Why is there a dull pain in my right testicle?

Dull pain in the right testicle may be related to factors such as varicocele, epididymitis, testicular torsion, urinary system stones or trauma. The cause can be clarified through physical examination and ultrasound examination, and treated with drug treatment, surgical intervention and other methods.

1. Varicocele

Varicocele is an abnormal expansion of the venous plexus in the scrotum, which may be related to factors such as prolonged standing and increased abdominal pressure. It manifests as a feeling of swelling in the testicle on the affected side. The pain worsens when standing and can be relieved by lying down. After diagnosis, patients with mild symptoms can wear tight underwear to hold up the scrotum; severe cases require high ligation of the spermatic vein. Commonly used drugs include Maizhiling tablets, diosmin tablets and other intravenous active drugs.

2. Epididymitis

Epididymitis is mostly caused by bacterial retrograde infection and is often accompanied by symptoms such as frequent urination and fever. Physical examination showed enlargement and tenderness of the epididymis, and blood routine showed elevated white blood cells. In the acute stage, bed rest is required, ice compresses are used to relieve swelling, and antibiotics such as levofloxacin tablets and cefixime dispersible tablets are used. Those with chronic and recurring attacks can cooperate with hot compress physical therapy.

3. Testicular torsion

Testicular torsion is a urological emergency. The rotation of the spermatic cord causes blood supply to be interrupted, resulting in sudden severe pain and elevated testicular position. It can be reduced manually within 6 hours after the onset of the disease. If it exceeds 6 hours, emergency surgical exploration and fixation are required to avoid testicular necrosis. Postoperative ultrasound examinations are required regularly to assess testicular survival.

4. Urinary system stones

Lower ureteral stones may radiate to the ipsilateral testicle, often accompanied by hematuria and painful urination. Stones can be located through CT urography. For stones smaller than 5 mm, Paishi granules and diclofenac sodium suppositories can be taken to relieve pain. Larger stones require extracorporeal shock wave lithotripsy or ureteroscopy.

5. Trauma or strain

Strenuous exercise or external impact may cause testicular contusion, which may manifest as local bruises and persistent dull pain. Cold compress is needed to stop bleeding in the early stage, and hot compress is needed to promote absorption after 48 hours. When pain is obvious, ibuprofen sustained-release capsules can be taken for a short period of time. If the hematoma increases, testicular rupture must be ruled out.

It is recommended to avoid riding or sitting for long periods of time and choose breathable cotton underwear to reduce local friction. It is forbidden to have sex during acute pain and observe whether it is accompanied by symptoms such as fever and abnormal urination. If the pain lasts for more than 3 days or worsens suddenly, you must seek medical attention immediately to rule out emergencies such as testicular torsion. Daily levator exercises can be used to improve pelvic floor blood circulation.