[35M] Experiencing sharp intermittent testicular pain

Patient Description

A 35-year-old male reports experiencing sharp, intermittent pain in the testicle for several weeks. The pain is particularly noticeable when stretching and is rated as a 5 out of 10 in terms of severity. Rest appears to alleviate the discomfort. The pain is described as affecting the entire testicle and began suddenly. The patient has not observed any swelling, redness, or other associated symptoms such as nausea, vomiting, fever, or urinary changes. There is no past medical history of note, no known drug allergies, and the patient is not on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your testicular pain:

  • Testicular Torsion: This is a medical emergency and occurs when 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. However, you mentioned that you do not have any swelling, which is a common symptom of testicular torsion.

  • Epididymitis: This is an inflammation of the epididymis, the tube located at the back of the testicle that stores and carries sperm. It's often caused by a bacterial infection, including sexually transmitted bacterial infections, such as chlamydia. Epididymitis can cause swelling, but you mentioned that you do not have any swelling.

  • Testicular Trauma: Any direct blow or trauma to the testicles can cause pain.

  • Inguinal Hernia: This occurs when a portion of the intestine pushes through a weak spot in the abdominal muscles, causing a bulge in the groin or scrotum. The bulge can cause discomfort or sharp pain, especially when you cough, bend over, or lift something heavy.

What you can do

Given the duration and nature of your symptoms, it's important to seek medical attention as soon as possible. While resting seems to alleviate your pain, the cause of your discomfort needs to be diagnosed and treated by a healthcare professional.

What you should look out for

If your pain becomes severe, if you start to feel unwell, or if you notice any swelling or changes in the appearance of your testicles, seek immediate medical attention. These could be signs of a serious condition, such as testicular torsion, which requires emergency treatment.

Please remember that while I strive to provide accurate and helpful medical information, this advice is intended to supplement, not replace, advice from a healthcare professional. Always seek the advice of your doctor or other qualified health provider with any questions you may have regarding a medical condition.

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People Also Ask


What are the common symptoms of testicular torsion?

Common symptoms of testicular torsion include sudden, severe pain in one testicle, swelling, abdominal pain, nausea, and vomiting. It is a medical emergency and requires immediate treatment.


How is epididymitis typically treated?

Epididymitis is typically treated with antibiotics if it is caused by a bacterial infection. Pain relief and anti-inflammatory medications may also be prescribed. Rest and elevating the scrotum can help alleviate symptoms.


What are the signs of an inguinal hernia?

Signs of an inguinal hernia include a bulge in the groin or scrotum, discomfort or sharp pain when coughing, bending over, or lifting heavy objects, and a feeling of heaviness or weakness in the groin.


When should I seek immediate medical attention for testicular pain?

You should seek immediate medical attention for testicular pain if it becomes severe, if you feel unwell, or if you notice swelling or changes in the appearance of your testicles. These could be signs of a serious condition like testicular torsion.


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