What are the common causes of back and scrotum pain. How can these conditions be treated effectively. When should you consult a doctor for back and scrotum discomfort.

Understanding the Connection Between Back and Scrotum Pain

Back and scrotum pain can be distressing symptoms that often occur together due to the complex network of nerves and blood vessels in these areas. While these pains may seem unrelated, they can sometimes stem from the same underlying conditions or affect each other through referred pain pathways.

The lower back and scrotum share nerve connections through the pudendal and genitofemoral nerves. This anatomical relationship means that issues originating in the lower back can sometimes manifest as scrotal pain, and vice versa. Understanding this connection is crucial for proper diagnosis and treatment.

Common Causes of Combined Back and Scrotum Pain

Several conditions can lead to concurrent pain in the back and scrotum:

• Herniated discs
• Kidney stones
• Prostatitis
• Epididymitis
• Testicular torsion
• Varicocele
• Nerve compression or damage

Each of these conditions has unique characteristics and requires specific diagnostic approaches. For instance, a herniated disc in the lower back can cause radiating pain that extends to the scrotum, while kidney stones may cause intense flank pain that spreads to both the back and scrotum.

Herniated Discs and Sciatica

A herniated disc occurs when the soft inner portion of a spinal disc protrudes through the tougher outer layer. This can irritate nearby nerves, leading to pain that radiates from the back to the legs and sometimes the scrotum. Sciatica, often caused by a herniated disc, can manifest as a sharp, burning sensation along the sciatic nerve path, potentially affecting the scrotum.

Kidney Stones: A Common Culprit

Kidney stones are mineral deposits that can form in the kidneys and cause severe pain as they pass through the urinary tract. The pain often begins in the back or side and may radiate to the lower abdomen and scrotum. This condition is frequently accompanied by other symptoms such as frequent urination, blood in the urine, and nausea.

Diagnosing Back and Scrotum Pain: What to Expect

Proper diagnosis of back and scrotum pain involves a comprehensive approach:

1. Medical history review
2. Physical examination
3. Imaging studies (X-rays, CT scans, or MRI)
4. Blood and urine tests
5. Nerve conduction studies

During the diagnostic process, your healthcare provider will ask detailed questions about the nature, duration, and intensity of your pain. They will also inquire about any associated symptoms or recent lifestyle changes that might be relevant.

The Importance of Accurate Description

When describing your symptoms to a healthcare professional, be as specific as possible. Is the pain sharp or dull? Does it come in waves or remain constant? Does anything alleviate or exacerbate the pain? These details can provide crucial clues for an accurate diagnosis.

Treatment Options for Back and Scrotum Pain

Treatment for back and scrotum pain varies depending on the underlying cause. Some common approaches include:

• Pain management medications
• Physical therapy
• Surgical interventions
• Lifestyle modifications
• Alternative therapies (e.g., acupuncture, chiropractic care)

For conditions like herniated discs, conservative treatments such as physical therapy and pain management are often the first line of defense. In more severe cases or for conditions like testicular torsion, surgical intervention may be necessary.

Medication Options

Various medications can be prescribed to manage back and scrotum pain:

• Nonsteroidal anti-inflammatory drugs (NSAIDs)
• Muscle relaxants
• Opioid painkillers (for severe, short-term pain)
• Anticonvulsants (for nerve pain)
• Antidepressants (for chronic pain management)

It’s crucial to use medications under the guidance of a healthcare professional to avoid potential side effects and drug interactions.

When Should You See a Doctor for Back and Scrotum Pain?

While some instances of back and scrotum pain may resolve on their own, certain symptoms warrant immediate medical attention:

• Severe, sudden onset of pain
• Pain accompanied by fever or chills
• Difficulty urinating or blood in the urine
• Swelling or visible changes in the scrotum
• Numbness or weakness in the legs
• Loss of bowel or bladder control

These symptoms could indicate serious conditions that require prompt medical intervention. Don’t hesitate to seek emergency care if you experience any of these warning signs.

The Risk of Delayed Treatment

Delaying treatment for certain conditions causing back and scrotum pain can lead to complications. For instance, untreated testicular torsion can result in the loss of a testicle if not addressed within hours of symptom onset. Similarly, severe nerve compression from a herniated disc can lead to permanent nerve damage if left untreated.

Preventing Back and Scrotum Pain: Lifestyle Factors

While not all causes of back and scrotum pain are preventable, certain lifestyle modifications can reduce your risk:

• Maintaining good posture
• Regular exercise, especially core-strengthening activities
• Proper lifting techniques
• Staying hydrated to prevent kidney stones
• Practicing safe sex to avoid sexually transmitted infections
• Managing stress through relaxation techniques

Incorporating these practices into your daily routine can help maintain overall health and potentially prevent some causes of back and scrotum pain.

The Role of Ergonomics

For those who spend long hours sitting, proper ergonomics is crucial. Ensure your workspace is set up to promote good posture and reduce strain on your back. This includes using a chair with adequate lumbar support, positioning your computer screen at eye level, and taking regular breaks to stretch and move around.

Living with Chronic Back and Scrotum Pain: Coping Strategies

For some individuals, back and scrotum pain may become a chronic condition. Developing effective coping strategies is essential for maintaining quality of life:

• Pain management techniques (e.g., mindfulness, meditation)
• Support groups or counseling
• Adaptive tools and devices
• Regular exercise within pain limitations
• Exploring alternative therapies (e.g., acupuncture, massage)

It’s important to work closely with your healthcare team to develop a comprehensive pain management plan tailored to your specific needs and circumstances.

The Psychological Impact of Chronic Pain

Chronic pain can take a significant toll on mental health, potentially leading to depression, anxiety, and decreased quality of life. Addressing the psychological aspects of chronic pain is crucial for overall well-being. Consider seeking support from a mental health professional experienced in working with chronic pain patients.

Emerging Treatments and Research in Back and Scrotum Pain Management

The field of pain management is constantly evolving, with new treatments and approaches being developed:

• Regenerative medicine techniques (e.g., stem cell therapy)
• Advanced nerve stimulation devices
• Targeted drug delivery systems
• Virtual reality therapy for pain management
• Personalized medicine approaches based on genetic profiling

While many of these treatments are still in the research phase, they offer hope for improved pain management options in the future. Stay informed about new developments and discuss potential new treatments with your healthcare provider.

The Promise of Regenerative Medicine

Regenerative medicine techniques, such as platelet-rich plasma (PRP) injections and stem cell therapy, show promise in treating certain causes of back pain. These approaches aim to stimulate the body’s natural healing processes, potentially offering long-term relief without the need for surgery. However, more research is needed to fully understand their efficacy and long-term safety.

Back and scrotum pain can significantly impact daily life, but with proper diagnosis and treatment, many individuals find relief and improved quality of life. By staying informed, working closely with healthcare professionals, and adopting healthy lifestyle practices, you can effectively manage these challenging symptoms. Remember, early intervention is key in preventing complications and achieving the best possible outcomes.

Causes, treatment, and when to see a doctor

A tingling sensation in the back can result from conditions that affect the underlying nerves. Also known as paresthesia, it can stem from infections, spinal injuries, fibromyalgia, and other causes.

In this article, we discuss some of the possible causes of tingling in the back and their treatment options. We also cover when to see a doctor.

Shingles, or herpes zoster, is a painful, itchy rash that typically develops on one side of the body. However, the rash can occur on any part of the body, including the back and face.

The rash produces fluid-filled blisters that begin to scab over after several days and usually clears up after 2–4 weeks.

Before the rash appears, a person may experience a tingling, itching, or a painful burning sensation in the affected area.

Other symptoms can include:

• fever and chills
• a headache
• an upset stomach

A person can only develop shingles if they have previously had chickenpox. When a person recovers from chickenpox, the varicella-zoster virus that causes the infection remains inactive in the body. This virus can reactivate many years later to cause an outbreak of shingles.

According to the Centers for Disease Control and Prevention (CDC), around in 1 in 3 people in the United States will develop shingles during their lifetime. It is possible for a person to have a shingles outbreak more than once.

Treatment

Doctors can prescribe antiviral medications that help reduce the severity and shorten the duration of shingles. Other-the-counter (OTC) pain relievers, wet compresses, calamine lotion, and colloidal oatmeal baths may also help to relieve a person’s symptoms.

Spondylolisthesis occurs when one of the vertebrae in the spine slips out of place. This slippage can occur anywhere along the spine, but tends to happen in the lumbar region, or lower back.

Spondylolisthesis does not always cause symptoms. However, if a slipped vertebra presses on a nerve, it can cause pain or a tingling sensation in the back that may radiate down to the back of the thighs.

Other symptoms can include back stiffness, a feeling of weakness in the legs, and problems walking or standing up straight. Symptoms of spondylolisthesis may get worse with physical activity but improve while sitting or leaning forward.

Treatment

Treatment of spondylolisthesis depends on the severity of the symptoms. A person may be able to treat their symptoms at home with:

• rest
• ice packs
• OTC anti-inflammatory medications, such as ibuprofen and naproxen
• exercises to strengthen the back muscles

For more severe symptoms, a doctor may recommend steroid injections or surgery.

Share on PinterestSymptoms of a spinal fracture may include numbness or a tingling sensation.

Spinal fractures can occur as a result of forceful impacts, such as from motor vehicle accidents, sports injuries, falling from height, and violence. Chronic medical conditions that weaken the bones, such as osteoporosis and tumors, can also lead to spinal fractures.

According to the American Academy of Orthopaedic Surgeons, the majority of spinal fractures occur in the middle and lower back.

Spinal fractures can cause moderate to severe pain that may worsen when a person moves.

Other symptoms may include:

• numbness or a tingling sensation
• a loss of bowel and bladder control
• difficulty moving the legs

Treatment

Treatment depends on the severity, type, and location of the fracture, as well as if the person has any other injuries.

In some circumstances, a doctor may perform emergency surgery to reduce pressure on the spinal cord. Other treatments include wearing a special back brace for 6 to 12 weeks and rehabilitation exercises.

Fibromyalgia is a chronic condition that causes widespread pain and tenderness, as well as increased sensitivity to pain. People with fibromyalgia may also experience numbness or tingling in parts of the body, such as the back, hands, and feet.

Other symptoms can include:

• fatigue
• anxiety and depression
• sleeping difficulties
• headaches
• difficulty thinking clearly
• memory and concentration problems, which people sometimes refer to as “fibro fog”

Doctors do not fully understand what causes fibromyalgia.

Treatment

Treatment typically involves a combination of medication and lifestyle changes, including:

• OTC nonsteroidal anti-inflammatory drugs, such as ibuprofen and naproxen
• prescription medications, including antidepressants and antipsychotic drugs
• regular exercise
• stress reduction and relaxation techniques, such as meditation and yoga
• cognitive behavioral therapy (CBT) to treat depression

Arteriovenous malformations (AVMs) are tangled or abnormally shaped blood vessels that typically occur in the brain or spinal cord but can develop anywhere in the body. These malformations can affect blood flow and, depending on their size and location, can cause a range of symptoms that can vary in severity.

Symptoms can include:

• back pain or weakness in the legs
• headaches
• seizures
• numbness, tingling, and pain
• loss of coordination
• dizziness
• problems with vision
• memory problems or confusion
• speech problems

Doctors do not fully understand the cause of AVMs but believe that they typically form during fetal development.

Treatments

Treatment approaches for AVMs depend upon the location of malformation and the severity of the person’s symptoms. Sometimes, a doctor may recommend surgery to remove or cut off the blood supply to the AVM.

Share on PinterestA tingling sensation in the back may be a symptom of spinal infection.

Spinal infections can occur following surgery, or as a complication of other conditions, such as infections, fractures, wounds from injuries, cancer, diabetes, and HIV.

The infection can irritate or damage the nerves. Symptoms can include:

• back pain and stiffness
• numbness or tingling sensations
• muscle weakness or spasms
• fever and chills
• redness in the affected area

Treatment

Treatment for a spinal infection depends on the cause but can include antibiotics and antiviral or antifungal medications. A doctor may recommend surgery for people with severe infections or if there is damage to the spine.

A spinal tumor is an abnormal growth that can develop on the spinal cord. These tumors can either be benign or malignant. Benign tumors do not invade surrounding tissues, whereas malignant, or cancerous, tumors can spread to other parts of the body.

These tumors can cause problems when they press on the spinal cord. Symptoms depend on the location of the tumor but can include:

• back pain
• numbness or tingling
• weakness or lack of coordination in the legs or arms
• reduced sensitivity pain or temperature
• bladder and bowel problems

Treatment

Treatment depends on the size, type, and location of the tumor. However, a doctor will usually recommend surgery to remove the tumor. Other treatment options can include radiation therapy and chemotherapy.

A person should see a doctor if tingling in the back is severe, does not resolve within a few days, or occurs along with other concerning symptoms.

People with tingling in the back should seek immediate medical attention if they also have any of the following symptoms:

• loss of bowel and bladder function
• loss of coordination or difficulty using the arms or legs
• sudden, severe pain and numbness down one or both legs

Experiencing an occasional tingling sensation is not necessarily a cause for concern. However, persistent or recurring tingling sensations in the back can be a symptom of an underlying medical condition.

Causes can include infections, spinal problems, injuries, fibromyalgia, and vascular malformations.

A person should see a doctor if they experience severe tingling in the back, the tingling lasts more than a few days, or they also have other concerning symptoms.

Lower back pain with constipation: Relation, causes, and treatments

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission Here’s our process.

Medical News Today only shows you brands and products that we stand behind.

Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:

• Evaluate ingredients and composition: Do they have the potential to cause harm?
• Fact-check all health claims: Do they align with the current body of scientific evidence?
• Assess the brand: Does it operate with integrity and adhere to industry best practices?

We do the research so you can find trusted products for your health and wellness.

Read more about our vetting process.

Was this helpful?

Lower back pain and constipation can be symptoms of a single condition but are often unrelated. If both symptoms occur together, a person should contact a healthcare professional.

Lower back pain is widespread and usually resolves without treatment.

Constipation is also common, and people can usually treat it at home. However, if constipation and lower back pain occur together, a person should contact a doctor.

This article examines whether lower back pain can cause constipation. It also looks at conditions that cause both symptoms, potential individual causes, and treatment options.

Sometimes, the cause of lower back pain can lead to constipation. This can happen due to a tumor or growth.

According to the British charity Cancer Research UK, if a tumor presses on the nerves in the spinal cord, it can stop or slow down the movement of the bowel, leading to constipation.

The American Society of Colon & Rectal Surgeons states that growths and tumors in the colon can also cause constipation.

However, it is important to note that these are less likely to cause constipation, and anyone who has concerns should contact a doctor.

Constipation can lead to lower back pain. The pain occurs when the mass of feces presses on the nerves in the lower back, called the sacral nerves.

The following are examples of conditions that can cause both constipation and lower back pain at the same time:

• Bowel obstruction: A bowel obstruction may occur due to a collection of hard stool in the intestine or because something presses on or constricts the bowel and prevents the stool from moving forward.
• Endometriosis: In people with endometriosis, tissue similar to the tissue that normally lines the uterus starts to grow in other places in the body, including the fallopian tubes, ovaries, bowel, and bladder. A 2020 article notes that the most common symptoms include back pain, lower abdominal pain, and severe menstrual cramps.
• Fibromyalgia: People with fibromyalgia typically experience increased sensitivity to pain, pain all over the body, problems sleeping, fatigue, and gastrointestinal symptoms. Lower back pain is a common symptom.
• Inflammatory bowel disease (IBD): IBD includes ulcerative colitis and Crohn’s disease. These conditions can cause intestinal inflammation that leads to diarrhea and constipation. In addition, a 2019 article notes that IBD has an association with ankylosing spondylitis, an inflammatory arthritis that affects the spine.
• Irritable bowel syndrome (IBS): IBS symptoms often include constipation, diarrhea, or both, as well as abdominal bloating and cramping. Lower back pain can be a symptom of IBS.
• Liver disorders: Liver disorders, such as cancer, cirrhosis, and hepatitis, can cause symptoms that include nausea, constipation, abdominal pain and swelling, and itching. The location of the back pain depends on the liver disorder. For example, researchers of a 2015 study found that lower back pain was a common symptom of cirrhosis. Back pain with liver inflammation typically occurs in the upper back on the right.
• Pancreatic cancer: Pancreatic cancer does not usually cause symptoms in its earlier stages. However, as it progresses, a person may experience a range of symptoms, such as itching skin, back pain, abdominal pain, and digestive problems. Treatment for pancreatic cancer can cause constipation, leading to lower back pain when severe.
• Other cancers: Cancers that have metastasized to the bone, such as breast cancer, can lead to back pain.

Learn about the differences between IBD and IBS here.

People should contact a doctor as soon as possible if they have constipation and experience lower back pain.

Other causes

Pregnancy can also cause lower back pain and constipation together. Lower back pain can occur due to the growing fetus adding additional pressure on the back, and increasing progesterone levels can lead to constipation.

