[41M] Experiencing testicular and lower abdominal pain

Patient Description

A 41-year-old male is presenting with dull pain in both testicles, rated 3 out of 10, that occurs during urination, and has been persistent for 3 days. Additionally, he reports a dull lower abdominal pain, rated 4 out of 10, located just below the umbilicus, with slight radiation to the lower back, persisting for 5 days. The abdominal pain does not change with movement or position. The patient has not observed any swelling or redness in the testicles, blood in the urine, or unusual discharge from the penis, and denies experiencing fever, urinary frequency, or urgency. The patient has had unprotected sexual encounters but has not been tested for sexually transmitted infections. He has no known drug allergies, is not on any medications, and has no pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system, including your kidneys, bladder, ureters, and urethra. UTIs can cause pain or a burning sensation during urination, frequent urination, and lower abdominal pain. The presence of leukocytes in your urine could indicate a UTI.

    • Treatment typically involves antibiotics prescribed by a doctor.

  • Sexually Transmitted Infections (STIs): Given your history of unprotected sexual encounters, it's possible that you may have contracted an STI. Some STIs can cause pain during urination and testicular pain.

    • Treatment depends on the specific STI, but often involves antibiotics or antiviral medications.

  • Epididymitis: This is an inflammation of the epididymis, a tube located at the back of the testicles. Epididymitis can cause testicular pain and is often caused by an infection, including STIs.

    • Treatment typically involves antibiotics and pain relievers.

Please note that these are only possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional for a formal diagnosis and treatment.

What you can do

  1. Schedule an appointment with your doctor as soon as possible. They may want to conduct further tests, such as a urine culture or STI screening, to determine the cause of your symptoms.
  2. Drink plenty of water to help flush bacteria out of your urinary system.
  3. Avoid sexual intercourse until you've been evaluated by a doctor to prevent potentially spreading an STI.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe pain in your abdomen or testicles
  • Blood in your urine
  • High fever (temperature over 100.4°F)
  • Nausea or vomiting
  • Difficulty urinating or inability to urinate

Remember, I'm an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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9 mo ago

People Also Ask

What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include a burning sensation during urination, frequent urination, cloudy or strong-smelling urine, and lower abdominal pain. Some people may also experience a fever or chills.

How can sexually transmitted infections (STIs) affect the urinary system?

STIs can cause symptoms such as pain during urination, testicular pain, unusual discharge from the penis, and sometimes fever. They can lead to infections in the urinary tract, causing discomfort and other symptoms.

What is epididymitis and what are its symptoms?

Epididymitis is an inflammation of the epididymis, which can cause symptoms like testicular pain, swelling, and sometimes fever. It is often caused by infections, including sexually transmitted infections.

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

You should seek immediate medical attention if you experience severe pain in your abdomen or testicles, blood in your urine, high fever, nausea or vomiting, or difficulty urinating.

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