[31M] With groin pain, swelling, and urinary issues
Question
Patient Description
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Arora's Assessment
What might be happening
Based on the information you provided, here are some possible conditions that could explain your symptoms:
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Epididymitis or Orchitis: These are infections or inflammations of the epididymis or testicle, respectively. They can cause pain, swelling, and warmth in the affected area, as well as fever and chills. The infection can also lead to urinary symptoms such as burning during urination and cloudy or foul-smelling urine.
- Treatment typically involves antibiotics to clear the infection, pain relievers, and supportive care such as rest and scrotal elevation.
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Urinary Tract Infection (UTI): A UTI can cause symptoms like cloudy, foul-smelling urine, burning during urination, fever, chills, and back pain. In men, UTIs can sometimes lead to more serious infections involving the prostate (prostatitis) or kidneys (pyelonephritis).
- Treatment usually involves antibiotics and increased fluid intake to help flush out the bacteria.
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Inguinal Hernia: This occurs when a part of the intestine protrudes through a weak spot in the abdominal muscles, causing pain and swelling in the groin area. It can sometimes cause urinary symptoms if it presses on the bladder or urinary tract.
- Treatment often involves surgical repair of the hernia.
What you can do
- Seek Medical Attention: Given the severity and duration of your symptoms, it is important to see a healthcare provider as soon as possible. They can perform a physical examination, order urine tests, and possibly imaging studies to determine the cause of your symptoms.
- Stay Hydrated: Drink plenty of water to help flush out any potential infection and stay hydrated.
- Pain Management: Continue taking over-the-counter pain relievers like Ibuprofen and Naproxen as needed, but follow the dosing instructions on the package.
- Rest and Elevate: Rest and elevate your scrotum to help reduce swelling and discomfort.
What you should look out for
Seek immediate medical attention if you experience any of the following:
- Severe Pain: If the pain becomes unbearable or significantly worsens.
- High Fever: If your fever exceeds 100.4°F or you experience severe chills.
- Inability to Urinate: If you are unable to pass urine at all.
- Blood in Urine: If you notice blood in your urine.
- Severe Back Pain: If the back pain becomes severe or is accompanied by other concerning symptoms.
Remember, while this information can help you understand potential causes and next steps, it is essential to consult with a healthcare professional for an accurate diagnosis and appropriate treatment.
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6 mo ago