Learn more about constipation and pregnancy here.

Aging can also lead to increased incidences of lower back pain and constipation. This can result from dietary choices, medications, and a lack of exercise, amongst other causes.

In addition, as a person ages, the disks in their back lose flexibility and fluid, which reduces their shock-absorbing abilities, thus contributing to back pain.

Learn about some of the foods that can cause constipation here.

Q:

How likely is it that sudden lower back pain and constipation are due to a form of cancer?

Anonymous

A:

Back pain is a very common ailment and is most likely related to a musculoskeletal issue. Cancers rarely start in the back, but they can spread from somewhere else to the back. This pain, however, is usually a gradually worsening pain. This is the same for constipation related to cancer. Typically constipation related to cancer is a gradual onset. Also, there will often be more signs once there is both back pain and constipation, such as weight loss, night sweats, and fatigue.

Angela M. Bell, MD, FACPAnswers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.

Was this helpful?

Constipation causes can vary.

The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) notes that some causes of constipation include:

• a diet low in fiber
• dehydration
• a lack of physical activity
• pelvic floor disorders
• irritable bowel syndrome and irritable bowel disease
• obstructions in the bowel
• medications that have constipation as a side effect
• hypothyroidism, or a low-functioning thyroid

A person with a history of spinal cord injury, traumatic brain injury, or surgery on the colon may also be more prone to constipation than other people.

Learn more about constipation and its causes here.

Lower back pain can be acute, which is when the pain lasts a few weeks and resolves without treatment or chronic. Chronic lower back pain usually lasts for 12 weeks or longer.

Some causes of lower back pain include:

• Herniated disk: A herniated or bulging disk occurs when one of the disks that provide cushioning between the bones in the spine starts to bulge outward. This disk then presses on the spinal nerves, which can cause lower back pain and discomfort.
• Scoliosis and other skeletal problems: Scoliosis and lordosis, a spinal curve specific to the lower back, can cause lower back pain.
• Spinal stenosis: Spinal stenosis occurs when the spinal bones start to narrow, usually due to injury or aging. The narrowing places extra pressure on the spinal nerves, which can cause pain and affect sensation.
• Sprains: A sprain occurs when a person overstretches ligaments in their back, resulting in injury.
• Strains: A strain occurs when a person tears a tendon or muscle in their back.
• Spinal tumors: Spinal tumors can press on spinal nerves, resulting in pain and discomfort.
• Radiculopathy: Lower back radiculopathy occurs when a nerve becomes compressed, irritated, or inflamed. Symptoms include pain, tingling, and numbness down one or both sides of the body.
• Sciatica: Sciatica occurs due to compression of the sciatic nerve that travels down the buttocks to the leg. This is a form of radiculopathy.

Learn more about the causes of lower back pain here.

The NIDDK recommends that a person sees a doctor right away if they have lower back pain and constipation together or experiences frequent bouts of constipation or unexplained instances of lower back pain.

If lower back pain and constipation occur together due to a single underlying condition, a doctor will recommend an appropriate treatment.

In less serious cases, there are several things that a person can do at home to relieve constipation and lower back pain when they occur together:

• Try nonsteroidal anti-inflammatory drugs (NSAIDs): These drugs can help relieve pain. Examples of NSAIDs include ibuprofen and naproxen.
• Engage in low-impact physical activity: According to 2019 research, exercise is an effective treatment option for constipation. Gentle exercises can also help treat lower back pain.
• Drink plenty of water: Water can add bulk to the stool, making it softer and easier to pass.
• Try over-the-counter stool softeners and laxatives: These make the stool easier to pass.
• Eat more fiber: Although the body does not digest fiber, this nutrient can add bulk to stool. The increased bulk stimulates the intestines, making the stool move along the digestive tract more easily.
• Apply cloth-covered heat or ice packs to the lower back: Applying hot or cold packs can help soothe inflamed muscles and ease pain.

If symptoms remain despite home treatments, a person should contact a doctor.

Learn the difference between laxatives and stool softeners here.

A healthcare professional may recommend the following to treat the causes of lower back pain and constipation.

Lower back pain and constipation are two conditions that may occur together due to a single condition or as a result of unrelated causes.

If the symptoms are severe or persist beyond a few weeks, a person should contact a doctor.

