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How Should Pain After Ejaculation, Hip Pain, Lower Stomach Pain, Increased Urination And Pain In The Penis Tip Be Diagnosed?

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Posted on Mon, 13 Nov 2023
Question: i recently went to urologist because i was having pain after ejactulatation pain in hip lower stomach hips pain in tip of penis encreased urination usually goes away eventually
no pain urinating or blood in urine the urologist examined me said said i had a upper pole edididymal cyst he did prostate exam and said felt fine didnt have any pain in my testicles
but couple days later finding i have moderate pain in one my testicles hes has me taking 800mg ibuprofen 3 times a day
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
Clinical evaluation and examination, investigations to get a cause

Detailed Answer:
Hi.
Thanks for your query.
Noted the history and understood the concerns.
As per the history you have provided this looks to be urinary tract infection that eventually lead to Epididymo-orchitis and giving you the symptoms of pains as you have mentioned.
I would advise you the following:
Send the sample of urine for routine, microscopy, culture and sensitivity tests- this may give results as you have not yet been on any antibiotic.
Tests of blood for CBC, Sugar, Kidney functions, PSA and advised.
Ultrasonography of abdomen and scrotum along with Color doppler examination.
Antibiotic cover may be needed as per the reports - needs prescription.
Take Ibuprofen only when in pain.
Take plenty of oral fluids.
Give scrotal support.

Please get these done to get an appropriate diagnosis so that a proper management can be given.

I hope this answer helps you to get an appropriate diagnosis at the earliest top give a plan of proper management.

Please give feedback.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19778 Questions

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How Should Pain After Ejaculation, Hip Pain, Lower Stomach Pain, Increased Urination And Pain In The Penis Tip Be Diagnosed?

Brief Answer: Clinical evaluation and examination, investigations to get a cause Detailed Answer: Hi. Thanks for your query. Noted the history and understood the concerns. As per the history you have provided this looks to be urinary tract infection that eventually lead to Epididymo-orchitis and giving you the symptoms of pains as you have mentioned. I would advise you the following: Send the sample of urine for routine, microscopy, culture and sensitivity tests- this may give results as you have not yet been on any antibiotic. Tests of blood for CBC, Sugar, Kidney functions, PSA and advised. Ultrasonography of abdomen and scrotum along with Color doppler examination. Antibiotic cover may be needed as per the reports - needs prescription. Take Ibuprofen only when in pain. Take plenty of oral fluids. Give scrotal support. Please get these done to get an appropriate diagnosis so that a proper management can be given. I hope this answer helps you to get an appropriate diagnosis at the earliest top give a plan of proper management. Please give feedback.