[31M] With groin pain, swelling, and urinary issues

Question

Any ideal what's wrong with me

Patient Description

A 31-year-old male presents with constant pain on the left side of the groin, which sometimes becomes very sharp. This pain has been ongoing for about two weeks. The patient rates the steady pain as a 3 out of 10 and the sharp pain as an 8 out of 10. The left testicle is swollen, and the gland from the testicle going up into the body is swollen and painful to touch. This swelling has been present for three days and is warm to the touch. The patient also reports trouble urinating, with symptoms including cloudy and foul-smelling urine, a slight burning sensation while urinating, and the need to force the urine out. These urinary symptoms have been constant and have not improved. Additional symptoms include chills, fever, nausea, and severe back pain. There is no history of blood in the urine or vomiting. The patient has a past medical history of being diagnosed with Galt in 2011 and is not currently taking any medications. There are no known allergies or adverse reactions to medications.

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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:

  • 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.
  • 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.
  • 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

  1. 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.
  2. Stay Hydrated: Drink plenty of water to help flush out any potential infection and stay hydrated.
  3. Pain Management: Continue taking over-the-counter pain relievers like Ibuprofen and Naproxen as needed, but follow the dosing instructions on the package.
  4. 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


People Also Ask


What are the common symptoms of epididymitis or orchitis?

Common symptoms of epididymitis or orchitis include pain and swelling in the testicle or epididymis, warmth in the affected area, fever, chills, and urinary symptoms such as burning during urination and cloudy or foul-smelling urine.


How can a urinary tract infection (UTI) affect men differently than women?

In men, a UTI can lead to more serious infections such as prostatitis or pyelonephritis. Symptoms may include burning during urination, cloudy or foul-smelling urine, fever, chills, and back pain. Men may also experience urinary retention or difficulty urinating.


What are the signs that an inguinal hernia might be present?

Signs of an inguinal hernia include a bulge in the groin area, pain or discomfort in the groin, especially when bending over, coughing, or lifting, and sometimes urinary symptoms if the hernia presses on the bladder or urinary tract.


When should someone with these symptoms seek immediate medical attention?

Immediate medical attention should be sought if there is severe pain, a high fever exceeding 100.4°F, inability to urinate, blood in the urine, or severe back pain accompanied by other concerning symptoms.


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1 Comments


Arora (Bot)#28060

6 mo ago

Based on your symptoms, you might be experiencing conditions such as Epididymitis or Orchitis, a Urinary Tract Infection (UTI), or an Inguinal Hernia. These conditions can cause pain, swelling, urinary symptoms, fever, and chills. It's important to see a healthcare provider for a proper diagnosis and treatment.

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