Question from: Boris – Health Clinic 365 Yekaterinburg

Question to Urologist

Question from Boris

Question: Hello!

I am 30 years old. In history, chronic prostatitis has been for 5 years, but it has never caused any particular inconvenience except for frequent urination, and even if you freeze your legs. Now I will tell you the story of a disease that no one can diagnose.

About 2.5 months ago I began to dislike my erection, it frankly became worse and my libido decreased.
I found on the Internet a list of exercises to strengthen the muscles of potency, and plus, there were also several exercises from yoga, the cobra pose. I tried to do these complexes every evening for 30 minutes, and during the day at work I also strained the muscles in the perineum while sitting. The effect was not long in coming, after a week the libido was already in full swing, and the potency, as it seemed to me, became better. All these days, while I was doing the exercises, I did not have an ejaculation, I was even a little worried that there would be congestion, but somewhere on the 7th day I had sex and normal ejaculation. I continued to exercise. Three days later I was lying on the couch on my left side and felt pain in my scrotum. I spent an hour and looked, I remember badly, but then it seemed to me that the scrotum was swollen and the testicles were enlarged. It hurt so bad, I just couldn’t touch it with my finger. I didn’t know what to do.
For some reason, I decided that this feeling is similar to youthful pains when you get excited, but there is no sperm output and then it hurts in the groin until you ejaculate.
I tried to achieve an erection, the pain interfered, but after half an hour I was able to bring the penis into a state of erection and finish, I took an analgesic and it became easier.

After a couple of days, I began to notice that it was uncomfortable to sit. The left testicle, as it were, interferes, the right one does not feel, but the left one interferes. At first, it was only in the late afternoon, when you sit on a chair for a long time at work, and after sleep and the first part of the day it was almost imperceptible.
Time passed and then it got worse, almost immediately after sleep I began to feel an unpleasant pulling sensation in the left testicle and a little higher, later I found out that this is called an appendage. Then added severe pain in the appendage. I stopped sitting on a chair, I could only reclining, so that the testicle would not touch something. Those when it hangs still nothing, you feel heaviness, and when you sit down you can’t sit for a long time, it rises and something in the appendage area starts to hurt and then the whole left zone and thigh and pubis begin to hurt in general. The testicle itself sometimes did not hurt at all, and sometimes it was very innervated, they all seemed to consist of open nerve endings. But for the whole period I did not have a temperature, no chills, nothing like that.

I made an appointment with Urologist No. 1 – he examined me and concluded that there was no urological pathology. He prescribed Indomethacin suppositories. I took a course of Interferon at home. There is no result, I can’t sit, a week of treatment has passed and almost three as it began to hurt.

I made an appointment with Urologist #2 – Described the pain to him. He did not look at me and sent me for an ultrasound of the pelvis, kidneys and scrotum. The kidneys are normal, the bladder too, the prostate is 28*38*38 (V=18.8 cm) in general signs of Xp. There is prostatitis, but no more.
It came to the ultrasound of the scrotum: the testicles are all within the normal range, the dimensions are 47.7 * 29 right and 46 * 26.3 left. Appendages:
Right 11.9 * 7.1, and left 15.8 * 11.2
The contours on the right are even and clear, on the left indistinct
The echostructure on the right is fine-grained and without foci, on the left it is heterogeneous.
Blood flow of the main type.
Gross venous plexus: not dilated, left V=2.8, right 1.9
Physiological fluid in the scrotal cavity.
Conclusion: Left-sided epididymitis.

The urologist read this and immediately prescribed Cifran 500 and wear slimming underwear, I drank it for three days, without effect.
Urologist #2 showed me to the professor, Urologist #3. He examined me with his hands and said that antibiotics should be put aside, since there is no epididymitis here at all. I stopped drinking Cifran, but to be sure, I drank Amoxicillin for another 4 days, which also did not bring any result. The pain continued, I took sick leave and lay at home.
On the advice of urologist No. 3, I began to be treated for Neuralgic causes, was treated in a hospital, they did vitamin B droppers for 10 days and did physiotherapy Magnet on the left side of the scrotum, they showed it to the surgeon and did an ultrasound scan a couple of times. – to no avail.

I did an MRI, no hernias and radicular pinchings, which urologists 1, 2 and 3 were leaning towards. There is nothing in the lumbar region that could give such strange pains.

