Thursday, February 7, 2013

Testicular pain

Testicular pain is pain that occurs at or around one or both testicles. Testicular pain has a number of possible causes. The testicles are very sensitive organ, and even a minor injury can cause testicular pain or discomfort at this level. Testicular pain can occur in the testicles themselves or structures that are still behind them (epididymis). Testicular pain can be caused by other problems arising in the scrotum or lower abdomen.

Severe testicular pain that occurs suddenly may be a sign of testicular torsion - a twisted testicle can quickly lose vascularization. This condition requires emergency medical intervention to prevent loss of the affected testicle.

Article Contents:


Definition
Causes
Medical consultation
Tips for Care
Treatment of testicular pain

Causes


Testicular pain can be caused by many diseases that can be localized to the testes or elsewhere in the scrotum.

These can include:
- Infection with chlamydia;
- Epididymitis (inflammation of the testicles);
- Hydrocele (swelling of the scrotum);
- Inguinal hernia;
- Kidney stones;
- Mumps;
- Orchitis (testicular inflammation);
- Retractile testicle (a testicle that retracts into the abdomen - a condition that occurs in boys);
- Scrotal tumors;
- Spermatocele (accumulation of fluid in the testicle);
- Testicular trauma;
- Testicular torsion (twisted testicle);
- Testicular cancer;
- Varicocele (enlarged veins in the scrotum).

Medical consultation


Emergency Call your doctor if the patient has:
- Testicular pain sudden severe;
- Testicular pain accompanied by nausea, fever, chills and blood in urine.

Schedule a medical examination if the patient has:
- Light testicular pain that persist for several days;
- Swelling or edema or around the testicles.

Tips for Care


Steps below relieves pain testicular easy:
- Managing a release without a prescription painkiller such as aspirin, ibuprofen, acetaminophen, except in situations where medical contraindications for administration. Children should not be given aspirin;
- Supporting the scrotum with a sports suspension or a folded towel when the patient is lying.

Treatment of testicular pain


Home Care
In general, you should see emergency care if pain occurs suddenly, especially if the pain is severe or associated with nausea.
- Applying an ice pack to the scrotum to help relieve pain and swelling. Ice has proven effective in increasing the time that a testicle can survive with low blood flow. Ice should be wrapped in a cloth, not applied directly to the scrotum;
- Administration of pain medications such as ibuprofen and acetaminophen, which can be effective in the short-term.

Medical treatment

The doctor will always recommend analgesics. In general, ice helps reduce pain and swelling.

Other treatments depend on the cause of the pain:
- Torsion: Testicular torsion requires emergency urological surgery performed by a doctor who specializes in kidney and genital surgery. Before surgery, your doctor may try to reduce hand torque to temporarily relieve the problem;

-Epididymitis: antialergical in addition to medication, the doctor will give the patient antibiotics for 7-10 days;
- The type of antibiotic used depends on the patient's age and the possible presence of allergies to certain medications;
- In rare cases, the patient will be hospitalized;
- Torsion of testicular appendices: doctor can offer no specific treatment for this problem besides ice and pain relievers. The pain should go away in a week;
- Hernia: hernia requiring usually surgery. If the patient experiences severe pain that cannot be improved, the doctor can use immediately to surgery;
- Tumor: if the patient has testicular cancer, it will be referred to an urologist to complete treatment;
- Rupture or hematocele: An urologist will assess the problem and can often perform surgery.

3 comments:

  1. The disease caused by bacterial infection will require at least two weeks of antibiotic treatment. The medications given can include doxycycline, azithromycin, ofloxacin, ciprofloxacin, levofloxacin or trimethoprim-sulfamethoxazole. Cases caused by Mycobacterium tuberculosis will be treated by anti-tuberculosis medications. General treatment includes bed rest, elevation of scrotum and application of ice. The elevation will raise the scrotal sac above the level of heart improving blood flow and aids in rapid healing. Intake of plenty of water is recommended. Other than these non-steroidal anti-inflammatory drugs such as ibuprofen or naproxen can also be of assistance. If amiodarone is the suspected causes then adjustment of the drug dose is recommended. The severe cases with exaggerated symptoms such as intractable pain, vomiting, very high fever or overall severe illness may require hospital admission. Surgical removal of testis may be required as treatment of Epididymitis in complicated cases. In case of chronic illness treatment is mainly directed towards reducing the discomfort.

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