Hello! I've been experiencing mild pain in the left testicle for nearly 2 days. This (mild) pain exists only when the left testicle is physically touched and does not persist when walking or during normal activities. The pain started after I sat cross-legged (squishing the testicles in the process) for a prolonged period of time. Additional symptoms include slight swelling and the left testicle hanging a bit lower than usual (I may be mistaken in this). Again, the pain is very mild and arises only when touched. I'm 18 years old and have no history of medical issues.
Should I be concerned?
Well, I can't offer clinical instructions such as, yes you should be concerned or no.
checkout the other threads for some great apps that can help you find the nearest hospital. Also sharecare asks many questions and can help you narrow the differential diagnosis, but it is not to be used in isolation as it is not verified.
Many persons would likely be concerned in your situation based upon the risk of having the following conditions. One of the things they might consider doing is going to the ER. Testicular torsion could be a problem,
●The differential diagnosis of acute scrotal pain primarily includes testicular torsion, torsion of the appendix testis, and epididymitis.
●Testicular torsion generally presents with the abrupt onset of severe pain. The testicle may lie transversely in the scrotum and be retracted; the cremasteric reflex is typically absent. Testicular torsion is an emergency; timely diagnosis and treatment are vital for survival of the testis. At the time of diagnosis it is reasonable to attempt manual detorsion. (See 'Manual detorsion' above.)
●When clinical findings indicate a high likelihood for testicular torsion (eg, acute onset of severe testicular pain in association with nausea or vomiting, absent cremasteric reflex, and testicular changes on physical examination), the clinician should promptly consult an urologist with pediatric expertise to evaluate the patient and make a decision regarding operative exploration and repair. (See 'Diagnosis' above.)
●A color Doppler ultrasound of the scrotum is typically undertaken in patients with equivocal clinical findings when the performance of imaging will not significantly delay treatment.
●Torsion of the appendix testis also presents with the abrupt onset of pain, but the pain typically is less severe than in testicular torsion. Pain is localized to the region of the appendix testis (anterosuperior), and a "blue dot" sign may be apparent at the same location (picture 1). Treatment may be symptomatic, or the appendix testis may be surgically excised. (See 'Torsion of the appendix testis or appendix epididymis' above.)
●Patients with epididymitis may present with acute or subacute onset of pain and swelling isolated to the epididymis. A history of frequency, dysuria, urethral discharge, and/or fever may be present. The affected testis has a normal vertical lie; scrotal edema often is present. Treatment depends on the severity of illness and the suspected etiology. (See 'Epididymitis' above.)
●In rare cases, retrocecal appendicitis may cause referred scrotal pain in children and adolescents. In these patients, primary scrotal or testicular pathology will be absent.
This is from uptodate.
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