I started visiting Neurologists, I visited Neurologist #1 and #2. One looked at me and said that the problem was not neurological, the second began to block pain points on my back – there were no changes and even temporary improvements. Doctors said that this ailment is unlikely to have neuralgic roots.

2.5 months have passed. No one made a diagnosis, I couldn’t sit properly, and I still can’t. More precisely, I can do it in the morning after sleep and not for long, but the rest of the day I sit so that the left testicle does not touch the chair at work, and in the car I go half-crouching on one side.

I’ll try to describe the conditions that I have now:

– heaviness in the left testicle and slightly above it. Appears 15 minutes after sleep.
– the left testicle interferes with walking, as if it touches the leg, but I don’t even feel the right one
– when you sit or lie on your back and the testicle rests with its back on something – pain appears, as it seems to me – a focus of pain in the back of the testicle or epididymis.
– sometimes the pain becomes severe in the same area and begins to radiate to the leg, lower back and left side of the pubis.

I have already read everything I can about Epididymitis, Orchitis, blinker torsion and so on.
I don’t know what to do, it doesn’t get any easier. I’m ready to cut off this left testicle, but the urologists don’t want to, they say there is no evidence:(

Please advise what should I do? Which specialist from which area to get? Well, it’s not for nothing that in the results of the ultrasound of the scammers and the dimensions on the left and the structure of the appendage and the contours are somehow wrong ?? And all urologists say that it can be so.

Thank you in advance for your reply.

PS – I didn’t write part of it, another urologist, who didn’t find anything, and another neurologist, who again sent me to the urologist, sold out. Vicious circle.

Answer:

Hello, Boris.

It is difficult to make a diagnosis in absentia, so I will give only recommendations, nothing more. Pain in the testicles is rarely associated with testicular pathology. Donate blood from a vein for testicular cancer markers: b – hCG (beta chorionic gonadotropin), AFP (alpha fetoprotein) and LDH (lactate dehydrogenase).

Sincerely, Dr. Nikitin A.S.

Back

Pain in the scrotum

Pain in the scrotum

With a problem like pain in the scrotum , experienced not only by mature men, but also by adolescents. Annoying pain may indicate serious diseases leading to impotence and infertility. Often the cause of the problem can be detected and eliminated immediately, but the fact that in 25% of cases it remains unknown still leads to the conclusion that pain of this nature should never be tolerated!

Causes of pain in the scrotum

The scrotum is a skin-muscle formation that is divided into two halves; in each – a testicle with an appendage and a spermatic cord. It is thanks to the scrotum, which, depending on external conditions, is lowered or pulled up to the body, the testicles are always at the most comfortable temperature – 34. 4 degrees.

Pain in the scrotum indicates problems that can later result in serious consequences, therefore, at the first unpleasant sensations, you should not delay a visit to a urologist or andrologist.

Causes of pain in the scrotum can be:

• Testicular torsion.
• Trauma.
• Inguinal hernia.
• Hydrocele (accumulation of fluid in the scrotum).
• Varicocele (widening of the veins in the scrotum).
• Infectious and inflammatory processes in the testis or epididymis.
• Prostatitis.
• Sexually transmitted diseases (STDs).
• Oncological diseases (cancer).
• Sexual arousal without intercourse.

Symptoms of pain in the scrotum

Regardless of the nature, pain in the scrotum is a symptom that cannot be ignored. Professional advice and assistance is required.

See a doctor right away if you:

• You feel pain just from touching the testicles.
• One testicle became noticeably larger, softer, changed shape.
• Pain in the scrotum came on suddenly and is getting worse.
• Pain after a scrotal injury does not subside within an hour.
• In addition to pain, you have a fever, your general condition worsened; nausea and vomiting are present.
• There were involuntary urination and pain in the canal.

Acute pain in the scrotum

Acute pain in the scrotum most often occurs with trauma or testicular torsion. But at the same time, they can appear with advanced diseases.

In case of mechanical damage (in some cases with loss of consciousness), it is necessary to urgently seek medical help in order to avoid testicular loss or infertility.

If acute pain in the scrotum appeared abruptly without any obvious effects, then this indicates testicular torsion. The spermatic cord, on which it is suspended, is twisted 360 degrees (by the way, the reasons for such a twist are not known for certain). In this case, the vas deferens is compressed and the blood circulation of the testicle is interrupted. Sharp pain cannot be tolerated, as it can lead to the death of the testicle.

