[42M] With chronic lower abdominal and testicular pain

Patient Description

A 42-year-old male presents with sharp and crampy lower abdominal pain persisting for over a year, rated as 8/10 in severity. The pain occurs almost daily, lasting from minutes to hours, and is sometimes accompanied by testicular pain. Relief is occasionally found by laying down with legs spread open. The pain onset was sudden. Urinary symptoms include difficulty urinating and increased frequency, particularly at night. Bowel movements occur once daily, with occasional blood on wiping, and stool consistency varies from hard to soft. The patient has a history of tobacco use and decreased methamphetamine use to once or twice weekly. No prior diagnoses of gastrointestinal or prostate conditions. The patient has a history of a fractured pelvis and appendicitis surgery. Allergic to Amoxicillin. No current medications reported.

Show More

Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations for your abdominal and testicular pain, as well as your urinary symptoms:

  1. Chronic Prostatitis or Prostatodynia: This condition involves inflammation or irritation of the prostate gland, which can cause lower abdominal pain, testicular pain, and urinary symptoms like difficulty urinating or increased frequency. It can be chronic and may not always show signs of infection.

  2. Irritable Bowel Syndrome (IBS): IBS is a common disorder that affects the large intestine and can cause crampy abdominal pain, changes in bowel habits, and sometimes blood in the stool. Stress and diet can exacerbate symptoms.

  3. Pelvic Floor Dysfunction: Given your history of pelvic fracture, there could be issues related to the muscles and nerves in the pelvic area, leading to pain and urinary symptoms.

  4. Urinary Tract Infection (UTI) or Kidney Stones: These can cause abdominal pain and urinary symptoms, though they are less likely to be chronic without other symptoms like fever or severe pain.

It's important to consult with a healthcare provider for a formal diagnosis. They may recommend tests such as a urinalysis, ultrasound, or other imaging studies to better understand your condition.

What you can do

Abdominal and Testicular Pain:

  • Consult a healthcare provider: It's important to get a professional evaluation to determine the underlying cause of your pain.
  • Pain management: Over-the-counter pain relievers like ibuprofen may help alleviate discomfort. Be sure to follow dosing instructions.
  • Lifestyle modifications: Reducing stress, avoiding trigger foods, and staying hydrated can help manage symptoms.

Urinary Symptoms:

  • Hydration: Drink plenty of water to help flush out your urinary system.
  • Avoid irritants: Limit caffeine and alcohol, which can irritate the bladder.
  • Track symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or worsening pain
  • Blood in your urine
  • Fever or chills
  • Inability to urinate
  • Significant changes in bowel habits

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a proper diagnosis and treatment plan.

Show More

1
 Hugs
0
 Comments

Save

1 mo ago

People Also Ask


What could be causing my chronic lower abdominal and testicular pain?

Chronic lower abdominal and testicular pain could be due to conditions like chronic prostatitis, irritable bowel syndrome (IBS), pelvic floor dysfunction, or less commonly, urinary tract infections or kidney stones. It's important to consult a healthcare provider for an accurate diagnosis.


How can I manage my urinary symptoms at home?

To manage urinary symptoms at home, ensure you stay well-hydrated, avoid bladder irritants like caffeine and alcohol, and track your symptoms to discuss with your healthcare provider. Over-the-counter pain relievers may also help with discomfort.


Is it normal to have blood on wiping after bowel movements?

Occasional blood on wiping can occur due to hemorrhoids or anal fissures, especially if stools are hard. However, persistent or significant bleeding should be evaluated by a healthcare provider to rule out other conditions.


What lifestyle changes can help alleviate my symptoms?

Lifestyle changes that may help include reducing stress, avoiding foods that trigger symptoms, staying hydrated, and maintaining a regular bowel routine. These can help manage symptoms related to IBS or pelvic floor dysfunction.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback