Lower Stomach And Testicle Pain


Additional Causes And Treatment

Testicular Torsion Presenting as Abdominal Pain

Additional causes of testicle pain may include:

  • Diabetic neuropathy: This nerve damage due to diabetes can also cause pain in the testicles. Managing the underlying diabetes can resolve the problem.
  • Hydrocele: This is a fluid buildup that causes swelling of the scrotum. They typically affect babies but can impact males of any age. While they do not usually cause pain, there can be some pain from the swelling. In infants, the hydrocele will typically resolve on their own. In adults, surgery may be necessary.
  • Idiopathic testicular pain: This is where the testicular pain is due to an

What Are The Common Causes Of Pain In The Testicle

Trauma or injury to the testicles can cause pain, but pain in the testicle is often the result of medical issues that will require treatment. These include:

  • damage to the nerves of the scrotum caused by diabetic neuropathy
  • epididymitis, or inflammation of the testicles, caused by the STI chlamydia
  • gangrene, or the death of tissues, as a result of untreated testicular torsion or trauma
  • a hydrocele, which is characterized by swelling of the scrotum
  • orchitis, or inflammation of the testicle
  • a spermatocele, or fluid in the testicle
  • an undescended testicle
  • a varicocele, or a group of enlarged veins in the testicle

In some instances, pain in the testicle can be caused by a severe medical condition known as testicular torsion. In this condition, the testicle becomes twisted, cutting off blood supply to the testicle. This can cause damage to the tissue.

Testicular torsion is a medical emergency that must be treated quickly to prevent damage to the testicles. The condition occurs more frequently in males between the ages of 10 and 20.

Pain in the testicle is rarely caused by testicular cancer. Testicular cancer typically causes a lump on the testicles thats often painless. Your doctor should evaluate any lump that forms on your testicles.

Common Symptoms Of Pain In One Testicle

These are some of the symptoms you are likely to have.

  • Sudden, severe pain in one testicle
  • Dull pain that may radiate from or into your lower abdomen
  • Swelling, redness, and soreness of your scrotum and testicle
  • The testicle may seem to be hanging or lying in an unusual position or placed higher than normal within your scrotum.

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Abdomen And Testicle Pain

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Who Treats Testicular Pain

Testicular Torsion: Symptoms, Causes, Diagnosis, and Treatment

If you have testicular pain or if you have recently had high-risk sexual activity, you should seek medical help. High-risk sexual activity includes having more than one partner or having a partner who has had more than one partner. You can get diagnosed by specialists including:

  • Urologist: If you have signs of testicular cancer or kidney stones, you may be referred to an urologist .
  • Nephrologist: If you have kidney infections or poorly functioning kidneys, you may be referred to a nephrologist .

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When To Contact A Medical Professional

Sudden, severe testicle pain needs immediate medical care.

Contact your provider right away or go to an emergency room if:

  • Your pain is severe or sudden.
  • You have had an injury or trauma to the scrotum, and you still have pain or swelling after 1 hour.
  • Your pain is accompanied by nausea or vomiting.

Also call your provider right away if:

  • You feel a lump in the scrotum.
  • You have a fever.

Signs And Symptoms Of Testicular Cancer

Many of these symptoms are more likely to be caused by something other than testicular cancer. A number of non-cancerous conditions, such as testicle injury or inflammation, can cause symptoms a lot like those of testicular cancer. Inflammation of the testicle and inflammation of the epididymis can cause swelling and pain of the testicle. Both of these also can be caused by viral or bacterial infections.

Some men with testicular cancer have no symptoms at all, and their cancer is found during medical testing for other conditions. For instance, sometimes imaging tests done to find the cause of infertility can uncover a small testicular cancer.

But if you have any of these signs or symptoms, see your doctor right away.

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Causes Of Testicle Pain

Apart from minor injury, common reasons for testicle pain are:

  • Epididymo-orchitis painful inflammation of the testicle and epididymis , which can be caused by a sexually transmitted infection , urinary tract infection , mumps or sometimes the cause is unknown
  • Epididymal cysts a small swelling in the epididymis, which youre most likely to develop in mid-life
  • Inguinal hernia a painful swelling in the groin area
  • Varicoceles enlarged veins in the scrotum, which can cause mild testicle pain
  • Hydrocele a build-up of fluid inside the scrotum, the loose pocket of skin surrounding your testicles, which can sometimes be painful and is most common in men over the age of 40
  • Kidney stones small, hard lumps of crystallised urine which can cause a sore testicle

If youre experiencing agonising testicle pain, nausea, vomiting and abdominal pain and your scrotums swollen and tender, call 999 immediately. You may have a testicular torsion a very serious condition thats most common in young males aged 10-20.

Torsion Of A Testicular Appendage Cause Symptoms And Signs

How to manage one sided testicular pain & sagging? – Dr. Ravish I R

Torsion of a testicular appendage occurs due to twisting of the testicular or epididymal appendage, which are functionless structures that are remnants of tissue from human development. The testicular appendage lies between the testicle and the epididymis, while the epididymal appendage typically projects from the epididymis.

