[34M] With severe scrotal swelling, pain, and systemic symptoms

What might be happening

Based on the symptoms you've described, here are some possible conditions:

• Epididymitis: This is inflammation of the tube at the back of the testicle that stores and carries sperm. It is often caused by a bacterial infection, including sexually transmitted infections (STIs), such as gonorrhea or chlamydia. Symptoms can include testicular pain and swelling, fever, and chills.

• Orchitis: This is inflammation of one or both testicles, usually caused by an infection. Orchitis can be caused by many types of bacteria and viruses. The most common virus that causes orchitis is mumps. It most often occurs in boys after puberty.

• Testicular Torsion: This is a serious condition caused by the spermatic cord to the testicle becoming twisted. It can cause severe pain and swelling in the scrotum. This is a medical emergency that needs to be treated right away to prevent lasting damage to the testicles.

• Inguinal Hernia: This occurs when part of your intestine protrudes through a weak spot in your abdominal muscles near the groin. Most inguinal hernias enlarge over time if not repaired surgically. In men, the protrusion may descend into the scrotum.

What you can do

Given the severity of your symptoms, you should seek immediate medical attention. These conditions can be serious if not treated promptly. You should go to the emergency department right away.

What you should look out for

Watch for sudden, severe testicle pain. Testicle pain is always a reason to seek urgent medical care. If you have testicle pain and swelling, especially if it's sudden, seek medical care right away.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.