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Hi there. Thank you for your question. I will be helping you out with your queries
With the kind of pain that you are having you should definitely go to the emergency
The reason why I say that is because this could be orchitis (infection of the testes) epididymo-orchitis (infection of the testis and the epididymis).
Another possibility is that of testicular torsion which is an emergency in itself.You may require an antibiotic for this along with anti-inflammatory medications for which you definitely do need to be seen ASAP.
This is pain is accompanied with difficulty in passing urine. The pain started 3-4 hours ago and has got gradually worse. Is the answer still the same.
The answer is still the same.
Difficulty in passing urine can happen with the causes that I mentioned.