[46M] With chronic abdominal and testicular pain

What might be happening

Your symptoms suggest a complex issue that may involve multiple factors:

1. Chronic Pain Syndrome: Given the duration and severity of your pain, it might be part of a chronic pain syndrome. This can occur even after surgery, like testicle removal, due to nerve damage or other factors.

2. Nerve Pain (Neuropathy): The sharp, burning, and throbbing nature of your pain could indicate nerve involvement. This might explain why typical pain medications haven't been effective.

3. Pelvic Floor Dysfunction: Difficulty urinating and pain during sexual activity might be related to pelvic floor issues, which can cause referred pain to the abdomen and testicle area.

4. Medication Side Effects: High doses of ibuprofen and other medications can contribute to gastrointestinal issues and may not effectively manage nerve-related pain.

What you can do

Pain Management:

• Consult a Pain Specialist: Seek a pain management specialist who can explore alternative treatments like nerve blocks, physical therapy, or non-opioid medications.
• Consider Non-Medication Therapies: Techniques like cognitive behavioral therapy, acupuncture, or biofeedback might offer some relief.

Lifestyle Adjustments:

• Diet and Hydration: Ensure a balanced diet and adequate hydration to help manage constipation and overall health.
• Gentle Exercise: Engage in gentle exercises, like walking or stretching, to improve circulation and reduce stress.

Medication Review:

• Discuss with Your Doctor: Review your current medications with your healthcare provider to address side effects like dizziness and explore alternatives.

Symptom Tracking:

• Use MDandMe: Journal your symptoms, track progress, and share insights with your healthcare provider to help guide treatment decisions.

What you should look out for

• Seek Immediate Care: If you experience new symptoms like fever, severe swelling, or changes in urination, seek medical attention promptly.
• Monitor for Side Effects: Be aware of any new side effects from medications and report them to your doctor.

Remember, it's important to work closely with healthcare professionals to find a treatment plan that works for you.