[30M] With severe testicular pain and systemic symptoms

What might be happening

Based on the symptoms you've described, there are several potential concerns that need immediate medical attention:

1. Testicular Torsion: This is a condition where the testicle twists around the spermatic cord, cutting off its blood supply. It can cause severe pain and swelling and is a medical emergency. Immediate treatment is necessary to save the testicle.

2. Infection or Inflammation: Conditions such as epididymitis or orchitis can cause testicular pain and swelling. These are often due to infections and may require antibiotics or other treatments.

3. Substance Use Complications: The use of substances like crack and meth can lead to cardiovascular issues, including increased heart rate and chest pain. These substances can also exacerbate anxiety and muscle spasms.

4. Lymphadenopathy: Swollen lymph nodes can be a sign of infection or other systemic conditions. Given the widespread nature of your lymph node swelling, further evaluation is needed to determine the cause.

5. Anxiety and Stress: Your symptoms, including increased heart rate and muscle spasms, may also be exacerbated by anxiety and stress, especially considering your history of depression and anxiety.

It's crucial to seek immediate medical attention to address these symptoms, especially given the potential for serious conditions like testicular torsion or complications from substance use.

What you can do

1. Seek Immediate Medical Care: Given the severity and nature of your symptoms, it's important to visit an emergency room or urgent care facility as soon as possible. If the pain becomes unbearable or you experience new symptoms like difficulty breathing, call 911 or have someone take you to the hospital immediately.

2. Avoid Substance Use: Try to refrain from using substances like crack and meth, as they can worsen your symptoms and complicate your medical condition. Consider reaching out to a healthcare provider or support group for assistance with substance use.

3. Pain Management: While waiting for medical care, you can continue taking Ibuprofen as directed to help manage pain, but avoid taking more than the recommended dose.

4. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased pain, new lumps, or changes in your heart rate. This information will be helpful for healthcare providers.

5. Follow Up with Healthcare Providers: After receiving initial care, follow up with your healthcare provider to address ongoing symptoms and discuss any necessary tests or treatments.

Remember, this information is not a substitute for professional medical advice. Please seek care from a healthcare professional to receive a formal diagnosis and appropriate treatment.