[29M] Experiencing abdominal pain, bloody stools, and testicular pain

Patient Description

A 29-year-old male reports a 2.5-year history of intermittent hard, bloated lower stomach, infrequent bloody stools, and sharp testicular pain that occurs during bowel movements and can last up to 6 hours. The patient also experiences lower abdominal discomfort, a stiff mild ache in the lower back, dizziness, lightheadedness, and has observed swelling and redness in the testicles. The patient smokes cigarettes and has not identified any dietary triggers for the bloating. No significant past medical history, known drug allergies, or other medications were reported. The patient has also noted recent unexplained weight loss and changes in energy levels.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Diverticular Disease: This condition involves the formation of small pouches (diverticula) in the wall of the colon that can become inflamed or infected. This can cause abdominal pain, bloating, and bloody stools.

    • Treatment typically involves antibiotics, pain relievers, and a temporary liquid diet. In severe cases, surgery may be required.
  • Hemorrhoids: These are swollen blood vessels in the rectum or anus that can cause bloody stools. They can be internal (inside the rectum) or external (under the skin around the anus), and can cause discomfort or pain.

    • Treatment options include over-the-counter creams or suppositories, lifestyle changes (like eating more fiber), and in some cases, surgery.
  • Testicular Torsion: This is a serious condition where the spermatic cord, which provides blood flow to the testicle, rotates and becomes twisted. This cuts off the testicle's blood supply and causes sudden, severe pain and swelling.

    • Testicular torsion is a medical emergency and requires immediate surgery to untwist the cord and restore blood flow.
  • Prostatitis: This is inflammation of the prostate gland, which can cause lower abdominal and testicular pain. It can also cause discomfort during or after ejaculation, and urinary symptoms.

    • Treatment typically involves antibiotics, pain relievers, and other medications to reduce symptoms.

What you can do

Given the severity of your symptoms and their duration, it's important that you seek medical attention as soon as possible. While waiting for your appointment:

  1. Try to stay hydrated, especially if you're losing fluids through diarrhea.
  2. Avoid any foods or drinks that seem to worsen your symptoms.
  3. Over-the-counter pain relievers may help with your discomfort, but they should not replace a visit to the doctor.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe or worsening testicular pain
  • Blood in your urine
  • Fever or chills
  • Severe abdominal pain
  • Vomiting or inability to keep down fluids

Please remember that while I strive to provide accurate information, I'm not a doctor. It's crucial that you consult with a healthcare professional who can evaluate your symptoms and provide appropriate treatment.

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11 mo ago

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People Also Ask


What are the common symptoms of diverticular disease?

Common symptoms of diverticular disease include abdominal pain, bloating, changes in bowel habits, and sometimes bloody stools. In some cases, fever and nausea may also occur.


How can hemorrhoids be treated at home?

Hemorrhoids can often be managed at home by increasing fiber intake, staying hydrated, using over-the-counter creams or suppositories, taking warm baths, and avoiding straining during bowel movements.


What are the signs of testicular torsion that require immediate attention?

Signs of testicular torsion that require immediate medical attention include sudden, severe testicular pain, swelling, nausea, vomiting, and abdominal pain. It is a medical emergency and needs prompt surgical intervention.


What lifestyle changes can help manage prostatitis symptoms?

Lifestyle changes that can help manage prostatitis symptoms include staying hydrated, avoiding alcohol and caffeine, reducing stress, and engaging in regular physical activity. Some may also benefit from dietary changes and pelvic floor exercises.


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