[38M] With left testicular pain and swelling

Patient Description

A 38-year-old male presents with a dull, aching pain in the left testicle that has been present for one to two days. The pain intensifies when the testicle is touched or moved, with a severity rating of 6 out of 10. The patient also reports swelling in the left testicle. There are no accompanying symptoms such as fever, nausea, vomiting, or changes in sexual activity. The patient denies any recent injuries, heavy lifting, or travel. There is no history of sexually transmitted infections or testicular surgeries. The patient has experienced similar symptoms in the past but did not seek medical attention. The patient's medical history is significant for high blood pressure. No medications or allergies were reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few possible explanations for your testicular pain and swelling:

  1. Epididymitis: This is an inflammation of the epididymis, a tube at the back of the testicle that stores and carries sperm. It can cause pain and swelling and is often due to an infection. Treatment typically involves antibiotics if an infection is present, and pain relief measures.

  2. Testicular Torsion: This is a serious condition where the testicle twists, cutting off its blood supply. It causes sudden, severe pain and swelling. Although your pain developed gradually, it's important to rule this out because it requires emergency treatment to save the testicle.

  3. Orchitis: This is an inflammation of the testicle, often due to infection. It can cause pain and swelling similar to what you're experiencing. Treatment usually involves antibiotics and pain management.

  4. Inguinal Hernia: Sometimes, a hernia can cause pain and swelling in the testicular area. This occurs when tissue pushes through a weak spot in the abdominal muscles.

Given your history of high blood pressure, it's important to consider how this might affect your overall health and any potential treatments.

What you can do

  1. Seek Medical Attention: It's crucial to see a healthcare provider as soon as possible to determine the exact cause of your symptoms. If testicular torsion is suspected, it requires immediate medical intervention.

  2. Pain Management: While waiting to see a doctor, you can try over-the-counter pain relievers like ibuprofen to help manage the pain. However, avoid taking any medication without consulting a healthcare provider, especially considering your high blood pressure.

  3. Avoid Strain: Try to rest and avoid any activities that might exacerbate the pain or swelling.

  4. Monitor Symptoms: Keep an eye on any changes in your symptoms, such as increased pain, fever, or changes in swelling, and report these to your healthcare provider.

Please remember, while this information can help you understand potential causes, it is not a substitute for professional medical advice. It's important to consult with a healthcare provider for an accurate diagnosis and appropriate treatment. If your symptoms worsen or you experience severe pain, seek emergency medical care immediately.

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1 mo ago

People Also Ask

What are the common causes of testicular pain and swelling?

Common causes of testicular pain and swelling include epididymitis, testicular torsion, orchitis, and inguinal hernia. Each condition has different underlying causes and requires specific treatments.

How can I differentiate between epididymitis and testicular torsion?

Epididymitis usually presents with gradual onset of pain and swelling, often accompanied by signs of infection. Testicular torsion, on the other hand, typically causes sudden, severe pain and requires immediate medical attention to prevent loss of the testicle.

What should I do if I suspect I have testicular torsion?

If you suspect testicular torsion, seek emergency medical care immediately. This condition requires urgent surgical intervention to restore blood flow to the testicle and prevent permanent damage.

Can high blood pressure affect testicular health or treatment options?

High blood pressure can affect overall health and may influence treatment options, especially when considering medications for pain management. It's important to inform your healthcare provider about your high blood pressure so they can tailor your treatment plan accordingly.

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