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Suggest Remedy For Pain In Testicles And Difficulty During Urination
Posted on
Tue, 30 Jun 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 30 Jun 2015
Answered on
Mon, 20 Jul 2015
Last reviewed on
Question : Hi. My husband is having the following symptoms. (he has a history of alcoholism and some drug use)
Pain on left side that runs up and down side. Pain has been present for 4+ months. Sometimes its very painful, other times the pain is there but not severe. Pain in the side seems to be made worse when he eats.
He is drinking a lot of Pepto bismol. Says his stomach hurts all the time (keeps holding his hand over the top part of his stomach)
Pain in the testicles. Difficulty urinating. Recent symptom in the last 2 months. Sometimes has blood in his urine, sometimes he doesn't.
Also, seems to have an inguinal hernia-bulge in the groin area.
Has had blood in his stool almost every day for months now. Also has hemorrhoids. The amount of blood varies-sometimes its significant, sometimes its not.
When you take all the symptoms together, what is wrong with him
Pain on left side that runs up and down side. Pain has been present for 4+ months. Sometimes its very painful, other times the pain is there but not severe. Pain in the side seems to be made worse when he eats.
He is drinking a lot of Pepto bismol. Says his stomach hurts all the time (keeps holding his hand over the top part of his stomach)
Pain in the testicles. Difficulty urinating. Recent symptom in the last 2 months. Sometimes has blood in his urine, sometimes he doesn't.
Also, seems to have an inguinal hernia-bulge in the groin area.
Has had blood in his stool almost every day for months now. Also has hemorrhoids. The amount of blood varies-sometimes its significant, sometimes its not.
When you take all the symptoms together, what is wrong with him
Brief Answer:
Diagnostic is necessary.
Detailed Answer:
Hello!
Thank you for the query.
His symptoms are for sure not caused by one issue.
Left side pain can be caused by peptic ulcer, urinary tract infection or even large intestine tumor. I do not think alcoholism history has anything to do with his current symptoms. Alcoholism usually leads to liver changes and pancreas changes. It may result with liver cirrhosis (which does not give any pain) and chronic pancreas inflammation (gives upper middle pain which can radiate to the back, fatty diarrhea, weight loss).
Blood in the stool can be related to the pain, but it has nothing to do with testis pain and urinating problem.
It is important to determine the source of this bleeding. If the blood is on the stool surface, not mixed with it and is bright red, hemorrhoids are the most probable reason.
If the blood is mixed with the stool, but not black, large intestine tumor can be the case.
And finally if he has black like a tar stool (black, not brown), bleeding from peptic ulcer can be the reason.
Testis pain can be caused by inguinal hernia indeed. But please note that bulge in the groin does not have to be hernia. It can be also enlarged lymph nodes. Hernia gets more visible when standing and coughing and can disappear when lying down.
Hernia can be the reason of abdominal pain if it results with an obstruction. If so, he should get bloated abdomen, cramps, gas obstruction and vomiting. Otherwise, obstruction is not the case.
Testis pain can be also caused by prostate inflammation and enlargement, testis inflammation or even testis cancer. With inflammation and enlargement he can have urinating problems and blood in the urine.
As you can see there is a lot to be ruled out. He should consult a doctor and have some tests done. He should start with:
- abdominal ultrasound, testis ultrasound, rectal examination
- blood work (CBC, liver tests, bilirubin level, urine analysis, PSA level)
- colonoscopy (very important test)
Hope this will help. Feel free to ask further questions.
Regards.
Diagnostic is necessary.
Detailed Answer:
Hello!
Thank you for the query.
His symptoms are for sure not caused by one issue.
Left side pain can be caused by peptic ulcer, urinary tract infection or even large intestine tumor. I do not think alcoholism history has anything to do with his current symptoms. Alcoholism usually leads to liver changes and pancreas changes. It may result with liver cirrhosis (which does not give any pain) and chronic pancreas inflammation (gives upper middle pain which can radiate to the back, fatty diarrhea, weight loss).
Blood in the stool can be related to the pain, but it has nothing to do with testis pain and urinating problem.
It is important to determine the source of this bleeding. If the blood is on the stool surface, not mixed with it and is bright red, hemorrhoids are the most probable reason.
If the blood is mixed with the stool, but not black, large intestine tumor can be the case.
And finally if he has black like a tar stool (black, not brown), bleeding from peptic ulcer can be the reason.
Testis pain can be caused by inguinal hernia indeed. But please note that bulge in the groin does not have to be hernia. It can be also enlarged lymph nodes. Hernia gets more visible when standing and coughing and can disappear when lying down.
Hernia can be the reason of abdominal pain if it results with an obstruction. If so, he should get bloated abdomen, cramps, gas obstruction and vomiting. Otherwise, obstruction is not the case.
Testis pain can be also caused by prostate inflammation and enlargement, testis inflammation or even testis cancer. With inflammation and enlargement he can have urinating problems and blood in the urine.
As you can see there is a lot to be ruled out. He should consult a doctor and have some tests done. He should start with:
- abdominal ultrasound, testis ultrasound, rectal examination
- blood work (CBC, liver tests, bilirubin level, urine analysis, PSA level)
- colonoscopy (very important test)
Hope this will help. Feel free to ask further questions.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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