In the case when acute pain is accompanied by a protrusion of the peritoneum, you are faced with an inguinal hernia.

Drawing and aching pain in the scrotum

Most often, pain in the scrotum does not occur abruptly, but increases with time and has a pulling or aching character. No matter how much you would like, but it is impossible to make a diagnosis on your own in this case.

The causes of pulling and aching pain in the scrotum can be such diseases:

• Epididymitis is an inflammation of the epididymis caused by bacteria. Usually only one appendage becomes inflamed, aching pains haunt the patient for about three days. In addition, the temperature may rise, spontaneous urination and burning in the canal appear.
• Varicocele – enlargement of the veins of the scrotum. The pulling pain grows and becomes unbearable over time.
• Orchitis is an inflammation of the testicles that occurs after mumps. In this case, the testicle swells, and the body temperature “jumps”.

In addition, pulling and aching pains in the scrotum can be an echo of other problems – urolithiasis, cysts or kidney tumors.

Pain between anus and scrotum

Sharp, cutting, aching pain of any nature between the anus and the scrotum is a sign of prostatitis.

It disrupts the rhythm of life and sleep, and occurs regardless of activity.

If the pain in the scrotum is severe and is accompanied by chills, fever and frequent urination, then this indicates an advanced disease.

Pain in the scrotum after sex

Pain in the scrotum after sex can be experienced by both young people and mature men. As in all other cases, only a doctor can make an accurate diagnosis for a patient with such a symptom.

However, the most common cause of scrotum pain after sex is unemptied testicles. This occurs when intercourse is interrupted or when the man has not reached orgasm and the seminal fluid, prepared for the exit, remains inside. Then the scrotum swells, and it seems to the man that it is bursting.

Also, pain between the scrotum and anus often occurs with prostatitis.

Diagnosis of pain in the scrotum

If you have pain in the scrotum, you need to urgently consult a doctor, because an examination at home will not give a result.

The doctor examines the patient, who is in a standing or lying position, performs palpation (examination by palpation). If necessary, to clarify the clinical picture of the disease, the urologist-andrologist may prescribe an ultrasound scan, in more complex cases, pass seminal fluid or urine for analysis.

The main task is to differentiate emergency pathology from other causes. Aortic catastrophes occur in elderly patients (over 50 years of age). Other emergencies can occur at any age. Sharp, acute pain suggests torsion; pain in the scrotum with a strangulated hernia or appendicitis occurs gradually. Tenderness limited to the superior pole of the testis suggests torsion of the epididymis. Bilateral pain suggests infection or a reflected cause. A groin mass suggests a hernia; scrotum formations are nonspecific. The absence of pathological changes in the scrotum suggests referred pain. Decreased scrotal pain on testicular elevation suggests orchiepididymitis.

A urinalysis is always required. Identification of signs of UTI is characteristic of orchiepididymitis. If testicular torsion is suspected, Doppler ultrasound or radionuclide examination of the scrotum is indicated, although the latter is less sensitive and specific.

Treatment of pain in the scrotum

Before treating scrotal pain, the underlying cause must be determined. If you have already dealt with this, then the doctor will prescribe the treatment for you.

Analgesics are indicated for the relief of acute pain in the scrotum; morphine or other opioids may be indicated for pathology requiring surgical treatment. The ultimate treatment is directed at the cause.

In case of injuries or testicular torsion, urgent surgical intervention is necessary, followed by hospitalization. In other cases, drug treatment is prescribed.

• take Ibuprofen for pain relief – no more than three tablets (600 mg) per day.
• Antibiotics are prescribed to eliminate the cause of the pain. Tetracycline – one tablet 0.25 mg six times a day.
• in order to get rid of prostatitis and maintain men’s health, twist half a kilogram of raw peeled pumpkin seeds in a meat grinder and mix them with 200 grams of honey. Form the resulting mass into small balls and store in the refrigerator. Eat this ball twice a day half an hour before meals.
• effective in the prevention and treatment of pain in the scrotum are baths with essential oils of lemon balm, juniper, myrtle, rosemary, yarrow, tea tree and thyme. For a bath, they usually take 5-10 drops.

If you have not yet had time to go to a medical institution, try to keep the scrotum in an elevated position (lying on your back, put a pillow under the sacrum) and apply an ice pack to the pain site (for 15 minutes, with a 10-minute break).