As with testicular torsion, twisting of these structures leads to a decrease in blood flow and subsequent testicular pain. This is a common condition in younger boys, with most cases occurring between 7 to 14 years of age. Though this condition is benign and self-limiting, it must be distinguished from the more serious testicular torsion.

With torsion of a testicular appendage, the onset of testicle pain may be sudden or gradual, and the severity of pain may range from mild to severe. Generally, a person has no symptoms or signs like nausea, vomiting, and fever.

The testicle and/or scrotum generally appear normal, without swelling and redness however, other symptoms and signs may include:

  • Testicular tenderness, typically only localized to the top of the right or left testicle.
  • Sometimes, a small blue-dot is visualized near the top of the affected testicle .

Preservation of the normal vertical positioning of the affected testicle within the scrotum, and preservation of the cremasteric reflex is generally maintained.

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Breast Growth Or Soreness

In rare cases, germ cell tumors can make breasts grow or become sore. This happens because certain types of germ cell tumors secrete high levels of a hormone called human chorionicgonadotropin , which stimulates breast development.

Some Leydig cell tumors can make estrogens , which can cause breast growth or loss of sexual desire.

Treatment For Sharp Pain In Left Testicle

A color Doppler-testicular ultrasound is a non-invasive imaging finding that may evaluate the blood flow to the testicles, and the presence of the testicular tumors, testicular rupture, and even the hernias. A kidney ultrasound might be helpful in the evaluation of the kidney stones.

This is an imaging study that requires the intravenous administration of a radionuclide, helpful for the evaluation of the testicular torsion, and other causes of the testicular pain. It is used less commonly than the ultrasound.

The treatment for the testicular pain varies much depending on the underlying reason. As already indicated, some conditions causing testicular pain are medical emergencies requiring immediate surgical intervention.

Definitive management of the testicular torsion needs surgery by a urologist. During the surgery, the affected testicle is then untwisted, and if it is found to be much viable, the testicle is then secured to the scrotal wall. The unaffected testicle can also be secured so as to prevent testicular torsion from occurring, as some males will have the bell clapper abnormality on both sides.

Further references

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Testicle Rupture Causes Symptoms And Signs

Testicle rupture is a serious injury that is a result of a disruption to the connective tissue enveloping the testicle , which then causes extrusion of testicular tissue. Often, a sign of testicular rupture is a blood collection that surrounds the testicle.

Other types of injuries that cause testicular rupture include penetrating trauma and testicular dislocation. These types of testicular injuries typically require surgery.

Common Characteristics Of Pain In One Testicle

Rectus Abdominis Muscle: Low Back, Abdomen, Heartburn,Testicular Pain ...

If you’re experiencing pain in one testicle, it will likely present with the following.

  • Sudden, severe pain in one testicle
  • Dull pain that may radiate from, or into, your lower abdomen
  • Swelling, redness, and soreness of your scrotum and testicle
  • Unusual positioning: The testicle may seem to be hanging or lying in an unusual position or placed higher than normal within your scrotum.

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What Is Testicular Pain

Testicular pain is a condition that can affect males at any age. The testicles are small egg-shaped reproductive organs inside a thin pouch of skin called the scrotum.

If you have testicular pain, you may feel it in one or both testicles. However, the pain may not actually be coming from your testicles themselves. The pain may be coming from another part of your body such as the stomach or groin. This type of pain is called referred pain.

Testicular pain can be either acute or chronic . Aside from the sharp pain of sudden injury, your first symptom might be a dull ache that increases with time or with activity. Testicular pain can be severe because the testicles have many sensitive nerves.

You should get medical care if your pain lasts longer than an hour or if its unusually intense, as this could be a sign of an emergency condition called testicular torsion.

Causes Of Lower Abdominal & Testicular Pain

For this reason, pain originating in either location is often felt in both areas.

If you are experiencing serious medical symptoms, seek emergency treatment immediately.

**Similarly, the causes of lower abdominal and testicular or scrotal pain can be due to abnormalities affecting structures in either location.

** Many conditions can lead to lower abdominal and scrotal pain, some of which can lead to permanent testicular damage if not treated quickly. It’s important to see your doctor for an accurate diagnosis and appropriate treatment if you experience lower abdominal and testicular pain.

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Most Common Cause Types

The most common causes of pain in one testicle include the following.

  • Torsion: This condition is when your spermatic cord is twisted. Testicular torsion occurs most often on the left side and rarely affects both sides at once.
  • Testicular appendage torsion: This condition involves the twisting of a small piece of vestigial tissue that lies across the top of your testicle, inside your scrotum. The symptoms are similar to actual torsion but not as severe. One side of your testicle will be sore to the touch with a small, hard lump at the top. This condition rarely happens after age 18, and usually resolves on its own.
  • Trauma/injury: A trauma or injury can occur due to accident, sports injury, riding a horse or bicycle, hematoma, contusion, or rupture of the testicle and result in torsion.

Is Pain In One Testicle Serious

Pain in Testis | Dr. Prabir Basu

The severity of pain in one testicle depends on the cause.

