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Urology (Expert Forum)
Testicular Discomfort etc...
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
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Testicular Discomfort etc...
by tanbo, Jun 01, 2005 12:00AM
23 yr old male 5'10" 163 lbs. in otherwise excellent condition.
I have recently been experiencing a more consistent testicular discomfort lately(10 days) accompanied by a mild lower back pain and some abdominal discomfort similar to the feeling of "blue balls" or stimulation without ejaculation, or like the feeling of being struck in the testicles a few hours after the fact, the lesser pain, but nagging and uncomfortable nevertheless. Strangley, my testicles have been rising (right side predominatley) and sometimes pushing apart, fingerwidth, without any strenuos activity. This causes an alarming feeling more than anything, sometimes the right test. is nearly horizontal, but is consistently ascending towards the stomach but there is no pain during the occurence. There are no noticable absesses or lumps on my testicles which i have checked thouroughly and very often with concern.
I displayed the classic signs of gonnorhea/chlamydia as an 18 yr. old possibly contracting one or both of these std's from my first partner. I was tested on two different occasions soon there after intercourse and was negative both times but was treated twice anyway, I know that it was gonrhea, I received false-negative results for sure. The symptoms went away but i fear i re-contracted the disease through my girlfriend who I may have infected unknowingly, however, she tested negative but was positive with HPV. This has been a long process, but, I endured little or no complications until recently.
I still have occasional, but very light discharge in the morning (off white color), and an unusual (tingly) but not painful sensation during urination. I have also been experiencing minor joint pain that is acute but short lived(minutes if not less) in the hand and shoulder area. The joint pain and back pain seem coincident with golf (an avid golfer with a high swing speed 108+) which could be the reason for the aches, that would seem normal I suppose. Also, I have experienced a slight shortness of breath, unusual fatigue during running, and some chest discomfort similar to that of an anxious feeling or the feeling synonymous with anxiety.
I am well versed in medicine and the body follwoing graduation in my major and considered medical school despite my uncanny fear of "white coats" which is the reason for this medical question over the internet. I am quite sure that something is out of the ordinary and I would appreciate your quick and thorough response citing possible complications conceeding that a physicians visit is the best solution.
Note: My family physician examined my testicles about 6 months ago and noticed that one was ever so slightly larger than the other but saw no abnormalities. I was also examined by my best frieds father ob/gyn and he acknowledged no abnormalities. I do have diagnosed moderate hypertension.
My feared suspicion is gonnorhea spreading into the blood stream and is now causing joint pain and testicular problems
I have recently been experiencing a more consistent testicular discomfort lately(10 days) accompanied by a mild lower back pain and some abdominal discomfort similar to the feeling of "blue balls" or stimulation without ejaculation, or like the feeling of being struck in the testicles a few hours after the fact, the lesser pain, but nagging and uncomfortable nevertheless. Strangley, my testicles have been rising (right side predominatley) and sometimes pushing apart, fingerwidth, without any strenuos activity. This causes an alarming feeling more than anything, sometimes the right test. is nearly horizontal, but is consistently ascending towards the stomach but there is no pain during the occurence. There are no noticable absesses or lumps on my testicles which i have checked thouroughly and very often with concern.
I displayed the classic signs of gonnorhea/chlamydia as an 18 yr. old possibly contracting one or both of these std's from my first partner. I was tested on two different occasions soon there after intercourse and was negative both times but was treated twice anyway, I know that it was gonrhea, I received false-negative results for sure. The symptoms went away but i fear i re-contracted the disease through my girlfriend who I may have infected unknowingly, however, she tested negative but was positive with HPV. This has been a long process, but, I endured little or no complications until recently.
I still have occasional, but very light discharge in the morning (off white color), and an unusual (tingly) but not painful sensation during urination. I have also been experiencing minor joint pain that is acute but short lived(minutes if not less) in the hand and shoulder area. The joint pain and back pain seem coincident with golf (an avid golfer with a high swing speed 108+) which could be the reason for the aches, that would seem normal I suppose. Also, I have experienced a slight shortness of breath, unusual fatigue during running, and some chest discomfort similar to that of an anxious feeling or the feeling synonymous with anxiety.
I am well versed in medicine and the body follwoing graduation in my major and considered medical school despite my uncanny fear of "white coats" which is the reason for this medical question over the internet. I am quite sure that something is out of the ordinary and I would appreciate your quick and thorough response citing possible complications conceeding that a physicians visit is the best solution.
Note: My family physician examined my testicles about 6 months ago and noticed that one was ever so slightly larger than the other but saw no abnormalities. I was also examined by my best frieds father ob/gyn and he acknowledged no abnormalities. I do have diagnosed moderate hypertension.
My feared suspicion is gonnorhea spreading into the blood stream and is now causing joint pain and testicular problems
Doctor's Answer
by Kevin Pho, MD, Jun 02, 2005 12:00AM
, Jun 02, 2005 12:00AM
Tough to say without examination. Basic testing for gonorrhea/chlamydia can be done via urine test or urethral swab.
If there is concern about gonorrhea disseminating to the joints, you can aspirate joint fluid to send it off for analysis.
At least two sets of blood cultures should be obtained, as well as cultures from the skin and rectum (in addition to the urethra) to give a definitive diagnosis.
If there is concern about the testicular discomfort, a scrotal ultrasound can be arranged to ensure there is no anatomical abnormality.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
If there is concern about gonorrhea disseminating to the joints, you can aspirate joint fluid to send it off for analysis.
At least two sets of blood cultures should be obtained, as well as cultures from the skin and rectum (in addition to the urethra) to give a definitive diagnosis.
If there is concern about the testicular discomfort, a scrotal ultrasound can be arranged to ensure there is no anatomical abnormality.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
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