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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 45747
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Trying to get through to a few GPs but cant, medical

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Trying to get through to a few GPs but cant, medical question is that I have been feeling discomfort in my testicles for the past few days
Assistant: Have you seen a doctor about this yet? What medications are you taking?
Customer: Done a urine test about it and it has came up clear, I'm on no medication
Assistant: Is this a time sensitive issue? What type of specimen are they testing?
Customer: Seems to be I think
Assistant: Anything else in your medical history you think the doctor should know?
Customer: It goes off and on if that's what you mean

What is your age?

Are you exposed to unsafe sex or have a history of kidney stones?

Customer: replied 4 months ago.
28, I had unsafe sex 6 months ago
Customer: replied 4 months ago.
No history of kidney stones
Customer: replied 4 months ago.

Thanks for the additional information.

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Customer: replied 4 months ago.
I had tests done which came up clear of any sti's

Mild testes pain may occur without any specific cause. Tight garments, sitting for long hours in a chair with a leg on the leg, driving motorcycle or bike may cause pain which subsides on its own.

You may get an ultrasound of the scrotum and abdomen if the pain persists.

Chronic scrotal pain is usually related to noninflammatory conditions but chronic infections also should be considered. Because the testes arise embryologically in close proximity to the kidneys, pain arising in the kidneys or retroperitoneum may also be referred to the testes. So an abdominal ultrasound, intravenous pyelography and a CT scan of the abdomen also should be done to evaluate testicular pain.

A urine and sperm culture for pyogenic organisms and mycobacterium should be done. This should be able to point towards the chronic infection and give the guidelines for further management.

Following other causes to be considered for the pain are;

1) Recurrent torsion

2) Torsion or inflammation of the appendix of the testes

3) Infectious epididymitis

4) Noninfectious epididymitis; occur due to reflux of urine through the ejaculatory ducts and vas into the epididymis, producing a "chemical" inflammation

5) Referred pain - the genitofemoral, ilioinguinal, or posterior scrotal nerves CAN CAUSE REFERRED PAIN. Other causes of referred pain are an abdominal aortic aneurysm, ureteric stone, lower lumbar or sacral nerve root impingement, retrocecal appendicitis, retroperitoneal tumor, and postherniorrhaphy pain.

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Customer: replied 4 months ago.
I had a CT scan done a few days ago which showed nothing, no clots etc
Customer: replied 4 months ago.
I'm just looking looking to understand how it's happening and how it can be avoided

You may take Ibuprofen.

Were you able to read the answer above where I mentioned all the possibilities?

Customer: replied 4 months ago.
the pain isn't too bad does this necessarily mean it's not testicular torsion?

Testicular torsion usually is significantly painful.

Customer: replied 4 months ago.
Ok, I'll try and follow this up with a doctor here
Customer: replied 4 months ago.
Thank you

You are very welcome.

Wishing you a speedy resolution and all the very best in life.

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