reports a sharp pain in the left lower back and side, as well as a dull chest pain described as a burning sensation in the center. These symptoms have been occurring for the same duration. The patient also experiences shortness of breath, which has been present for 2 days and is rated 6/10 in severity. Nausea is present but without vomiting, and there is pain radiating from the back to the abdomen or groin. The patient has a family history of cardiac or pulmonary conditions, has recently consumed alcohol, but has no known allergies, no current medications, and no pre-existing conditions. No history of recent injuries, swelling, redness in the scrotum, or fever has been reported.

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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 back, side, abdomen, groin, and testicles. They can also cause nausea and sometimes shortness of breath due to the pain.

    • Treatment typically involves pain management and increasing fluid intake to help pass the stone. In some cases, medical or surgical intervention may be necessary.
  • Epididymitis: This is inflammation of the tube at the back of the testicle that stores and carries sperm. It can cause testicular pain and discomfort. However, it is usually accompanied by other symptoms such as redness, swelling, and fever.

    • Treatment typically involves antibiotics and pain management.
  • Musculoskeletal Pain: This can occur in the muscles or bones in your back or chest. It can be caused by poor posture, overuse, or strain.

    • Treatment typically involves rest, pain management, and physical therapy.
  • Costochondritis: This is inflammation of the cartilage in your rib cage. It can cause chest pain that may be mistaken for a heart attack or other heart conditions.

    • Treatment typically involves pain management and rest.

Please note that these are possibilities based on the information you've provided and are not a definitive diagnosis. It's important to consult with a healthcare provider for a formal diagnosis.

What you can do

  1. Seek immediate medical attention if your symptoms worsen or if you develop new symptoms such as severe abdominal pain, blood in your urine, or difficulty breathing.
  2. Drink plenty of fluids, especially water, to help pass a potential kidney stone.
  3. Rest and avoid heavy lifting or strenuous activities to help alleviate musculoskeletal pain.
  4. Over-the-counter pain relievers can help manage pain, but they should be used as directed and not for long-term treatment.

What you should look out for

  • Sudden, severe abdominal pain
  • Blood in your urine
  • Difficulty breathing
  • Fever and chills
  • Persistent nausea and vomiting

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's important to consult with a healthcare provider for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of kidney stones?

Common symptoms of kidney stones include severe pain in the back, side, abdomen, groin, and testicles, nausea, and sometimes shortness of breath. You may also experience blood in the urine and frequent urination.


How is epididymitis typically treated?

Epididymitis is typically treated with antibiotics to address the infection and pain management to alleviate discomfort. Rest and scrotal support may also be recommended.


What is costochondritis and how is it managed?

Costochondritis is inflammation of the cartilage in the rib cage, causing chest pain that can mimic heart conditions. It is managed with pain relievers, rest, and sometimes physical therapy to reduce inflammation and pain.


When should I seek immediate medical attention for chest pain?

You should seek immediate medical attention for chest pain if it is sudden, severe, accompanied by difficulty breathing, or if you experience other symptoms like fever, chills, or persistent nausea and vomiting.


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