[24M] Experiencing intermittent testicular pain and nausea

Patient Description

A 24-year-old male reports experiencing intermittent pangs of pain in the right testicle, which have progressed to constant discomfort over a few hours. The pain is described as significant, with a severity of 6 to 7 out of 10, and occurs roughly every minute. The pain is localized to the back of the right testicle and has not been accompanied by swelling, redness, fever, or vomiting. The patient also reports an underlying sense of nausea that has been present for approximately an hour and a half. The nausea is described as manageable. No other symptoms were reported, and no specific activities or movements have been identified that worsen the discomfort.

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Arora's Assessment

What might be happening

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

  • Epididymitis: This is inflammation of the epididymis, the tube located at the back of the testicles that stores and carries sperm. It is often caused by sexually transmitted infections (STIs) or urinary tract infections (UTIs). It typically presents with testicular pain, which can be severe, and sometimes nausea.

    • Treatment typically involves antibiotics to clear the infection.
  • Testicular torsion: This is a medical emergency where the spermatic cord, which provides blood flow to the testicle, is twisted, cutting off the blood supply. The main symptom is sudden, severe testicular pain, but nausea and vomiting can also occur.

    • Treatment is surgical and must be performed as soon as possible to save the testicle.
  • Orchitis: This is inflammation of one or both testicles, often caused by an infection. Symptoms include testicular pain and swelling, and sometimes nausea and vomiting.

    • Treatment typically involves antibiotics to clear the infection.

What you can do

Given the severity of your pain and the potential seriousness of conditions like testicular torsion, you should seek immediate medical attention. Do not attempt to treat this condition at home.

What you should look out for

If you experience any of the following symptoms, you should seek immediate medical attention:

  • Severe or worsening pain
  • Swelling or redness in the testicles
  • Fever
  • Difficulty urinating
  • Blood in your urine

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

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1 yr ago

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People Also Ask


What are the common causes of testicular pain in young men?

Common causes of testicular pain in young men include epididymitis, testicular torsion, orchitis, trauma, and sometimes hernias. It's important to seek medical evaluation to determine the exact cause.


How can I differentiate between epididymitis and testicular torsion?

Epididymitis often presents with gradual onset of pain, sometimes accompanied by fever and urinary symptoms, and is usually treated with antibiotics. Testicular torsion, on the other hand, involves sudden, severe pain and is a surgical emergency requiring immediate attention to prevent loss of the testicle.


What are the potential complications if testicular torsion is not treated promptly?

If testicular torsion is not treated promptly, it can lead to loss of blood supply to the testicle, resulting in tissue death and potentially the loss of the testicle. This can also affect fertility and cause long-term complications.


What should I do if I experience sudden and severe testicular pain?

If you experience sudden and severe testicular pain, you should seek immediate medical attention, as it could be a sign of testicular torsion, which requires urgent surgical intervention to prevent serious complications.


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