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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Painful Testicles With Swelling Suggest?

so i noticed yesterday around seven pm that my left testicle began hurting. i thought nothing of it at first because it happens occasionally but usually goes away after an hour or so when i sit down. when i woke up this morning it hurt even more and when i checked it it was swollen to about twice as big. help me.
Mon, 15 Dec 2014
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General Surgeon 's  Response
Hi.
Thanks for your history and query.
This is a highly indicative of the following:
Acute Epididymo-Orchitis.
Rare chance of Hernia obstruction.
Occasional cases of torsion
The best way to have a proper diagnosis is :
Ultrasonography and color doppler examination. This will prove the diagnosis.
If this is infective, the treatment is :
Antibiotics, anti-inflammatory.
Scrotal support.
Plenty of oral fluids.

If torsion: immediately to be explored.

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What Could Painful Testicles With Swelling Suggest?

Hi. Thanks for your history and query. This is a highly indicative of the following: Acute Epididymo-Orchitis. Rare chance of Hernia obstruction. Occasional cases of torsion The best way to have a proper diagnosis is : Ultrasonography and color doppler examination. This will prove the diagnosis. If this is infective, the treatment is : Antibiotics, anti-inflammatory. Scrotal support. Plenty of oral fluids. If torsion: immediately to be explored.