[38M] With lower abdominal and testicular discomfort

Patient Description

A 38-year-old male presents with lower abdominal and testicular discomfort, described as a dull sensation, rated 3 out of 10 in severity. The discomfort has been intermittent over the past few days and sometimes changes with movement or certain positions. There is no associated swelling or changes in the size of the testicles. The patient reports a possible strain in the lower back and pelvic area, potentially related to straining during bowel movements. Stools have been harder and slower to pass, and the patient has increased water intake recently, previously consuming mostly tea. There are no symptoms of nausea, vomiting, changes in urination, appetite changes, or unintentional weight loss. The patient does not consume alcohol or use tobacco products and has not traveled recently. Current medications include Tylenol, Omeprazole 20mg twice daily, and Tums. No known allergies.

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Arora's Assessment

What might be happening

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

  • Muscle Strain or Tension: The discomfort in your lower abdomen and testicles, along with the lower back pain, could be related to muscle strain or tension. This can occur from physical activities, poor posture, or straining during bowel movements. Muscle strain can cause referred pain, meaning the discomfort might be felt in areas like the testicles even though the issue originates elsewhere.

  • Constipation: The harder stools and straining during bowel movements suggest constipation, which can lead to abdominal discomfort and pressure. This might also contribute to the sensation of discomfort in the pelvic area.

  • Referred Pain: Sometimes, pain in the lower back or pelvic area can be referred to the testicles. This means that the source of the pain is elsewhere, but it is felt in the testicles.

Typical treatments for these conditions might include lifestyle changes, such as increasing fiber intake and hydration for constipation, and over-the-counter pain relief for muscle strain. If symptoms persist, a healthcare provider might recommend further evaluation or imaging to rule out other causes.

What you can do

  1. Increase Fiber and Hydration: Continue to drink plenty of water and consider increasing your intake of dietary fiber through fruits, vegetables, and whole grains to help with bowel movements.

  2. Over-the-Counter Pain Relief: You mentioned that ibuprofen helped with your back pain. Continue using it as needed, following the recommended dosage instructions.

  3. Gentle Exercise and Stretching: Engage in gentle exercises and stretching to relieve muscle tension and improve posture, which might help alleviate discomfort.

  4. Warm Compress: Applying a warm compress to the lower back or pelvic area may help relax muscles and reduce discomfort.

  5. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share insights with your healthcare provider. This can help identify patterns or triggers for your discomfort.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or worsening pain in the testicles or abdomen
  • Swelling or noticeable changes in the size of your testicles
  • Blood in your urine or stool
  • Fever or chills
  • Persistent constipation despite lifestyle changes

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and personalized treatment plan.

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2 mo ago

People Also Ask


What could be causing lower abdominal and testicular discomfort without swelling?

Lower abdominal and testicular discomfort without swelling could be due to muscle strain or tension, constipation, or referred pain from another area such as the lower back or pelvic region.


How can constipation lead to abdominal discomfort?

Constipation can lead to abdominal discomfort because hard stools and straining during bowel movements can cause pressure and pain in the abdomen and pelvic area.


What are some effective ways to relieve muscle strain in the lower back and pelvic area?

Effective ways to relieve muscle strain include increasing fiber and hydration, using over-the-counter pain relief like ibuprofen, engaging in gentle exercises and stretching, and applying a warm compress to the affected area.


When should I seek medical attention for testicular or abdominal pain?

You should seek medical attention if you experience severe or worsening pain, swelling or changes in the size of the testicles, blood in urine or stool, fever or chills, or persistent constipation despite lifestyle changes.


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