[45M] Experiencing testicular, abdominal, and back pain

What might be happening

Based on the information provided, possible diagnoses include:

• Epididymitis: This is inflammation of the epididymis, the tube located at the back of the testicles. It can cause testicular pain, swelling, and difficulty urinating. However, it's usually accompanied by an infection, which you mentioned your labs did not show.

  • Treatment usually involves antibiotics, but since you don't have an infection, pain relievers and rest might be recommended.

• Testicular torsion: This is a serious condition caused by the testicles becoming twisted, which can cause severe testicular pain and swelling. However, this usually comes on very suddenly and is extremely painful, so it's less likely given your symptoms have been present for a few months.

  • Treatment is surgical and should be done as soon as possible to save the testicle.

• Inguinal hernia: This is when part of your intestine pushes through a weak spot in your abdominal wall, often causing pain in the groin and testicles. Your CT scan did not show anything out of the ordinary, which makes this less likely.

  • Treatment usually involves surgery to repair the hernia.

• Kidney stones: These can cause severe pain in the back, abdomen, and groin, as well as nausea and difficulty urinating. However, these would typically be seen on a CT scan.

  • Treatment can range from pain management and drinking lots of water to pass the stone, to medical procedures to remove or break up larger stones.

• Musculoskeletal pain: Given your pain in multiple areas (back, hip, lower abdomen), it's possible that your pain could be musculoskeletal in nature, potentially related to strain or overuse. This wouldn't necessarily show up on a CT scan.

  • Treatment typically involves rest, physical therapy, and over-the-counter pain relievers.

What you can do

1. Rest and avoid any strenuous activities that might exacerbate your pain.
2. Over-the-counter pain relievers, such as ibuprofen, might help alleviate your pain. However, you should check with a healthcare provider before starting any new medication.
3. Applying a warm compress to the painful areas might help relieve some of your discomfort.
4. Stay hydrated and maintain a balanced diet.

What you should look out for

You should seek immediate medical attention if:

• Your pain becomes severe or unbearable.
• You develop a fever.
• You notice blood in your urine.
• Your testicular pain or swelling worsens.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.