  • Not serious: Mild pain and swelling that may occur after something like a long horseback or bicycle ride, and presents no other symptoms, is probably not serious.
  • Moderately serious: Testicular pain along with burning on urination is most likely due to a urinary tract infection or a sexually transmitted disease.
  • Serious: Sudden, severe pain in one testicle is very serious and must be treated immediately.

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Epididymitis Causes Symptoms And Signs

Epididymitis occurs when there is inflammation of the epididymis . Generally, the condition is result of an infection. Epididymitis primarily affects adult men, and is most common between the ages of 19 to 40 years however, it can occur in prepubescent boys and elderly men.

Sexually transmitted diseases or STDs that are most commonly caused by the bacteria Chlamydia trachomatis and Neisseria gonorrhoeae are the most common cause of epididymitis in sexually active men. In younger and older males, the infection usually is caused by bacteria such as Escherichia coli that are found in the urinary tract. Infection in these age groups is typically the result of an abnormality within the genitourinary system.

Epididymitis comes on gradually. The testicular pain can be mild, moderate, or severe, and only in one testicle. Epididymitis also may have symptoms and signs including:

  • Nausea and vomiting
  • Testicular and/or scrotal tenderness, typically localized to the area of the epididymis, though it can become more generalized and involve the whole testicle as the illness progresses
  • Testicular and/or scrotal swelling and redness

When Should I Go To The Er For Testicle Pain

Sudden, severe testicle pain needs immediate medical care. Call your provider right away or go to an emergency room if: Your pain is severe or sudden. You have had an injury or trauma to the scrotum, and you still have pain or swelling after 1 hour.

Does Covid make your balls hurt?

Testicular pain as the first symptom of COVID-19 may suggest orchitis as possible in men patients with SARS-CoV- infection. Further studies are necessary on the pathological effect of SARS-CoV-2 in the male reproductive system and to ensure a proper andrological follow-up for male patients.

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Testicular Tumor Causes Symptoms And Signs

Generally, testicular tumors don’t cause pain however, occasionally some tumors can cause pain and discomfort of the testicle or scrotum. Signs and symptoms of a tumor in a testicle may include a:

  • Lump or mass of the testicle
  • Change in the size or texture of the testicle
  • Dull ache of the lower abdomen, lower back or groin area
  • Feeling of heaviness in the scrotum

Possible Causes Of Pain In The Testicles

Pain in testicle and groin and lower back: The request could not be ...

Michael Menna, DO, is board-certified in emergency medicine. He is an attending emergency medicine physician at White Plains Hospital in White Plains, New York and also works at an urgent care center and a telemedicine company that provides care to patients across the country.

Experiencing testicular pain can be taxing both physically and emotionally. If your testicles hurt, you may be embarrassed to seek medical care and discuss your symptoms with a nurse or healthcare provider.

The problem is that there are some serious conditions that can cause testicular pain. This article looks at five such conditions, including one this is considered a true medical emergency.

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Pain In One Testicle Symptoms Explained

Experiencing an injury to or inflammation in just one testicle is not necessarily unusual, but you should get treatment promptly. Most related conditions heal readily, although some can cause permanent damage and loss of fertility if treatment does not begin right away. Inflammation of one testicle is also called unilateral testicular pain or unilateral orchitis.

Testicular Pain After Working Out

The testicles are very sensitive, and even a slight injury can lead to pain in left testicle, the groin or even the abdomen. Its not always possible to diagnose the cause of the testicle pain, and also the conditions as diverse as trauma, infection and cancer can lead to it. If you have a sudden, or if your testicle pain is accompanied by fever, nausea or blood in the urine, seek medical help for a proper diagnosis.

The spongy nature of the testicles allows them to absorb shock, but due to the fact that they are not protected by a muscle or bone, it is possible to damage the testicles, more especially when playing contact sports.

Its usual to experience pain, swelling or even bruising with trauma to the testicles, but a direct blow can lead to the testicles to rupture, leading the blood to leak into the scrotum. If this occurs, the doctors suggests you may require surgery so as to save the testicles. Seek medical assistance as soon as you can.

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Other Causes Of Testicular Pain:

  • Nerve irritation following a vasectomy or other surgical procedure: Scar tissue or a granuloma could place pressure on the nerves supplying the testes and contribute to pain.
  • Testicular Retraction: Activation of the cremaster reflex causes the testicles to retract up into the groin region. The cremaster reflex can be stimulated by rubbing a nerve on the inner thigh and by emotion, such as fear and laughter. The cremaster is also activated by a cold environment.
  • Stress: The pudendal nerve, responsible for innervation of the skin and skeletal muscles of the perineal region has an autonomic function that allows for control of continence, perspiration, and sexual function. The autonomic system is also responsive to stress. Therefore, increased stress can lead to pain flare-ups.
  • Surrounding muscles/tissues: Along with the abdominals, tension in iliacus, psoas, and obturator internus can lead to irritation of the pudendal nerve and associated pain symptoms. Tension within the adductors can lead to irritation of the ilioinguinal and genitofemoral nerves .

As you can see, testicular pain can stem from many different regions. Not all causes are discussed above, though many that Ive mentioned can actually be treated by a pelvic health physical therapist with specific training in the anatomy and physiology of the above-mentioned structures.

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