Hilda Left testicular pain and lower abdominal pain may be caused by orchitis, epididymitis, varicocele, urinary system stones or inguinal hernia, and require intervention through anti-infective treatment, surgical repair, etc. Symptoms usually include local swelling, abnormal urination or radiating pain. It is recommended to seek medical advice as soon as possible to confirm the diagnosis.
1. Orchitis or epididymitis
Orchitis or epididymitis caused by bacterial infection is a common cause, mostly caused by retrograde infection of urinary tract pathogens. In addition to pain in the testicles and lower abdomen, patients may also experience symptoms such as scrotal redness, swelling, and fever. Treatment requires the use of antibacterial drugs as directed by the doctor, such as levofloxacin tablets, cefixime dispersible tablets, azithromycin capsules, etc., while resting in bed and raising the scrotum.
2. Varicocele
Obstruction of the left spermatic vein return can cause swelling-like pain, which is aggravated after standing for a long time or after exertion. Physical examination can palpate earthworm-like masses in the scrotum, and ultrasound examination can confirm the diagnosis. Mild cases can be relieved with a scrotal band, while severe cases require laparoscopic high ligation of the spermatic vein. Avoiding prolonged standing and strenuous exercise can help improve symptoms.
3. Urinary system stones
Lower ureteral stones may cause referred pain in the testicular area, which is often accompanied by urination abnormalities such as hematuria and frequent urination. CT examination can determine the location and size of stones. Stones below 5 mm can be expedited by drinking more water and taking tamsulosin sustained-release capsules. Larger stones require extracorporeal shock wave lithotripsy or ureteroscopy.
4. Inguinal hernia
Compression of the spermatic cord structure by the hernia sac will cause intermittent pain. A protruding mass can be seen in the groin area when standing and can be restored when lying down. After diagnosis, heavy physical labor should be avoided and a hernia band should be used for temporary fixation. Laparoscopic hernia repair is required for radical cure. Incarcerated hernia requires immediate surgery if severe pain persists.
5. Chronic prostatitis
Pelvic congestion or infection may cause radiating testicular pain, often accompanied by waiting for urine and perineal discomfort. Prostatic fluid examination showed an increase in white blood cells. For treatment, tamsulosin hydrochloride sustained-release capsules and celecoxib capsules can be used together with warm water sitz baths, and prostate massage if necessary.
Daily care should be taken to keep the perineum clean and dry, and avoid sitting for long periods of time and wearing tight pants. Suspend sexual intercourse during the acute phase, eat a light diet and drink plenty of water. If the pain lasts for more than 24 hours and is accompanied by high fever or hematuria, you must see a urology department immediately. When severe pain occurs at night, you can temporarily apply ice to the affected area, but do not take painkillers to cover up the symptoms.
