testicular pain lower abdominal pain

Testicular pain accompanied by lower abdominal pain may be caused by orchitis, epididymitis, varicocele, urinary tract stones, or inguinal hernia. It is recommended to seek medical treatment promptly for a clear diagnosis to avoid delays in treatment.

1. Orchitis

Orchitis is mostly caused by bacterial or viral infection. Common symptoms include unilateral testicular swelling and pain, which may be accompanied by fever and fatigue. The doctor may recommend bed rest and antibiotic treatment such as cefixime tablets and levofloxacin tablets. In severe cases, intravenous infusion is required. In the acute stage, the scrotum can be elevated to reduce swelling.

2. Epididymitis

Epididymitis is often associated with urinary tract infection, manifesting as penetrating pain in the scrotum and radiating to the groin, which may be accompanied by frequent urination and urgency. Treatment requires the use of azithromycin dispersible tablets, tamsulosin hydrochloride sustained-release capsules and other drugs, combined with local hot compresses. Those with chronic and recurrent attacks need to investigate structural abnormalities of the urinary system.

3. Varicocele

Varicocele is more common on the left side, and the scrotum becomes more painful after standing for a long time, which may affect fertility. Mild cases can be relieved by wearing tight underwear, while moderate to severe cases require high spermatic vein ligation. Scrotal color ultrasound can determine the extent of varicose veins.

4. Urinary system stones

Lower ureteral stones may cause radiating pain to the testicles, accompanied by hematuria or difficulty urinating. Routine urine and CT examinations are required to confirm the diagnosis. For smaller stones, you can take Shishi Granules and drink more water. For larger stones, extracorporeal shock wave lithotripsy or ureteroscopy is required.

5. Inguinal hernia

An incarcerated inguinal hernia can cause sudden, severe pain and a visible mass in the groin area. Urgent surgery is required to prevent intestinal necrosis. Commonly used surgeries include tension-free hernia repair and laparoscopic hernia repair. Elderly patients need to investigate factors that increase abdominal pressure such as chronic cough.

When testicular pain occurs, you should avoid strenuous exercise and wear loose cotton underwear to keep the perineum clean. The diet should be light and limit the intake of spicy foods. If the pain lasts for more than 12 hours or is accompanied by vomiting, high fever and other symptoms, emergency treatment is required immediately. Regular physical examinations can help detect urogenital diseases early.