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What Causes Difficulty In Walking When Diagnosed With Testicular Pain?
Question: My 12 year old son is having testicular pain - says it comes and goes and moves around. It was exacerbated when he ran down the street today and now has pain in his groin area/upper leg. He is having trouble walking normally, says it hurts when he puts his legs together. We have not found any bulges to suggest a hernia. We are out of town so trying to decide what to do.
Brief Answer:
Urgent ultrasound and color doppler.
Detailed Answer:
Hi.
Thanks for your query.
Noted the history about your son and understood the concerns.
The commonest cause of intermittent pain in the testis of a 12 year old boy exacerbated on running with other history that you have mentioned is most suggestive of the following:
Recurrent testicular torsion.
I would advise you the following:
Urgent ultrasonography and color doppler of the scrotum.
Clinical examination by a General Surgeon or an Urologist.
If this is proved then needs testicular fixation asap to avoid the torsion with its complications.
Also get the blood and urine tested to rule out any infection; if present to get treated accordingly.
Give scrotal support to elevate the testes.
Ask him to stop any movements that gives muscular action of the lower abdomen, one of the instigating factors for torsion, and anyways needs rest.
I hope this answer helps you.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Urgent ultrasound and color doppler.
Detailed Answer:
Hi.
Thanks for your query.
Noted the history about your son and understood the concerns.
The commonest cause of intermittent pain in the testis of a 12 year old boy exacerbated on running with other history that you have mentioned is most suggestive of the following:
Recurrent testicular torsion.
I would advise you the following:
Urgent ultrasonography and color doppler of the scrotum.
Clinical examination by a General Surgeon or an Urologist.
If this is proved then needs testicular fixation asap to avoid the torsion with its complications.
Also get the blood and urine tested to rule out any infection; if present to get treated accordingly.
Give scrotal support to elevate the testes.
Ask him to stop any movements that gives muscular action of the lower abdomen, one of the instigating factors for torsion, and anyways needs rest.
I hope this answer helps you.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Would we see any external signs of torsion? We are out of town and trying to decide whether we need to take him to the ER. Thanks
Brief Answer:
As explained below.
Detailed Answer:
In recurrent or partial torsion there may not be any signs.
There may be mild tenderness or mild swelling.
Unrelieved torsion gives severe pain, swelling, redness, severe tenderness and referred pain in lower abdomen.
It is better to take him to ER.
As explained below.
Detailed Answer:
In recurrent or partial torsion there may not be any signs.
There may be mild tenderness or mild swelling.
Unrelieved torsion gives severe pain, swelling, redness, severe tenderness and referred pain in lower abdomen.
It is better to take him to ER.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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